2019—2022年北京某三级中医医院新冠疫情前后院内上呼吸道感染率变化

Change in incidence of health care-associated upper respiratory tract infection in a tertiary TCM hospital of Beijing before and after COVID-19 epidemic from 2019 to 2022

目的 分析和比较新型冠状病毒感染(COVID-19)大流行前后院内上呼吸道感染率的变化及其特点,探索其与卫生用品使用量的相关性。方法 回顾性分析北京中医医院2019年1月—2022年12月住院患者病历资料与卫生用品使用量,描述院内上呼吸道感染情况,应用Pearson或Spearman相关性分析方法分析院内上呼吸道感染率与卫生用品使用量的关系。结果 2019—2022年的院内上呼吸道感染率从0.14%降至0.04%。内科组(70.69%)感染占比大于外科组(17.24%)。针一科(13.79%)、针二科(12.07%)、骨科(10.34%)院内上呼吸道感染占比较高。67.24%的院内上呼吸道感染无病原学结果,25.85%为院内获得的流行性感冒。院内上呼吸道季度感染率与手消液、洗手液、消毒湿巾、医用外科口罩、医用防护口罩季度使用量之间呈负相关(P<0.05)。结论 COVID-19疫情期间院内上呼吸道感染率较前降低,与医院采取的高强度防控措施相关。后疫情时代应结合上呼吸道感染特征调整防控措施,保持医院感染的防控成果。

OBJECTIVE To observe and compare the incidence of health care-associated upper respiratory tract in-fection before and after the corona virus disease 2019(COVID-19)epidemic,analyze the characteristics and ex-plore its association with consumption of sanitation supplies.METHODS The medical data and usage amount of sanitation supplies of the patients who were hospitalized in Beijing Hospital of Traditional Chinese Medicine from Jan 2019 to Dec 2022 were retrospectively analyzed,the incidence of upper respiratory tract infection was de-scribed,Pearson or Spearman correlation analysis was performed for the association between the incidence of health care-associated upper respiratory tract infection and the consumption of sanitation supplies.RESULTS The incidence of health care-associated upper respiratory tract infection was decreased from 0.14%to 0.04%in 2019-2022.The proportion of the patients with the infection was 70.69%in the internal medicine departments,higher than 17.24%in the surgery departments.The patients with health care-associated upper respiratory tract infection accounted for 13.79%in department of acupuncture No.1,12.07%in department of acupuncture No.2,10.34%in department of orthopedics.67.24%of the patients did not have the result of etiological test,25.85%were hospi-tal-acquired influenza.The incidence of health care-associated upper respiratory tract infection in quarters was neg-atively correlated with the usage amounts of hand sanitizer,hand washing sanitizer,antiseptic wipes,surgical masks and medical protective masks in quarters(P<0.05).CONCLUSION The incidence of health care-associated upper respiratory tract infection is lower during the COVID-19 epidemic than before the epidemic,which is associ-ated with the effective prevention and control measures.It is necessary to adjust the prevention and control meas-ures based on the characteristics of upper respiratory tract infection in the post-COVID-19 era so as to maintain the achievement in prevention and control of nosocomial infection.