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The attributable cost of catheter‐associated urinary tract infections in the United States: A systematic review

C. Hollenbeak, Amber Schilling

American Journal of Infection Control, 2018

130 citations

Abstract

HighlightsA systematic review of the literature identified only 4 studies that produced original estimates of the attributable cost of catheter‐associated urinary tract infections (CAUTIs) in the United States since the year 2000.In 2016 U.S. dollars, the reported attributable costs of CAUTIs are $876 (inpatient costs to the hospital for additional diagnostic tests and medications); $1,764 (inpatient costs to Medicare for non‐intensve care unit [ICU] patients); $7,670 (inpatient and outpatient costs to Medicare); $8,398 (inpatient costs to the hospital for pediatric patients); and $10,197 (inpatient costs to Medicare for ICU patients).The prevailing notion of a CAUTI costing approximately $1,000 is an underestimate and an oversimplification of its true economic burden, because many factors such as patient population, patient acuity, infection etiology, and cost perspective can increase the cost well above $1,000.Additional research is needed to accurately assess the full economic effect that CAUTIs have on hospitals and on the U.S. healthcare system. Background: Catheter‐associated urinary tract infections (CAUTIs) are the most common healthcare‐acquired condition. The attributable cost of CAUTIs is frequently cited to be approximately $1,000. However, there is a paucity of recent literature that confirms this estimate. The purpose of this study was to perform a systematic review of the literature that estimates the attributable cost of CAUTIs in the United States. Methods:…

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