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Epidemiology and cost of nosocomial gastroenteritis, Avon, England, 2002-2003.
- Source :
-
Emerging infectious diseases [Emerg Infect Dis] 2004 Oct; Vol. 10 (10), pp. 1827-34. - Publication Year :
- 2004
-
Abstract
- Healthcare-associated outbreaks of gastroenteritis are an increasingly recognized problem, but detailed knowledge of the epidemiology of these events is lacking. We actively monitored three hospital systems in England for outbreaks of gastroenteritis in 2002 to 2003. A total of 2,154 patients (2.21 cases/1,000-hospital-days) and 1,360 healthcare staff (0.47 cases/1,000-hospital-days) were affected in 227 unit outbreaks (1.33 outbreaks/unit-year). Norovirus, detected in 63% of outbreaks, was the predominant etiologic agent. Restricting new admissions to affected units resulted in 5,443 lost bed-days. The cost of bed-days lost plus staff absence was calculated to be 635,000 pounds sterling (US. 1.01 million dollars) per 1,000 beds. By our extrapolation, gastroenteritis outbreaks likely cost the English National Health Service 115 million pounds sterling (US 184 million dollars) in 2002 to 2003. Outbreaks were contained faster (7.9 vs. 15.4 days, p = 0.0023) when units were rapidly closed to new admissions (<4 days). Implementing control measures rapidly may be effective in controlling outbreaks.
- Subjects :
- Adolescent
Adult
Campylobacter isolation & purification
Clostridioides difficile isolation & purification
Economics, Hospital
England epidemiology
Female
Gastroenteritis microbiology
Gastroenteritis virology
Health Care Costs
Humans
Male
Middle Aged
Norovirus isolation & purification
Rotavirus isolation & purification
Cross Infection economics
Cross Infection epidemiology
Disease Outbreaks economics
Gastroenteritis economics
Gastroenteritis epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1080-6040
- Volume :
- 10
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Emerging infectious diseases
- Publication Type :
- Academic Journal
- Accession number :
- 15504271
- Full Text :
- https://doi.org/10.3201/eid1010.030941