Research on the prevention and control risk of respiratory infectious diseases in general hospitals based on semi-quantitative risk assessment_West China Medical Journal

Authors：

SUN Ruixin ¹ , LIU Rui ² , YANG Qian ¹ , CAO Xianwei ³ ,  ZENG Ling ¹

1. Infection Control Division, the First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi 330006, P. R. China;
2. School of Public Health, Nanchang University, Nanchang, Jiangxi 330006, P. R. China;
3. Department of Dermatology, the First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi 330006, P. R. China;

Corresponding author：

ZENG Ling, Email: 641472026@qq.com

Keywords：

Respiratory infectious disease; risk assessment; general hospitals; indicator system; infection prevention and control

DOI：

10.7507/1002-0179.202311191

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To construct a multi-dimensional risk assessment system and scale for the prevention and control risk of respiratory infectious diseases in general hospitals, and make evaluation and early warning. Methods Through the collection of relevant literature on the prevention and control of respiratory infectious diseases during the period from January 1st, 2020 to December 31st, 2022, the articles related to the risk assessment of respiratory infectious diseases such as severe acute respiratory syndrome, COVID-19 and influenza A (H1N1) were screened, and the Delphi method was used to evaluate the articles and establish an indicator system. The normalized weight and combined weight of each item were calculated by analytic hierarchy process. The technique for order preference by similarity to the ideal solution method was used to calculate the risk composite index of 38 clinical departments in a tertiary general hospital in Jiangxi Province in December 2022. Results A total of 16 experts were included, including 4 with senior titles, 8 with associate senior titles, and 4 with intermediate titles. After two rounds of Delphi consult, a total of 4 first-level indicators, 11 second-level indicators, and 38 third-level indicators of risk assessment for the prevention and control of respiratory infectious diseases were determined. The reliability and validity of the scale were good. The top three items with the largest combined weights in the scale were spread by aerosol, spread by respiratory droplet, and commonly used instruments (inspection instruments and monitoring equipment). After a comprehensive analysis on the 38 departments, the top 10 departments in the risk index were the departments of medical imaging, pediatrics, ultrasound, cardiac and vascular surgery, infection, emergency, respiratory and critical care, general medicine, otolaryngology and neck surgery, stomatology, and obstetrics. Conclusions This study constructed the risk assessment scale of respiratory infectious diseases in general hospitals, and the scale has good reliability and validity. The use of this scale for risk assessment of general hospitals can provide a theoretical basis for the risk characteristics of prevention and control of respiratory infectious diseases in general hospitals.

Citation： SUN Ruixin, LIU Rui, YANG Qian, CAO Xianwei, ZENG Ling. Research on the prevention and control risk of respiratory infectious diseases in general hospitals based on semi-quantitative risk assessment. West China Medical Journal, 2024, 39(4): 573-579. doi: 10.7507/1002-0179.202311191 Copy

