scholarly journals Clinical pictures, treatments, resource use, and costs of norovirus gastroenteritis in long-term care facilities: A survey with a chart review in Japan

2020 ◽  
Author(s):  
Saori Fujiki ◽  
Tatsuro Ishizaki ◽  
Takeo Nakayama
Keyword(s):  
Drug Cost ◽  
Resource Use ◽  
Long Term Care ◽  
Clinical Course ◽  
Total Drug ◽  
Term Care ◽  
Total Drug Cost ◽  
Norovirus Gastroenteritis ◽  
Care Facilities

Abstract Background Outbreaks of norovirus infection can have detrimental impacts on long-term care facilities. This study investigated the incidence, clinical picture, treatment, resource use, and costs of norovirus gastroenteritis in long-term care facilities. Methods Nineteen facilities in Osaka and Kyoto, Japan participated in questionnaire surveys conducted between 2009 and 2011 regarding the incidence of norovirus gastroenteritis. From clinical charts, the characteristics, symptoms, and treatment of infected residents were analyzed. Total drug cost per infected resident was calculated by multiplying the unit price for each drug by the daily dose and the number of days administered and summing the costs for each drug (USD 1 = JPY 100). Results Over the 3-year period, 8 outbreaks of norovirus gastroenteritis occurred in 6 facilities. The mean clinical course of 107 infected residents in five facilities that granted permission to examine patients’ medical records was 4 days, with all but one resident presenting with vomiting and/or diarrhea, and 84 (79%) also presenting with associated symptoms. Of 107 infected residents, 72 (67%) were isolated. The proportion of infected residents isolated varied from 50% to 100% depending on the facility. Of the infected residents, 81 (76%) received some type of medication, the most common being infusion (67 patients, 63%) and antibiotics (30 patients, 28%). The median total cost of all drugs administered was USD 4.4, and the median drug cost per infected resident per day was USD 2.0. Total drug cost over the entire treatment period was the highest for antibiotics, at USD 8.6. Conclusion Clinical course was similar to those of norovirus cases examined at other facilities. The majority of infected residents received some type of medication. Although the economic burden was not large, not a few infected residents were given antibiotics, which are ineffective for norovirus.

scholarly journals Clinical pictures, treatments, and resource use of norovirus gastroenteritis in long-term care facilities: A survey with a chart review in Japan

2020 ◽  
Author(s):  
Saori Fujiki ◽  
Tatsuro Ishizaki ◽  
Takeo Nakayama
Keyword(s):  
Drug Cost ◽  
Resource Use ◽  
Long Term Care ◽  
Clinical Course ◽  
Total Drug ◽  
Term Care ◽  
Total Drug Cost ◽  
Norovirus Gastroenteritis ◽  
Care Facilities

Abstract Background: Outbreaks of norovirus infection can have detrimental impacts on long-term care facilities. This study investigated the incidence, clinical picture, treatment and resource use of norovirus gastroenteritis in long-term care facilities.Methods: Nineteen facilities in Osaka and Kyoto, Japan participated in questionnaire surveys conducted between 2009 and 2011 regarding the incidence of norovirus gastroenteritis. From clinical charts, the characteristics, symptoms, and treatment of infected residents were analyzed. Total drug cost per infected resident was calculated by multiplying the unit price for each drug by the daily dose and the number of days administered and summing the costs for each drug (USD 1 = JPY 100).Results: Over the 3-year period, 8 outbreaks of norovirus gastroenteritis occurred in 6 facilities. The mean clinical course of 107 infected residents in five facilities that granted permission to examine patients’ medical records was 4 days, with all but one resident presenting with vomiting and/or diarrhea, and 84 (79%) also presenting with associated symptoms. Of 107 infected residents, 72 (67%) were isolated. The proportion of infected residents isolated varied from 50% to 100% depending on the facility. Of the infected residents, 81 (76%) received some type of medication, the most common being infusion (67 patients, 63%) and antibiotics (30 patients, 28%). The median total cost of all drugs administered was USD 4.4, and the median drug cost per infected resident per day was USD 2.0. Total drug cost over the entire treatment period was the highest for antibiotics, at USD 8.6.Conclusion: Clinical course was similar to those of norovirus cases examined at other long-term care facilities. The majority of infected residents received some type of medication. Although the economic burden was not large, not a few infected residents were given antibiotics, which are ineffective for norovirus.

scholarly journals Clinical pictures, treatments and resource use of norovirus gastroenteritis in long-term care facilities: A survey with a chart review in Japan

2020 ◽  
Author(s):  
Saori Fujiki ◽  
Tatsuro Ishizaki ◽  
Takeo Nakayama
Keyword(s):  
Drug Cost ◽  
Resource Use ◽  
Long Term Care ◽  
Clinical Course ◽  
Total Drug ◽  
Term Care ◽  
Total Drug Cost ◽  
Norovirus Gastroenteritis ◽  
Care Facilities

