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| Content Provider | frontiers |
|---|---|
| Author | Qin, Jun-Jian Xing, Yan-Fang Ren, Jian-Hua Chen, Yong-Jian Gan, Ying-Fei Jiang, Yan-Qiu Chen, Jie Li, Xing |
| Abstract | Background: Infections are the second leading cause of death among patients undergoing hemodialysis. However, preventive measures against infectious diseases are limited and have not been made mandatory for patients. Objective: To investigate the incidence of infectious diseases before and during the coronavirus disease (COVID-19) pandemic. Design: A historical comparative study of a prospective cohort. Setting(s): February 1, 2015 to January 31, 2020 was defined as the period before the mitigative confrontation of the COVID-19 pandemic in China. The period from February 1 to June 29, 2020 was defined as the period of mitigative confrontation of the COVID-19 pandemic in China. Participants: A cohort of patients undergoing hemodialysis whose infectious disease episodes were documented prospectively in the hemodialysis unit of the Third Affiliated Hospital of Guangzhou Medical University since February 1, 2015. Methods: Mandatory mask-wearing and reinforced hand hygiene education were implemented to prevent COVID-19 from January 23, 2020 in China. The incidence of infectious episodes, including catheter-related infection, digestive tract infection, upper respiratory tract infection (UTRI), pneumonia, and infection at other sites, were documented and compared in the periods before and during the pandemic. Results: The historical control group consisted of 157 patients, with 79 patients in the COVID-19 prevention group. The mask-wearing rate of patients increased from 1.5% to 100%. Hand sanitizer consumption increased significantly during the COVID-19 pandemic. The compliance rates of hand hygiene increased from 66%, 75.5%, and 55% in physicians, nurses, and other employees before the pandemic to 90.5%, 92.5%, and 76.5%, respectively. The incidences of UTRI and pneumonia decreased during the pandemic (p<0.001). Notably, catheter-related and digestive tract infections also decreased during the pandemic (p=0.003 and 0.034, respectively). A matched-pair study was conducted to further analyze the 79 individual changes in the incidences of infectious disease before and during the pandemic. As a result, the incidences of UTRI, pneumonia, catheter-related infections, digestive tract infections, and infections at other sites all decreased during the pandemic. Conclusions: The present study indicated an association between mandatory mask-wearing and reinforced hand hygiene education and decreased respiratory, catheter-related, and digestive tract infection episodes in the hemodialysis unit. |
| ISSN | 22962565 |
| DOI | 10.3389/fpubh.2021.678738 |
| Volume Number | 9 |
| Journal | Frontiers in Public Health |
| Language | English |
| Publisher Date | 2021-06-29 |
| Access Restriction | Open |
| Subject Keyword | COVID-19 COVID-19, coronavirus disease 2019 Infectious diseases Mask wearing Hand Hygiene Hemodialysis |
| Content Type | Text |
| Resource Type | Article |
| Subject | Public Health, Environmental and Occupational Health |
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