Evidence map›Paper›PMID 42237284›Full record

ArticleBMC health services research2026

Device-associated healthcare-associated infections in an intensive care unit in Türkiye: trends and additional costs - a retrospective propensity matched cohort analysis.

Osman Faruk Bayramlar, Selma Karabey

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Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Osman Faruk BayramlarDepartment of Public Health, Istanbul Medical Faculty, Istanbul University, Istanbul, Türkiye. obayramlar@istanbul.edu.tr.ORCID https://orcid.org/0000-0001-7311-3258
Selma KarabeyDepartment of Public Health, Istanbul Medical Faculty, Istanbul University, Istanbul, Türkiye.ORCID https://orcid.org/0000-0002-2964-3056

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe additional costs of healthcare-associated infections (HAIs) impose a significant burden on healthcare systems, limiting resources for other critical health priorities. This study evaluated device-associated healthcare-associated infections (DA-HAIs) in an adult intensive care unit (ICU) and examined their associated costs. MATERIALS AND

methodsA 1:1 case-control matching was performed using a propensity score matching (PSM) model to assess hospital-acquired infection costs. Data from 700 hospitalizations between 2016 and 2018 at the Anesthesiology and Reanimation ICU of Istanbul University Istanbul Medical Faculty were analyzed. Confounding factors were identified using multivariable linear regression, and PSM was applied to account for case-control differences. DA-HAI incidence and invasive device utilization over the past 15 years since the start of routine surveillance were also examined.

resultsHAIs occurred in 99 (14.1%) hospitalizations, 18 involving multiple infections. Using PSM, 81 HAI cases were optimally matched. The additional costs of ICU stays due to DA-HAIs were $6,781 for ventilator-associated pneumonia (VAP) (n = 26, p ≤ 0.001), $2,037 for central line-associated bloodstream infections (CLABSI) (n = 25, p > 0.05), $5,320 for catheter-associated urinary tract infections (CAUTI) (n = 12, p = 0.001), and $4,213 for all HAIs (n = 81, p ≤ 0.001).

conclusionDA-HAIs substantially increased ICU stays and generated substantial additional costs. DA-HAI incidence densities were at the highest levels according to NHSN criteria.

Indexed as

Catheter-Related InfectionsCross InfectionHospital CostsIntensive Care UnitsAdultAgedCase-Control StudiesFemaleHumansIncidenceMaleMiddle AgedPneumonia, Ventilator-AssociatedPropensity ScoreRetrospective StudiesTurkeyCost analysisDevice-associated healthcare-associated infectionHealthcare-associated infectionIntensive care unitPropensity score matching

Identifiers

PMID42237284
PMCPMC13459249

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.