Laboratory-confirmed, health care-associated bloodstream infections in Jordan: A matched cost and length of stay study

Omar M. Al-Rawajfah*, Jehanzeb Cheema, Jeanne Beauchamp Hewitt, Issa M. Hweidi, Eyad Musallam

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

17 Citations (Scopus)


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. Conclusion: Figures generated from this can be used to inform health care researchers, policy makers, and professionals about the impact of HCABSIs.

Original languageEnglish
Pages (from-to)607-611
Number of pages5
JournalAmerican Journal of Infection Control
Issue number7
Publication statusPublished - Jul 2013
Externally publishedYes


  • Bloodstream infections
  • Charges
  • Health care costs
  • Length of stay
  • Nosocomial
  • Risk factors

ASJC Scopus subject areas

  • Epidemiology
  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases


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