المؤلفون: 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

المصدر: Journal of Patient Safety ; volume 17, issue 4, page 323-330 ; ISSN 1549-8425 1549-8417

الوصف: 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.

الإتاحة: https://doi.org/10.1097/pts.0000000000000852Test

المؤلفون: Algado-Sellés, Natividad, Gras-Valentí, Paula, Chico-Sánchez, Pablo, Mora-Muriel, Juan G., Soler-Molina, Victor M., Hernández-Maldonado, María, Lameiras-Azevedo, Ana-Sofía, Jiménez-Sepúlveda, Natali J., Gómez-Sotero, Isel-Lilibeth, Villanueva-Ruiz, Cesar O., Barrenengoa-Sañudo, Julio, Fuster-Pérez, Marina, Cánovas-Javega, Sandra, Cerezo-Milan, Patricia, Monerris-Palmer, Miranda, Esclapez, Ana, Cartagena-Llopis, Lidia, García-Rivera, Claudia, Martínez-Tornero, Iluminada, Nadal-Morante, Verónica, Merino-Lucas, Esperanza, Rodriguez-Diaz, Juan C., Vidal-Catala, Inmaculada, Llorens-Soriano, Pere, San Inocencio, David, Gil-Carbonell, Joan, Montiel-Higuero, Inés, Sánchez-Vela, Pablo, Sánchez-Payá, José

المصدر: American Journal of Preventive Medicine ; volume 59, issue 6, page e221-e229 ; ISSN 0749-3797

مصطلحات موضوعية: Public Health, Environmental and Occupational Health, Epidemiology

الإتاحة: https://doi.org/10.1016/j.amepre.2020.07.014Test
https://api.elsevier.com/content/article/PII:S0749379720303494?httpAccept=text/xmlTest
https://api.elsevier.com/content/article/PII:S0749379720303494?httpAccept=text/plainTest

المؤلفون: Chico-Sánchez, Pablo, Gras-Valentí, Paula, Algado-Sellés, Natividad, Jiménez-Sepúlveda, Natali Juliet, Rodríguez-Díaz, Juan Carlos, Merino-Lucas, Esperanza, Galiana-Ivars, María, Fuster-Pérez, Marina, Cartagena-Llopis, Lidia, Balboa Esteve, Sonia, Cánovas-Jávega, Sandra, Esclapez-Martínez, Ana, Monerris-Palmer, Miranda, Cerezo-Millán, Patricia, Sánchez-Payá, José, Ronda-Pérez, Elena

المساهمون: Universidad de Alicante. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia, Salud Pública

مصطلحات موضوعية: Critical care, Cross infection, Evaluation study, Medicina Preventiva y Salud Pública

الوصف: Background: Pseudomonas aeruginosa (PA) is the third leading aetiological agent in healthcare-associated infections (HAIs) and the one most frequently found in patients with pneumonia associated with mechanical ventilation. In intensive care units (ICU), its appearance is associated with higher mortality, an increase in the days spent on ventilation, and hospital stay length and costs. Thus, evaluating strategies for preventing these infections is essential for their control. Therefore, our objective was to evaluate the effectiveness of the systematic use of antimicrobial filters in preventing PA infections in critical care units. Methods: This was an open experimental crossover study. A total of 2,156 patients admitted for more than 24 hours in critical care units were included, 1,129 of them in units with filters, and 1,027 in units without filters. The study groups were followed-up for 24 months and HAIs were checked for the presence of PA. Chi-squared test were used to compare the rate of HAIs between groups and we calculated 95% confidence intervals adjusted by Poisson regression for the rate ratio (RR) of the association magnitude. Results: Both groups were homogeneous in terms of intrinsic and extrinsic patient factors. The incidence of PA infections in the units with filters was 5.5 cases/1,000 hospitalized days and 5.4/1,000 hospitalized days for the units without water filters (RR = 1.09 [0.67-1.79]). Conclusions: Routine placing antimicrobial filters in the water taps in critical care units was not an effective means of preventing the emergence of HAIs caused by PA. ; This study has been funded by: Instituto de Salud Carlos III (Carlos III Health Institute) through Fund for Health Research (FIS), Ministry of Health, Spanish Government. Project # PI15/01344; Generalitat Valenciana (Valencian Regional Government) Grants for Support to a Research or Technology Transfer Project. Project # APOTIP/2016/A/011; Alicante Institute for Health and Biomedical Research through Grants to supplement the development ...

