与COVID-19爆发范围相关的因素:一项针对大型医院网络的前性研究
Clarisse Duverger1, Catherine Monteil1, Valérie Souyri1
1Central Infection Prevention and Control Team, Assistance Publique-Hôpitaux de Paris, Paris, France.
American journal of infection control
|January 15, 2024
概括
医疗保健工作者 (HCW) 和重症监护室 (ICU) 的高疫苗接种率减少了大型COVID-19医院爆发. 老年病房增加了疫情爆发风险,突出了针对性感染控制策略的需要.
科学领域:
- 传染病流行病学 传染病流行病学
- 医院感染控制中心
- 公共卫生政策 公共卫生政策
背景情况:
- 由于COVID-19的流行,导致了大量的医院内感染 (医院内感染) 疫情.
- 了解影响疫情规模的因素对于有效控制至关重要.
研究的目的:
- 确定与法国主要医疗机构内COVID-19爆发程度相关的因素.
- 为预防和管理大规模医院疫情的战略提供信息.
主要方法:
- 从2020年7月到2021年9月进行了一项观察性研究.
- 后勤回归分析了患者和医疗保健工作者 (HCW) 中大规模爆发 (≥7例) 的风险因素.
- 变量包括COVID-19变种,病房类型,疫苗接种率,发病率,测试和流行病波.
主要成果:
- 确定了799个疫情;349个被归类为大型.
- 单变量分析将大规模爆发与老年病房和医疗保健工作者中较高的COVID-19发病率/阳性率联系在一起.
- 多变量分析证实医疗病房类型和HCW疫苗接种率是重要因素.
结论:
- 重症监护病房和高HCW疫苗接种率与大规模COVID-19爆发的风险降低相关.
- 老年病房与大规模爆发的风险增加有关.
- 建议在高风险环境中进行有针对性的干预,并继续强调HCW疫苗接种.
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