Relationship between nosocomial infections and coronavirus disease 2019 in the neurosurgery unit: clinical characteristics and outcomes from a Chinese Tertiary-Care Hospital
Abstract Background The COVID-19 pandemic has raised awareness of infection prevention and control. We found that the incidence of nosocomial infection in neurosurgery has changed. This study aimed to evaluate the impact of “coronavirus disease 2019 (COVID-19) prevention and control measures” on nos...
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| Format: | Article |
| Language: | English |
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BMC
2022-11-01
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| Series: | BMC Infectious Diseases |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12879-022-07845-x |
| _version_ | 1817970826989797376 |
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| author | Shuang-Jun Pan Yong Hou Yu-Pei Yang Geng-Ge Wang Xiao-Yan Chen Wei-Yang Qian Tao-Hsin Tung Xiao-Ming Hu |
| author_facet | Shuang-Jun Pan Yong Hou Yu-Pei Yang Geng-Ge Wang Xiao-Yan Chen Wei-Yang Qian Tao-Hsin Tung Xiao-Ming Hu |
| author_sort | Shuang-Jun Pan |
| collection | DOAJ |
| description | Abstract Background The COVID-19 pandemic has raised awareness of infection prevention and control. We found that the incidence of nosocomial infection in neurosurgery has changed. This study aimed to evaluate the impact of “coronavirus disease 2019 (COVID-19) prevention and control measures” on nosocomial infections in neurosurgery. Methods To explore changes in nosocomial infections in neurosurgery during the COVID-19 pandemic, the clinical data of inpatients undergoing neurosurgery at Taizhou Hospital of Zhejiang Province between January 1 and April 30, 2020 (COVID-19 era) were first analyzed and then compared with those from same period in 2019 (first pre-COVID-19 era). We also analyzed data between May 1 and December 31, 2020 (post-COVID-19 era) at the same time in 2019 (second pre-COVID-19 era). Results The nosocomial infection rate was 7.85% (54/688) in the first pre-COVID-19 era and 4.30% (26/605) in the COVID-19 era (P = 0.01). The respiratory system infection rate between the first pre-COVID-19 and COVID-19 eras was 6.1% vs. 2.0% (P < 0.01), while the urinary system infection rate was 1.7% vs. 2.0% (P = 0.84). Between the first pre-COVID-19 and COVID-19 eras, respiratory system and urinary infections accounted for 77.78% (42/54) vs. 46.15% (12/26) and 22.22% (12/54) vs. 46.15% (12/26) of the total nosocomial infections, respectively (P < 0.01). Between the second pre-COVID-19 and post-COVID-19 eras, respiratory system and urinary accounted for 53.66% (44/82) vs. 40.63% (39/96) and 24.39% (20/82) vs. 40.63% (39/96) of the total nosocomial infections, respectively (P = 0.02). Conclusions The incidence of nosocomial infections in neurosurgery reduced during the COVID-19 pandemic. The reduction was primarily observed in respiratory infections, while the proportion of urinary infections increased significantly. |
| first_indexed | 2024-04-13T20:39:02Z |
| format | Article |
| id | doaj.art-7f943bcc53c141a3add1ca3a7939b885 |
| institution | Directory Open Access Journal |
| issn | 1471-2334 |
| language | English |
| last_indexed | 2024-04-13T20:39:02Z |
| publishDate | 2022-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Infectious Diseases |
| spelling | doaj.art-7f943bcc53c141a3add1ca3a7939b8852022-12-22T02:30:57ZengBMCBMC Infectious Diseases1471-23342022-11-012211710.1186/s12879-022-07845-xRelationship between nosocomial infections and coronavirus disease 2019 in the neurosurgery unit: clinical characteristics and outcomes from a Chinese Tertiary-Care HospitalShuang-Jun Pan0Yong Hou1Yu-Pei Yang2Geng-Ge Wang3Xiao-Yan Chen4Wei-Yang Qian5Tao-Hsin Tung6Xiao-Ming Hu7Department of Neurosurgery, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical UniversityDepartment of Neurosurgery, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical UniversityDepartment of Hematology, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical UniversityHospital