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
{"title":"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。","authors":"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","doi":"10.1016/j.jhin.2025.04.039","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Findings: </strong>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.</p><p><strong>Conclusion: </strong>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 77<sup>th</sup> World Health Assembly in May 2024.</p>","PeriodicalId":54806,"journal":{"name":"Journal of Hospital Infection","volume":" ","pages":""},"PeriodicalIF":3.1000,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Identifying indicators and targets for the new World Health Organization global framework on infection and prevention and control: an e-Delphi study.\",\"authors\":\"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\",\"doi\":\"10.1016/j.jhin.2025.04.039\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Findings: </strong>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.</p><p><strong>Conclusion: </strong>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 77<sup>th</sup> World Health Assembly in May 2024.</p>\",\"PeriodicalId\":54806,\"journal\":{\"name\":\"Journal of Hospital Infection\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":3.1000,\"publicationDate\":\"2025-08-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Hospital Infection\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.jhin.2025.04.039\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"INFECTIOUS DISEASES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Hospital Infection","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jhin.2025.04.039","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
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.
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.