住院患者中COVID-19集群感染的危险因素
Yoritake Sakoda1, Takanori Matsumoto2, Masaki Yamaguchi3
1Infectious Diseases, St. Mary's Hospital, Kurume, JPN.
医疗保健工作者的感染显著增加了COVID-19医院集群的风险. 预防卫生保健工作者之间的传播,通常通过家庭措施,对于医院感染控制至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 医院流行病学 医院流行病学
- 公共卫生 公共卫生
背景情况:
- 在日本的第七波和第八波期间,Nosocomial COVID-19 (冠状病毒疾病2019) 集群在日本激增.
- 医院集群破坏了医疗保健服务,医院管理和社区护理.
研究的目的:
- 在住院患者中识别与COVID-19集群感染相关的风险因素.
- 为预防医疗保健机构中医院病例爆发的策略提供信息.
主要方法:
- 在日本的第七波和第八波期间,住院患者中的COVID-19病例的回顾性分析.
- 将集群事件定义为住院患者中COVID-19病例的发生.
- 利用单变量和多变量分析来确定重要的风险因素.
主要成果:
- 总共记录了40个COVID-19事件,其中17个发展为集群.
- 单变量分析确定了"第七波","源自医疗保健工作者",以及"根据联系人名单进行初步检查"作为重要因素.
- 多变量分析证实,来自医护人员的感染是集群发展的独立风险因素.
结论:
- 来自医疗保健工作人员的COVID-19感染是发展医院集群的重要风险因素.
- 实施预防SARS-CoV-2 (严重急性呼吸道综合征冠状病毒2) 在卫生保健工作者,特别是来自家庭的传播的措施对于医院感染控制至关重要.
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