Department of Neurosurgery, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, 317000, Zhejiang, China.
Department of Hematology, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, 317000, Zhejiang, China.
BMC Infect Dis. 2022 Nov 11;22(1):836. doi: 10.1186/s12879-022-07845-x.
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.
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).
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).
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.
COVID-19 大流行提高了人们对感染预防和控制的认识。我们发现神经外科的医院感染发生率发生了变化。本研究旨在评估“COVID-19 防控措施”对神经外科医院感染的影响。
为了探讨 COVID-19 大流行期间神经外科医院感染的变化，首先分析了 2020 年 1 月 1 日至 4 月 30 日（COVID-19 时代）期间在浙江省台州医院接受神经外科治疗的住院患者的临床数据，然后将其与 2019 年同期（第一 COVID-19 前时代）进行比较。同时，我们还分析了 2020 年 5 月 1 日至 12 月 31 日（COVID-19 后时代）与 2019 年同期（第二 COVID-19 前时代）的数据。
第一 COVID-19 前时代的医院感染率为 7.85%（54/688），COVID-19 时代为 4.30%（26/605）（P=0.01）。第一 COVID-19 前时代和 COVID-19 时代的呼吸系统感染率分别为 6.1%和 2.0%（P<0.01），而泌尿系统感染率分别为 1.7%和 2.0%（P=0.84）。在第一 COVID-19 前时代和 COVID-19 时代，呼吸系统和泌尿系统感染分别占总医院感染的 77.78%（42/54）和 46.15%（12/26），22.22%（12/54）和 46.15%（12/26）（P<0.01）。在第二 COVID-19 前时代和 COVID-19 后时代，呼吸系统和泌尿系统感染分别占总医院感染的 53.66%（44/82）和 40.63%（39/96），24.39%（20/82）和 40.63%（39/96）（P=0.02）。
COVID-19 大流行期间神经外科医院感染的发生率有所下降。这种减少主要发生在呼吸系统感染中，而泌尿系统感染的比例显著增加。
