Risk of nosocomial coronavirus disease 2019: comparison between single- and multiple-occupancy rooms

Autor: Hyeon Jae Jo, Pyoeng Gyun Choe, Ji Seon Kim, Mimi Lee, Minkyeong Lee, Jiyeon Bae, Chan Mi Lee, Chang Kyung Kang, Wan Beom Park, Nam Joong Kim
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Antimicrobial Resistance and Infection Control, Vol 13, Iss 1, Pp 1-10 (2024)
Druh dokumentu: article
ISSN: 2047-2994
DOI: 10.1186/s13756-024-01454-w
Popis: Abstract Background There is an ongoing controversy regarding whether single-occupancy rooms are superior to multiple-occupancy rooms in terms of infection prevention. We investigated whether treatment in a multiple-occupancy room is associated with an increased incidence of nosocomial coronavirus disease 2019 (COVID-19) compared with treatment in a single-occupancy room. Methods In this retrospective cohort study, every hospitalization period of adult patients aged ≥ 18 years at a tertiary hospital in Korea from January 1, 2022, to December 31, 2022, was analyzed. If COVID-19 was diagnosed more than 5 days after hospitalization, the case was classified as nosocomial. We estimated the association between the number of patients per room and the risk of nosocomial COVID-19 using a Cox proportional hazards regression model. Results In total, 25,143 hospitalizations per room type were analyzed. The incidence rate of nosocomial COVID-19 increased according to the number of patients per room; it ranged from 3.05 to 38.64 cases per 10,000 patient-days between single- and 6-bed rooms, respectively. Additionally, the hazard ratios of nosocomial COVID-19 showed an increasing trend according to the number of patients per room, ranging from 0.14 (95% confidence interval 0.001–1.03) to 2.66 (95% confidence interval 1.60–4.85) between single- and 6-bed rooms, respectively. Conclusions We demonstrated that the incidence of nosocomial COVID-19 increased according to the number of patients per room. To reduce nosocomial infections by respiratory viruses, the use of multiple-occupancy rooms should be minimized.
Databáze: Directory of Open Access Journals
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