Effect of the “Normalized Epidemic Prevention and Control Requirements” on hospital-acquired and community-acquired infections in China

Abstract Background No studies have yet reported the effect of prevention and control measures, which were implemented to combat COVID-19, on the prevention and control of common HAIs. We aimed to examine the effect of the “Normalized Epidemic Prevention and Control Requirements” (implemented in May...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Caiyun Chen, Ping Zhu, Yongxiang Zhang, Bo Liu
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	“Normalized Epidemic Prevention and Control Requirements” Epidemic prevention and control Hospital-acquired infection Infectious sites Multi-drug resistant organisms Usage of antibiotics Infectious and parasitic diseases RC109-216
Acceso en línea:	https://doaj.org/article/1ad170098bde4e76ae4f4a3ddd7f246b
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:1ad170098bde4e76ae4f4a3ddd7f246b
record_format	dspace
spelling	oai:doaj.org-article:1ad170098bde4e76ae4f4a3ddd7f246b2021-11-28T12:41:51ZEffect of the “Normalized Epidemic Prevention and Control Requirements” on hospital-acquired and community-acquired infections in China10.1186/s12879-021-06886-y1471-2334https://doaj.org/article/1ad170098bde4e76ae4f4a3ddd7f246b2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12879-021-06886-yhttps://doaj.org/toc/1471-2334Abstract Background No studies have yet reported the effect of prevention and control measures, which were implemented to combat COVID-19, on the prevention and control of common HAIs. We aimed to examine the effect of the “Normalized Epidemic Prevention and Control Requirements” (implemented in May 2020) by comparison of hospital-acquired infections (HAIs) and community-acquired infections (CAIs) in China during 2018, 2019, and 2020. Methods Data of inpatients before and after implementation of new requirements were retrospectively analyzed, including infection rate, use of alcohol-based hand cleaner, anatomical sites of infections, pathogen species, infection by multi-drug resistant species, and use of different antibiotics. Results The HAI rate was significantly higher in 2020 than in 2018 and 2019 (P < 0.05), and the CAI rate was significantly higher in 2019 and 2020 than in 2018 (P < 0.001). Lower respiratory tract infections were the most common HAI during all years, with no significant changes over time. Lower respiratory tract infections were also the most common CAI, but were significantly more common in 2018 and 2019 than 2020 (P < 0.001). There were no changes in upper respiratory tract infections among HAIs or CAIs. Most HAIs and CAIs were from Gram-negative bacteria, and the percentages of fungal infections were greater in 2019 and 2020 than 2018. MRSA infections were more common in 2020 than in 2018 and 2019 (P < 0.05). The utilization rate and usage days of antibiotics decreased over time (P < 0.001) and the culture rate of microbial specimens before antibiotic usage increased over time (P < 0.001). Conclusions The new prevention and control requirements provided important benefits during the COVID-19 pandemic. However, their effects on HAIs were not obvious.Caiyun ChenPing ZhuYongxiang ZhangBo LiuBMCarticle“Normalized Epidemic Prevention and Control Requirements”Epidemic prevention and controlHospital-acquired infectionInfectious sitesMulti-drug resistant organismsUsage of antibioticsInfectious and parasitic diseasesRC109-216ENBMC Infectious Diseases, Vol 21, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	“Normalized Epidemic Prevention and Control Requirements” Epidemic prevention and control Hospital-acquired infection Infectious sites Multi-drug resistant organisms Usage of antibiotics Infectious and parasitic diseases RC109-216
spellingShingle	“Normalized Epidemic Prevention and Control Requirements” Epidemic prevention and control Hospital-acquired infection Infectious sites Multi-drug resistant organisms Usage of antibiotics Infectious and parasitic diseases RC109-216 Caiyun Chen Ping Zhu Yongxiang Zhang Bo Liu Effect of the “Normalized Epidemic Prevention and Control Requirements” on hospital-acquired and community-acquired infections in China
description	Abstract Background No studies have yet reported the effect of prevention and control measures, which were implemented to combat COVID-19, on the prevention and control of common HAIs. We aimed to examine the effect of the “Normalized Epidemic Prevention and Control Requirements” (implemented in May 2020) by comparison of hospital-acquired infections (HAIs) and community-acquired infections (CAIs) in China during 2018, 2019, and 2020. Methods Data of inpatients before and after implementation of new requirements were retrospectively analyzed, including infection rate, use of alcohol-based hand cleaner, anatomical sites of infections, pathogen species, infection by multi-drug resistant species, and use of different antibiotics. Results The HAI rate was significantly higher in 2020 than in 2018 and 2019 (P < 0.05), and the CAI rate was significantly higher in 2019 and 2020 than in 2018 (P < 0.001). Lower respiratory tract infections were the most common HAI during all years, with no significant changes over time. Lower respiratory tract infections were also the most common CAI, but were significantly more common in 2018 and 2019 than 2020 (P < 0.001). There were no changes in upper respiratory tract infections among HAIs or CAIs. Most HAIs and CAIs were from Gram-negative bacteria, and the percentages of fungal infections were greater in 2019 and 2020 than 2018. MRSA infections were more common in 2020 than in 2018 and 2019 (P < 0.05). The utilization rate and usage days of antibiotics decreased over time (P < 0.001) and the culture rate of microbial specimens before antibiotic usage increased over time (P < 0.001). Conclusions The new prevention and control requirements provided important benefits during the COVID-19 pandemic. However, their effects on HAIs were not obvious.
format	article
author	Caiyun Chen Ping Zhu Yongxiang Zhang Bo Liu
author_facet	Caiyun Chen Ping Zhu Yongxiang Zhang Bo Liu
author_sort	Caiyun Chen
title	Effect of the “Normalized Epidemic Prevention and Control Requirements” on hospital-acquired and community-acquired infections in China
title_short	Effect of the “Normalized Epidemic Prevention and Control Requirements” on hospital-acquired and community-acquired infections in China
title_full	Effect of the “Normalized Epidemic Prevention and Control Requirements” on hospital-acquired and community-acquired infections in China
title_fullStr	Effect of the “Normalized Epidemic Prevention and Control Requirements” on hospital-acquired and community-acquired infections in China
title_full_unstemmed	Effect of the “Normalized Epidemic Prevention and Control Requirements” on hospital-acquired and community-acquired infections in China
title_sort	effect of the “normalized epidemic prevention and control requirements” on hospital-acquired and community-acquired infections in china
publisher	BMC
publishDate	2021
url	https://doaj.org/article/1ad170098bde4e76ae4f4a3ddd7f246b
work_keys_str_mv	AT caiyunchen effectofthenormalizedepidemicpreventionandcontrolrequirementsonhospitalacquiredandcommunityacquiredinfectionsinchina AT pingzhu effectofthenormalizedepidemicpreventionandcontrolrequirementsonhospitalacquiredandcommunityacquiredinfectionsinchina AT yongxiangzhang effectofthenormalizedepidemicpreventionandcontrolrequirementsonhospitalacquiredandcommunityacquiredinfectionsinchina AT boliu effectofthenormalizedepidemicpreventionandcontrolrequirementsonhospitalacquiredandcommunityacquiredinfectionsinchina
_version_	1718407818696982528

Effect of the “Normalized Epidemic Prevention and Control Requirements” on hospital-acquired and community-acquired infections in China

Ejemplares similares