Increased Frequency of Hand Hygiene and Other Infection Prevention Practices Correlates with Reduced Surgical Wound Infection Rates in Spinal Surgery during the COVID-19 Pandemic
hand hygiene;
COVID-19;
surgical wound infection;
spinal surgery;
hospital infections;
SITE INFECTIONS;
ALCOHOL GEL;
JOINT;
D O I:
10.3390/jcm11247528
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Background: Due to the COVID-19 pandemic outbreak, many changes were done in the hospital practice, and new guidelines were issued in order to contain the infection spread. One of the most common measures is represented by a correct and frequent hand washing. Recently, an association between increased adherence to hand hygiene (HH) protocols and reduction in hospital infections was documented however no studies about the surgical wound infection rate were reported in the Literature. Methods: The present study represents a multicentric retrospective epidemiological study. The HH compliance rate was recorded through direct observations by trained nurses, 24 h a day. The primary outcome was HH compliance rate. The association of HH with spinal surgical wound infections was the secondary outcome. Results: We reported a compliance to HH practices during the pandemic period of 85.2% compared with 57% observed during 2019. Our analysis showed an overall surgical wound infection reduction of 66.6% during the hospital stay in the pandemic period. Conclusion: Hand hygiene has always been considered one of the most effective, reproducible and low-cost weapons to deal with hospital infections. The good health habits acquired during the COVID-19 pandemic should be maintained even after the virus is eradicated.
机构:
Massachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA USA
Newton Wellesley Hosp, Kaplan Joint Ctr, Newton, MA USAMassachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA USA
Humphrey, Tyler
;
Daniell, Hayley
论文数: 0引用数: 0
h-index: 0
机构:
Massachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA USAMassachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA USA
Daniell, Hayley
;
Chen, Antonia F.
论文数: 0引用数: 0
h-index: 0
机构:
Harvard Med Sch, Brigham & Womens Hosp, Dept Orthopaed Surg, Boston, MA USAMassachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA USA
Chen, Antonia F.
;
Hollenbeck, Brian
论文数: 0引用数: 0
h-index: 0
机构:
New England Baptist Hosp, Dept Infect Dis, Dedham, MA USAMassachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA USA
Hollenbeck, Brian
;
Talmo, Carl
论文数: 0引用数: 0
h-index: 0
机构:
New England Baptist Hosp, Dept Orthopaed Surg, Dedham, MA USAMassachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA USA
Talmo, Carl
;
Fang, Christopher J.
论文数: 0引用数: 0
h-index: 0
机构:
New England Baptist Hosp, Dept Infect Dis, Dedham, MA USAMassachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA USA
Fang, Christopher J.
;
Smith, Eric L.
论文数: 0引用数: 0
h-index: 0
机构:
New England Baptist Hosp, Dept Orthopaed Surg, Dedham, MA USAMassachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA USA
Smith, Eric L.
;
Niu, Ruijia
论文数: 0引用数: 0
h-index: 0
机构:
New England Baptist Hosp, Dept Orthopaed Surg, Dedham, MA USAMassachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA USA
Niu, Ruijia
;
Melnic, Christopher M.
论文数: 0引用数: 0
h-index: 0
机构:
Massachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA USA
Newton Wellesley Hosp, Kaplan Joint Ctr, Newton, MA USAMassachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA USA
Melnic, Christopher M.
;
Hosseinzadeh, Shayan
论文数: 0引用数: 0
h-index: 0
机构:
Massachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA USAMassachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA USA
Hosseinzadeh, Shayan
;
Bedair, Hany S.
论文数: 0引用数: 0
h-index: 0
机构:
Massachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA USA
Newton Wellesley Hosp, Kaplan Joint Ctr, Newton, MA USA
Harvard Med Sch, Massachusetts Gen Hosp, Dept Orthopaed Surg, 55 Fruit St, Boston, MA 02114 USAMassachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA USA
机构:
NIHR Global Hlth Res Unit Global Surg, Birmingham, W Midlands, EnglandNIHR Global Hlth Res Unit Global Surg, Birmingham, W Midlands, England
Li, E.
;
Assenza, Marco
论文数: 0引用数: 0
h-index: 0
机构:
Policlin Umberto 1, Rome, ItalyNIHR Global Hlth Res Unit Global Surg, Birmingham, W Midlands, England
Assenza, Marco
;
Aydin, Yener
论文数: 0引用数: 0
h-index: 0
机构:
Ataturk Univ, Res & Training Hosp, Sch Med, Erzurum, TurkiyeNIHR Global Hlth Res Unit Global Surg, Birmingham, W Midlands, England
Aydin, Yener
;
Ince, Ilker
论文数: 0引用数: 0
h-index: 0
机构:
Ataturk Univ, Res & Training Hosp, Sch Med, Erzurum, TurkiyeNIHR Global Hlth Res Unit Global Surg, Birmingham, W Midlands, England
Ince, Ilker
;
Ulas, Ali Bilal
论文数: 0引用数: 0
h-index: 0
机构:
Ataturk Univ, Res & Training Hosp, Sch Med, Erzurum, TurkiyeNIHR Global Hlth Res Unit Global Surg, Birmingham, W Midlands, England
Ulas, Ali Bilal
;
Motas, Natalia
论文数: 0引用数: 0
h-index: 0
机构:
Inst Oncol Prof Dr Al Trestioreanu, Bucharest, RomaniaNIHR Global Hlth Res Unit Global Surg, Birmingham, W Midlands, England
Motas, Natalia
;
Gulcek, Emre
论文数: 0引用数: 0
h-index: 0
机构:
Gazi Univ, Med Fac Hosp, Ankara, TurkeyNIHR Global Hlth Res Unit Global Surg, Birmingham, W Midlands, England
Gulcek, Emre
;
Sedlak, Marian
论文数: 0引用数: 0
h-index: 0
机构:
L Pasteur Univ Hosp, Kosice, SlovakiaNIHR Global Hlth Res Unit Global Surg, Birmingham, W Midlands, England
Sedlak, Marian
;
Lima Marson, Fernando Augusto
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Univ Sao Francisco Assis Providencia Deus, Braganca Paulista, SP, BrazilNIHR Global Hlth Res Unit Global Surg, Birmingham, W Midlands, England
机构:
Massachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA USA
Newton Wellesley Hosp, Kaplan Joint Ctr, Newton, MA USAMassachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA USA
Humphrey, Tyler
;
Daniell, Hayley
论文数: 0引用数: 0
h-index: 0
机构:
Massachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA USAMassachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA USA
Daniell, Hayley
;
Chen, Antonia F.
