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Table 1 Definition and quantification of input parameter

From: Impact of different diagnostic technologies for MRSA admission screening in hospitals – a decision tree analysis

Parameter

Description

Value

Reference

P t

MRSA prevalence of all inpatients

3.075 %

[14]

P r

MRSA prevalence of high-risk inpatients

11.94 %

[14]

P n. i.

MRSA prevalence of patients without indication for a targeted screening

2.09 %

Calculation based on in-house data (UMG)a

RT no iso

Rate of MRSA transmission not in isolation per day

0.0443

[14], updated with [15, 16]

RT iso

Rate of MRSA transmission in isolation per day

0.0033

[14], updated with [15, 16]

Sen PoC

Sensitivity of PoC method

95 %

In-house data (mölnlycke hc)

Sen PCR

Sensitivity of PCR method

91.09 %

[14]

Sen cul

Sensitivity of culture method

88.73 %

[14]

SP PoC

Specificity of PoC method

97.5 %

In-house data (mölnlycke hc)

SP PCR

Specificity of PCR method

95.79 %

[14]

SP cul

Specificity of culture method

93.23 %

[14]

C pre iso

Average costs for pre-emptive isolation per day

62.77 €

[14]

C MRSA

Average costs per MRSA case per day

506.92 €

[14]

LOS MRSA

Average length of stay of MRSA patients in days

24.88

[14]

T PoC

Turn-around time of PoC method in days

0.01389

[9]

T PCR

Turn-around time of PCR method in days

0.29

In-house data (UMG)

T cul

Turn-around time of culture method in days

2.5

In-house data (UMG)

C PoC

Costs for a single PoC test

30 €

[9]

C PCR

Costs for a single PCR test

20.50 €

[14]

C cul pos

Costs for a single culture test with positive result

24.10 €

[14]

C cul neg

Costs for a single culture test with negative result

6.40 €

[14]

C f

Costs for follow-up screening

6.40 €

Costs of a negative culture test are assumed

C c

Costs for screening a contact patient

6.40 €

Costs of a negative culture test are assumed

Pat c

Number of contact patients

2

calculation based on in-house data (UMG)

LOS reg

Average length of stay of regular patients in days

8

[14]

Pat t

Number of total inpatients per year

35,322

In-house data (UMG)

Pat risk

Number of high-risk patients per year

3,532

In-house data (UMG)

Pat n. i.

Number of patients without indication for a targeted screening per year

31,790

In-house data (UMG)

  1. a UMG University Medicine Greifswald