Abstract Background Outbreaks of norovirus infection can have detrimental impacts on long-term care facilities. This study investigated the incidence, clinical picture, treatment, resource use, and costs of norovirus gastroenteritis in long-term care facilities. Methods Nineteen facilities in Osaka and Kyoto, Japan participated in questionnaire surveys conducted between 2009 and 2011 regarding the incidence of norovirus gastroenteritis. From clinical charts, the characteristics, symptoms, and treatment of infected residents were analyzed. Total drug cost per infected resident was calculated by multiplying the unit price for each drug by the daily dose and the number of days administered and summing the costs for each drug (USD 1 = JPY 100). Results Over the 3-year period, 8 outbreaks of norovirus gastroenteritis occurred in 6 facilities. The mean clinical course of 107 infected residents in five facilities that granted permission to examine patients’ medical records was 4 days, with all but one resident presenting with vomiting and/or diarrhea, and 84 (79%) also presenting with associated symptoms. Of 107 infected residents, 72 (67%) were isolated. The proportion of infected residents isolated varied from 50% to 100% depending on the facility. Of the infected residents, 81 (76%) received some type of medication, the most common being infusion (67 patients, 63%) and antibiotics (30 patients, 28%). The median total cost of all drugs administered was USD 4.4, and the median drug cost per infected resident per day was USD 2.0. Total drug cost over the entire treatment period was the highest for antibiotics, at USD 8.6. Conclusion Clinical course was similar to those of norovirus cases examined at other facilities. The majority of infected residents received some type of medication. Although the economic burden was not large, not a few infected residents were given antibiotics, which are ineffective for norovirus.

scholarly journals Clinical pictures, treatments, resource use, and costs of norovirus gastroenteritis in long-term care facilities: A survey with a chart review in Japan

2019 ◽  
Author(s):  
Saori Fujiki ◽  
Tatsuro Ishizaki ◽  
Takeo Nakayama
Keyword(s):  
Drug Cost ◽  
Resource Use ◽  
Long Term Care ◽  
Clinical Course ◽  
Total Drug ◽  
Term Care ◽  
Total Drug Cost ◽  
Norovirus Gastroenteritis ◽  
Care Facilities

Abstract Background Outbreaks of norovirus infection can have detrimental impacts on long-term care facilities. This study investigated the incidence, clinical picture, treatment, resource use, and costs of norovirus gastroenteritis in long-term care facilities. Methods Nineteen facilities in Osaka and Kyoto, Japan participated in questionnaire surveys conducted between 2009 and 2011 regarding the incidence of norovirus gastroenteritis. From clinical charts, the characteristics, symptoms, and treatment of infected residents were analyzed. Total drug cost per infected resident was calculated by multiplying the unit price for each drug by the daily dose and the number of days administered and summing the costs for each drug (USD 1 = JPY 100). Results Over the 3-year period, 8 outbreaks of norovirus gastroenteritis occurred in 6 facilities. The mean clinical course of 107 infected residents in five facilities that granted permission to examine patients’ medical records was 4 days, with all but one resident presenting with vomiting and/or diarrhea, and 84 (79%) also presenting with associated symptoms. Of 107 infected residents, 72 (67%) were isolated. The proportion of infected residents isolated varied from 50% to 100% depending on the facility. Of the infected residents, 81 (76%) received some type of medication, the most common being infusion (67 patients, 63%) and antibiotics (30 patients, 28%). The median total cost of all drugs administered was USD 4.4, and the median drug cost per infected resident per day was USD 2.0. Total drug cost over the entire treatment period was the highest for antibiotics, at USD 8.6. Conclusion Clinical course was similar to those of norovirus cases examined at other facilities. The majority of infected residents received some type of medication. Although the economic burden was not large, not a few infected residents were given antibiotics, which are ineffective for norovirus.

scholarly journals Surveillance Definitions of Infections in Long-Term Care Facilities: Revisiting the McGeer Criteria

2012 ◽  
Vol 33 (10) ◽  
pp. 965-977 ◽  
Author(s):  
Nimalie D. Stone ◽  
Muhammad S. Ashraf ◽  
Jennifer Calder ◽  
Christopher J. Crnich ◽  
Kent Crossley ◽  
...  
Keyword(s):  
Respiratory Tract Infections ◽  
Long Term Care ◽  
Review Of The Literature ◽  
Consensus Panel ◽  
Term Care ◽  
Infection Surveillance ◽  
Norovirus Gastroenteritis ◽  
Care Facilities ◽  
Tract Infections

Infection surveillance definitions for long-term care facilities (ie, the McGeer Criteria) have not been updated since 1991. An expert consensus panel modified these definitions on the basis of a structured review of the literature. Significant changes were made to the criteria defining urinary tract and respiratory tract infections. New definitions were added for norovirus gastroenteritis and Clostridum difficile infections.Infect Control Hosp Epidemiol 2012;33(10):965-977

Outbreaks of noroviral gastroenteritis in Florida, 2006–2007

2008 ◽  
Vol 137 (5) ◽  
pp. 617-625 ◽  
Author(s):  
T. J. DOYLE ◽  
L. STARK ◽  
R. HAMMOND ◽  
R. S. HOPKINS
Keyword(s):  
Acute Gastroenteritis ◽  
Long Term Care ◽  
The United States ◽  
Median Number ◽  
Term Care ◽  
Norovirus Gastroenteritis ◽  
Care Facilities ◽  
Sporadic Cases ◽  
Increased Activity

SUMMARYNoroviruses are an important cause of sporadic cases and outbreaks of acute gastroenteritis. During 2006–2007, widespread increases in acute gastroenteritis outbreaks consistent with norovirus were observed in the United States. We conducted a statewide survey to characterize norovirus outbreak activity in Florida during a 1-year period. From July 2006 to June 2007, 257 outbreaks of norovirus gastroenteritis were identified in 39 of Florida's 67 counties. About 44% of outbreaks were laboratory confirmed as norovirus and 93% of these were due to genogroup GII. About 63% of outbreaks occurred in long-term care facilities and 10% of outbreaks were classified as foodborne. The median number of ill persons per outbreak was 24, with an estimated total of 7880 ill persons. During the study period, norovirus outbreak activity in Florida was widespread, persistent, and consistent with increased activity observed in other parts of the country.

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