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COVID-19大流行对基于传播的预防措施实施的影响
Kihan Yap1, Kyaw Zaw Linn2, Allie Yin Lim2
1Department of General Medicine, Tan Tock Seng Hospital, Singapore; Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
The Journal of hospital infection
|April 7, 2025
概括
在新加坡,COVID-19大流行大大减少了新加坡医院获得感染 (HAI) 的适当的基于传播的预防措施 (TBPs). 在公共卫生紧急情况下维持这些关键的感染控制措施需要积极的战略.
科学领域:
- 预防和控制感染的预防和控制.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 多种耐药生物 (MDRO) 和医院感染 (HAI) 对患者的安全构成重大威胁.
- 基于传播的预防措施 (TBPs) 是必要的感染预防和控制 (IPC) 措施,但资源密集.
- 由于COVID-19大流行,资源被转移,破坏了IPC的常规实践,并损害了对感兴趣的病原体 (POI) 的TBPs.
研究的目的:
- 调查COVID-19大流行对新加坡急症医院实施病原体特异性TBP的影响.
- 为了比较COVID-19大流行之前和期间的IPC实践.
主要方法:
- 在新加坡的五家急性护理医院进行了IPC实践的比较分析.
- 患者记录 (n=8601) 被审查,以在两个周期内适当实施TBP:大流行前和COVID-19大流行期间 (2020年8月-2021年8月).
- 主要结局是接受适当的病原体特异性TBP的患者比例.
主要成果:
- 与流行病前水平相比,疫情期间适当的TBP实施减少了39% (OR,0.61).
- 员工对POI的不知情是不适当的TBP安置的最常见因素.
- 疫情前 TBP 遵守率较高的医院在疫情期间保持了更好的遵守.
结论:
- 由于COVID-19大流行,新加坡医院实施适当的TBP受到负面影响.
- 在公共卫生紧急情况下保持有效的TBP至关重要,需要积极的规划.
- 需要制定战略,以确保IPC实践的一致性,即使在广泛的健康危机中.
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