Impact of COVID-19 on hospital acquired infections

Thomas Halverson1, Anessa Mikolajczak2, Nallely Mora3

  • 1Northwestern Medicine Delnor Hospital, Department of Healthcare Epidemiology and Infection Prevention, Geneva, IL.

Insights

Hospital-acquired infections (HAIs) rose significantly during the COVID-19 pandemic. This increase correlated with higher use of overtime and agency nursing hours in healthcare settings.

Area of Science:

  • Infectious Diseases
  • Healthcare Management
  • Epidemiology

Background:

  • Established guidelines exist for preventing hospital-acquired infections (HAIs).
  • The COVID-19 pandemic presented unprecedented challenges to healthcare systems globally.
  • The specific impact of the pandemic on HAI prevention practices requires investigation.

Purpose of the Study:

  • To examine the effect of the COVID-19 pandemic on HAI rates.
  • To investigate the relationship between pandemic-related staffing changes and HAI incidence.
  • To analyze HAI trends within a single healthcare system during the pandemic.

Main Methods:

  • Retrospective analysis of HAI rates at two hospitals within the same healthcare system.
  • Correlation analysis between HAI incidence and the utilization of overtime and agency nursing hours.
  • Review of infection prevention policies and practices during the pandemic.

Main Results:

  • A significant increase in hospital-acquired infection rates was observed during the COVID-19 pandemic.
  • The rise in HAIs correlated positively with increased reliance on overtime and agency nursing staff.
  • No significant changes in established HAI prevention guidelines were noted, but implementation challenges likely occurred.

Conclusions:

  • The COVID-19 pandemic led to a significant increase in hospital-acquired infections.
  • Increased use of temporary nursing staff (overtime and agency) is associated with higher HAI rates.
  • Healthcare systems must address staffing challenges to maintain effective HAI prevention during public health crises.

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