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Effectivity of a Program for the Control and Prevention of COVID-19 Healthcare-Associated Infections in a Spanish Academic Hospital

BACKGROUND: Although recommendations to prevent COVID-19 healthcare-associated infections (HAIs) have been proposed, data on their effectivity are currently limited. OBJECTIVE: The aim was to evaluate the effectivity of a program of control and prevention of COVID-19 in an academic general hospital...

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Autores principales: Gras-Valentí, Paula, Mora-Muriel, Juan G., Chico-Sánchez, Pablo, Algado-Sellés, Natividad, Soler-Molina, Victor M., Hernández-Maldonado, María, Lameiras-Azevedo, Ana S., Jiménez Sepúlveda, Natali J., Gómez Sotero, Isel L., Villanueva-Ruiz, César O., Barrenengoa-Sañudo, Julio, Fuster-Pérez, Marina, Cánovas-Jávega, Sandra, Cerezo-Milan, Patricia, Monerris-Palmer, Miranda, Llorens-Soriano, Pere, Merino-Lucas, Esperanza, Rodríguez-Diaz, Juan C., Gil-Carbonell, Joan, Sánchez-Martínez, Rosario, Pastor-Cesteros, Rogelio, Mena-Esquivias, Luis, Galiana-Ivars, Maria, Jaime-Sánchez, Francisco A., Margarit-Ferri, Cesar, Gonzalez-deDios, Javier, Lloret, German, García-Alonso, Miguel A., Sánchez-Vela, Pablo, Sánchez-Payá, José
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8132911/
https://www.ncbi.nlm.nih.gov/pubmed/33994534
http://dx.doi.org/10.1097/PTS.0000000000000852
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author Gras-Valentí, Paula
Mora-Muriel, Juan G.
Chico-Sánchez, Pablo
Algado-Sellés, Natividad
Soler-Molina, Victor M.
Hernández-Maldonado, María
Lameiras-Azevedo, Ana S.
Jiménez Sepúlveda, Natali J.
Gómez Sotero, Isel L.
Villanueva-Ruiz, César O.
Barrenengoa-Sañudo, Julio
Fuster-Pérez, Marina
Cánovas-Jávega, Sandra
Cerezo-Milan, Patricia
Monerris-Palmer, Miranda
Llorens-Soriano, Pere
Merino-Lucas, Esperanza
Rodríguez-Diaz, Juan C.
Gil-Carbonell, Joan
Sánchez-Martínez, Rosario
Pastor-Cesteros, Rogelio
Mena-Esquivias, Luis
Galiana-Ivars, Maria
Jaime-Sánchez, Francisco A.
Margarit-Ferri, Cesar
Gonzalez-deDios, Javier
Lloret, German
García-Alonso, Miguel A.
Sánchez-Vela, Pablo
Sánchez-Payá, José
author_facet Gras-Valentí, Paula
Mora-Muriel, Juan G.
Chico-Sánchez, Pablo
Algado-Sellés, Natividad
Soler-Molina, Victor M.
Hernández-Maldonado, María
Lameiras-Azevedo, Ana S.
Jiménez Sepúlveda, Natali J.
Gómez Sotero, Isel L.
Villanueva-Ruiz, César O.
Barrenengoa-Sañudo, Julio
Fuster-Pérez, Marina
Cánovas-Jávega, Sandra
Cerezo-Milan, Patricia
Monerris-Palmer, Miranda
Llorens-Soriano, Pere
Merino-Lucas, Esperanza
Rodríguez-Diaz, Juan C.
Gil-Carbonell, Joan
Sánchez-Martínez, Rosario
Pastor-Cesteros, Rogelio
Mena-Esquivias, Luis
Galiana-Ivars, Maria
Jaime-Sánchez, Francisco A.
Margarit-Ferri, Cesar
Gonzalez-deDios, Javier
Lloret, German
García-Alonso, Miguel A.
Sánchez-Vela, Pablo
Sánchez-Payá, José
author_sort Gras-Valentí, Paula
collection PubMed
description BACKGROUND: Although recommendations to prevent COVID-19 healthcare-associated infections (HAIs) have been proposed, data on their effectivity are currently limited. OBJECTIVE: The aim was to evaluate the effectivity of a program of control and prevention of COVID-19 in an academic general hospital in Spain. METHODS: We captured the number of COVID-19 cases and the type of contact that occurred in hospitalized patients and healthcare personnel (HCP). To evaluate the impact of the continuous use of a surgical mask among HCP, the number of patients with COVID-19 HAIs and accumulated incidence of HCP with COVID-19 was compared between the preintervention and intervention periods. RESULTS: Two hundred fifty-two patients with COVID-19 have been admitted to the hospital. Seven of them had an HAI origin (6 in the preintervention period and 1 in the intervention period). One hundred forty-two HCP were infected with SARS-CoV-2. Of them, 22 (15.5%) were attributed to healthcare (2 in the emergency department and none in the critical care departments), and 120 (84.5%) were attributed to social relations in the workplace or during their non–work-related personal interactions. The accumulated incidence during the preintervention period was 22.3 for every 1000 HCP and 8.2 for every 1000 HCP during the intervention period. The relative risk was 0.37 (95% confidence interval, 0.25 to 0.55) and the attributable risk was −0.014 (95% confidence interval, −0.020 to −0.009). CONCLUSIONS: A program of control and prevention of HAIs complemented with the recommendation for the continuous use of a surgical mask in the workplace and social environments of HCP effectively decreased the risk of COVID-19 HAIs in admitted patients and HCP.
