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The tangible cost implications of a hospital outbreak of multiply-resistant salmonella

Published online by Cambridge University Press:  15 May 2009

S. Barnass
Affiliation:
Department of Medical Microbiology, St Bartholomew's Hospital, West Smithfield, London, EC1A 7BE
M. O'Mahony
Affiliation:
Public Health Laboratory Service, Communicable Disease Surveillance Centre, 61 Colindale Avenue, London, NW9 5EQ
P. N. Sockett
Affiliation:
Public Health Laboratory Service, Communicable Disease Surveillance Centre, 61 Colindale Avenue, London, NW9 5EQ
J. Garner
Affiliation:
Department of Medical Microbiology, St Bartholomew's Hospital, West Smithfield, London, EC1A 7BE
J. Franklin
Affiliation:
Department of Medical Microbiology, St Bartholomew's Hospital, West Smithfield, London, EC1A 7BE
S. Tabaqchali
Affiliation:
Department of Medical Microbiology, St Bartholomew's Hospital, West Smithfield, London, EC1A 7BE
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Summary

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A hospital outbreak of multiply-resistant Salmonella heidelberg infection, which affected 17 patients and 2 staff, is described. The tangible cost of the outbreak was estimated at £21 151, £17989 (85·1%) of which was borne by the hospital. The cost to the Microbiology Department was £3596 (17·0% of the total). A detailed analysis of the costs and implications for staffing disruption is given and a comparison is made with the costs of preventive activities. Ways of containing expenses in the event of an outbreak and the economic implications for clinical budgeting and privatization of the laboratory service are considered.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1989

References

REFERENCES

1.Department of Health and Social Security. The Report of the Committee of Enquiry into the Outbreak of Food Poisoning at Stanley Royd Hospital. 1986. CMND 9716.Google Scholar
2.Palmer, SR, Rowe, B.Investigations of outbreaks of salmonella in hospitals. Brit Med J 1983; 287: 891–3.CrossRefGoogle ScholarPubMed
3.Jewes, LA.Antimicrobial therapy of non-typhi salmonella and shigella infection. J Antimicr Chemother 1987; 19: 557–60.CrossRefGoogle ScholarPubMed
4.Sockett, P, Stanwell-Smith, R. Cost analysis of use of health-care services by sporadic cases and family outbreaks of Salmonella typhimurium and Campylobacter infection. Proceedings 2nd World Congress Foodbourne Infections and Intoxications, WHO Berlin 1986; vol. 2: 1036–9.Google Scholar
5.Yule, BF, Macleod, AF, Sharp, JCM, Forbes, GI.Costing of a hospital-based outbreak of poultry-borne salmonellosis. Epidemiol Infect 1988: 100: 3542.CrossRefGoogle ScholarPubMed