Expert consensus and recommendations for health care-associated infection surveillance in Queensland, Australia: A modified Delphi study.

IF 3.8 3区医学 Q2 INFECTIOUS DISEASES

American journal of infection control Pub Date : 2025-03-04 DOI:10.1016/j.ajic.2025.02.012

Jessica A Schults, Sally M Havers, Belinda C Henderson, Sally Healy, Naomi Runnegar, Trish Hurst, Karina Charles, Alison Smith, Julia E Clark, Robyn Birch, Joanne Campbell, Janine Carrucan, John Gamlin, Janice Geary, Christopher S Heather, Deborough A MacBeth, Kylie Maxwell, Paul Simpson, Sarah Smith, Josephine Lovegrove, Daner Ball, Lisa Hall, Claire M Rickard

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Abstract

Background: Health care-associated infections (HAIs) continue to contribute significantly to Australia's burden of disease. In Queensland, varied surveillance protocols exist contributing to unnecessary complexity. With end-user partners, we defined a minimum dataset to support the public reporting of HAI surveillance data.

Methods: A modified, 2-round Delphi study was conducted with field experts. In Round 1, infection control professionals and infectious disease physicians rated HAI measures on importance, feasibility, usefulness, and case definition acceptability using Likert scales. Measures meeting predefined thresholds progressed to Round 2, where a panel of experts achieved ≥70% consensus on the final dataset.

Results: Forty-nine infection control professionals (nurses and physicians) responded in Round 1. From the originally proposed 36 HAI measures, 17 achieved consensus for importance, usefulness and feasibility. In Round 2, 14 experts (11 infection control practitioners; 3 physicians) met to review the 17 measures retained from Round 1. Final measures (n=13), meeting Round 2 consensus, included bloodstream infections, selected surgical site infections, and significant organisms.

Conclusions: We developed a 13-item minimum dataset with standardized definitions to support consistent, state-wide HAI surveillance and reporting. The dataset supports efficient data aggregation and will inform targeted prevention activities.

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来源期刊

American journal of infection control 医学-传染病学

CiteScore

7.40

自引率

4.10%

发文量

479

审稿时长

24 days

期刊介绍： AJIC covers key topics and issues in infection control and epidemiology. Infection control professionals, including physicians, nurses, and epidemiologists, rely on AJIC for peer-reviewed articles covering clinical topics as well as original research. As the official publication of the Association for Professionals in Infection Control and Epidemiology (APIC)