The socio-economic impact of multidrug-resistant nosocomial infections: a qualitative study

J Hosp Infect. 2019 Aug;102(4):454-460. doi: 10.1016/j.jhin.2018.08.013. Epub 2018 Aug 29.

Abstract

The burden of healthcare-associated infections (HCAIs) has traditionally been measured using clinical and economic outcomes. We conducted semi-structured interviews with 18 patients or their caregivers affected by HCAI caused by multidrug-resistant organisms to better understand the human impact of HCAI. Most patients had misconceptions about HCAI and antimicrobial resistance, leading to strong negative feelings towards HCAIs despite positive views of their healthcare providers. Communication issues across power imbalances need to be addressed to help deal with trauma of HCAIs. A holistic approach to HCAIs incorporating patient perspectives will likely help guide policymakers developing solutions to improve patient outcomes.

Keywords: Healthcare-associated infection; Multidrug-resistant organisms; Nosocomial infection; Socio-economic.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Bacterial Infections / economics*
  • Bacterial Infections / psychology*
  • Cross Infection / economics*
  • Cross Infection / psychology*
  • Drug Resistance, Microbial*
  • Female
  • Health Communication
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Interviews as Topic
  • Male
  • Middle Aged
  • Mycoses / economics*
  • Mycoses / psychology*