The impact of the COVID-19 pandemic on hospital-acquired infections at a comprehensive cancer center

Wilson Dib, Rita; Spallone, Amy; Khawaja, Fareed; Feldman, Adina; Cantu, Sherry; Chemaly, Roy F.

doi:10.1016/j.ajic.2023.08.019

American Journal of Infection Control

2023

DOI: 10.1016/j.ajic.2023.08.019

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The impact of the COVID-19 pandemic on hospital-acquired infections at a comprehensive cancer center

Rita Wilson Dib,

Amy Spallone,

Fareed Khawaja

et al.

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2024

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Cited by 3 publications

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Many hands, light work: A partnership approach to reducing Clostridioides difficile burden on an oncology unit

Langholz,

Olree,

Jameson

et al. 2024

American Journal of Infection Control

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Many hands, light work: A partnership approach to reducing Clostridioides difficile burden on an oncology unit

Langholz,

Olree,

Jameson

et al. 2024

American Journal of Infection Control

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Not only COVID-19: a systematic review of anti-COVID-19 measures and their effect on healthcare-associated infections

Ciccacci,

De Santo,

Mosconi

et al. 2024

Journal of Hospital Infection

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Retrospective Analysis of Clostridioides difficile Infection Rates and Outcomes in Hospitalized Patients during the COVID-19 Pandemic: A Unicenter Study in Reus, Spain

Iftimie,

López-Azcona,

Corchero-Valverde

et al. 2024

JCM

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Background: Clostridioides difficile infections (CDI) vary in severity from mild diarrhea to life-threatening conditions like pseudomembranous colitis or toxic megacolon, often leading to sepsis and death. The COVID-19 pandemic prompted changes in healthcare practices, potentially affecting CDI incidence, though reported data are inconclusive. We studied factors influencing CDI incidence and outcomes at a university hospital throughout the COVID-19 pandemic years. Methods: We conducted a retrospective study on all adult hospitalized CDI cases from 1 January 2020 to 31 December 2022 in Hospital Universitari de Sant Joan in Reus. We collected demographic information, comorbid conditions, and concurrent infections. Results: While overall CDI and COVID-19 rates decreased in 2022, a notable increase in CDI infections was observed among oncological patients and those undergoing some aggressive treatments, such as colonoscopies or gastroscopies. The prevalence of comorbidities remained unmodified, and there were declines in prior gastrointestinal surgeries and proton pump inhibitor prescriptions. Factors associated with patient fatality or prolonged hospitalization included older age, cancer, chronic kidney disease, higher Charlson and McCabe indices, elevated C-reactive protein, and low albumin concentrations. Conclusions: Our study shows the evolving landscape of CDI during the COVID-19 pandemic and emphasizes the impact of delayed diagnoses and treatments exacerbated by telemedicine adoption. Identified risk factors for CDI-related mortality or prolonged hospital stays underscore the importance of targeted interventions in high-risk populations.

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The impact of the COVID-19 pandemic on hospital-acquired infections at a comprehensive cancer center

Cited by 3 publications

References 24 publications

Many hands, light work: A partnership approach to reducing Clostridioides difficile burden on an oncology unit

Many hands, light work: A partnership approach to reducing Clostridioides difficile burden on an oncology unit

Not only COVID-19: a systematic review of anti-COVID-19 measures and their effect on healthcare-associated infections

Retrospective Analysis of Clostridioides difficile Infection Rates and Outcomes in Hospitalized Patients during the COVID-19 Pandemic: A Unicenter Study in Reus, Spain

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