评估国家预防和控制感染的最低要求:来自全球跨部门调查的证据,2017-22年
Ermira Tartari1, Sara Tomczyk2, Anthony Twyman3
1Infection Prevention and Control Hub and Task Force, Department of Integrated Health Services, WHO, Geneva, Switzerland; Faculty of Health Sciences, University of Malta, Msida, Malta.
The Lancet. Global health
|September 20, 2024
概括
在全球范围内,只有4%的国家满足了世界卫生组织 (WHO) 感染预防和控制 (IPC) 的所有最低要求. 扩大对这些关键的IPC标准的遵守对于弹性卫生系统至关重要.
科学领域:
- 全球卫生安全 全球卫生安全
- 医疗保健管理的管理
- 传染病流行病学 传染病流行病学
背景情况:
- 世界卫生组织 (WHO) 制定了感染预防和控制 (IPC) 的最低要求,以减轻与医疗相关的感染.
- 评估这些IPC标准的全球实施和进展对于确定需要改进的领域至关重要.
研究的目的:
- 评估2021-22年世卫组织IPC最低要求的全球实施情况.
- 为了跟踪进展,将2021-22年的研究结果与2017-18年的数据进行比较.
- 确定与满足IPC要求相关的因素,并为未来的干预提供信息.
主要方法:
- 在2021年7月至2022年1月期间,对国家IPC焦点进行了在线调查.
- 该调查评估了符合世卫组织IPC最低要求的国家的比例.
- 贝塔回归被用来分析国家特征,子集分析与以前的世卫组织IPC调查数据进行了比较.
主要成果:
- 在106个参与国家中,只有4%的国家满足了所有IPC的最低要求.
- 多模式改进策略得分最高,而IPC教育和培训得分最低.
- 与低收入国家相比,高收入国家满足要求的几率更高.
- 自2017-18年以来,国家IPC计划 (65%至82%) 和专用预算 (26%至44%) 显著增加.
结论:
- 紧急扩大对世卫组织IPC最低要求的遵守,对于建立有弹性的卫生系统至关重要.
- 解决发现的差距是必要的,特别是在IPC教育和培训方面.
- 需要持续监测和有针对性的干预措施来改善全球IPC标准.
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