Hospital-onset Clostridioides difficile infections during the COVID-19 pandemic

Antimicrobial stewardship and compliance with hand hygiene and personal protective equipment (PPE) protocols are paramount in efforts to reduce horizontal CDI transmission.2 As an epicenter of the coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV...

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Bibliographic Details
Published in:Infection Control & Hospital Epidemiology 2021-09, Vol.42 (9), p.1165-1166
Main Authors: Luo, Yuying, Grinspan, Lauren T, Fu, Yichun, Adams-Sommer, Victoria, Willey, D Kyle, Patel, Gopi, Grinspan, Ari M
Format: Article
Language:English
Subjects:
Antibiotics
Antimicrobial agents
Coronaviruses
COVID-19
Disease control
Disease prevention
Disease transmission
Hospitals
Length of stay
Letter to the Editor
Multidrug resistant organisms
Nosocomial infections
Nursing
Pandemics
Patients
Personal protective equipment
Protective equipment
Ratios
Risk factors
Severe acute respiratory syndrome coronavirus 2
Trends
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Summary:Antimicrobial stewardship and compliance with hand hygiene and personal protective equipment (PPE) protocols are paramount in efforts to reduce horizontal CDI transmission.2 As an epicenter of the coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), New York City hospitals saw a dramatic increase in admissions and ICU utilization.3 To understand the impact of COVID-19 on hospital-onset CDI, we examined antibiotic prescribing patterns, standardized infection ratios (SIRs), and baseline variables in hospitalized adult patients prior to and during the COVID-19 pandemic. The limitations of our study include lack of patient-level data; individual risk factors for developing HO-CDI (eg, a patient’s immunocompromised status) may have differed between our pre–COVID-19 and COVID-19 cohort. Centers for Disease Control and Prevention website. https://www.cdc.gov/nhsn/pdfs/ps-analysis-resources/nhsn-sir-guide.pdf.
ISSN:0899-823X
1559-6834
DOI:10.1017/ice.2020.1223