2019 年冠状病毒传染病大流行时期感染控制措施问卷调查。

IF 1.9 4区 医学 Q3 INFECTIOUS DISEASES Journal of Infection and Chemotherapy Pub Date : 2024-08-14 DOI:10.1016/j.jiac.2024.08.005
Tetsuya Horino , Kazuyo Ono , Erisa Sugawara , Tetsuya Matsumoto , Hiroshi Yotsuyanagi , Masaki Yoshida
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引用次数: 0

摘要

目的为了明确在爆发新传染病时所需要采取的感染控制措施,我们对 2019 年冠状病毒病(COVID-19)的感染控制措施进行了问卷调查:方法:2023 年 2 月,我们向日本感染预防与控制协会会员所属的 2 689 家医疗机构的负责人发出了参与调查的邀请,要求他们在 2023 年 3 月之前使用谷歌表格回答在线调查:结果:包括 20 家诊所和 625 家医院在内的 645 家机构参与了调查。调查显示,医院采取了各种感染控制措施,包括在非 COVID-19 病房普遍使用口罩(96.5%)、在预定入院时进行严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)筛查(89.0%)、SARS-CoV-2 检测(98.7%)以及对发烧住院病人进行单间隔离(76.5%)。然而,在调查期间,分别有 94.4% 和 90.9% 的病例发生了院内感染和 COVID-19 聚集。造成这些结果的原因之一是,医护人员(HCP)和患者是常见的院内感染指标病例,而造成集群的最常见原因是有症状的 HCP 的工作。这些结果表明,医护人员应该明白他们可能是病例或传播者。另一方面,最常见的外部机构支持是医疗保健中心,其次是其他医院的医生或护士:结论:为应对感染的出现,必须考虑对医护人员和患者实施感染控制措施。
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A questionnaire survey of infection control measures during the coronavirus infectious disease 2019 pandemic era

Objective

To clarify the infection control measures required in the event of a new infectious disease outbreak, we conducted a questionnaire survey on the infection control measures implemented against coronavirus disease 2019 (COVID-19).

Methods

An invitation to participate in this survey was sent to the heads of 2689 facilities affiliated with the members of the Japanese Society for Infection Prevention and Control in February 2023, requesting responses to the online survey using Google Forms by March 2023.

Results

Six hundred and forty-five facilities, including 20 clinics and 625 hospitals, participated in the survey. This survey revealed that various infection control measures were implemented, including universal masking in the non-COVID-19 ward (96.5 %), screening tests for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on scheduled admission (89.0 %), SARS-CoV-2 tests (98.7 %), and isolation in private rooms (76.5 %) for inpatients with fever. However, nosocomial infections and clusters of COVID-19 occurred in 94.4 % and 90.9 % of cases during the investigation period, respectively. One of the reasons for these results is that healthcare personnel (HCP) and patients were common index cases of nosocomial infections, and the most common cause of clusters was the work of symptomatic HCPs. These results suggest that HCPs should understand that they can be index cases or spreaders. On the other hand, the most common support from external facilities was healthcare centers, followed by physicians or nurses from other hospitals.

Conclusion

In response to the emergence of infections, it is important to consider implementing infection control measures for HCPs and patients.

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来源期刊
Journal of Infection and Chemotherapy
Journal of Infection and Chemotherapy INFECTIOUS DISEASES-PHARMACOLOGY & PHARMACY
CiteScore
4.10
自引率
4.50%
发文量
303
审稿时长
47 days
期刊介绍: The Journal of Infection and Chemotherapy (JIC) — official journal of the Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases — welcomes original papers, laboratory or clinical, as well as case reports, notes, committee reports, surveillance and guidelines from all parts of the world on all aspects of chemotherapy, covering the pathogenesis, diagnosis, treatment, and control of infection, including treatment with anticancer drugs. Experimental studies on animal models and pharmacokinetics, and reports on epidemiology and clinical trials are particularly welcome.
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