国家医疗保健相关感染监测计划:范围审查
Etienne Poirier1,2, Virginie Boulanger1,2, Anne MacLaurin3
1Department of Microbiology, Infectious Diseases, and Immunology, Faculty of Medicine, University of Montréal, Montréal, QC.
概括
医疗相关感染 (HAI) 的国家监测计划在全球范围内各不相同. 大多数国家都有监测发病率的计划,特别是在手术部位和Clostridioides difficile感染,这使得患者护理的改善成为可能.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 医疗保健管理的管理
背景情况:
- 对医疗保健相关感染 (HAI) 的国家监测对于识别问题,跟踪趋势和建立医院基准至关重要.
- 有效的基准率需要大,具有代表性的样本大小,通常通过聚合的监测数据来实现.
- 需要对全球HAI监控计划组织有全面的了解.
研究的目的:
- 在全球范围内对国家医疗保健相关感染监测计划进行范围审查.
- 了解这些计划的组织结构和关键特征.
- 在全球范围内识别HAI监视的常见做法和变化.
主要方法:
- 采用了一个范围审查方法,结合文献搜索,谷歌搜索和与HAI监控计划经理的直接沟通.
- 该审查针对北美,欧洲,英国和大洋洲的35个国家.
- 收集的数据包括程序名称,调查类型 (流行/发病率),报告频率,参与模式 (强制性/自愿性) 和监测感染.
主要成果:
- 在6688篇已识别的文章中,有220篇被选中,揭示了35个国家中的28个国家 (80%) 的HAI监控计划.
- 这些计划主要以自愿为基础,重点是监测HAI发病率.
- 最常被监测的HAI包括手术部位感染 (部和膝盖) 和Clostridioides difficile感染.
结论:
- 大多数分析的国家拥有已建立的HAI监控计划,尽管它们的具体特征有所不同.
- 包括计数器和分母在内的患者级数据的可用性广泛,这有助于报告发病率.
- 这些精细的基准可用于测量,监测,并最终改善不同医疗机构的HAI发病率.
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