Epidemiology and Cost of Nosocomial Gastroenteritis, Avon, England, 2002–2003
| Autor: | W. John Edmunds, Tracey Halladay, Christine Perry, Joyshri Sarangi, Dawn Hill, David Brown, Mark Reacher, I.B. Vipond, Ben Lopman |
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| Jazyk: | angličtina |
| Rok vydání: | 2004 |
| Předmět: |
Microbiology (medical)
Adult Male Rotavirus medicine.medical_specialty Pediatrics economic Adolescent Epidemiology norovirus lcsh:Medicine medicine.disease_cause Disease Outbreaks lcsh:Infectious and parasitic diseases Environmental health norwalk medicine Infection control health economics Humans lcsh:RC109-216 Economics Hospital Cross Infection Health economics outbreak business.industry Clostridioides difficile Research healthcare-acquired infection lcsh:R Outbreak Campylobacter nosocomial Health Care Costs Middle Aged National health service infection control Infectious Diseases England Norovirus Female business gastroenteritis Pound Sterling |
| Zdroj: | Emerging Infectious Diseases, Vol 10, Iss 10, Pp 1827-1834 (2004) Emerging Infectious Diseases |
| ISSN: | 1080-6059 1080-6040 |
| Popis: | Implementing control measures rapidly may be effective in controlling gastroenteritis outbreaks. 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 (U.S.$ 1.01 million) per 1,000 beds. By our extrapolation, gastroenteritis outbreaks likely cost the English National Health Service £115 million (U.S.$ 184 million) 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 ( |
| Databáze: | OpenAIRE |
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