1.	王瑾瑜, 张善东, 白晶. 北京部分地区 2019-2021 年呼吸道传染病发病情况分析. 中华肺部疾病杂志(电子版), 2022, 15(5): 670-672.
2.	Zhu A, Bruketa E, Svoboda T, et al. Respiratory infectious disease outbreaks among people experiencing homelessness: a systematic review of prevention and mitigation strategies. Ann Epidemiol, 2023, 77: 127-135.
3.	Zhao L, Qi Y, Luzzatto-Fegiz P, et al. COVID-19: effects of environmental conditions on the propagation of respiratory droplets. Nano Lett, 2020, 20(10): 7744-7750.
4.	医疗机构内新型冠状病毒感染预防与控制技术指南(第三版). 中国农村卫生, 2022, 14(1): 7-11.
5.	Li Q, Guan X, Wu P, et al. Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. N Engl J Med, 2020, 382(13): 1199-1207.
6.	Lai THT, Tang EWH, Chau SKY, et al. Stepping up infection control measures in ophthalmology during the novel coronavirus outbreak: an experience from Hong Kong. Graefes Arch Clin Exp Ophthalmol, 2020, 258(5): 1049-1055.
7.	Van Doremalen N, Bushmaker T, Morris DH, et al. Aerosol and surface stability of SARS-CoV-2 as compared with SARS-CoV-1. N Engl J Med, 2020, 382(16): 1564-1567.
8.	康良钰, 刘珏, 刘民. 传染病风险评估方法研究进展. 中国公共卫生, 2021, 37(10): 1454-1458.
9.	薛凯文, 吕星, 王玉龙. 康复分级诊疗评定量表在脑卒中患者中的信效度检验及应用价值研究. 中华全科医学, 2023, 21(7): 1215-1219.
10.	史静琤, 莫显昆, 孙振球. 量表编制中内容效度指数的应用. 中南大学学报(医学版), 2012, 37(2): 152-155.
11.	Wang K, Wang Z, Deng J, et al. Study on the evaluation of emergency management capacity of resilient communities by the AHP-TOPSIS method. Int J Environ Res Public Health, 2022, 19(23): 16201.
12.	Magableh GM, Mistarihi MZ. Applications of MCDM approach (ANP-TOPSIS) to evaluate supply chain solutions in the context of COVID-19. Heliyon, 2022, 8(3): e09062.
13.	Du Q, Zhang D, Hu W, et al. Nosocomial infection of COVID-19: a new challenge for healthcare professionals (Review). Int J Mol Med, 2021, 47(4): 31.
14.	Liu JY, Dickter JK. Nosocomial infections: a history of hospital-acquired infections. Gastrointest Endosc Clin N Am, 2020, 30(4): 637-652.
15.	Wei M, Yang N, Wang F, et al. Epidemiology of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Disaster Med Public Health Prep, 2020, 14(6): 796-804.
16.	Umakanthan S, Sahu P, Ranade AV, et al. Origin, transmission, diagnosis and management of coronavirus disease 2019 (COVID-19). Postgrad Med J, 2020, 96(1142): 753-758.
17.	Lotfi M, Hamblin MR, Rezaei N. COVID-19: transmission, prevention, and potential therapeutic opportunities. Clin Chim Acta, 2020, 508: 254-266.
18.	Mackey K, Ayers CK, Kondo KK, et al. Racial and ethnic disparities in COVID-19-related infections, hospitalizations, and deaths: a systematic review. Ann Intern Med, 2021, 174(3): 362-373.
19.	Liu Z, Magal P, Seydi O, et al. A COVID-19 epidemic model with latency period. Infect Dis Model, 2020, 5: 323-337.
20.	Corvin JA, Chan I, Aguado Loi CX, et al. Analytic hierarchy process: an innovative technique for culturally tailoring evidence-based interventions to reduce health disparities. Health Expect, 2021, 24(Suppl 1): 70-81.
21.	Wang J, Yang W, Pan L, et al. Prevention and control of COVID-19 in nursing homes, orphanages, and prisons. Environ Pollut, 2020, 266(Pt 1): 115161.
22.	Al Maskari Z, Al Blushi A, Khamis F, et al. Characteristics of healthcare workers infected with COVID-19: a cross-sectional observational study. Int J Infect Dis, 2021, 102: 32-36.
23.	Guo ZD, Wang ZY, Zhang SF, et al. Aerosol and surface distribution of severe acute respiratory syndrome coronavirus 2 in hospital wards, Wuhan, China, 2020. Emerg Infect Dis, 2020, 26(7): 1583-1591.
24.	Shahid A, Shahid S, Ashraf M, et al. Contact tracing along with epidemiological and clinical characteristics of novel corona virus 2019 in prisoners of Camp Jail, Lahore - a prospective case ascertaining study. Pak J Med Sci, 2022, 38(3Part-I): 481-486.
25.	Tabatabaeizadeh SA. Airborne transmission of COVID-19 and the role of face mask to prevent it: a systematic review and meta-analysis. Eur J Med Res, 2021, 26(1): 1.
26.	Chu DK, Akl EA, Duda S, et al. Physical distancing, face masks, and eye protection to prevent person-to-person transmission of SARS-CoV-2 and COVID-19: a systematic review and meta-analysis. Lancet, 2020, 395(10242): 1973-1987.
27.	Murillo-Zamora E, Aguilar-Sollano F, Delgado-Enciso I, et al. Predictors of laboratory-positive COVID-19 in children and teenagers. Public Health, 2020, 189: 153-157.
28.	González-Gil MT, González-Blázquez C, Parro-Moreno AI, et al. Nurses’ perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services. Intensive Crit Care Nurs, 2021, 62: 102966.
29.	Tonkaboni A, Amirzade-Iranaq MH, Ziaei H, et al. Impact of COVID-19 on dentistry. Adv Exp Med Biol, 2021, 1318: 623-636.

