Economic value of dispensing home-based preoperative chlorhexidine bathing cloths to prevent surgical site infection

Rachel R. Bailey, Dianna R. Stuckey, Bryan A. Norman, Andrew P. Duggan, Kristina M. Bacon, Diana L. Connor, Ingi Lee, Robert R. Muder, Bruce Lee

Research output: Contribution to journalArticle

Abstract

objective. To estimate the economic value of dispensing preoperative home-based chlorhexidine bathing cloth kits to orthopedic patients to prevent surgical site infection (SSI).methods. A stochastic decision-analytic computer simulation model was developed from the hospital's perspective depicting the decision of whether to dispense the kits preoperatively to orthopedic patients. We varied patient age, cloth cost, SSI-attributable excess length of stay, cost per bed-day, patient compliance with the regimen, and cloth antimicrobial efficacy to determine which variables were the most significant drivers of the model's outcomes. results. When all other variables remained at baseline and cloth efficacy was at least 50%, patient compliance only had to be half of baseline (baseline mean, 15.3%; range, 8.23%-20.0%) for chlorhexidine cloths to remain the dominant strategy (ie, less costly and providing better health outcomes). When cloth efficacy fell to 10%, 1.5 times the baseline bathing compliance also afforded dominance of the preoperative bath. conclusions. The results of our study favor the routine distribution of bathing kits. Even with low patient compliance and cloth efficacy values, distribution of bathing kits is an economically beneficial strategy for the prevention of SSI.

Original languageEnglish (US)
Pages (from-to)465-471
Number of pages7
JournalInfection Control and Hospital Epidemiology
Volume32
Issue number5
DOIs
StatePublished - May 2011
Externally publishedYes

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Surgical Wound Infection
Chlorhexidine
Patient Compliance
Economics
Computer Simulation
Orthopedics
Costs and Cost Analysis
Baths
Compliance
Length of Stay
Health

ASJC Scopus subject areas

  • Microbiology (medical)
  • Epidemiology
  • Infectious Diseases

Cite this

Economic value of dispensing home-based preoperative chlorhexidine bathing cloths to prevent surgical site infection. / Bailey, Rachel R.; Stuckey, Dianna R.; Norman, Bryan A.; Duggan, Andrew P.; Bacon, Kristina M.; Connor, Diana L.; Lee, Ingi; Muder, Robert R.; Lee, Bruce.

In: Infection Control and Hospital Epidemiology, Vol. 32, No. 5, 05.2011, p. 465-471.

Research output: Contribution to journalArticle

Bailey, Rachel R. ; Stuckey, Dianna R. ; Norman, Bryan A. ; Duggan, Andrew P. ; Bacon, Kristina M. ; Connor, Diana L. ; Lee, Ingi ; Muder, Robert R. ; Lee, Bruce. / Economic value of dispensing home-based preoperative chlorhexidine bathing cloths to prevent surgical site infection. In: Infection Control and Hospital Epidemiology. 2011 ; Vol. 32, No. 5. pp. 465-471.
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