2019年医院内冠状病毒疾病的风险:2019年医院内冠状病毒疾病的风险:单人间和多人间客房之间的比较
Hyeon Jae Jo1, Pyoeng Gyun Choe1,2, Ji Seon Kim2
1Department of Internal Medicine, Seoul National University College of Medicine, 101 Daehak-ro Jongno-gu, Seoul, 03080, Republic of Korea.
医院房间类型影响感染风险. 这项研究发现,与单人客房相比,多人客房显著增加了2019年新冠肺炎疾病 (COVID-19) 的发生率.
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:
- 在单个和多个占用病房之间,关于预防感染的有效性存在争论.
- 调查了房间占用率与医院内冠状病毒病2019 (COVID-19) 感染之间的关联.
研究的目的:
- 为了确定多人房的治疗是否会增加与单人房相比,在医院获得的COVID-19的风险.
主要方法:
- 追溯队列研究分析了2022年1月1日至2022年12月31日在韩国三级医院的成人住院 (≥18岁) 病例.
- 诺索科米亚COVID-19被定义为诊断>5日后入院.
- 考克斯比例危险回归用于评估病房患者数量与医院COVID-19风险之间的关联.
主要成果:
- 分析了25,143例住院病例;随着病房患者数量增加,病房内COVID-19病例的发生率增加 (单人至6人床位的病房每10,000个病人日有3.05至38.64例).
- 随着患者密度的增加,医院COVID-19的危险比率从0.14 (单人床) 增加到2.66 (6人床房).
结论:
- 结果表明,医院内COVID-19发病率明显增加,与每间病房患者占用率较高相关.
- 建议尽量减少多人使用的房间的使用,以减少医疗机构内的呼吸道病毒的传播.
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