The tangible cost implications of a hospital outbreak of multiply-resistant salmonella

SUMMARYA hospital outbreak of multiply-resistant Salmonella heidelberg infection, which affected 17 patients and 2 staff, is described. The tangible cost of the outbreak was estimated at £21 151, £17989 (85·1%) of which was borne by the hospital. The cost to the Microbiology Department was £3596 (17·0% of the total). A detailed analysis of the costs and implications for staffing disruption is given and a comparison is made with the costs of preventive activities. Ways of containing expenses in the event of an outbreak and the economic implications for clinical budgeting and privatization of the laboratory service are considered.