tetano
Editor, Senior Moderator
Antimicrob Resist Infect Control
. 2024 Aug 30;13(1):95.
doi: 10.1186/s13756-024-01454-w. Risk of nosocomial coronavirus disease 2019: comparison between single- and multiple-occupancy rooms
Hyeon Jae Jo[SUP] 1 [/SUP], Pyoeng Gyun Choe[SUP] 1 2 [/SUP], Ji Seon Kim[SUP] 2 [/SUP], Mimi Lee[SUP] 2 [/SUP], Minkyeong Lee[SUP] 1 [/SUP], Jiyeon Bae[SUP] 1 [/SUP], Chan Mi Lee[SUP] 1 [/SUP], Chang Kyung Kang[SUP] 1 [/SUP], Wan Beom Park[SUP] 1 [/SUP], Nam Joong Kim[SUP] 3 4 [/SUP]
Affiliations
Background: There is an ongoing controversy regarding whether single-occupancy rooms are superior to multiple-occupancy rooms in terms of infection prevention. We investigated whether treatment in a multiple-occupancy room is associated with an increased incidence of nosocomial coronavirus disease 2019 (COVID-19) compared with treatment in a single-occupancy room.
Methods: In this retrospective cohort study, every hospitalization period of adult patients aged ≥ 18 years at a tertiary hospital in Korea from January 1, 2022, to December 31, 2022, was analyzed. If COVID-19 was diagnosed more than 5 days after hospitalization, the case was classified as nosocomial. We estimated the association between the number of patients per room and the risk of nosocomial COVID-19 using a Cox proportional hazards regression model.
Results: In total, 25,143 hospitalizations per room type were analyzed. The incidence rate of nosocomial COVID-19 increased according to the number of patients per room; it ranged from 3.05 to 38.64 cases per 10,000 patient-days between single- and 6-bed rooms, respectively. Additionally, the hazard ratios of nosocomial COVID-19 showed an increasing trend according to the number of patients per room, ranging from 0.14 (95% confidence interval 0.001-1.03) to 2.66 (95% confidence interval 1.60-4.85) between single- and 6-bed rooms, respectively.
Conclusions: We demonstrated that the incidence of nosocomial COVID-19 increased according to the number of patients per room. To reduce nosocomial infections by respiratory viruses, the use of multiple-occupancy rooms should be minimized.
Keywords: COVID-19; Hospitals; Nosocomial; Respiratory virus; Transmission.
. 2024 Aug 30;13(1):95.
doi: 10.1186/s13756-024-01454-w. Risk of nosocomial coronavirus disease 2019: comparison between single- and multiple-occupancy rooms
Hyeon Jae Jo[SUP] 1 [/SUP], Pyoeng Gyun Choe[SUP] 1 2 [/SUP], Ji Seon Kim[SUP] 2 [/SUP], Mimi Lee[SUP] 2 [/SUP], Minkyeong Lee[SUP] 1 [/SUP], Jiyeon Bae[SUP] 1 [/SUP], Chan Mi Lee[SUP] 1 [/SUP], Chang Kyung Kang[SUP] 1 [/SUP], Wan Beom Park[SUP] 1 [/SUP], Nam Joong Kim[SUP] 3 4 [/SUP]
Affiliations
- PMID: 39215349
- PMCID: PMC11365205
- DOI: 10.1186/s13756-024-01454-w
Background: There is an ongoing controversy regarding whether single-occupancy rooms are superior to multiple-occupancy rooms in terms of infection prevention. We investigated whether treatment in a multiple-occupancy room is associated with an increased incidence of nosocomial coronavirus disease 2019 (COVID-19) compared with treatment in a single-occupancy room.
Methods: In this retrospective cohort study, every hospitalization period of adult patients aged ≥ 18 years at a tertiary hospital in Korea from January 1, 2022, to December 31, 2022, was analyzed. If COVID-19 was diagnosed more than 5 days after hospitalization, the case was classified as nosocomial. We estimated the association between the number of patients per room and the risk of nosocomial COVID-19 using a Cox proportional hazards regression model.
Results: In total, 25,143 hospitalizations per room type were analyzed. The incidence rate of nosocomial COVID-19 increased according to the number of patients per room; it ranged from 3.05 to 38.64 cases per 10,000 patient-days between single- and 6-bed rooms, respectively. Additionally, the hazard ratios of nosocomial COVID-19 showed an increasing trend according to the number of patients per room, ranging from 0.14 (95% confidence interval 0.001-1.03) to 2.66 (95% confidence interval 1.60-4.85) between single- and 6-bed rooms, respectively.
Conclusions: We demonstrated that the incidence of nosocomial COVID-19 increased according to the number of patients per room. To reduce nosocomial infections by respiratory viruses, the use of multiple-occupancy rooms should be minimized.
Keywords: COVID-19; Hospitals; Nosocomial; Respiratory virus; Transmission.