Evaluation of the impact of COVID-19 pandemic on hospital-acquired infections in a tertiary hospital in Malaysia
Abstract Background Infection prevention measures are the gold standard for preventing the spread of hospital-acquired infections (HAIs). COVID-19 pandemic caused major disruptions in infection prevention measures, and this has implications on the rate of HAIs. This study assessed the impact of COVI...
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| Format: | Article |
| Language: | English |
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BMC
2023-11-01
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| Series: | BMC Infectious Diseases |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12879-023-08770-3 |
| _version_ | 1797630404692279296 |
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| author | Rehab Ismaeil Abdul Rahman Fata Nahas Norhidayah Binti Kamarudin Usman Abubakar Mohamad Basri Mat-Nor Mohamad Haniki Nik Mohamed |
| author_facet | Rehab Ismaeil Abdul Rahman Fata Nahas Norhidayah Binti Kamarudin Usman Abubakar Mohamad Basri Mat-Nor Mohamad Haniki Nik Mohamed |
| author_sort | Rehab Ismaeil |
| collection | DOAJ |
| description | Abstract Background Infection prevention measures are the gold standard for preventing the spread of hospital-acquired infections (HAIs). COVID-19 pandemic caused major disruptions in infection prevention measures, and this has implications on the rate of HAIs. This study assessed the impact of COVID-19 pandemic on the rate and the types of HAIs at Sultan Ahmed Shah Hospital. Method This is a retrospective cohort study that compared the rate of HAIs from April to October 2019 (pre COVID period) and April to October 2020 (during COVID period). Data was collected through the review of patients’ electronic medical records. Results There were a total of 578 patients included in the selected wards during the pre- and during the pandemic. Thirty-nine episodes (12.1%) of HAIs were report in the pre COVID period and 29 (11.3%) during COVID-19. In both periods, hospital-acquired pneumonia (HAP) was the most frequent HAI among the patients. There was a rise in catheter-associated bloodstream infections (CLABSI) (0.8%) and ventilator associated pneumonia (VAP) (1.1%) during the COVID-19 period. The most common bacteria were methicillin-resistant Staphylococcus aureus (MRSA) (28.2%) and Enterococcus faecalis (17.9%) in the Pre COVID-19 period, and Pseudomonas aeruginosa (27.6%) and Stenotrophomonas maltophilia (6.9%) during COVID-19. Conclusion Our research concluded that the rates of HAIs during the COVID-19 pandemic were not significantly impacted by the improved in-hospital infection prevention efforts to control the pandemic. There is need for further efforts to promote adherence to preventive practices. |
| first_indexed | 2024-03-11T11:07:46Z |
| format | Article |
| id | doaj.art-b749d997f6f04a5c8a50959544d781e4 |
| institution | Directory Open Access Journal |
| issn | 1471-2334 |
| language | English |
| last_indexed | 2024-03-11T11:07:46Z |
| publishDate | 2023-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Infectious Diseases |
| spelling | doaj.art-b749d997f6f04a5c8a50959544d781e42023-11-12T12:07:56ZengBMCBMC Infectious Diseases1471-23342023-11-012311810.1186/s12879-023-08770-3Evaluation of the impact of COVID-19 pandemic on hospital-acquired infections in a tertiary hospital in MalaysiaRehab Ismaeil0Abdul Rahman Fata Nahas1Norhidayah Binti Kamarudin2Usman Abubakar3Mohamad Basri Mat-Nor4Mohamad Haniki Nik Mohamed5Department of Pharmacy Practice, Kulliyah of Pharmacy, International Islamic University Malaysia (IIUM), Jalan Sultan Ahmad ShahDepartment of Pharmacy Practice, Kulliyah of Pharmacy, International Islamic University Malaysia (IIUM), Jalan Sultan Ahmad ShahDepartment of Medical Microbiology, Kulliyyah of Medicine, International Islamic University MalaysiaDepartment of Clinical Pharmacy and Practice, College of Pharmacy, QU Health, Qatar UniversityDepartment of Intensive Care, Kulliyyah of Medicine, International Islamic University MalaysiaDepartment of Pharmacy Practice, Kulliyah of Pharmacy, International Islamic University Malaysia (IIUM), Jalan Sultan Ahmad ShahAbstract Background Infection prevention measures are the gold standard for preventing the spread of hospital-acquired infections (HAIs). COVID-19 pandemic caused major disruptions in infection prevention measures, and this has implications on the rate of HAIs. This study assessed the impact of COVID-19 pandemic on the rate and the types of HAIs at Sultan Ahmed Shah Hospital. Method This is a retrospective cohort study that compared the rate of HAIs from April to October 2019 (pre COVID period) and April to October 2020 (during COVID period). Data was collected through the review of patients’ electronic medical records. Results There were a total of 578 patients included in the selected wards during the pre- and during the pandemic. Thirty-nine episodes (12.1%) of HAIs were report in the pre COVID period and 29 (11.3%) during COVID-19. In both periods, hospital-acquired pneumonia (HAP) was the most frequent HAI among the patients. There was a rise in catheter-associated bloodstream infections (CLABSI) (0.8%) and ventilator associated pneumonia (VAP) (1.1%) during the COVID-19 period. The most common bacteria were methicillin-resistant Staphylococcus aureus (MRSA) (28.2%) and Enterococcus faecalis (17.9%) in the Pre COVID-19 period, and Pseudomonas aeruginosa (27.6%) and Stenotrophomonas maltophilia (6.9%) during COVID-19. Conclusion Our research concluded that the rates of HAIs during the COVID-19 pandemic were not significantly impacted by the improved in-hospital infection prevention efforts to control the pandemic. There is need for further efforts to promote adherence to preventive practices.https://doi.org/10.1186/s12879-023-08770-3COVID-19Hospital acquired infectionPrevalenceInfection prevention and control |
| spellingShingle | Rehab Ismaeil Abdul Rahman Fata Nahas Norhidayah Binti Kamarudin Usman Abubakar Mohamad Basri Mat-Nor Mohamad Haniki Nik Mohamed Evaluation of the impact of COVID-19 pandemic on hospital-acquired infections in a tertiary hospital in Malaysia BMC Infectious Diseases COVID-19 Hospital acquired infection Prevalence Infection prevention and control |
| title | Evaluation of the impact of COVID-19 pandemic on hospital-acquired infections in a tertiary hospital in Malaysia |
| title_full | Evaluation of the impact of COVID-19 pandemic on hospital-acquired infections in a tertiary hospital in Malaysia |
| title_fullStr | Evaluation of the impact of COVID-19 pandemic on hospital-acquired infections in a tertiary hospital in Malaysia |
| title_full_unstemmed | Evaluation of the impact of COVID-19 pandemic on hospital-acquired infections in a tertiary hospital in Malaysia |
| title_short | Evaluation of the impact of COVID-19 pandemic on hospital-acquired infections in a tertiary hospital in Malaysia |
| title_sort | evaluation of the impact of covid 19 pandemic on hospital acquired infections in a tertiary hospital in malaysia |
| topic | COVID-19 Hospital acquired infection Prevalence Infection prevention and control |
| url | https://doi.org/10.1186/s12879-023-08770-3 |
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