title: Direct costs associated with a nosocomial outbreak of Salmonella infection: an ounce of prevention is worth a pound of cure.
abstract: BACKGROUND
  Nosocomial outbreaks of Salmonella infections in Australia are an infrequent but significant source of morbidity and mortality. Such an outbreak results in direct, measurable expenses for acute care management, as well as numerous indirect (and less quantifiable) costs to those affected, the hospital, and the wider community. This article describes the significant direct costs incurred as a result of a nosocomial outbreak of Salmonella infection involving patients and staff.
  
  
  METHODS
  Information on costs incurred by the hospital was gathered from a number of sources. The data were grouped into 4 sections (medical costs, investigative costs, lost productivity costs, and miscellaneous) with use of an existing tool for calculating the economic impact of foodborne illness.
  
  
  RESULTS
  The outbreak cost the hospital more than AU $120, 000. (US $95,000). This amount is independent of more substantial indirect costs.
  
  
  CONCLUSIONS
  Salmonella infections are preventable. Measures to aid the prevention of costly outbreaks of nosocomial salmonellosis, although available, require an investment of both time and money. We suggest that dedication of limited resources toward such preventive strategies as education is a practical and cost-effective option for health care facilities.
authors.affiliation: Mater Hospital, South Brisbane, Australia.
authors.forename: N M
authors.initials: NM
authors.lastname: Spearing
authors.forename: A
authors.initials: A
authors.lastname: Jensen
authors.forename: B J
authors.initials: BJ
authors.lastname: McCall
authors.forename: A S
authors.initials: AS
authors.lastname: Neill
authors.forename: J G
authors.initials: JG
authors.lastname: McCormack
mesh_terms: D003428:Cross Infection / Q000191:economics* / Q000382:microbiology / Q000517:prevention & control*; D004180:Direct Service Costs / Q000706:statistics & numerical data*; D004196:Disease Outbreaks / Q000191:economics* / Q000517:prevention & control*; D017598:Efficiency, Organizational; D005511:Food Handling / Q000191:economics / Q000592:standards; D005521:Food Service, Hospital / Q000191:economics / Q000592:standards; D006801:Humans; D017053:Infection Control / Q000191:economics / Q000379:methods; D011322:Primary Prevention / Q000191:economics / Q000379:methods; D011793:Queensland; D012478:Salmonella Food Poisoning / Q000191:economics* / Q000382:microbiology / Q000517:prevention & control*; D012486:Salmonella typhimurium