The impact of coronavirus disease 2019 (COVID-19) response on hospital infection prevention programs and practices in the southeastern United States

Advani, Sonali D; Cromer, Andrea; Wood, Brittain; Baker, Esther; Crawford, Kathryn L.; Crane, Linda; Roach, Linda; Padgette, Polly; Dodds-Ashley, Elizabeth; Kalu, Ibukunoluwa C.; Weber, David J.; Sickbert-Bennett, Emily E.; Anderson, Deverick J.; Program, Prevention Epicenters

doi:10.1017/ice.2021.460

Infect. Control Hosp. Epidemiol.

2021

DOI: 10.1017/ice.2021.460

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The impact of coronavirus disease 2019 (COVID-19) response on hospital infection prevention programs and practices in the southeastern United States

Sonali D Advani

Andrea Cromer

Brittain Wood

et al.

Abstract: Initial assessments of coronavirus disease 2019 (COVID-19) preparedness revealed resource shortages and variations in infection prevention policies across US hospitals. Our follow-up survey revealed improvement in resource availability, increase in testing capacity, and uniformity in infection prevention policies. Most importantly, the survey highlighted an increase in staffing shortages and use of travel nursing.

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Cited by 3 publications

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“…Within the healthcare setting, the Centers for Disease Control and Prevention currently recommends that healthcare providers (HCPs) wear an N95 respirator or powered air purifying respirator and additional personal protective equipment (PPE; ie, eye protection, gown, and gloves) when performing care on patients with known or suspected COVID-19 [ 4 ]. However, for most of the pandemic, HCPs were instructed to wear respirators and PPE for all types of care of patients with known or suspected COVID-19 that, at times, contributed to respirator shortages and implementation of novel strategies for reprocessing and reusing these respirators [ 5–7 ].…”

mentioning

confidence: 99%

Healthcare Provider N95 Respirator Contamination Worn Behind Face Shields With SARS-CoV-2 During Routine Clinical Care of Patients With COVID-19

Graves,

Warren,

Barrett

et al. 2024

Open Forum Infectious Diseases

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N95 respirator contamination with SARS-CoV-2 during clinical care of patients with COVID-19 is poorly understood. We performed a prospective observational study on healthcare provider’s (HCP) N95 respirators and face shields SARS-CoV-2 contamination during aerosol generating procedures (AGP) on SARS-CoV-2 positive patients housed in a COVID-19 specific unit. Medical masks worn on top of HCP’s N95 respirators, and under face shields, during study AGPs were used as surrogates to detect contamination to avoid waste. Thirty-three HCPs were studied, and a total of 33 mask and 27 face shields were sampled. Masks were cut into nine pieces and face shields were sampled twice, front and back, to determine locality of contamination; however, no positive samples were identified using standard PCR techniques with CT up to 40. All nine mask piece samples were then pooled, as well as face shield samples, using centrifugal concentration with Polyethersulfone membranes. Once pooled and concentrated, overall, 9 (15%) samples were positive via RT-PCR; 5 from masks (15.2%) and 4 from face shields (14.8%).

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mentioning

confidence: 99%

Healthcare Provider N95 Respirator Contamination Worn Behind Face Shields With SARS-CoV-2 During Routine Clinical Care of Patients With COVID-19

Graves,

Warren,

Barrett

et al. 2024

Open Forum Infectious Diseases

View full text Add to dashboard Cite

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Challenges of infection control capacity in the Middle Eastern countries; time to be actively involved

Alshamrani

El-Saed

Farahat

2022

Journal of Infection and Public Health

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The Disproportionate Impact of Coronavirus Disease 2019 (COVID-19) Pandemic on Healthcare-Associated Infections in Community Hospitals: Need for Expanding the Infectious Disease Workforce

Advani

Sickbert-Bennett

Moehring

et al. 2022

Clinical Infectious Diseases

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Background The COVID-19 pandemic had a considerable impact on US healthcare systems, straining hospital resources, staff, and operations. However, a comprehensive assessment of the impact on healthcare associated infections (HAIs) across different hospitals with varying level of infectious disease (ID) physician expertise, resources, and infrastructure is lacking. Methods This retrospective longitudinal multi-center cohort study included central-line-associated bloodstream infections (CLABSIs), catheter-associated urinary tract infections (CAUTIs), C. difficile infections (CDIs), and ventilator-associated events (VAEs) from 53 hospitals (academic and community) in Southeastern United States from January 1, 2018 to March 31, 2021. Segmented negative binomial regression generalized estimating equations models estimated changes in monthly incidence rates in the baseline (01/2018 – 02/2020) compared to the pandemic period (03/2020 – 03/2021, further divided into three pandemic phases). Results CLABSIs and VAEs increased by 24% and 34% respectively during the pandemic period. VAEs increased in all phases of the pandemic, while CLABSIs increased in later phases of the pandemic. CDI trend increased by 4.2% per month in the pandemic period. On stratifying the analysis by hospital characteristics, the impact of the pandemic on healthcare-associated infections was more significant in smaller sized and community hospitals. CAUTIs did not change significantly during the pandemic across all hospital types. Conclusions CLABSIs, VAEs, and CDIs increased significantly during the pandemic, especially in smaller community hospitals, most of which lack ID physician expertise. Future efforts should focus on better understanding challenges faced by community hospitals, strengthening infection prevention infrastructure, and expanding the ID workforce, particularly to community hospitals.

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The impact of coronavirus disease 2019 (COVID-19) response on hospital infection prevention programs and practices in the southeastern United States

Cited by 3 publications

References 6 publications

Healthcare Provider N95 Respirator Contamination Worn Behind Face Shields With SARS-CoV-2 During Routine Clinical Care of Patients With COVID-19

Healthcare Provider N95 Respirator Contamination Worn Behind Face Shields With SARS-CoV-2 During Routine Clinical Care of Patients With COVID-19

Challenges of infection control capacity in the Middle Eastern countries; time to be actively involved

The Disproportionate Impact of Coronavirus Disease 2019 (COVID-19) Pandemic on Healthcare-Associated Infections in Community Hospitals: Need for Expanding the Infectious Disease Workforce

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