世卫组织感染预防和控制评估框架在长期护理设施中的可行性:在荷兰进行一项试点研究
K Halonen1, A Haenen2, M Smalbrugge3,4
1National Institute for Public Health and the Environment, Bilthoven, The Netherlands. kati.halonen@rivm.nl.
Antimicrobial resistance and infection control
|February 26, 2026
概括
这项研究试行了在荷兰长期护理机构 (LTCF) 适应的感染预防和控制评估框架 (IPCAF). 适应的IPCAF可用于评估LTCF的感染预防和控制 (IPC),确定需要改进的领域.
科学领域:
- 医疗保健质量评估 医疗保健质量评估
- 感染预防和控制 (IPC)
- 长期护理设施 (LTCF) 管理管理
背景情况:
- 世界卫生组织的感染预防和控制评估框架 (IPCAF) 为医院IPC质量评估而建立.
- 长期护理机构 (LTCF) 的IPC标准和评估仍未得到充分研究和标准化.
- 在LTCF设置中,IPCAF以前没有被应用.
研究的目的:
- 试行IPCAF的适应版本,专门针对荷兰的LTCF.
- 在LTCF背景下评估适应的IPCAF的可用性,可行性和可接受性.
- 评估参与LTCF的IPC标准的现状.
主要方法:
- IPCAF被翻译成荷兰LTCF的文本,并经过专家调整.
- 一个多学科团队通过14个LTCF医疗保健小组的面对面采访完成了适应的IPCAF.
- 单独收集LTCF特征,并通过基于网络的调查收集有关过程的反.
主要成果:
- 参与者发现适应的IPCAF清晰,信息丰富,并有助于确定改进优先事项.
- 一般来说,IPC的标准很高,特别是在"工作量,人员和床位占用"和"IPC的环境,材料和设备"方面.
- 在"HAI监测"和"IPC教育"方面观察到最低的分数,HAI监测在IPC计划中的整合有限.
结论:
- 适应的IPCAF是测量LTCF中的IPC的可行工具,有助于确定优先事项.
- 更广泛的采用可能需要增加对该工具的熟悉性和支持.
- 尽管IPC标准一般很高,但对LTCF来说,持续关注监视和教育至关重要.
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