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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.
Abstract:
While there are established and effective guidelines for prevention of hospital-acquired infections (HAIs), the impact of the COVID-19 pandemic on those implemented practices and policies have not been thoroughly investigated. This report examines the impact of COVID-19 on HAI rates at 2 hospitals within the same healthcare system. HAIs significantly increased during the COVID-19 pandemic which correlated with the use of overtime and agency nursing hours.
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