Author:
de Arriba Fernández Alejandro,Sánchez Medina Roberto,Dorta Hung María Elena,Álvarez León Eva Elisa
Abstract
Background
This study evaluated the adverse events of COVID-19 isolation or quarantine in patients with nosocomial SARS-CoV-2 infection admitted to the Hospital Universitario Insular de Gran Canaria.
Methods
This is a retrospective cohort study with 30-day follow-up of 126 patients diagnosed with nosocomial COVID-19 through polymerase chain reaction test, between May 1 and June 30, 2022, in a 500-bed university hospital in the island of Gran Canaria.
Results
Between May 1 and July 30, 2022, a total of 2250 patients were admitted to the Hospital Universitario Insular de Gran Canaria; 126 of them were diagnosed with nosocomial COVID-19 through a polymerase chain reaction test. The rate of nosocomial COVID-19 infection was 5.6%. From the 126 patients of the study population, 27 experienced an adverse event (21.4%) and 2 experienced 2 adverse events (1.6%) due to COVID-19 isolation or quarantine. Thus, a total of 31 adverse events occurred in 29 patients. These events included the following: delay in transfer to other centers of 11 patients who were pending of receiving a negative COVID-19 test result (35.5%), delay or cancellation of diagnostic tests in 9 patients (29%), delay or cancellation of doctor visit in 7 patients (22.6%), and delay or cancellation of surgical or other interventions in 4 patients (12.9%).
Conclusions
Because of the adverse consequences of nosocomial COVID-19 infection in hospitalized patients, measures should be observed for the prevention and control of nosocomial infection transmission, and adverse events related to patient safety issues in health care in isolated or quarantined COVID-19 patients should be prevented.
Publisher
Ovid Technologies (Wolters Kluwer Health)
Subject
Public Health, Environmental and Occupational Health,Leadership and Management
Reference9 articles.
1. Nosocomial COVID-19 infection in a long-term hospital in Spain: Retrospective observational study;Medicina (Kaunas) [Internet],2022
2. Adverse effects of isolation in hospitalised patients: a systematic review;J Hosp Infect,2010
3. Nosocomial transmission and outbreaks of coronavirus disease 2019: the need to protect both patients and healthcare workers;Antimicrob Resist Infect Control,2021
4. A systematic review and meta-analysis of inpatient mortality associated with nosocomial and community COVID-19 exposes the vulnerability of immunosuppressed adults;Front Immunol,2021
5. Sterfte en heropname na ziekenhuisopname met covid-19 [Mortality and re-admission after hospitalization with COVID-19];Ned Tijdschr Geneeskd,2020