Universal COVID-19 testing and a three-space triage protocol is associated with a nine-fold decrease in possible nosocomial infections in an inpatient psychiatric facility

Brody, Benjamin D.; Shi, Zhenzhen; Shaffer, Charles; Eden, Daniel; Wyka, Katarzyna; Parish, Sharon J.; Alexopoulos, George S.; Nazario, Helen; Russ, Mark J.; Kanellopoulos, Dora

doi:10.1016/j.psychres.2021.114036

Cited by 15 publications

(11 citation statements)

References 24 publications

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“…After analyzing 12 studies, it was observed that out of 13,294 participants, 718 cases acquired various types of nosocomial infections. Accordingly, the prevalence of HAIs during the COVID-19 pandemic was estimated at 15% (95% CI: 9 -24) (Figure 2) (10,19,(23)(24)(25)(26)(27)(28)(29)(30)(31)(32).…”

Section: Prevalence Of Hiasmentioning

confidence: 99%

Prevalence of Nosocomial Infections During the COVID-19 Pandemic: A Systematic Review and Meta-analysis

Rafiei

Nejatifar

Soheylirad

et al. 2022

J Health Rep Technol

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Background: Although the current literature suggests the significant impact of the COVID-19 pandemic on nosocomial infections, evidence is still scarce in this regard. Objectives: The present study aimed to systematically review the current literature to estimate the prevalence of hospital-acquired infections (HAIs) and their determinants during the COVID-19 pandemic. Methods: A comprehensive search was conducted via electronic databases such as EMBASE, Google Scholar, Scopus, PubMed, and Web of Science from the onset of the COVID-19 pandemic until the end of June 2021. To estimate the pooled prevalence of nosocomial infections, the random effects model was used. Results: The prevalence of HAIs during the COVID-19 pandemic was estimated at 15% (95% CI: 9 - 24). COVID-19 infection accounted for the highest infection rate in patients with HAIs (63%; 95% CI: 43 - 75), followed by bloodstream infections (39%; 95% CI: 56 - 24). Among the common organisms that infected patients with HAIs, coronavirus had the highest rate (63%; 95% CI: 43 - 75), followed by Enterococci and Enterococcus, respectively. In addition, positive significant correlations were observed between the prevalence of nosocomial infections, age, and length of hospital stay (P < 0.05). Conclusions: According to the results, nosocomial infections are an important consequence of the COVID-19 pandemic, particularly in the elderly and high-risk populations with prolonged hospital stay. Therefore, the early detection of infected individuals could be a key step toward improving the quality of response to the current pandemic.

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Section: Prevalence Of Hiasmentioning

confidence: 99%

Prevalence of Nosocomial Infections During the COVID-19 Pandemic: A Systematic Review and Meta-analysis

Rafiei

Nejatifar

Soheylirad

et al. 2022

J Health Rep Technol

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“…Mental health providers working in the inpatient setting face changes to the nature and frequency of their workload, changes to inpatient care to mitigate infection risk [ 10 ], and increased fear of contracting COVID-19 [ 11 ]. In the outpatient setting, mental health providers have had to rapidly adopt and implement telehealth [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Multinational perspectives on changes to psychiatric care during the COVID-19 pandemic: a survey of practicing psychiatrists

Jaywant

Aulitzky²,

Avari

et al. 2023

Neuropsychiatr

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Background The coronavirus disease 2019 (COVID-19) pandemic has resulted in significant upheaval in psychiatric care. Despite survey data collected from psychiatric patients and broad samples of individuals in single countries, there is little quantitative or qualitative data on changes to psychiatric care from the perspective of mental health providers themselves across developing countries. Methods To address this gap, we surveyed 27 practicing psychiatrists from Central and Eastern Europe, as well as Africa, the Middle East, and Latin America. Results Respondents observed a marked increase in anxiety in their patients, with increased (though less prominent) symptoms of depression, somatization, and addiction. They reported largescale changes in the structure of psychiatric treatment, chiefly a decline in psychiatric admissions and closing/repurposing of psychiatric beds. Results supported strong “buy in” from clinicians regarding the use of telehealth, though some clinicians perceived a reduction in the ability to connect with, and build alliances with, their patients. Finally, clinicians described an improvement in the image and meaning of psychiatry in society, increased awareness of mental illness, and greater value placed on mental health in the general population. Conclusions These changes warrant further empirical study as to their potential long-term ramifications, particularly as the COVID-19 pandemic persists and new waves of infection occur periodically throughout the world. The increased psychiatric burden on the population coupled with the apparent salience of mental health and well-being in the public consciousness represents a global opportunity for psychiatry to advocate for further treatment, research, and education.

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“…Inpatient psychiatric units and hospitals faced unprecedented challenges during the initial surge of the COVID-19 pandemic in 2020. These challenges and the approaches used to address them have been well-described ( Brody et al, 2020 ; Kanellopoulos et al, 2020; Li et al, 2021 ; Russ et al, 2021 ; Brody et al, 2021 ). The recent COVID-19 omicron variant surge, however, presented new challenges.…”

Section: Introductionmentioning

confidence: 99%

“…By comparison, 62% of our units experienced closures during the first six weeks of the omicron variant surge in December 2021-January 2022 while only 38% of our units closed during the delta variant surge in April-May, 2020. The high transmissibility of the omicron variant required that we alter previously successful protocols ( Brody et al, 2020 ; Russ et al, 2021 ; Brody et al, 2021 ) to maintain patient access to our hospital, a 230-bed free-standing psychiatric hospital in White Plains, New York. Our hospital is comprised of thirteen inpatient units, many of which provide specialty care, e.g., geriatrics, eating disorders, personality disorders, psychotic disorders, child and adolescent psychiatry.…”

Section: Introductionmentioning

confidence: 99%

Inpatient psychiatry response to the SARS-CoV-2 Omicron variant surge

Russ

Sombrotto

Brody

2022

Psychiatry Research

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Universal COVID-19 testing and a three-space triage protocol is associated with a nine-fold decrease in possible nosocomial infections in an inpatient psychiatric facility

Cited by 15 publications

References 24 publications

Prevalence of Nosocomial Infections During the COVID-19 Pandemic: A Systematic Review and Meta-analysis

Prevalence of Nosocomial Infections During the COVID-19 Pandemic: A Systematic Review and Meta-analysis

Multinational perspectives on changes to psychiatric care during the COVID-19 pandemic: a survey of practicing psychiatrists

Inpatient psychiatry response to the SARS-CoV-2 Omicron variant surge

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