العلاقة: https://doi.org/10.1016/j.ajic.2021.10.029Test; info:eu-repo/grantAgreement/ISCIII//PI15%2F01344; American Journal of Infection Control. 2022, 50(4): 435-439. https://doi.org/10.1016/j.ajic.2021.10.029Test; 0196-6553 (Print); 1527-3296 (Online); http://hdl.handle.net/10045/122651Test

الإتاحة: https://doi.org/10.1016/j.ajic.2021.10.029Test
http://hdl.handle.net/10045/122651Test

المؤلفون: Gras Valentí, Paula, Chico Sánchez, Pablo, Algado Sellés, Natividad, Jiménez-Sepúlveda, Natali Juliet, Gómez-Sotero, Isel Lilibeth, Fuster Pérez, Marina, Sánchez Valero, María, Tremiño Sánchez, Laura, Nadal Morante, Verónica, Monerris Palmer, Miranda, Esclapez Martínez, Ana, Moreno de Arcos Fuentes, Elena, Escalada Martín, Irene, Martínez López, Iluminada, Rodríguez Díaz, Juan Carlos, Merino de Lucas, Esperanza, Sánchez Payá, José, Cartagena Llopis, Lidia, Cerezo-Millán, Patricia, Escribano Cañadas, Isabel de las Mercedes

المصدر: Revista española de salud pública, ISSN 1135-5727, Nº. 95, 2021

مصطلحات موضوعية: COVID-19, SARS-CoV-2, Vacuna SARS-CoV-2, Efectividad vacunal, Personal sanitario, Prevención y control de Infecciones, SARSCoV- 2 vaccine, Vaccine effectiveness, Healthcare personnel, Infection prevention and control

الوصف: Background: A first protective dose of vaccine may allow delaying the second dose in a context of low supply. The objective is to assess the effectiveness of a single dose of vaccine against SARS-CoV-2 (BNT162b2) after twelve days of its administration in healthcare personnel (HCP) of a Health Department. Methods: A case-control study was made. HCP with suspected COVID-19 and HCP close contacts of COVID-19 cases were included between January 27 and February 7, 2021. They were PCR tested for SARS-CoV-2; those with positive PCR were considered cases and those with negative PCR were considered controls. The crude (VE) and adjusted (VEa) vaccine effectiveness to prevent COVID-19 cases and their 95% confidence interval were calculated using the formula VE = (1-Odds ratio) x 100. Results: 268 HCP were included, of which 70 (26.1%) were considered cases and 198 (73.9%) controls. The frequency of vaccine exposure in cases was 55.7% vs. 69.7% in controls (p=0.035). The VEa of the first vaccine dose was 52.6% (95%CI: 1.1-77.3). The VEa in the subgroup of HCP studied for suspected disease was 74.6% (CI95%: 38.4-89.5). Conclusions: One dose of BNT162b2 vaccine against SARS-CoV-2 offers early protection after twelve days of administration. These data could be considered to adapt strategies and consider postponing the second dose in situations of limited vaccine supply in order to achieve the maximum number of people covered with a first dose. ; Fundamentos: Una primera dosis de vacuna protectora permitiría aplazar la segunda dosis en un contexto de suministro escaso. El objetivo de este trabajo fue conocer la efectividad de una dosis de vacuna frente a SARSCoV- 2 (BNT162b2) tras doce días de su administración en personal sanitario (PS) de un Departamento de Salud. Métodos: Se realizó un estudio de casos y controles. Se incluyó a PS con sospecha de COVID-19 y PS que tuvo contactos estrechos con casos de COVID-19 entre el 27 de enero y el 7 de febrero de 2021. Se les realizó una PCR para determinar SARS-CoV-2; aquellos con PCR ...

وصف الملف: application/pdf

العلاقة: https://dialnet.unirioja.es/servlet/oaiart?codigo=7957691Test; (Revista) ISSN 1135-5727

الإتاحة: https://dialnet.unirioja.es/servlet/oaiart?codigo=7957691Test