Epidemiology and cost of nosocomial gastroenteritis, Avon, England, 2002-2003


Lopman, BA; Reacher, MH; Vipond, IB; Hill, D; Perry, C; Halladay, T; Brown, DW; Edmunds, WJ; Sarangi, J; (2004) Epidemiology and cost of nosocomial gastroenteritis, Avon, England, 2002-2003. Emerging infectious diseases, 10 (10). pp. 1827-34. ISSN 1080-6040 DOI: https://doi.org/10.3201/eid1010.030941

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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 (&lt;4 days). Implementing control measures rapidly may be effective in controlling outbreaks.<br/>

Item Type: Article
Keywords: Adolescent, Adult, Campylobacter/isolation & purification, Clostridium difficile/isolation & purification, Cross Infection/*economics/*epidemiology, Disease Outbreaks/*economics, Economics, Hospital, England/epidemiology, Female, Gastroenteritis/*economics/*epidemiology/microbiology/virology, Health Care Costs, Humans, Male, Middle Aged, Norovirus/isolation & purification, Rotavirus/isolation & purification, Adolescent, Adult, Campylobacter, isolation & purification, Clostridium difficile, isolation & purification, Cross Infection, economics, epidemiology, Disease Outbreaks, economics, Economics, Hospital, England, epidemiology, Female, Gastroenteritis, economics, epidemiology, microbiology, virology, Health Care Costs, Humans, Male, Middle Aged, Norovirus, isolation & purification, Rotavirus, isolation & purification
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
PubMed ID: 15504271
Web of Science ID: 224376200017
URI: http://researchonline.lshtm.ac.uk/id/eprint/9795

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