Volume 23, Number 9—September 2017
Cost of Nosocomial Outbreak Caused by NDM-1–Containing Klebsiella pneumoniae in the Netherlands, October 2015–January 2016
|Type of cost||Explanation||Total cost, US $||Total cost, €|
|Other laboratory personnel||Estimated 2,517 h†||93,789||76,251|
|Microbiological tests||Material costs to perform cultures in batches||60,070||48,837|
|Microbiologists||Estimated 376 h†||46,017||37,412|
|Molecular diagnostics||Material costs to perform PCRs in batches||24,523||19,937|
|No. blocked beds||582 beds, occupancy rate 0.85 at $550/d or €447/d (5)||272,085||221,131|
|Personal protective equipment||Expenditures for extra disposable aprons, gloves, and masks||55,121||44,814|
|Cleaning wards||Purchase of 2 fogging devices and personnel time for extra cleaning||46,881||38,115|
|Subtotal ward-related costs
|Other outbreak control costs|
|Infection prevention experts||Estimated 2,336 h for internal advice and guidance†||105,356||85,655|
|Patients in isolation||280 patients, averaged at 5.2 d of hospitalization, at $31.40/d or €25.53/d (6)||45,718||37,172|
|Staff meetings||23 staff meetings with on average 21 participants × 0.75 h × $1,525/h†||26,306||21,390|
|Communication||320 h for internal and patient-related communication spent by several communication employees†||17,696||14,387|
|Costs for mailings||10,701||8,700|
|Subtotal outbreak control costs
*Resource use related to this outbreak was provided by the hospital.
†Labor costs/h were determined by using the Dutch manual for economic evaluations (5).
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