The Spread and Control of Norovirus Outbreaks Among Hospitals in a Region: A Simulation Model
Citation
Bartsch, Sarah M., Susan S. Huang, Kim F. Wong, Taliser R. Avery, and Bruce Y. Lee. 2014. “The Spread and Control of Norovirus Outbreaks Among Hospitals in a Region: A Simulation Model.” Open Forum Infectious Diseases 1 (2): ofu030. doi:10.1093/ofid/ofu030. http://dx.doi.org/10.1093/ofid/ofu030.Abstract
Background: Because hospitals in a region are connected via patient sharing, a norovirus outbreak in one hospital may spread to others. Methods. We utilized our Regional Healthcare Ecosystem Analyst software to generate an agent-based model of all the acute care facilities in Orange County (OC), California and simulated various norovirus outbreaks in different locations, both with and without contact precautions. Results. At the lower end of norovirus reproductive rate (R0) estimates (1.64), an outbreak tended to remain confined to the originating hospital (≤6.1% probability of spread). However, at the higher end of R0 (3.74), an outbreak spread 4.1%–17.5% of the time to almost all other OC hospitals within 30 days, regardless of the originating hospital. Implementing contact precautions for all symptomatic cases reduced the probability of spread to other hospitals within 30 days and the total number of cases countywide, but not the number of other hospitals seeing norovirus cases. Conclusions. A single norovirus outbreak can continue to percolate throughout a system of different hospitals for several months and appear as a series of unrelated outbreaks, highlighting the need for hospitals within a region to more aggressively and cooperatively track and control an initial outbreak.Other Sources
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4281820/pdf/Terms of Use
This article is made available under the terms and conditions applicable to Other Posted Material, as set forth at http://nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of-use#LAACitable link to this page
http://nrs.harvard.edu/urn-3:HUL.InstRepos:14351241
Collections
- HMS Scholarly Articles [17917]
Contact administrator regarding this item (to report mistakes or request changes)