Infection Control Department, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical UniversityHospital Infection Control Department, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical UniversityDepartment of Neurosurgery, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical UniversityEvidence-Based Medicine Center, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical UniversityDepartment of Neurosurgery, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical UniversityAbstract Background The COVID-19 pandemic has raised awareness of infection prevention and control. We found that the incidence of nosocomial infection in neurosurgery has changed. This study aimed to evaluate the impact of “coronavirus disease 2019 (COVID-19) prevention and control measures” on nosocomial infections in neurosurgery. Methods To explore changes in nosocomial infections in neurosurgery during the COVID-19 pandemic, the clinical data of inpatients undergoing neurosurgery at Taizhou Hospital of Zhejiang Province between January 1 and April 30, 2020 (COVID-19 era) were first analyzed and then compared with those from same period in 2019 (first pre-COVID-19 era). We also analyzed data between May 1 and December 31, 2020 (post-COVID-19 era) at the same time in 2019 (second pre-COVID-19 era). Results The nosocomial infection rate was 7.85% (54/688) in the first pre-COVID-19 era and 4.30% (26/605) in the COVID-19 era (P = 0.01). The respiratory system infection rate between the first pre-COVID-19 and COVID-19 eras was 6.1% vs. 2.0% (P < 0.01), while the urinary system infection rate was 1.7% vs. 2.0% (P = 0.84). Between the first pre-COVID-19 and COVID-19 eras, respiratory system and urinary infections accounted for 77.78% (42/54) vs. 46.15% (12/26) and 22.22% (12/54) vs. 46.15% (12/26) of the total nosocomial infections, respectively (P < 0.01). Between the second pre-COVID-19 and post-COVID-19 eras, respiratory system and urinary accounted for 53.66% (44/82) vs. 40.63% (39/96) and 24.39% (20/82) vs. 40.63% (39/96) of the total nosocomial infections, respectively (P = 0.02). Conclusions The incidence of nosocomial infections in neurosurgery reduced during the COVID-19 pandemic. The reduction was primarily observed in respiratory infections, while the proportion of urinary infections increased significantly.https://doi.org/10.1186/s12879-022-07845-xNosocomial infectionsCOVID-19Neurosurgery |
| spellingShingle | Shuang-Jun Pan Yong Hou Yu-Pei Yang Geng-Ge Wang Xiao-Yan Chen Wei-Yang Qian Tao-Hsin Tung Xiao-Ming Hu Relationship between nosocomial infections and coronavirus disease 2019 in the neurosurgery unit: clinical characteristics and outcomes from a Chinese Tertiary-Care Hospital BMC Infectious Diseases Nosocomial infections COVID-19 Neurosurgery |
| title | Relationship between nosocomial infections and coronavirus disease 2019 in the neurosurgery unit: clinical characteristics and outcomes from a Chinese Tertiary-Care Hospital |
| title_full | Relationship between nosocomial infections and coronavirus disease 2019 in the neurosurgery unit: clinical characteristics and outcomes from a Chinese Tertiary-Care Hospital |
| title_fullStr | Relationship between nosocomial infections and coronavirus disease 2019 in the neurosurgery unit: clinical characteristics and outcomes from a Chinese Tertiary-Care Hospital |
| title_full_unstemmed | Relationship between nosocomial infections and coronavirus disease 2019 in the neurosurgery unit: clinical characteristics and outcomes from a Chinese Tertiary-Care Hospital |
| title_short | Relationship between nosocomial infections and coronavirus disease 2019 in the neurosurgery unit: clinical characteristics and outcomes from a Chinese Tertiary-Care Hospital |
| title_sort | relationship between nosocomial infections and coronavirus disease 2019 in the neurosurgery unit clinical characteristics and outcomes from a chinese tertiary care hospital |
| topic | Nosocomial infections COVID-19 Neurosurgery |
| url | https://doi.org/10.1186/s12879-022-07845-x |
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