Delgado-Rodríquez M, Ramos-Cuadra A, Bueno-Cavanillas A, Jiménez-Romano E, Guillén-Solvas J, Gálvez-Vargas R
Department of Preventive Medicine, School of Medicine, Hospital Virgen de las Nieves, University of Granada, Spain.
Infect Control Hosp Epidemiol. 1993 Dec;14(12):706-12. doi: 10.1086/646673.
From April 2-23, 1992, the housekeeping staff of the University of Granada Hospital was on strike. Measures were implemented to minimize the effects of the strike on patients' health and especially to diminish the risk of hospital infection.
To assess the risk of nosocomial infection during the housekeeping personnel strike.
An 800-bed, tertiary care hospital.
A case-cohort approach was used. One hundred forty-eight infected patients (with 184 hospital infections) were detected prospectively from March 1, 1992, to May 31, 1992. A sample of 459 of the base population (patients admitted during the same period) was selected. Information on relevant risk factors for hospital infection was abstracted from patients' clinical charts after hospital discharge. Crude odds ratios and adjusted (by proportional hazards model) relative risks (RRs) for the strike period were estimated.
Risk of nosocomial infection did not increase during the strike period (multiple-risk factor adjusted RR = 0.99, 0.96 to 1.01/day of strike). Similar results were observed for major sites of infection (especially surgical wound) and major areas of the hospital (including gynecology, surgery, and intensive care).
We concluded that there was no increase in the risk of nosocomial infection during the housekeeping strike.
1992年4月2日至23日，格拉纳达大学医院的后勤工作人员举行罢工。已采取措施尽量减少罢工对患者健康的影响，尤其是降低医院感染风险。
评估后勤人员罢工期间医院感染的风险。
一家拥有800张床位的三级护理医院。
采用病例队列研究方法。前瞻性地检测了1992年3月1日至1992年5月31日期间148例感染患者（共发生184起医院感染）。从同期入院的基础人群中选取了459个样本。在患者出院后，从其临床病历中提取有关医院感染相关危险因素的信息。估算了罢工期间的粗比值比和调整后（通过比例风险模型）的相对风险（RR）。
罢工期间医院感染风险并未增加（多危险因素调整后的RR = 0.99，罢工每日RR为0.96至1.01）。在主要感染部位（尤其是手术伤口）和医院主要区域（包括妇科、外科和重症监护室）也观察到类似结果。
我们得出结论，后勤罢工期间医院感染风险并未增加。
