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Impact and costs of varicella prevention in a university hospital

Bibliographic Data

ID11033044
AuthorsDavid J Weber (0000-0002-8824-1110, University of North Carolina at Chapel Hill), William A Rutala (0009-0008-4635-8709, Office of Infectious Diseases), Christianna Parham
Year1988
Volume78
Issue1
Pages19-23
Publication date1988-01-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.78.1.19
PMID3337300
OpenAlexW2015172062
LanguageEN
Citations received1
References cited48

Information regarding all patient and staff exposures to varicella-zoster virus (VZV) was prospectively accumulated from 1/1/86 to 12/31/86 at North Carolina Memorial Hospital. During this period of time 37 sources of exposure to VZV were reported: 10 outside and 27 within the hospital. Index cases for nosocomial exposure included: 12 patients with zoster, 9 patients with varicella, two staff with varicella, three visitors with varicella, and one staff with zoster. One hundred and twenty patients received nosocomial exposures; 28 had no history of VZV infection (23 per cent), of whom 11 were serosusceptible (39 per cent). Sources of nosocomial patient exposure included: other patients (85 per cent), staff (14 per cent), and a single visitor (1 per cent). More than 300 employees received nosocomial exposure; 158 had no history of VZV infection, of whom 49 were serosusceptible (31 per cent). Only a single employee and no patients developed clinical varicella as a result of nosocomial exposure. Costs associated with VZV control during 1986 totaled $55,934: $39,658 for work furloughs, $9,800 for serologies, $4,293 for patient isolation, $155 for varicella-zoster immune globulin, and $2,028 for infection control personnel time. These costs should be considered as part of any benefit-cost analysis of varicella immunization of health care personnel

Chickenpox · Immune system · Immunization · Varicella vaccine · Varicella zoster virus · Virus · Emergency Medicine · Immunology · Infection Control and Ventilation · Infection Control in Healthcare · Medical Device Sterilization and Disinfection · Medicine · Pediatrics

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    Rita Zemach•American Journal of Public Health•1986

  • Varicella-zoster dilemma

    Dennis L Murray, R P Cleveland et al.•American Journal of Public Health•1986

Citations per year0.03
Citation span1988 - 1988 (1)
Highly citedNo

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