确定世界卫生组织新的感染和预防与控制全球框架的指标和目标:电子德尔福研究。

IF 3.1 3区 医学 Q1 INFECTIOUS DISEASES
Giovanni Satta, Paul Rogers, Joao Bana E Costa, Ermira Tartari, Ana Flavia Santos, Peter Bischoff, Julie Storr, Landry Cihambanya, Ana Paula Coutinho Rehse, Iman Heweidy, Zhao Li, Pilar Ramon-Pardo, Aparna Singh Shah, Michael Lindsay Grayson, Benedetta Allegranzi
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引用次数: 0

摘要

背景:世界卫生组织(WHO)最近制定了感染预防和控制(IPC)全球行动计划(GAP)和监测框架(MF)。作为协商过程的一部分,进行了e-Delphi调查,以就IPC MF指标和目标达成共识。方法:本研究采用e-Delphi寻求共识的方法,采用两轮顺序调查。在第一轮中,参与者被要求使用5点李克特量表评估每个指标和目标,并在第二轮中重新评估那些没有达成共识的指标和目标,并按优先顺序对所有指标和目标进行排名。当超过70%的回答落在量表的两个积极极端范围内,小于5%的回答落在两个消极极端范围内时,定义为“共识”。调查结果:86个国家的代表以及来自63个国家的专家参与了IPC MF初步草案的制定。e-Delphi研究邀请了394名参与者,第一轮的反应率为36%(142/394),第二轮的反应率为69%(98/142)。在第一轮的134项指标和27项目标中,除了一项之外,其余都达成了共识,有16项的分歧程度达到了0.5%。在第二轮中,三个指标被拒绝,参与者对十大全球目标和五大国家目标进行了排名。调查显示,人们强烈支持改善IPC监测,而由于其他优先事项的竞争,研究排名较低。结论:通过强有力的协商一致进程,就所有国家为跟踪IPC进展而监测的拟议指标和目标达成了高度一致。2024年5月,所有国家在第77届世界卫生大会期间通过了世卫组织IPC GAP和MF。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Identifying indicators and targets for the new World Health Organization global framework on infection and prevention and control: an e-Delphi study.

Background: The World Health Organization (WHO) recently developed the global action plan (GAP) and monitoring framework (MF) for Infection Prevention and Control (IPC). An e-Delphi survey was conducted as part of a consultative process to achieve consensus on IPC MF indicators and targets.

Methods: The study was conducted as an e-Delphi consensus-seeking exercise, with two rounds of sequential surveys. In round 1 participants were asked to assess each indicator and target using a 5-point Likert scale, and in round 2 to re-assess those that did not reach consensus and to rank all indicators and targets in priority order. "Consensus" was defined when >70% of the responses fell within the two positive extreme ranges of the scale and < 5% of the responses fell within the two negative extreme ranges.

Findings: 86 country representatives along with experts from 63 countries participated in the initial draft IPC MF development. The e-Delphi study invited 394 participants, with response rates of 36% (142/394) in round 1 and 69% (98/142) in round 2. Of the 134 indicators and 27 targets included in round 1, all but one achieved consensus, and 16 showed >5% level of disagreement. In round 2, three indicators were rejected and participants ranked the top ten global targets and top five national targets. The survey showed strong support for improving IPC surveillance, whilst research ranked lower due to other competing priorities.

Conclusion: A high level of agreement on the proposed indicators and targets to be monitored by all countries to track progress in IPC was achieved through a strong consensus building process. The WHO IPC GAP and MF was adopted by all countries during the 77th World Health Assembly in May 2024.

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来源期刊
Journal of Hospital Infection
Journal of Hospital Infection 医学-传染病学
CiteScore
12.70
自引率
5.80%
发文量
271
审稿时长
19 days
期刊介绍: The Journal of Hospital Infection is the editorially independent scientific publication of the Healthcare Infection Society. The aim of the Journal is to publish high quality research and information relating to infection prevention and control that is relevant to an international audience. The Journal welcomes submissions that relate to all aspects of infection prevention and control in healthcare settings. This includes submissions that: provide new insight into the epidemiology, surveillance, or prevention and control of healthcare-associated infections and antimicrobial resistance in healthcare settings; provide new insight into cleaning, disinfection and decontamination; provide new insight into the design of healthcare premises; describe novel aspects of outbreaks of infection; throw light on techniques for effective antimicrobial stewardship; describe novel techniques (laboratory-based or point of care) for the detection of infection or antimicrobial resistance in the healthcare setting, particularly if these can be used to facilitate infection prevention and control; improve understanding of the motivations of safe healthcare behaviour, or describe techniques for achieving behavioural and cultural change; improve understanding of the use of IT systems in infection surveillance and prevention and control.
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