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2153. Impact of Norovirus Testing Changes on Hospital-Acquired Norovirus Infections

BACKGROUND: Norovirus is highly contagious and can spread rapidly through healthcare facilities. Controlling transmission of norovirus infections can be challenging. Early diagnosis allows for infection prevention measures to be implemented in a timely manner. The objective of this study was to dete...

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Autores principales: Fox, Josephine, Anderson, Neil, Grimes, Lydia, Rojek, Rebecca, Wood, Helen, Babcock, Hilary
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6253073/
http://dx.doi.org/10.1093/ofid/ofy210.1809
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author Fox, Josephine
Anderson, Neil
Grimes, Lydia
Rojek, Rebecca
Wood, Helen
Babcock, Hilary
author_facet Fox, Josephine
Anderson, Neil
Grimes, Lydia
Rojek, Rebecca
Wood, Helen
Babcock, Hilary
author_sort Fox, Josephine
collection PubMed
description BACKGROUND: Norovirus is highly contagious and can spread rapidly through healthcare facilities. Controlling transmission of norovirus infections can be challenging. Early diagnosis allows for infection prevention measures to be implemented in a timely manner. The objective of this study was to determine the effect of decreasing barriers to norovirus testing on hospital-acquired (HA) cases. METHODS: A before-after study was conducted evaluating the impact of increasing the availability of norovirus testing on HA infections. From January 1, 2012 to October 16, 2017, all norovirus tests required the approval from the laboratory medicine resident, and testing was performed once a day. A polymerase chain reaction (PCR) system that required a two-step process was used. On October 17, 2017, the laboratory began using a PCR that performs testing in one step, allowing the laboratory to perform testing more frequently. Approval of the laboratory medicine resident was no longer required. HA norovirus rates and percent of positive test pre and post-implementation were compared using chi-square analysis. HA cases were defined as patients admitted without signs or symptoms of norovirus infection on inpatient units. A Mann–Whitney U test was used to compare the average of HA infections per cluster pre and post-implementation. A cluster was defined as two or more associated cases. No other infection prevention interventions were implemented during this time frame. RESULTS: After implementation of the new testing methodology, there was no difference in percent of positive norovirus test between the study periods [9.4% (46/487) pre-implementation vs. 6.9% (11/160) post-implementation, P = 0.16]. The proportion of norovirus infections that were HA increased slightly after implementation [37% (17/46) pre-implementation vs. 55% (6/11) post-implementation, P = 0.16]. There was no difference in HA norovirus infections associated with a cluster between the study periods [3.6 cases/cluster pre-intervention vs. 2.5 cases/cluster post-intervention, P = 0.86) CONCLUSION: There was no significant difference in the number of HA norovirus cases with improved testing availability. A limitation to this study is the short length of the post-implementation evaluation period compared with the pre-implementation period. DISCLOSURES: All authors: No reported disclosures.
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spelling pubmed-62530732018-11-28 2153. Impact of Norovirus Testing Changes on Hospital-Acquired Norovirus Infections Fox, Josephine Anderson, Neil Grimes, Lydia Rojek, Rebecca Wood, Helen Babcock, Hilary Open Forum Infect Dis Abstracts BACKGROUND: Norovirus is highly contagious and can spread rapidly through healthcare facilities. Controlling transmission of norovirus infections can be challenging. Early diagnosis allows for infection prevention measures to be implemented in a timely manner. The objective of this study was to determine the effect of decreasing barriers to norovirus testing on hospital-acquired (HA) cases. METHODS: A before-after study was conducted evaluating the impact of increasing the availability of norovirus testing on HA infections. From January 1, 2012 to October 16, 2017, all norovirus tests required the approval from the laboratory medicine resident, and testing was performed once a day. A polymerase chain reaction (PCR) system that required a two-step process was used. On October 17, 2017, the laboratory began using a PCR that performs testing in one step, allowing the laboratory to perform testing more frequently. Approval of the laboratory medicine resident was no longer required. HA norovirus rates and percent of positive test pre and post-implementation were compared using chi-square analysis. HA cases were defined as patients admitted without signs or symptoms of norovirus infection on inpatient units. A Mann–Whitney U test was used to compare the average of HA infections per cluster pre and post-implementation. A cluster was defined as two or more associated cases. No other infection prevention interventions were implemented during this time frame. RESULTS: After implementation of the new testing methodology, there was no difference in percent of positive norovirus test between the study periods [9.4% (46/487) pre-implementation vs. 6.9% (11/160) post-implementation, P = 0.16]. The proportion of norovirus infections that were HA increased slightly after implementation [37% (17/46) pre-implementation vs. 55% (6/11) post-implementation, P = 0.16]. There was no difference in HA norovirus infections associated with a cluster between the study periods [3.6 cases/cluster pre-intervention vs. 2.5 cases/cluster post-intervention, P = 0.86) CONCLUSION: There was no significant difference in the number of HA norovirus cases with improved testing availability. A limitation to this study is the short length of the post-implementation evaluation period compared with the pre-implementation period. DISCLOSURES: All authors: No reported disclosures. Oxford University Press 2018-11-26 /pmc/articles/PMC6253073/ http://dx.doi.org/10.1093/ofid/ofy210.1809 Text en © The Author(s) 2018. Published by Oxford University Press on behalf of Infectious Diseases Society of America. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Abstracts
Fox, Josephine
Anderson, Neil
Grimes, Lydia
Rojek, Rebecca
Wood, Helen
Babcock, Hilary
2153. Impact of Norovirus Testing Changes on Hospital-Acquired Norovirus Infections
title 2153. Impact of Norovirus Testing Changes on Hospital-Acquired Norovirus Infections
title_full 2153. Impact of Norovirus Testing Changes on Hospital-Acquired Norovirus Infections
title_fullStr 2153. Impact of Norovirus Testing Changes on Hospital-Acquired Norovirus Infections
title_full_unstemmed 2153. Impact of Norovirus Testing Changes on Hospital-Acquired Norovirus Infections
title_short 2153. Impact of Norovirus Testing Changes on Hospital-Acquired Norovirus Infections
title_sort 2153. impact of norovirus testing changes on hospital-acquired norovirus infections
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6253073/
http://dx.doi.org/10.1093/ofid/ofy210.1809
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