Research Article

The Impact of COVID-19 Outbreak on Nosocomial Infection Rate: A Case of Iran

Table 2

The nosocomial infection rate before and during COVID-19 outbreak in critical care units and medical-surgical units.

Time
VariableThe first four months of the new year (before COVID-19) (n = 7454)The first four months of the new year (during COVID-19) (n = 6135)Percentage changesChi-square test ( value)
N (%)95% confidence intervalN (%)95% confidence interval

Ventilator-associated events (VAEs)Critical care units103 (13.8)11.2–16.381 (9.4)7.6–11.4−31.887.22 (0.007)
Medical-surgical units3 (0.04)0.0–0.12 (0.04)0.0–0.10.03 (0.86)

Pneumonia (PNEU)Critical care units2 (0.3)0.0–0.70−100

Urinary tract infection (UTI)Critical care units17 (2.3)1.2–3.39 (1.0)0.5–1.7−56.523.72 (0.054)
Medical-surgical units42 (0.6)0.4–0.822 (0.4)0.3–0.6−33.332.44 (0.12)

Bloodstream infection (BSI)Critical care units24 (3.2)1.9–4.719 (2.2)1.3–3.3−31.251.48 (0.22)
Medical-surgical units33 (0.5)0.3–0.735 (0.7)0.5–0.9401.53 (0.22)

Surgical site infection (SSI)Critical care units14 (1.9)0.9–2.97 (0.8)0.2–1.5−57.893.42 (0.06)
Medical-surgical units88 (1.3)1.0–1.650 (0.9)0.7–1.2−30.773.46 (0.06)

OthersCritical care units10 (1.3)0.5–2.32 (0.2)0.0–0.6−84.626.53 (0.01)
Medical-surgical units5 (0.1)0.0–0.13 (0.1)0.0–0.1-0.14 (0.71)

TotalCritical care units170 (22.7)19.6–25.8118 (13.8)11.5–16.0−39.2121.51 (<0.001)
Medical-surgical units171 (2.6)2.2–2.9113 (2.1)1.8–2.5−19.232.35 (0.13)

Meningitis or abscess.