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spelling pubmed-81329112021-05-20 Effectivity of a Program for the Control and Prevention of COVID-19 Healthcare-Associated Infections in a Spanish Academic Hospital Gras-Valentí, Paula Mora-Muriel, Juan G. Chico-Sánchez, Pablo Algado-Sellés, Natividad Soler-Molina, Victor M. Hernández-Maldonado, María Lameiras-Azevedo, Ana S. Jiménez Sepúlveda, Natali J. Gómez Sotero, Isel L. Villanueva-Ruiz, César O. Barrenengoa-Sañudo, Julio Fuster-Pérez, Marina Cánovas-Jávega, Sandra Cerezo-Milan, Patricia Monerris-Palmer, Miranda Llorens-Soriano, Pere Merino-Lucas, Esperanza Rodríguez-Diaz, Juan C. Gil-Carbonell, Joan Sánchez-Martínez, Rosario Pastor-Cesteros, Rogelio Mena-Esquivias, Luis Galiana-Ivars, Maria Jaime-Sánchez, Francisco A. Margarit-Ferri, Cesar Gonzalez-deDios, Javier Lloret, German García-Alonso, Miguel A. Sánchez-Vela, Pablo Sánchez-Payá, José J Patient Saf The Health Care Manager BACKGROUND: Although recommendations to prevent COVID-19 healthcare-associated infections (HAIs) have been proposed, data on their effectivity are currently limited. OBJECTIVE: The aim was to evaluate the effectivity of a program of control and prevention of COVID-19 in an academic general hospital in Spain. METHODS: We captured the number of COVID-19 cases and the type of contact that occurred in hospitalized patients and healthcare personnel (HCP). To evaluate the impact of the continuous use of a surgical mask among HCP, the number of patients with COVID-19 HAIs and accumulated incidence of HCP with COVID-19 was compared between the preintervention and intervention periods. RESULTS: Two hundred fifty-two patients with COVID-19 have been admitted to the hospital. Seven of them had an HAI origin (6 in the preintervention period and 1 in the intervention period). One hundred forty-two HCP were infected with SARS-CoV-2. Of them, 22 (15.5%) were attributed to healthcare (2 in the emergency department and none in the critical care departments), and 120 (84.5%) were attributed to social relations in the workplace or during their non–work-related personal interactions. The accumulated incidence during the preintervention period was 22.3 for every 1000 HCP and 8.2 for every 1000 HCP during the intervention period. The relative risk was 0.37 (95% confidence interval, 0.25 to 0.55) and the attributable risk was −0.014 (95% confidence interval, −0.020 to −0.009). CONCLUSIONS: A program of control and prevention of HAIs complemented with the recommendation for the continuous use of a surgical mask in the workplace and social environments of HCP effectively decreased the risk of COVID-19 HAIs in admitted patients and HCP. Lippincott Williams & Wilkins 2021-06 2021-04-20 /pmc/articles/PMC8132911/ /pubmed/33994534 http://dx.doi.org/10.1097/PTS.0000000000000852 Text en Copyright © 2021 The Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle The Health Care Manager
Gras-Valentí, Paula
Mora-Muriel, Juan G.
Chico-Sánchez, Pablo
Algado-Sellés, Natividad
Soler-Molina, Victor M.
Hernández-Maldonado, María
Lameiras-Azevedo, Ana S.
Jiménez Sepúlveda, Natali J.
Gómez Sotero, Isel L.
Villanueva-Ruiz, César O.
Barrenengoa-Sañudo, Julio
Fuster-Pérez, Marina
Cánovas-Jávega, Sandra
Cerezo-Milan, Patricia
Monerris-Palmer, Miranda
Llorens-Soriano, Pere
Merino-Lucas, Esperanza
Rodríguez-Diaz, Juan C.
Gil-Carbonell, Joan
Sánchez-Martínez, Rosario
Pastor-Cesteros, Rogelio
Mena-Esquivias, Luis
Galiana-Ivars, Maria
Jaime-Sánchez, Francisco A.
Margarit-Ferri, Cesar
Gonzalez-deDios, Javier
Lloret, German
García-Alonso, Miguel A.
Sánchez-Vela, Pablo
Sánchez-Payá, José
Effectivity of a Program for the Control and Prevention of COVID-19 Healthcare-Associated Infections in a Spanish Academic Hospital
title Effectivity of a Program for the Control and Prevention of COVID-19 Healthcare-Associated Infections in a Spanish Academic Hospital
title_full Effectivity of a Program for the Control and Prevention of COVID-19 Healthcare-Associated Infections in a Spanish Academic Hospital
title_fullStr Effectivity of a Program for the Control and Prevention of COVID-19 Healthcare-Associated Infections in a Spanish Academic Hospital
title_full_unstemmed Effectivity of a Program for the Control and Prevention of COVID-19 Healthcare-Associated Infections in a Spanish Academic Hospital
title_short Effectivity of a Program for the Control and Prevention of COVID-19 Healthcare-Associated Infections in a Spanish Academic Hospital
title_sort effectivity of a program for the control and prevention of covid-19 healthcare-associated infections in a spanish academic hospital
topic The Health Care Manager
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8132911/
https://www.ncbi.nlm.nih.gov/pubmed/33994534
http://dx.doi.org/10.1097/PTS.0000000000000852
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