{"id":7032,"date":"2020-08-05T07:54:00","date_gmt":"2020-08-05T05:54:00","guid":{"rendered":"https:\/\/voxvigor.se\/?p=7032"},"modified":"2020-08-05T07:54:00","modified_gmt":"2020-08-05T05:54:00","slug":"vanligt-med-spridning-av-influensavirus-i-sjukhusmiljo","status":"publish","type":"post","link":"https:\/\/voxvigor.se\/bricks-staging\/vanligt-med-spridning-av-influensavirus-i-sjukhusmiljo\/","title":{"rendered":"Vanligt med spridning av influensavirus i sjukhusmilj\u00f6"},"content":{"rendered":"\n

Var fj\u00e4rde inneliggande patient med influensa under en given s\u00e4song visade tecken p\u00e5 att ha smittats i v\u00e5rden. Det framg\u00e5r i en avhandling fr\u00e5n G\u00f6teborgs universitet om spridning av influensa p\u00e5 sjukhus och hur problemen kan \u00e5tg\u00e4rdas.<\/strong><\/h4>\n\n\n\n


En av studierna i avhandlingen \u00e4r baserad p\u00e5 genomg\u00e5ng av journaler av samtliga vuxna patienter, 435 personer, som v\u00e5rdades inneliggande p\u00e5 Sahlgrenska Universitetssjukhuset med influensa som bekr\u00e4ftats i laboratorier under s\u00e4songen 2016-2017.<\/p>\n\n\n\n

Av dessa kunde 114 fall, 26 procent, klassas som relaterade till v\u00e5rden. Patienterna var inlagda f\u00f6r annan sjukdom och symptomen p\u00e5 influensa debuterade f\u00f6rst efter 48 timmar eller mer p\u00e5 sjukhus.<\/p>\n\n\n\n

Det gjordes dessutom en detaljerad genetisk analys av virusprover tagna fr\u00e5n influensapatienter som v\u00e5rdats p\u00e5 samma avdelning inom loppet av en vecka. Analysen visade en kraftig anhopning av influensafall med n\u00e4ra genetiskt sl\u00e4ktskap.<\/p>\n\n\n\n

\u2013 Ut\u00f6ver kopplingen i tid och rum tillkom \u00e4ven ett slags dna-bevis, som fr\u00e5n en brottsplats, vilket sammantaget ger starkt st\u00f6d f\u00f6r att smittspridningen skett i v\u00e5rden, s\u00e4ger Martina Sansone. Hon disputerade vid Sahlgrenska akademin, G\u00f6teborgs universitet, och \u00e4r specialistl\u00e4kare i infektionssjukdomar och v\u00e5rdhygien p\u00e5 Sahlgrenska Universitetssjukhuset.<\/p>\n\n\n\n

H\u00f6g andel smittade p\u00e5 sjukhus<\/strong><\/h5>\n\n\n\n

\u2013 Andelen fall som smittats p\u00e5 sjukhus var h\u00f6gre \u00e4n vad jag trodde den skulle vara, och d\u00e5 jobbar jag \u00e4nd\u00e5 med det h\u00e4r, forts\u00e4tter hon. Forskningsomr\u00e5det \u00e4r inte s\u00e4rskilt v\u00e4l unders\u00f6kt.<\/p>\n\n\n\n

I den studerade gruppen avled 26 personer. Flertalet var \u00e4ldre med hj\u00e4rt- eller lungsjukdom, och s\u00e4songsinfluensan 2016-2017 var relativt sv\u00e5r.<\/p>\n\n\n\n

Med st\u00f6d av avhandlingen i sin helhet, d\u00e4r Martina Sansone \u00e4ven studerat influensautbrott p\u00e5 Kung\u00e4lvs sjukhus, drar hon slutsatsen att spridning av influensa p\u00e5 sjukhusavdelningar \u00e4r vanligt f\u00f6rekommande.<\/p>\n\n\n\n

Platsbrist pekas ut som en nyckelfaktor i sammanhanget. Bristen p\u00e5 enkelrum leder ocks\u00e5 till fler patientf\u00f6rflyttningar inom ett sjukhus, som i sin tur kan bidra till smittspridning.<\/p>\n\n\n\n

\u2013 Det har varit ett \u00f6verdrivet fokus p\u00e5 m\u00e4tbara ledtider p\u00e5 akuten och att korta v\u00e4ntetiderna. Ibland fattas det f\u00f6r snabba beslut om sjukhusv\u00e5rd, innan diagnosen \u00e4r klar och man vet om det finns risk f\u00f6r att en person kan vara smittsam. Jag tror ocks\u00e5 att v\u00e5rdpersonal ibland helt enkelt har sv\u00e5rt att ta in att en patient kan vara farlig f\u00f6r en annan.<\/p>\n\n\n\n

L\u00e4rdomar relaterat till covid-19<\/strong><\/h5>\n\n\n\n

Parallellerna till covid-19 \u00e4r uppenbara, menar Martina Sansone. Luftv\u00e4gssymtom \u00e4r vanligt och symtomen kan vara milda. \u00c4ven under influensas\u00e4songen kan planerad v\u00e5rd beh\u00f6va st\u00e5 tillbaka, och patienter h\u00e5llas mer isolerade i sjukhusmilj\u00f6n.<\/p>\n\n\n\n

\u2013 V\u00e5ra sjukhus i Sverige har varit extremt \u00f6ppna, \u00e4ven f\u00f6r anh\u00f6riga, och med h\u00f6g oms\u00e4ttning p\u00e5 m\u00e4nniskor. Varf\u00f6r inte ha separata influensaavdelningar p\u00e5 samma s\u00e4tt som covid-19-avdelningar? fr\u00e5gar hon sig.<\/p>\n\n\n\n

\u2013 Det \u00e4r avg\u00f6rande att vi drar ner p\u00e5 antalet kontakter, snabbtestar f\u00f6r influensa p\u00e5 akuten och f\u00e5r fler inom riskgrupper och \u00e4ldre att vaccinera sig mot s\u00e4songsinfluensa. I dag ligger vi p\u00e5 drygt 50 procent bland \u00e4ldre, mot WHO:s m\u00e5l p\u00e5 75 procent, konstaterar Martina Sansone.<\/p>\n\n\n\n

Titel<\/strong>: Epidemiology of viral respiratory infections with focus on in-hospital influenza transmission<\/a><\/p>\n\n\n\n

K\u00e4lla Vetenskapsr\u00e5det\/Expertsvar och G\u00f6teborgs universitet<\/strong><\/p>\n\n\n\n

Illustration<\/strong>: PIRO4D, Pixabay<\/p>\n","protected":false},"excerpt":{"rendered":"

Var fj\u00e4rde inneliggande patient med influensa under en given s\u00e4song visade tecken p\u00e5 att ha smittats i v\u00e5rden. Det framg\u00e5r i en avhandling fr\u00e5n G\u00f6teborgs universitet om spridning av influensa […]<\/p>\n","protected":false},"author":6,"featured_media":7033,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[200],"tags":[],"acf":[],"yoast_head":"\nVanligt med spridning av influensavirus i sjukhusmilj\u00f6 - Bricks staging<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/voxvigor.se\/bricks-staging\/vanligt-med-spridning-av-influensavirus-i-sjukhusmiljo\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Vanligt med spridning av influensavirus i sjukhusmilj\u00f6 - Bricks staging\" \/>\n<meta property=\"og:description\" content=\"Var fj\u00e4rde inneliggande patient med influensa under en given s\u00e4song visade tecken p\u00e5 att ha smittats i v\u00e5rden. 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