论文数: 0引用数: 0
h-index: 0
机构:
Harvard Med Sch, Brigham & Womens Hosp, Dept Orthopaed Surg, Boston, MA USAMassachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA USA
Chen, Antonia F.
;
Hollenbeck, Brian
论文数: 0引用数: 0
h-index: 0
机构:
New England Baptist Hosp, Dept Infect Dis, Dedham, MA USAMassachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA USA
Hollenbeck, Brian
;
Talmo, Carl
论文数: 0引用数: 0
h-index: 0
机构:
New England Baptist Hosp, Dept Orthopaed Surg, Dedham, MA USAMassachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA USA
Talmo, Carl
;
Fang, Christopher J.
论文数: 0引用数: 0
h-index: 0
机构:
New England Baptist Hosp, Dept Infect Dis, Dedham, MA USAMassachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA USA
Fang, Christopher J.
;
Smith, Eric L.
论文数: 0引用数: 0
h-index: 0
机构:
New England Baptist Hosp, Dept Orthopaed Surg, Dedham, MA USAMassachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA USA
Smith, Eric L.
;
Niu, Ruijia
论文数: 0引用数: 0
h-index: 0
机构:
New England Baptist Hosp, Dept Orthopaed Surg, Dedham, MA USAMassachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA USA
Niu, Ruijia
;
Melnic, Christopher M.
论文数: 0引用数: 0
h-index: 0
机构:
Massachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA USA
Newton Wellesley Hosp, Kaplan Joint Ctr, Newton, MA USAMassachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA USA
Melnic, Christopher M.
;
Hosseinzadeh, Shayan
论文数: 0引用数: 0
h-index: 0
机构:
Massachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA USAMassachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA USA
Hosseinzadeh, Shayan
;
Bedair, Hany S.
论文数: 0引用数: 0
h-index: 0
机构:
Massachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA USA
Newton Wellesley Hosp, Kaplan Joint Ctr, Newton, MA USA
Harvard Med Sch, Massachusetts Gen Hosp, Dept Orthopaed Surg, 55 Fruit St, Boston, MA 02114 USAMassachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA USA
机构:
NIHR Global Hlth Res Unit Global Surg, Birmingham, W Midlands, EnglandNIHR Global Hlth Res Unit Global Surg, Birmingham, W Midlands, England
Li, E.
;
Assenza, Marco
论文数: 0引用数: 0
h-index: 0
机构:
Policlin Umberto 1, Rome, ItalyNIHR Global Hlth Res Unit Global Surg, Birmingham, W Midlands, England
Assenza, Marco
;
Aydin, Yener
论文数: 0引用数: 0
h-index: 0
机构:
Ataturk Univ, Res & Training Hosp, Sch Med, Erzurum, TurkiyeNIHR Global Hlth Res Unit Global Surg, Birmingham, W Midlands, England
Aydin, Yener
;
Ince, Ilker
论文数: 0引用数: 0
h-index: 0
机构:
Ataturk Univ, Res & Training Hosp, Sch Med, Erzurum, TurkiyeNIHR Global Hlth Res Unit Global Surg, Birmingham, W Midlands, England
Ince, Ilker
;
Ulas, Ali Bilal
论文数: 0引用数: 0
h-index: 0
机构:
Ataturk Univ, Res & Training Hosp, Sch Med, Erzurum, TurkiyeNIHR Global Hlth Res Unit Global Surg, Birmingham, W Midlands, England
Ulas, Ali Bilal
;
Motas, Natalia
论文数: 0引用数: 0
h-index: 0
机构:
Inst Oncol Prof Dr Al Trestioreanu, Bucharest, RomaniaNIHR Global Hlth Res Unit Global Surg, Birmingham, W Midlands, England
Motas, Natalia
;
Gulcek, Emre
论文数: 0引用数: 0
h-index: 0
机构:
Gazi Univ, Med Fac Hosp, Ankara, TurkeyNIHR Global Hlth Res Unit Global Surg, Birmingham, W Midlands, England
Gulcek, Emre
;
Sedlak, Marian
论文数: 0引用数: 0
h-index: 0
机构:
L Pasteur Univ Hosp, Kosice, SlovakiaNIHR Global Hlth Res Unit Global Surg, Birmingham, W Midlands, England
Sedlak, Marian
;
Lima Marson, Fernando Augusto
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Univ Sao Francisco Assis Providencia Deus, Braganca Paulista, SP, BrazilNIHR Global Hlth Res Unit Global Surg, Birmingham, W Midlands, England