Effectiveness and core components of infection prevention and control programmes in long-term care facilities: a systematic review
| Autor: | Su Hyon Lee, Myungook Lee, Yeon-Hwan Park, Gi-An Lee |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
Microbiology (medical) medicine.medical_specialty Control (management) Psychological intervention CINAHL 030501 epidemiology law.invention 03 medical and health sciences Randomized controlled trial Behavior Therapy law parasitic diseases Health care Disease Transmission Infectious medicine Humans Infection control cardiovascular diseases Aged Aged 80 and over Clinical Trials as Topic Cross Infection Infection Control 0303 health sciences 030306 microbiology business.industry Core component General Medicine Middle Aged Long-Term Care Long-term care Infectious Diseases Family medicine Female Health Facilities Health Services Research 0305 other medical science business |
| Zdroj: | Journal of Hospital Infection. 102:377-393 |
| ISSN: | 0195-6701 |
| DOI: | 10.1016/j.jhin.2019.02.008 |
| Popis: | Summary Background Infection prevention and control (IPC) is a measure to prevent healthcare-associated infections in healthcare settings. There is limited evidence of the effectiveness of IPC programmes in long-term care facilities (LTCFs). Aim To review and analyse the effectiveness and the components of IPC programmes in LTCFs for older adults. Methods Electronic databases (PubMed, EMBASE, CINAHL and Cochrane CENTRAL) were searched systematically for English-language articles assessing IPC interventions in LTCFs, published over the last decade (2007–2016). The components of IPC programmes were analysed based on the World Health Organization (WHO) manuals for improving IPC activities. Two reviewers independently assessed the quality of studies using the Cochrane risk-of-bias tool and the risk-of-bias assessment tool for non-randomized studies. Findings Seventeen studies met the eligibility criteria; 10 studies were randomized trials (58.8%) and the others were non-randomized trials to examine the impact of IPC programmes on infection and/or performance outcomes of healthcare workers. None of the included studies implemented all of the WHO core components. Behavioural change strategies using education, monitoring and feedback were reported to be successful interventions for reducing the threat of healthcare-associated infections. Generally, studies using four or more elements of the WHO multi-modal strategy reported significant reductions in infection rates. Conclusions There is some evidence for the effectiveness of IPC interventions using education, monitoring, feedback and four or more elements of the WHO multi-modal strategy to control healthcare-associated infections in LTCFs. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect