Effectivity of a Program for the Control and Prevention of COVID-19 Healthcare-Associated Infections in a Spanish Academic Hospital

Autor: Patricia Cerezo-Milan, Rosario Sánchez-Martínez, Joan Gil-Carbonell, Victor M. Soler-Molina, Miguel A García-Alonso, Javier Gonzalez-deDios, Ana S. Lameiras-Azevedo, Maria Galiana-Ivars, Maria Hernandez-Maldonado, Francisco A Jaime-Sánchez, Isel L Gómez Sotero, Paula Gras-Valentí, Julio Barrenengoa-Sañudo, German Lloret, Natali J Jiménez Sepúlveda, Rogelio Pastor-Cesteros, Sandra Canovas-Javega, Pablo Chico-Sánchez, Luis Mena-Esquivias, Esperanza Merino-Lucas, Cesar Margarit-Ferri, Pablo Sánchez-Vela, Marina Fuster-Pérez, José Sánchez-Payá, Pere Llorens-Soriano, Cesar O. Villanueva-Ruiz, Juan Carlos Rodríguez-Díaz, Miranda Monerris-Palmer, Natividad Algado-Sellés, Juan Gabriel Mora-Muriel
Rok vydání: 2021
Předmět:
Adult
Male
Program evaluation
medicine.medical_specialty
Infectious Disease Transmission
Patient-to-Professional
Leadership and Management
Risk Assessment
effectivity
The Health Care Manager
03 medical and health sciences
0302 clinical medicine
healthcare-associated infection
surgical mask
Health care
Humans
Medicine
030212 general & internal medicine
Academic Medical Centers
Cross Infection
SARS-CoV-2
business.industry
Incidence
control and prevention program
030503 health policy & services
Incidence (epidemiology)
Masks
Public Health
Environmental and Occupational Health
COVID-19
Emergency department
Middle Aged
Confidence interval
Personnel
Hospital
Surgical mask
Spain
Relative risk
Attributable risk
Emergency medicine
Female
0305 other medical science
business
Program Evaluation
healthcare personnel
Zdroj: Journal of Patient Safety
JOURNAL OF PATIENT SAFETY
r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
instname
r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
ISSN: 1549-8425
1549-8417
DOI: 10.1097/pts.0000000000000852
Popis: Background Although recommendations to prevent COVID-19 healthcare-associated infections (HAIs) have been proposed, data on their effectivity are currently limited. Objective The aim was to evaluate the effectivity of a program of control and prevention of COVID-19 in an academic general hospital in Spain. Methods We captured the number of COVID-19 cases and the type of contact that occurred in hospitalized patients and healthcare personnel (HCP). To evaluate the impact of the continuous use of a surgical mask among HCP, the number of patients with COVID-19 HAIs and accumulated incidence of HCP with COVID-19 was compared between the preintervention and intervention periods. Results Two hundred fifty-two patients with COVID-19 have been admitted to the hospital. Seven of them had an HAI origin (6 in the preintervention period and 1 in the intervention period). One hundred forty-two HCP were infected with SARS-CoV-2. Of them, 22 (15.5%) were attributed to healthcare (2 in the emergency department and none in the critical care departments), and 120 (84.5%) were attributed to social relations in the workplace or during their non-work-related personal interactions. The accumulated incidence during the preintervention period was 22.3 for every 1000 HCP and 8.2 for every 1000 HCP during the intervention period. The relative risk was 0.37 (95% confidence interval, 0.25 to 0.55) and the attributable risk was -0.014 (95% confidence interval, -0.020 to -0.009). Conclusions A program of control and prevention of HAIs complemented with the recommendation for the continuous use of a surgical mask in the workplace and social environments of HCP effectively decreased the risk of COVID-19 HAIs in admitted patients and HCP.
Databáze: OpenAIRE
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