PMID- 31233852
OWN - NLM
STAT- MEDLINE
DCOM- 20200226
LR  - 20200226
IS  - 1532-2939 (Electronic)
IS  - 0195-6701 (Linking)
VI  - 103
IP  - 3
DP  - 2019 Nov
TI  - Epidemiology and impact of norovirus outbreaks in Norwegian healthcare 
      institutions, 2005-2018.
PG  - 335-340
LID - S0195-6701(19)30268-3 [pii]
LID - 10.1016/j.jhin.2019.06.010 [doi]
AB  - AIM: The aim of this study was, for the first time, to describe in detail the 
      epidemiology and impact of norovirus outbreaks in healthcare institituions (HCIs) 
      in Norway to identify areas which may improve outbreak response. METHODS: An 
      analysis of all reported norovirus outbreaks in hospitals and long-term-care 
      facilities (LTCFs) was carried out from week 34, 2005 to week 33, 2018. 
      Seasonality, symptoms and number of cases among personnel and patients were 
      described. FINDINGS: A total of 20,544 cases, including 7044 healthcare personnel 
      were reported in 965 outbreaks; 740 from LTCFs and 225 from hospitals. Median 
      number of cases per outbreak was 15, interquartile range (IQR) 8-25 in LTCF; and 
      17, IQR 10-28 in hospitals. All regions reported outbreaks, with one-third of the 
      municipalities having at least one outbreak in LTCFs during the study period. The 
      start of the outbreak season happened almost four weeks earlier in hospitals than 
      in LTCFs. The estimated average number of working days lost for healthcare 
      personnel per year ranged from 1590 to 1944. CONCLUSIONS: Norovirus outbreaks in 
      Norwegian HCIs appears to have a substantial impact on both hospital and LTCFs 
      all over Norway, especially during the winter months. That up to half of all 
      cases were healthcare professionals emphasizes a need for further focus on 
      infection control. Our results suggest that hospitals, affected first, could 
      alert LTCFs in the area in order to prevent further outbreaks.
CI  - Copyright (c) 2019 The Authors. Published by Elsevier Ltd.. All rights reserved.
FAU - Espenhain, L
AU  - Espenhain L
AD  - Department of Antibiotic Resistance and Infection Prevention, Norwegian Institute 
      of Public Health, Oslo, Norway; EPIET: European Programme for Intervention 
      Epidemiology Training (EPIET), European Centre for Disease Prevention and 
      Control, (ECDC), Stockholm, Sweden. Electronic address: Laura.Espenhain@fhi.no.
FAU - Berg, T C
AU  - Berg TC
AD  - Department of Antibiotic Resistance and Infection Prevention, Norwegian Institute 
      of Public Health, Oslo, Norway.
FAU - Bentele, H
AU  - Bentele H
AD  - Department of Antibiotic Resistance and Infection Prevention, Norwegian Institute 
      of Public Health, Oslo, Norway.
FAU - Nygard, K
AU  - Nygard K
AD  - Department of Zoonotic, Food- and Waterborne Infections, Norwegian Institute of 
      Public Health, Oslo, Norway.
FAU - Kacelnik, O
AU  - Kacelnik O
AD  - Department of Antibiotic Resistance and Infection Prevention, Norwegian Institute 
      of Public Health, Oslo, Norway; Research Centre for Antimicrobial Resistance, 
      Norwegian Institute of Public Health, Oslo, Norway.
LA  - eng
PT  - Journal Article
DEP - 20190622
PL  - England
TA  - J Hosp Infect
JT  - The Journal of hospital infection
JID - 8007166
SB  - IM
MH  - Caliciviridae Infections/*epidemiology
MH  - Cross Infection/*epidemiology
MH  - *Disease Outbreaks
MH  - Health Facilities
MH  - Humans
MH  - Norway/epidemiology
MH  - Prevalence
MH  - Topography, Medical
OTO - NOTNLM
OT  - Disease outbreaks
OT  - Health facilities
OT  - Norovirus
OT  - Public health surveillance
EDAT- 2019/06/25 06:00
MHDA- 2020/02/27 06:00
CRDT- 2019/06/25 06:00
PHST- 2018/09/11 00:00 [received]
PHST- 2019/06/18 00:00 [accepted]
PHST- 2019/06/25 06:00 [pubmed]
PHST- 2020/02/27 06:00 [medline]
PHST- 2019/06/25 06:00 [entrez]
AID - S0195-6701(19)30268-3 [pii]
AID - 10.1016/j.jhin.2019.06.010 [doi]
PST - ppublish
SO  - J Hosp Infect. 2019 Nov;103(3):335-340. doi: 10.1016/j.jhin.2019.06.010. Epub 
      2019 Jun 22.