title: Laboratory-confirmed, health care-associated bloodstream infections in Jordan: a matched cost and length of stay study.
abstract: BACKGROUND
  No studies have been carried out in Jordan to examine length of stay (LOS) and extra cost associated with health care-associated bloodstream infections (HCABSIs). This study aims to estimate the extra LOS and cost associated with HCABSIs among adult hospitalized Jordanian patients.
  
  
  METHODS
  Five-year data were retrieved from 1 large university-affiliated hospital in Jordan. Matched case-control design was used in this study. Cases were determined based on confirmed positive blood culture after 48 hours of admission. Matching criteria were age (±5 years), gender, admission diagnosis, and LOS in comparison group equal to the LOS (±5%) before blood culture for the case group.
  
  
  RESULTS
  Of the total 445 infected patients 125 (28.1%) were matched with uninfected patients. The mean LOS after infection for cases was 12.1 days (standard deviation [SD] = 17.2) compared with 8.3 (SD = 7.9) days for the controls (P = .02). The total mean inflation-adjusted charges for cases was M (mean) = US $7,426, SD = $7,252 compared with M = $3,274, SD = $4,209 for controls, P < .001. Using multiple regression modeling, LOS after acquiring HCABSIs, admission to critical care units, and being infected with HCABSIs were significant predictors of patients' total charges.
  
  
  CONCLUSIONS
  Figures generated from this can be used to inform health care researchers, policy makers, and professionals about the impact of HCABSIs.
authors: Faculty of Nursing, AL AL-Bayt University, Mafraq, Jordan. rawajfah@aabu.edu.jo
authors: Omar M
authors: OM
authors: Al-Rawajfah
authors: Jehanzeb
authors: J
authors: Cheema
authors: Jeanne Beauchamp
authors: JB
authors: Hewitt
authors: Issa M
authors: IM
authors: Hweidi
authors: Eyad
authors: E
authors: Musallam
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016022:Case-Control Studies; D003428:Cross Infection / Q000191:economics* / Q000453:epidemiology*; D005260:Female; D017048:Health Care Costs / Q000706:statistics & numerical data; D006801:Humans; D007597:Jordan / Q000453:epidemiology; D007902:Length of Stay / Q000191:economics*; D008297:Male; D008875:Middle Aged; D018805:Sepsis / Q000191:economics* / Q000453:epidemiology*; D055815:Young Adult