Healthcare-Associated Pertussis Outbreak in Arizona: Challenges and Economic Impact, 2011 | Zendy

Saeeda Yasmin | Zendy; Rebecca Sunenshine | Zendy; KRISTINE BISGARD | Zendy; Caleb Wiedeman | Zendy; Alice Carrigan | Zendy; Tammy Sylvester | Zendy; G. E. Garcia | Zendy; Karen Rose | Zendy; Steven M. Wright | Zendy; Sarah J. Miller | Zendy; Rodrigo Huerta | Zendy; Harold B. Houser | Zendy; Anita D’Souza | Zendy; S. Anderson | Zendy; Kathleen M. Howard | Zendy; Ken Komatsu | Zendy; Ronald Klein | Zendy

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Healthcare-Associated Pertussis Outbreak in Arizona: Challenges and Economic Impact, 2011

Author(s) -

Saeeda Yasmin,

Rebecca Sunenshine,

KRISTINE BISGARD,

Caleb Wiedeman,

Alice Carrigan,

Tammy Sylvester,

G. E. Garcia,

Karen Rose,

Steven M. Wright,

Sarah J. Miller,

Rodrigo Huerta,

Harold B. Houser,

Anita D’Souza,

S. Anderson,

Kathleen M. Howard,

Ken Komatsu,

Ronald Klein

Publication year - 2013

Publication title -

journal of the pediatric infectious diseases society

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.269

H-Index - 31

eISSN - 2048-7207

pISSN - 2048-7193

DOI - 10.1093/jpids/pis136

Subject(s) - outbreak , medicine , whooping cough , bordetella pertussis , health care , pediatrics , pneumonia , transmission (telecommunications) , isolation (microbiology) , vaccination , neonatal intensive care unit , infection control , pertussis vaccine , intensive care medicine , emergency medicine , immunization , immunology , virology , immune system , genetics , microbiology and biotechnology , engineering , biology , bacteria , economics , electrical engineering , economic growth

An outbreak investigation identified 15 pertussis cases among 5 infants and 10 healthcare professionals at 1 hospital's neonatal intensive care unit (NICU). The cost of the outbreak to this hospital was $97 745. Heightened awareness of pertussis in NICUs is key to preventing healthcare-associated spread and minimizing outbreak-control-related costs. Bordetella pertussis is a highly communicable bacterial pathogen that causes a prolonged cough illness and is spread by respiratory droplet transmission. Infants aged ≤6 months are most susceptible to B pertussis infection and pertussis-associated complications, including pneumonia, encephalopathy, and death, and are commonly hospitalized for treatment [ 1]. Despite a universal pertussis vaccination program, 27 550 pertussis cases were reported in the United States during 2010 [ 2]. Pertussis outbreaks in healthcare settings can be challenging and costly to control [3]. On September 13, 2011 and September 15, 2011, 3 pertussis cases, including 2 confirmed by B pertussis isolation, among preterm infants discharged ≤30 days previously from a 71-bed NICU of a general hospital (NICU A) were reported by Hospital B, a large pediatric facility, to Maricopa County Department of Public Health. This report describes the outbreak, examines outbreak-associated costs and risk factors that might have contributed to healthcare-associated transmission, and provides guidance to prevent outbreaks in healthcare settings.

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