在大流行期间手术部位感染:"COVID捆绑"的影响
Louise Catherine McLoughlin1,2,3, Nathan Perlis4, Katherine Lajkosz4
1Division of Surgical Oncology (Urology), Department of Surgery, University Health Network, University of Toronto, Toronto, Canada. louise.mcloughlin@tcd.ie.
World journal of surgery
|July 24, 2023
概括
随着COVID-19大流行,整体上,特别是一般手术中,手术部位感染 (SSI) 减少了. 加强的感染控制措施,称为"COVID捆绑",可能解释了SSI的这种下降.
科学领域:
- 感染控制 感染控制
- 外科手术的结果
- 流行病学 流行病学
背景情况:
- 据报道,在COVID-19大流行期间,手术部位感染 (SSI) 在特定患者群体中减少.
- 这项研究调查了大流行对各个不同外科领域的SSI的影响.
- 一个假设建议加强感染控制措施,一个假设建议加强感染控制措施,一个假设建议加强感染控制措施.
- 这是一个COVID捆绑包.
- ,可能会降低SSI费率.
研究的目的:
- 评估COVID-19大流行对手术部位感染率的影响.
- 确定疫情期间加强的感染控制措施是否影响了SSI趋势.
- 分析跨多个外科专业的SSI趋势.
主要方法:
- 从2015年1月到2021年4月,美国外科医生学院国家外科质量改善计划 (ACS NSQIP) 的数据进行了回顾性分析.
- 在疫情前 (A队列) 和疫情 (B队列) 患者队列之间的SSI率的比较.
- 利用时间序列和多变量分析来评估SSI趋势及其与大流行时间的关联.
主要成果:
- 总体上,SSI发生率从大流行前的4.5%降至大流行期间的2.8% (p < 0.001).
- 特别是在大流行开始时的一般手术患者中,观察到SSI的显著下降趋势 (IRR为0.572).
- 虽然整体SSI下降,但多变量分析显示,在大流行开始时暂时下降,随后在大流行期间出现上升趋势.
结论:
- 在COVID-19大流行期间,SSI的整体减少在统计学上是显著的.
- 对SSI率的积极影响在一般手术患者中最为明显,这表明了"COVID捆绑"的有效性.
- 需要进一步的研究来证实增强的感染控制策略的持续影响.
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