TY - JOUR AU - Lopman, Ben A. AU - Reacher, Mark H. AU - Vipond, Ian B. AU - Hill, Dawn AU - Perry, Christine AU - Halladay, Tracey AU - Brown, David W. AU - Edmunds, W. John AU - Sarangi, Joyshri T1 - Epidemiology and Cost of Nosocomial Gastroenteritis, Avon, England, 2002–2003 T2 - Emerging Infectious Disease journal PY - 2004 VL - 10 IS - 10 SP - 1827 SN - 1080-6059 AB - 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. KW - gastroenteritis KW - nosocomial KW - outbreak KW - norovirus KW - norwalk KW - healthcare-acquired infection KW - infection control KW - economic KW - health economics KW - research KW - England KW - United Kingdom DO - 10.3201/eid1010.030941 UR - https://wwwnc.cdc.gov/eid/article/10/10/03-0941_article ER - End of Reference