Epidemiology and Cost of Nosocomial Gastroenteritis, Avon, England, 2002–2003
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...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Centers for Disease Control and Prevention
2004-10-01
|
| Series: | Emerging Infectious Diseases |
| Subjects: | |
| Online Access: | https://wwwnc.cdc.gov/eid/article/10/10/03-0941_article |
| _version_ | 1828520448080478208 |
|---|---|
| author | Ben A. Lopman Mark H. Reacher Ian B. Vipond Dawn Hill Christine Perry Tracey Halladay David W. Brown W. John Edmunds Joyshri Sarangi |
| author_facet | Ben A. Lopman Mark H. Reacher Ian B. Vipond Dawn Hill Christine Perry Tracey Halladay David W. Brown W. John Edmunds Joyshri Sarangi |
| author_sort | Ben A. Lopman |
| collection | DOAJ |
| description | 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 (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 (<4 days). Implementing control measures rapidly may be effective in controlling outbreaks. |
| first_indexed | 2024-12-11T19:31:06Z |
| format | Article |
| id | doaj.art-a8bbed463ac148098b9e23c6a03515cf |
| institution | Directory Open Access Journal |
| issn | 1080-6040 1080-6059 |
| language | English |
| last_indexed | 2024-12-11T19:31:06Z |
| publishDate | 2004-10-01 |
| publisher | Centers for Disease Control and Prevention |
| record_format | Article |
| series | Emerging Infectious Diseases |
| spelling | doaj.art-a8bbed463ac148098b9e23c6a03515cf2022-12-22T00:53:17ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592004-10-0110101827183410.3201/eid1010.030941Epidemiology and Cost of Nosocomial Gastroenteritis, Avon, England, 2002–2003Ben A. LopmanMark H. ReacherIan B. VipondDawn HillChristine PerryTracey HalladayDavid W. BrownW. John EdmundsJoyshri SarangiHealthcare-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 (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 (<4 days). Implementing control measures rapidly may be effective in controlling outbreaks.https://wwwnc.cdc.gov/eid/article/10/10/03-0941_articlegastroenteritisnosocomialoutbreaknorovirusnorwalkhealthcare-acquired infection |
| spellingShingle | Ben A. Lopman Mark H. Reacher Ian B. Vipond Dawn Hill Christine Perry Tracey Halladay David W. Brown W. John Edmunds Joyshri Sarangi Epidemiology and Cost of Nosocomial Gastroenteritis, Avon, England, 2002–2003 Emerging Infectious Diseases gastroenteritis nosocomial outbreak norovirus norwalk healthcare-acquired infection |
| title | Epidemiology and Cost of Nosocomial Gastroenteritis, Avon, England, 2002–2003 |
| title_full | Epidemiology and Cost of Nosocomial Gastroenteritis, Avon, England, 2002–2003 |
| title_fullStr | Epidemiology and Cost of Nosocomial Gastroenteritis, Avon, England, 2002–2003 |
| title_full_unstemmed | Epidemiology and Cost of Nosocomial Gastroenteritis, Avon, England, 2002–2003 |
| title_short | Epidemiology and Cost of Nosocomial Gastroenteritis, Avon, England, 2002–2003 |
| title_sort | epidemiology and cost of nosocomial gastroenteritis avon england 2002 2003 |
| topic | gastroenteritis nosocomial outbreak norovirus norwalk healthcare-acquired infection |
| url | https://wwwnc.cdc.gov/eid/article/10/10/03-0941_article |
| work_keys_str_mv | AT benalopman epidemiologyandcostofnosocomialgastroenteritisavonengland20022003 AT markhreacher epidemiologyandcostofnosocomialgastroenteritisavonengland20022003 AT ianbvipond epidemiologyandcostofnosocomialgastroenteritisavonengland20022003 AT dawnhill epidemiologyandcostofnosocomialgastroenteritisavonengland20022003 AT christineperry epidemiologyandcostofnosocomialgastroenteritisavonengland20022003 AT traceyhalladay epidemiologyandcostofnosocomialgastroenteritisavonengland20022003 AT davidwbrown epidemiologyandcostofnosocomialgastroenteritisavonengland20022003 AT wjohnedmunds epidemiologyandcostofnosocomialgastroenteritisavonengland20022003 AT joyshrisarangi epidemiologyandcostofnosocomialgastroenteritisavonengland20022003 |