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Clinical characteristics and outcomes of nosocomial COVID-19 in Turkey:A retrospective multicenter study

Asian Pacific Journal of Tropical Medicine 2023年第8期16卷 347-353页

作者： Süleyman Yıldırım Celalettin Yılmaz Gülru Polat Serap Argun Baris İlknur Başyiğit İlknur Kaya Ceyda Anar Mihriban Bozkurt HüsnüBaykal Hulya Dirol Gamzenur Ozbey Emine Ozsari Emel Cireli Ali KadriÇırak Dursun Tatar Mine Gayaf Selen Karaoglanoglu Yener Aydin atilla eroglu Yıldız Olçar Berna Botan Yıldırım Bengül Gürsoy Deniz Demir Yılmaz Elif Yelda Ozgun Niksarlioglu Ramazan Eren Ayşegül Tomruk Erdem Müge Meltem Tor Fusun Fakili MustafaÇolak Merve Erçelik Ali Tabaru Özlem Ediboglu Intensive Care Unit Dr.Suat Seren Chest Disease and Surgery Training and Research HospitalUniversity of Health Sciences TurkeyİzmirTurkey Department of Pulmonology Dr.Suat Seren Chest Disease and Surgery Training and Research HospitalUniversity of Health Sciences TurkeyİzmirTurkey Department of Pulmonary Medicine School of MedicineKocaeli UniversityKocaeliTurkey Department of Pulmonology Kütahya Health Sciences UniversityKütahyaTurkey Department of Pulmonology Atatürk Training and Research Hospitalİzmir KatipÇelebi UniversityİzmirTurkey Department of Pulmonology Ankara Atatürk Sanatory Training and Research HospitalUniversity of Health SciencesAnkaraTurkey Department of Pulmonology Faculty of MedicineAkdeniz UniversityAntalyaTurkey Department of Pulmonology Bolu Abantİzzet Baysal University Training and Research HospitalBoluTurkey Department of Pulmonology Ordu University Training and Research HospitalOrduTurkey Department of Thoracic Surgery Medical FacultyErzurumAtaturk UniversityTurkey Department of Infectious Disease and Clinical Microbiology Kastamonu Training and Research HospitalKastamonuTurkey Department of Pulmonology Başkent University Hospital KonyaKonyaTurkey Department of Pulmonology İstanbul SancaktepeŞehit Prof.Dr.İlhan Varank Training and Research HospitalİstanbulTurkey Department of Chest Diseases Yedikule Chest Diseases and Thoracic Surgery Training and Research HospitalHealth Science UniversityİstanbulTurkey Department of Pulmonology Faculty of MedicineZonguldak Bülent Ecevit UniversityZonguldakTurkey Department of Pulmonary Medicine GaziantepFaculty of MedicineŞahinbey Research HospitalGaziantep UniversityTurkey Department of Pulmonology BalıkesirHealth Practice and Research HospitalBalıkesir UniversityTurkey Department of Pulmonology Afyonkarahisar Dinar State HospitalAfyonTurkey Department of Pulmonology Söke Fehime Faik Kocagöz State HospitalAydınTurkey

Objective:To identify the clinical characteristics and outcomes of hospital-acquired SARS-CoV-2 infection during the vaccination period nationwide in ***:COVID-19 patients followed in the pandemic services across Turkey between January 1,2021,and March 31,2022 were investigated *** COVID-19 was defined as a patient neither diagnosed with COVID-19 nor suspected COVID-19 at the hospital admission and was confirmed COVID-19≥5 days after hospital *** primary outcome of this study was in-hospital mortality;demographic features and vaccination status was compared between survivors and ***:During the study period,15573 COVID-19 patients were followed in 18 centers and 543(3.5%)patients were nosocomial *** patients with nosocomial COVID-19(80.4%)were transferred from medical wards.162(29.8%)of the patients with nosocomial COVID-19 admitted to the intensive care unit due to disease severity and 138(25.4%)of the patients died during hospital *** age(≥65 years)and number of comorbid diseases(≥2)was found to be associated with mortality in nosocomial COVID-19(OR 1.74,95%CI 1.11-2.74 and OR 1.60,95%CI 1.02-2.56,respectively).Vaccination was associated with survival in nosocomial COVID-19(OR 0.25,95%CI 0.16-0.38).Conclusions:Patients with nosocomial COVID-19 had increased admission to intensive care units and higher mortality *** can decrease the in-hospital mortality rate.

关键词： COVID-19 Nosocomial infection Vaccination Intensive care unit

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