Compartmentalization of wards to cohort symptomatic patients at the beginning and end of norovirus outbreaks

作者: C.F. Haill , P. Newell , C. Ford , M. Whitley , J. Cox

DOI: 10.1016/J.JHIN.2012.05.015

关键词:

摘要: Summary Background Outbreaks of norovirus can have a significant operational and financial impact on healthcare establishments. Aim To assess whether containment symptomatic patients in single rooms bays at the beginning end outbreaks reduced length bed closure. Methods In 2007, we introduced new strategy to limit hospital norovirus. Early an outbreak, were cohorted or attempt contain outbreak without closing entire ward. Once ward had been closed, as beds became available through discharges, decanted into empty with doors facilitate earlier cleaning opening affected areas same The these changes was assessed by comparing data for two periods before after implementation strategy. Findings Prior June 90% managed closure ward, compared only 54% from 2007 onwards. duration significantly shorter wards, both (3.5 vs 6, P  = 0.0327) (3 5,  = 0.007). Conclusion Using compartmentalization cohort improved efficiency management disruption.

参考文章(15)
J. Danial, J.A. Cepeda, F. Cameron, K. Cloy, D. Wishart, K.E. Templeton, Epidemiology and costs associated with norovirus outbreaks in NHS Lothian, Scotland 2007–2009 Journal of Hospital Infection. ,vol. 79, pp. 354- 358 ,(2011) , 10.1016/J.JHIN.2011.06.018
Mary K Estes, BV Verkataram Prasad, Robert L Atmar, None, Noroviruses everywhere: has something changed? Current Opinion in Infectious Diseases. ,vol. 19, pp. 467- 474 ,(2006) , 10.1097/01.QCO.0000244053.69253.3D
P.R. Chadwick, G. Beards, D. Brown, E.O. Caul, J. Cheesbrough, I. Clarke, A. Curry, S. O'Brien, K. Quigley, J. Sellwood, D. Westmoreland, Management of hospital outbreaks of gastro-enteritis due to small roundstructured viruses. Journal of Hospital Infection. ,vol. 45, pp. 1- 10 ,(2000) , 10.1053/JHIN.2000.0662
P.R. Chadwick, R. McCann, Transmission of a small round structured virus by vomiting during a hospital outbreak of gastroenteritis Journal of Hospital Infection. ,vol. 26, pp. 251- 259 ,(1994) , 10.1016/0195-6701(94)90015-9
B. A. Lopman, M. H. Reacher, I. B. Vipond, J. Sarangi, D. W. G. Brown, Clinical manifestation of norovirus gastroenteritis in health care settings. Clinical Infectious Diseases. ,vol. 39, pp. 318- 324 ,(2004) , 10.1086/421948
Benjamin A Lopman, Goutam K Adak, Mark Reacher, David W.G. Brown, Two epidemiologic patterns of norovirus outbreaks: surveillance in England and wales, 1992-2000. Emerging Infectious Diseases. ,vol. 9, pp. 71- 77 ,(2003) , 10.3201/EID0901.020175
E. Illingworth, E. Taborn, D. Fielding, J. Cheesbrough, P.J. Diggle, D. Orr, Is closure of entire wards necessary to control norovirus outbreaks in hospital? Comparing the effectiveness of two infection control strategies Journal of Hospital Infection. ,vol. 79, pp. 32- 37 ,(2010) , 10.1016/J.JHIN.2011.04.024