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Direct Costs of a Contact Isolation Day: A Prospective Cost Analysis at a Swiss University Hospital

  • Jan A. Roth (a1) (a2), Claudia Hornung-Winter (a1) (a2), Isabel Radicke (a1) (a2), Balthasar L. Hug (a2) (a3), Monika Biedert (a2) (a4), Christian Abshagen (a2) (a4), Manuel Battegay (a1) (a2) and Andreas F. Widmer (a1) (a2)...


We prospectively evaluated direct costs of contact precautions using on-site observation. Additional mean costs per patient day were calculated for extra materials used, increased workload, and one-off isolation activities. The cost of contact precautions was $158.90 (95% confidence interval, $124.90‒$192.80) per patient day.

Infect Control Hosp Epidemiol 2018;39:101–103


Corresponding author

Address correspondence to Prof Dr Andreas F. Widmer, MD, MS, Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Petersgraben 4, 4031 Basel, Switzerland (


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1. Siegel, JD, Rhinehart, E, Jackson, M, Chiarello, L, Health Care Infection Control Practices Advisory Committee. 2007 guideline for isolation precautions: preventing transmission of infectious agents in health care settings. Am J Infect Control 2007;35(10 Suppl 2):S65S164.
2. Siegel, JD, Rhinehart, E, Jackson, M, Chiarello, L, Healthcare Infection Control Practices Advisory Committee. Management of multidrug-resistant organisms in health care settings, 2006. Am J Infect Control 2007;35(10 Suppl 2):S165S193.
3. Abad, C, Fearday, A, Safdar, N. Adverse effects of isolation in hospitalised patients: a systematic review. J Hosp Infect 2010;76:97102.
4. Cohen, CC, Cohen, B, Shang, J. Effectiveness of contact precautions against multidrug-resistant organism transmission in acute care: a systematic review of the literature. J Hosp Infect 2015;90:275284.
5. Birgand, G, Moore, LS, Bourigault, C, et al. Measures to eradicate multidrug-resistant organism outbreaks: how much do they cost? Clin Microbiol Infect 2016;22:162e1162e9.
6. Verlee, K, Berriel-Cass, D, Buck, K, Nguyen, C. Cost of isolation: daily cost of isolation determined and cost avoidance demonstrated from the overuse of personal protective equipment in an acute care facility. Am J Infect Control 2014;42:448449.
7. Papia, G, Louie, M, Tralla, A, Johnson, C, Collins, V, Simor, AE. Screening high-risk patients for methicillin-resistant Staphylococcus aureus on admission to the hospital: is it cost effective. Infect Control Hosp Epidemiol 1999;20:473477.
8. Hubner, C, Hubner, NO, Muhr, M, et al. Cost analysis of hospitalized Clostridium difficile-associated diarrhea (CDAD). GMS Hyg Infect Control 2015:10. Doc13.
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Supplementary materials

Roth et al. supplementary material
Tables S1 and S2

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