The impact of the Covid-19 pandemic on nosocomial infections
A retrospective analysis in a tertiary maternal and child healthcare hospital
Bibliographic Data
| ID | 22070156 |
|---|---|
| Authors | Huifang Huang (0000-0003-2691-1147, Fujian Medical University), Kunhai Wu (Fujian Medical University), Haiming Chen (0000-0002-3311-1837, First Affiliated Hospital of Xiamen University, corresponding author), Jing Wang (0000-0002-7594-8539, Fujian Medical University, corresponding author), Lufei Chen (0009-0001-8548-6569, Fujian Medical University), Zhirun Lai (Fujian Medical University), Shuling Lin (0009-0002-3932-6414, Fujian Medical University) |
| Year | 2023 |
| Volume | 11 |
| Pages | 1132323-1132323 |
| Publication date | 2023-04-18 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2023.1132323 |
| PMID | 37143971 |
| OpenAlex | W4366293295 |
| Language | EN |
| References cited | 23 |
Objective The constant changes in the control strategies of the Corona Virus Disease 2019 (COVID-19) pandemic have greatly affected the prevention and control of nosocomial infections (NIs). This study assessed the impact of these control strategies on the surveillance of NIs in a regional maternity hospital during the COVID-19 pandemic. Methods This retrospective study compared the observation indicators of nosocomial infections and their changing trends in the hospital before and during the COVID-19 pandemic. Results In total, 2,56,092 patients were admitted to the hospital during the study. During the COVID-19 pandemic, the main drug-resistant bacteria in hospitals were Escherichia coli, Streptococcus agalactiae, Staphylococcus aureus, Klebsiella pneumoniae , and Enterococcus faecalis . The detection rate of S. agalactiae increased annually, while that of E. faecalis remained the same. The detection rate of multidrug-resistant bacteria decreased during the pandemic (16.86 vs. 11.42%), especially that of CRKP (carbapenem-resistant Klebsiella pneumoniae 13.14 vs. 4.39, P < 0.001). The incidence of nosocomial infections in the pediatric surgery department decreased significantly (OR: 2.031, 95% CI: 1.405–2.934, P < 0.001). Regarding the source of infection, a significant reduction was observed in respiratory infections, followed by gastrointestinal infections. In the routine monitoring of the ICU, the incidence of central line-associated bloodstream infection (CLABSI) decreased significantly (9.4/1,000 catheter days vs. 2.2/1,000 catheter days, P < 0.001). Conclusion The incidence of nosocomial infections was lower than that before the COVID-19 pandemic. The prevention and control measures for the COVID-19 pandemic have reduced the number of nosocomial infections, especially respiratory, gastrointestinal, and catheter-related infections
Antibiotics · Bacteria · Biology · Disease · Enterococcus · Enterococcus faecalis · Escherichia coli · Infection control · Intensive care medicine · Klebsiella pneumoniae · Pandemic · Retrospective cohort study · Staphylococcus aureus · Streptococcus pneumoniae · COVID-19 Impact on Reproduction · Medicine · Neonatal and Maternal Infections · Nosocomial Infections in ICU · Internal Medicine · Microbiology
| Highly cited | No |
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