Author(s)

Minfang Wang¹, Wenyi Ye², Zhe Han³, Lu Yang¹, Dawei Huang⁴, Xuxia Yu¹, Yuexian Zhu¹, Shuangying Huang⁵, Ying Yang^6*, Tieer Gan^1*

¹Department of Hospital Infection Control, The First Affiliated Hospital of Zhejiang Chinese Medical University, Zhejiang Provincial Hospital of Traditional Chinese Medicine, Hangzhou, China.
²Medical Department, The First Affiliated Hospital of Zhejiang Chinese Medical University, Zhejiang Provincial Hospital of Traditional Chinese Medicine, Hangzhou, China.
³Logistics Department, The First Affiliated Hospital of Zhejiang Chinese Medical University, Zhejiang Provincial Hospital of Traditional Chinese Medicine, Hangzhou, China.
⁴Outpatient Department, The First Affiliated Hospital of Zhejiang Chinese Medical University, Zhejiang Provincial Hospital of Traditional Chinese Medicine, Hangzhou, China.
⁵Nursing Department, The First Affiliated Hospital of Zhejiang Chinese Medical University, Zhejiang Provincial Hospital of Traditional Chinese Medicine, Hangzhou, China.
⁶State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Objective: To evaluate the role of prevention and control strategies for nosocomial infection in a tertiary teaching hospital during the sudden outbreak of Corona Virus Disease 2019 (COVID-19). Methods: The hospital initiated an emergency plan involving multi-departmental defense and control. It adopted a series of nosocomial infection prevention and control measures, including strengthening pre-examination and triage, optimizing the consultation process, improving the hospital’s architectural composition, implementing graded risk management, enhancing personal protection, and implementing staff training and supervision. Descriptive research was used to evaluate the short-term effects of these in-hospital prevention and control strategies. The analysis compared changes in related evaluation indicators between January 24, 2020 and February 12, 2020 (Chinese Lunar New Year’s Eve 2020 to lunar January 19) and the corresponding lunar period of the previous year. Results: Compared to the same period last year, the outpatient fever rate increased by 1.85-fold (P < 0.001), while the hand hygiene compliance rate increased by 32.20% this year (P < 0.001). From January 24 to February 12, 2020, 103 cases were isolated for observation, 15 of which were suspected of COVID-19, with one confirmed diagnosis; importantly, none were among the medical staff. A total of 16 problems were identified, with a problem resolution rate of 81.25%. Conclusion: The nosocomial infection prevention and control strategies implemented during this specific period improved the detection and control abilities for the COVID-19 source of infection and enhanced the compliance with measures. This likely contributed significantly to avoiding the occurrence of nosocomial infection.

Corona Virus Disease 2019, Nosocomial Infection, Prevention and Control Strategy, Effectiveness Evaluation

Wang, M. , Ye, W. , Han, Z. , Yang, L. , Huang, D. , Yu, X. , Zhu, Y. , Huang, S. , Yang, Y. and Gan, T. (2024) Prevention and Control Strategies of Nosocomial Infection and Effectiveness Evaluation in a Tertiary Teaching Hospital during the Epidemic of COVID-19. Advances in Infectious Diseases, 14, 233-247. doi: 10.4236/aid.2024.141018.