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Construction of a postoperative infection outbreak investigation form: A tool for early detection and control
Yulong Cao1, Bin Wang2, Yanbin Wang3
1Department of Hospital-Acquired Infection Control, Peking University People's Hospital, Beijing, China.
Background:
To develop an investigation form for postoperative infection outbreak (PIO), and to identify sources of the outbreak in the early stage.
Methods:
After an exhaustive literature review, we used the Delphi method to determine the indicators and relative risk scores of the assessment tools through 2 rounds of specialist consultation and overall consideration of the opinions and suggestions of 20 specialists.
Results:
A total of 203 studies of PIO were eligible for inclusion. The mean authority coefficient (Cr) was 0.87. Kendall's W coefficient of the specialist consultation was 0.704 after 2 rounds of consultation (P < .005), suggesting that the specialists had similar opinions. Based on 4 primary items and 19 secondary items of the source of PIO, and tripartite distribution characteristics of infected patients, we constructed the PIO investigation form.
Conclusions:
The PIO investigation form can be used in the investigation of the early-stage cluster of cases, it's a prerequisite for taking effective control measures, avoiding PIO occurrence. However, the effect of the investigation form needs to be further evaluated.
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