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They also have huge cost implications for NHS trusts through staff absence and ward closures, which are extremely disruptive and increase pressures on bed demand. The three most important actions during an outbreak of norovirus are effective hand hygiene, isolation of affected patients and enhanced cleaning of the environment. This article outlines how to identify norovirus infection and outbreaks, and describes how an acute trust managed outbreaks of norovirus and the procedures it adopted. <\/jats:p>","DOI":"10.12968\/bjon.2010.19.9.48065","type":"journal-article","created":{"date-parts":[[2014,5,23]],"date-time":"2014-05-23T14:25:17Z","timestamp":1400855117000},"page":"589-596","source":"Crossref","is-referenced-by-count":2,"title":["Managing outbreaks of norovirus in an NHS hospital"],"prefix":"10.12968","volume":"19","author":[{"given":"Ann-Marie","family":"Aziz","sequence":"first","affiliation":[{"name":"University Hospital South Manchester NHS Foundation Trust"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5130","reference":[{"key":"p_16","volume-title":"Numbers of patients and staff affected in the reported outbreaks","author":"Figure"},{"key":"p_23","volume-title":"Transmission - route of spread (Wills","author":"Box","year":"2006"},{"key":"p_38","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2004.04.021"},{"key":"p_39","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268804003115"},{"key":"p_40","volume-title":"Norovirus in Healthcare Facilities Fact Sheet. tinyurl.com\/noro-cdc (accessed","author":"Centers for Disease Control and Prevention","year":"2006"},{"key":"p_41","doi-asserted-by":"publisher","DOI":"10.1053\/jhin.2000.0662"},{"issue":"2","key":"p_42","first-page":"27","volume":"104","author":"Hairon N","year":"2008","journal-title":"Nursing Times"},{"key":"p_43","volume-title":"Clinical Information - Norovirus. tinyurl.com\/ noro-hpa-clin-info (accessed 19 April)","author":"Health Protection Agency","year":"2006"},{"key":"p_44","volume-title":"Norovirus - Frequently Asked Questions. tinyurl. com\/hpa-faqs (accessed 19 April)","author":"Health Protection Agency","year":"2007"},{"key":"p_45","volume-title":"Hospital Norovirus Outbreak Reporting Tool. tinyurl.com\/noro-bioinf (accessed 19 April)","author":"Health Protection Agency","year":"2009"},{"key":"p_46","volume-title":"Second Report of the Health Protection Agency. 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