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KMID : 1138720210470040183
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Korean Public Health Research
2021 Volume.47 No. 4 p.183 ~ p.195
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A cost survey for disinfection, cleaning, and sterilization in a Korean hospitals
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Shi Hye-Jin
Kim Sung-Ran
Yoo Hyeon-Mi
Son Hee-Jung
Kim Jin-Wha
Choi Hoon-Hwa
Park Kwan-Jun
Eom Joong-Sik
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Abstract
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Background: Disinfection, cleaning, and sterilization are major elements of medical infection control, but research on how much it actually costs in Korea is lacking. The main purpose of this study was to calculate the cost and compensation method required for disinfection, cleaning and sterilization in the current medical situation in South Korea.
Methods: A survey was conducted at 120 hospitals in Korea from May 1 to June 18, 2019. The survey included the methods and types of disinfection and cleaning implemented in each hospital, the amount of disinfectant used, and how often disinfection, cleaning, and sterilization were actually performed. The questionnaire was conducted as a paper survey, and the results were analyzed by experts.
Result: Thirty-eight hospitals responded to the survey, of which 37 hospitals' results were used for analysis. Although there are differences between hospitals, on average, the cost of disinfection, cleaning, sterilization, and sterilization products for one patient per patient-day was 2,341 won. The cost was about twice that of a general hospital in a tertiary hospital. The disinfectant cost 916 won per patient-day. The cleaning agent cost 165 won per patient-day. The cleaning agent cost 195 won per day of stay. Regarding the automatic sterilizer, the average purchase cost was 22,878,210 (±16,543,798.2) won, and the median value was 19,363,636 won. The maintenance cost was 18 won per patient-day. The cost of disinfectant was 793 won per patient-day. There was also a difference in the cost of 853 won patient-day spent at tertiary hospitals and 678 won per patient-day at general hospitals. The sterilizer and maintenance cost was 178 won per patient-day. Other items necessary for disinfection and sterilization (packaging materials, adhesive items, labels, sterilization confirmation items, etc.) cost 269 won per day of stay. It cost 301 won per patient-day spent at the tertiary hospital, and 207 won per patient-day spent at the general hospital.
Conclusion: In this study, we were able to estimate the cost for disinfection, cleaning, sterilization. In conclusion, various items and costs were continuously consumed for disinfection, cleaning, and sterilization. It is thought that it is important for the improvement of infection control to be properly compensated for these consumption costs.
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KEYWORD
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cost, disinfection, cleaning, sterilization
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