1. 王瑾瑜, 张善东, 白晶. 北京部分地区 2019-2021 年呼吸道传染病发病情况分析. 中华肺部疾病杂志(电子版), 2022, 15(5): 670-672.
2. Zhu A, Bruketa E, Svoboda T, et al. Respiratory infectious disease outbreaks among people experiencing homelessness: a systematic review of prevention and mitigation strategies. Ann Epidemiol, 2023, 77: 127-135.
3. Zhao L, Qi Y, Luzzatto-Fegiz P, et al. COVID-19: effects of environmental conditions on the propagation of respiratory droplets. Nano Lett, 2020, 20(10): 7744-7750.
4. 医疗机构内新型冠状病毒感染预防与控制技术指南(第三版). 中国农村卫生, 2022, 14(1): 7-11.
5. Li Q, Guan X, Wu P, et al. Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. N Engl J Med, 2020, 382(13): 1199-1207.
6. Lai THT, Tang EWH, Chau SKY, et al. Stepping up infection control measures in ophthalmology during the novel coronavirus outbreak: an experience from Hong Kong. Graefes Arch Clin Exp Ophthalmol, 2020, 258(5): 1049-1055.
7. Van Doremalen N, Bushmaker T, Morris DH, et al. Aerosol and surface stability of SARS-CoV-2 as compared with SARS-CoV-1. N Engl J Med, 2020, 382(16): 1564-1567.
8. 康良钰, 刘珏, 刘民. 传染病风险评估方法研究进展. 中国公共卫生, 2021, 37(10): 1454-1458.
9. 薛凯文, 吕星, 王玉龙. 康复分级诊疗评定量表在脑卒中患者中的信效度检验及应用价值研究. 中华全科医学, 2023, 21(7): 1215-1219.
10. 史静琤, 莫显昆, 孙振球. 量表编制中内容效度指数的应用. 中南大学学报(医学版), 2012, 37(2): 152-155.
11. Wang K, Wang Z, Deng J, et al. Study on the evaluation of emergency management capacity of resilient communities by the AHP-TOPSIS method. Int J Environ Res Public Health, 2022, 19(23): 16201.
12. Magableh GM, Mistarihi MZ. Applications of MCDM approach (ANP-TOPSIS) to evaluate supply chain solutions in the context of COVID-19. Heliyon, 2022, 8(3): e09062.
13. Du Q, Zhang D, Hu W, et al. Nosocomial infection of COVID-19: a new challenge for healthcare professionals (Review). Int J Mol Med, 2021, 47(4): 31.
14. Liu JY, Dickter JK. Nosocomial infections: a history of hospital-acquired infections. Gastrointest Endosc Clin N Am, 2020, 30(4): 637-652.
15. Wei M, Yang N, Wang F, et al. Epidemiology of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Disaster Med Public Health Prep, 2020, 14(6): 796-804.
16. Umakanthan S, Sahu P, Ranade AV, et al. Origin, transmission, diagnosis and management of coronavirus disease 2019 (COVID-19). Postgrad Med J, 2020, 96(1142): 753-758.
17. Lotfi M, Hamblin MR, Rezaei N. COVID-19: transmission, prevention, and potential therapeutic opportunities. Clin Chim Acta, 2020, 508: 254-266.
18. Mackey K, Ayers CK, Kondo KK, et al. Racial and ethnic disparities in COVID-19-related infections, hospitalizations, and deaths: a systematic review. Ann Intern Med, 2021, 174(3): 362-373.
19. Liu Z, Magal P, Seydi O, et al. A COVID-19 epidemic model with latency period. Infect Dis Model, 2020, 5: 323-337.
20. Corvin JA, Chan I, Aguado Loi CX, et al. Analytic hierarchy process: an innovative technique for culturally tailoring evidence-based interventions to reduce health disparities. Health Expect, 2021, 24(Suppl 1): 70-81.
21. Wang J, Yang W, Pan L, et al. Prevention and control of COVID-19 in nursing homes, orphanages, and prisons. Environ Pollut, 2020, 266(Pt 1): 115161.
22. Al Maskari Z, Al Blushi A, Khamis F, et al. Characteristics of healthcare workers infected with COVID-19: a cross-sectional observational study. Int J Infect Dis, 2021, 102: 32-36.
23. Guo ZD, Wang ZY, Zhang SF, et al. Aerosol and surface distribution of severe acute respiratory syndrome coronavirus 2 in hospital wards, Wuhan, China, 2020. Emerg Infect Dis, 2020, 26(7): 1583-1591.
24. Shahid A, Shahid S, Ashraf M, et al. Contact tracing along with epidemiological and clinical characteristics of novel corona virus 2019 in prisoners of Camp Jail, Lahore - a prospective case ascertaining study. Pak J Med Sci, 2022, 38(3Part-I): 481-486.
25. Tabatabaeizadeh SA. Airborne transmission of COVID-19 and the role of face mask to prevent it: a systematic review and meta-analysis. Eur J Med Res, 2021, 26(1): 1.
26. Chu DK, Akl EA, Duda S, et al. Physical distancing, face masks, and eye protection to prevent person-to-person transmission of SARS-CoV-2 and COVID-19: a systematic review and meta-analysis. Lancet, 2020, 395(10242): 1973-1987.
27. Murillo-Zamora E, Aguilar-Sollano F, Delgado-Enciso I, et al. Predictors of laboratory-positive COVID-19 in children and teenagers. Public Health, 2020, 189: 153-157.
28. González-Gil MT, González-Blázquez C, Parro-Moreno AI, et al. Nurses’ perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services. Intensive Crit Care Nurs, 2021, 62: 102966.
29. Tonkaboni A, Amirzade-Iranaq MH, Ziaei H, et al. Impact of COVID-19 on dentistry. Adv Exp Med Biol, 2021, 1318: 623-636.

West China Medical Journal

Research on the prevention and control risk of respiratory infectious diseases in general hospitals based on semi-quantitative risk assessment

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content