在病房之间转移住院患者推动了大规模的医院COVID-19爆发,威尔士,2020-22:使用常规和增强监测数据进行匹配的病例控制研究
R Merrick1, C McKerr2, J Song2
1UK Field Epidemiology Training Programme (UKFETP), UK Health Security Agency, UK; Public Health Wales, UK.
The Journal of hospital infection
|December 11, 2023
概括
医院病房转移显著增加了大规模COVID-19爆发的风险. 尽量减少患者的流动,并记录转移的理由,可以帮助减少医疗机构的疾病传播.
科学领域:
- 传染病流行病学 传染病流行病学
- 医院感染控制 医院感染控制
- 与医疗保健相关的感染
背景情况:
- 医院环境在COVID-19传播中的作用尚不清楚.
- 了解导致疫情爆发的因素对于有效的缓解策略至关重要.
研究的目的:
- 量化医院病房特征与COVID-19疫情规模之间的关联.
- 为减少医院内的传播提供基于证据的建议.
主要方法:
- 成人医疗/外科病房的大型 (≥10例) 与小型 (2-9例) 医疗保健相关的COVID-19疫情的比较.
- 从常规监控系统中分析人口统计和实验室数据.
- 后勤回归建模,以评估病房转移对疫情规模的影响.
主要成果:
- 与对照病房相比,大爆发病房的病房间隔病房患者转移率明显高 (58对29转移中位数;P<0.01).
- 前两周患者转移的增加与更大的爆发有很强的关联 (调整后OR:9.08;95%CI:2.5-33).
- 在有大爆发病例的病房,社区入院人数较低.
结论:
- 尽量减少病房间间之间的患者移动是减少COVID-19传播的关键策略.
- 实施记录患者转移的理由的协议可以加强感染控制措施.
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