A priority framework for the development of a healthcare-associated infection surveillance program in Australian residential aged care homes: analysis of a Delphi technique.

IF 3.8 3区医学 Q2 INFECTIOUS DISEASES

American journal of infection control Pub Date : 2025-06-03 DOI:10.1016/j.ajic.2025.05.019

Eliza Watson, Leon J Worth, Karin Thursky, Lyn-Li Lim, Ann Bull, Janet K Sluggett, David Dunt, Noleen Bennett

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引用次数: 0

Abstract

Background: There is no agreed scope for a comprehensive national residential aged care home (RACH) healthcare- associated infection (HAI) surveillance program in Australia.

Methods: Three sequential surveys were anonymously and independently completed by 25-40 invited subject experts. Each participant, using Likert scales, rated the importance and feasibility of including potential program elements in a national RACH HAI surveillance program. Aggregate agreement levels were defined consensual (>90%, surveys 2 and 3), high (>75%, survey 1 or 75-89%, surveys 2 and 3), moderate (31-74%, all surveys) or low (<30%, all surveys). Program elements were classified 'priority 1' (if there was consensual agreement for importance and feasibility), 2, 3 or non-priority.

Results: Of 58 potential program elements, 26 were classified as priority 1; this included program elements focused on infection surveillance (5), infection detection criteria (1), organism surveillance (8), isolate monitoring methods (1), vaccination compliance (4), vaccination compliance targets (4) and antimicrobial appropriateness measures (3). Six, 14 and 12 program elements were classified priority 2,3 and non-priority respectively.

Conclusion: Our study developed a strategic framework for a national RACH HAI surveillance program by determining priorities for inclusion of program elements. This framework will be used to develop a pilot program for Australian RACHs.

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一个优先框架的发展卫生保健相关的感染监测方案在澳大利亚住宅养老院：德尔菲技术的分析。

背景：在澳大利亚，没有一个全面的全国住宅养老院（RACH）卫生保健相关感染（HAI）监测计划的商定范围。方法：邀请25-40名专家匿名独立完成三次连续调查。每个参与者使用李克特量表，对国家RACH HAI监测规划中包括潜在规划要素的重要性和可行性进行评估。总体协议水平被定义为共识（>为90%，调查2和3），高（>为75%，调查1或75-89%，调查2和3），中等（31-74%，所有调查）或低(结果：58个潜在的计划要素中，26个被列为优先级1；这包括关注感染监测(5)、感染检测标准(1)、微生物监测(8)、分离物监测方法(1)、疫苗接种依从性(4)、疫苗接种依从性目标(4)和抗菌药物适宜性措施(3)的规划要素。6、14和12个程序元素分别被划分为优先级2、3和非优先级。结论：我们的研究通过确定纳入规划要素的优先次序，为国家RACH HAI监测规划制定了战略框架。这一框架将用于制定澳大利亚地区的试点方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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)