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新冠疫情开始前后免疫功能低下人群中医疗保健相关感染的全球研究概况

Global research landscape of health care-associated infections among immunocompromised people before and after the start of the COVID-19 pandemic.

作者信息

Iwu Chidozie Declan

机构信息

School of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, Pretoria 0001, South Africa.

出版信息

Infect Med (Beijing). 2024 Aug 10;3(3):100127. doi: 10.1016/j.imj.2024.100127. eCollection 2024 Sep.


DOI:10.1016/j.imj.2024.100127
PMID:39314807
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11417551/
Abstract

Health care-associated infections (HCAIs) pose a substantial threat to immunocompromised individuals and represent a frequent adverse event in health care delivery. The aim of this study was to evaluate the global research landscape of HCAIs among immunocompromised populations before and during the COVID-19 pandemic. A systematic search of articles published between 2013 and 2022 in the Web of Science Core Collection database was conducted, and content analytics and integrated science mapping were used for data analysis and interpretation. The review identified 1,473 articles. Only 633 articles authored by 4,151 individuals and published in 366 journals were included. The average citation rate was 14.27 per document, and research production grew annually by 9.07% peaking in 2021 during the COVID-19 pandemic but declining in 2022. The United States emerged as the most productive country, with 743 publication appearances and 2,485 citations. Keywords such as "epidemiology," "infection," "mortality," and "risk factors" were frequently encountered in the analyzed literature. The main research themes, including "mortality," "sepsis," "immunosuppression," "expression," and "pneumonia," underscored the focal points of importance within this domain. This study highlighted the growing interest regarding HCAIs in immunocompromised populations, especially during the COVID-19 pandemic. The study findings underscore the need to advance research efforts to understand different immunocompromised states, develop tailored infection prevention measures, and address health care disparities to mitigate the burden of HCAIs among immunocompromised individuals.

摘要

医疗保健相关感染(HCAIs)对免疫功能低下的个体构成了重大威胁,并且是医疗保健服务中常见的不良事件。本研究的目的是评估在COVID-19大流行之前和期间免疫功能低下人群中HCAIs的全球研究概况。我们对2013年至2022年期间发表在科学网核心合集数据库中的文章进行了系统检索,并使用内容分析和综合科学图谱进行数据分析和解读。该综述共识别出1473篇文章。仅纳入了由4151名作者撰写并发表在366种期刊上的633篇文章。平均每篇文献的被引率为14.27,研究产出每年增长9.07%,在2021年COVID-19大流行期间达到峰值,但在2022年有所下降。美国成为产出最多的国家,有743次发表记录和2485次引用。在分析的文献中经常出现“流行病学”“感染”“死亡率”和“危险因素”等关键词。主要研究主题包括“死亡率”“脓毒症”“免疫抑制”“表达”和“肺炎”,突出了该领域内的重点关注内容。本研究强调了对免疫功能低下人群中HCAIs的兴趣日益增长,尤其是在COVID-19大流行期间。研究结果强调了推进研究工作的必要性,以了解不同的免疫功能低下状态、制定针对性的感染预防措施,并解决医疗保健差距问题,以减轻免疫功能低下个体中HCAIs的负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2134/11417551/1929b082cda5/gr8.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2134/11417551/99a3a3cb2719/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2134/11417551/91d9dac84d57/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2134/11417551/2de4ff33f67f/gr3.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2134/11417551/68009172bf1b/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2134/11417551/2c662e139757/gr6.jpg
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Disparities in COVID-19 mortality amongst the immunosuppressed: A systematic review and meta-analysis for enhanced disease surveillance.

J Infect. 2024-3

[2]
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[3]
The Disproportionate Impact of Coronavirus Disease 2019 (COVID-19) Pandemic on Healthcare-Associated Infections in Community Hospitals: Need for Expanding the Infectious Disease Workforce.

Clin Infect Dis. 2023-2-8

[4]
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[5]
A Systematic Analysis of Research on : Public Health Implications from a Food-Environment Interphase Perspective.

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[6]
Seasonal variation of hospital-acquired bloodstream infections: A national cohort study.

Infect Control Hosp Epidemiol. 2022-2

[7]
The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.

BMJ. 2021-3-29

[8]
Vaccination of immune compromised children-an overview for physicians.

Eur J Pediatr. 2021-7

[9]
A vulnerability index for COVID-19: spatial analysis at the subnational level in Kenya.

BMJ Glob Health. 2020-8

[10]
Hospital affiliated long term care facility COVID-19 containment strategy by using prevalence testing and infection control best practices.

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