Prevalence of Nosocomial Infections During the COVID-۱۹ Pandemic: A Systematic Review and Meta-analysis

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نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:

JR_IJHLS-8-3_004

تاریخ نمایه سازی: 28 تیر 1402

Abstract:

Context: Although the current literature suggests the significant impact of the COVID-۱۹ pandemic on nosocomial infections, evidence is still scarce in this regard. Objectives: The present study aimed to systematically review the current literature to estimate the prevalence of hospital-acquired infections (HAIs) and their determinants during the COVID-۱۹ pandemic. Methods: A comprehensive search was conducted via electronic databases such as EMBASE, Google Scholar, Scopus, PubMed, and Web of Science from the onset of the COVID-۱۹ pandemic until the end of June ۲۰۲۱. To estimate the pooled prevalence of nosocomial infections, the random effects model was used. Results: The prevalence of HAIs during the COVID-۱۹ pandemic was estimated at ۱۵% (۹۵% CI: ۹ - ۲۴). COVID-۱۹ infection accounted for the highest infection rate in patients with HAIs (۶۳%; ۹۵% CI: ۴۳ - ۷۵), followed by bloodstream infections (۳۹%; ۹۵% CI: ۵۶ - ۲۴). Among the common organisms that infected patients with HAIs, coronavirus had the highest rate (۶۳%; ۹۵% CI: ۴۳ - ۷۵), followed by Enterococci and Enterococcus, respectively. In addition, positive significant correlations were observed between the prevalence of nosocomial infections, age, and length of hospital stay (P < ۰.۰۵). Conclusions: According to the results, nosocomial infections are an important consequence of the COVID-۱۹ pandemic, particularly in the elderly and high-risk populations with prolonged hospital stay. Therefore, the early detection of infected individuals could be a key step toward improving the quality of response to the current pandemic.

Authors

Sima Rafiei

Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran

Zahra Nejatifar

Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran

Rana Soheylirad

Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran

Samira Raoofi

Student Research Committee, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran