机构：[1]Infection Control Program and WHO Collaborating Centre on Patient Safety,University of Geneva Hospitals and Faculty of Medicine, Rue GabriellePerret-Gentil 4, 1211 Geneva 14, Switzerland[2]Institute of Global Health,Faculty of Medicine, University of Geneva, Geneva, Switzerland[3]Departmentof Infection Control, Dong Guan Hospital of Traditional Chinese Medicine,Dong Guan City, Guang Dong Province, China[4]Department of NosocomialInfection Management, The Second Affiliated Hospital, Xi’an JiaotongUniversity, Xi’an, Shaanxi Province, China[5]Department of Microbiology,Singapore General Hospital, Singapore, Singapore[6]National Institute for Health Research Health Protection Research Unit in Healthcare AssociatedInfections and Antimicrobial Resistance, Imperial College of London, London,UK
Healthcare-associated infections (HAIs) and antimicrobial resistance (AMR) affect patients in acute-care hospitals worldwide. No systematic review has been published on adoption and implementation of the infection prevention and control (IPC) key components. The objective of this systematic review was to assess adoption and implementation of the three areas issued by the "National Health Commission of the People's Republic of China" in acute-care hospitals in Mainland China, and to compare the findings with the key and core components on effective IPC, issued by the European Centre for Disease Prevention and Control (ECDC) and the World Health Organization (WHO).
We searched PubMed and the Chinese National Knowledge Infrastructure for reports on the areas "structure, organisation and management of IPC", "education and training in IPC", and "surveillance of outcome and process indicators in IPC" in acute-care facilities in Mainland China, published between January 2012 and October 2017. Results were stratified into primary care hospitals and secondary/tertiary care hospitals.
A total of 6580 publications were retrieved, of which 56 were eligible for final analysis. Most of them were survey reports (n = 27), followed by observational studies (n = 17), and interventional studies (n = 12), either on hand hygiene promotion and best practice interventions (n = 7), or by applying education and training programmes (n = 5). More elements on IPC were reported by secondary/tertiary care hospitals than by primary care hospitals. Gaps were identified in the lack of detailing on organisation and management of IPC, education and training activities, and targets of surveillance such as central line-associated bloodstream infections, ventilator associated pneumonia, catheter-associated urinary tract infections, and Clostridium difficile infections. Information was available on adoption and implementation of 7 out of the 10 ECDC key components, and 7 out of the 8 WHO core components.
To variable degrees, there is evidence on implementation of all NHCPRC areas and of most of the ECDC key components and the WHO core components in acute care hospitals in Mainland China. The results are encouraging, but gaps in effective IPC were identified that may be used to guide future national policy-making in Mainland China.
基金：
Chinese Professional Talent Training
Program, Dong Guan City, Guangdong Province, People’s Republic of China.
语种：
外文
PubmedID：
中科院(CAS)分区：
出版当年[2018]版：
大类|3 区医学
小类|2 区公共卫生、环境卫生与职业卫生3 区传染病学3 区微生物学
最新[2025]版：
大类|2 区医学
小类|2 区传染病学2 区微生物学2 区公共卫生、环境卫生与职业卫生
第一作者：
第一作者机构：[1]Infection Control Program and WHO Collaborating Centre on Patient Safety,University of Geneva Hospitals and Faculty of Medicine, Rue GabriellePerret-Gentil 4, 1211 Geneva 14, Switzerland[2]Institute of Global Health,Faculty of Medicine, University of Geneva, Geneva, Switzerland[3]Departmentof Infection Control, Dong Guan Hospital of Traditional Chinese Medicine,Dong Guan City, Guang Dong Province, China
通讯作者：
通讯机构：[1]Infection Control Program and WHO Collaborating Centre on Patient Safety,University of Geneva Hospitals and Faculty of Medicine, Rue GabriellePerret-Gentil 4, 1211 Geneva 14, Switzerland[6]National Institute for Health Research Health Protection Research Unit in Healthcare AssociatedInfections and Antimicrobial Resistance, Imperial College of London, London,UK
推荐引用方式(GB/T 7714)：
Wang Jiancong,Liu Fangfei,Tan Jamie Bee Xian,et al.Implementation of infection prevention and control in acute care hospitals in Mainland China - a systematic review.[J].Antimicrobial resistance and infection control.2019,8:32.doi:10.1186/s13756-019-0481-y.
APA：
Wang Jiancong,Liu Fangfei,Tan Jamie Bee Xian,Harbarth Stephan,Pittet Didier&Zingg Walter.(2019).Implementation of infection prevention and control in acute care hospitals in Mainland China - a systematic review..Antimicrobial resistance and infection control,8,
MLA：
Wang Jiancong,et al."Implementation of infection prevention and control in acute care hospitals in Mainland China - a systematic review.".Antimicrobial resistance and infection control 8.(2019):32
