Center for Evidence-based Practice, University of Pennsylvania Health System, 3535 Market St. Mezzanine, Philadelphia, PA 19104, USA.
Am J Infect Control. 2010 May;38(4):264-73. doi: 10.1016/j.ajic.2009.12.005. Epub 2010 Jan 29.
This article describes the recent update to the guideline development methodology of the Healthcare Infection Control Practices Advisory Committee (HICPAC). These methods are being used to develop future HICPAC guidelines, beginning with the guideline on preventing catheter-associated urinary tract infections released in 2009. The article includes a background on HICPAC, the strengths and limitations of the methods it's used over the last two decades, and the rationale behind these recent updates. In addition, we describe the new infrastructure used to develop guidelines at HICPAC, key changes in methodology, and new elements of HICPAC guidelines, like the implementation and audit section. We also describe current challenges to the development of infection control guidelines. The current update builds on past strengths and current advances in guideline development and implementation, and enables HICPAC to improve the validity and usability of its guidelines while also addressing emerging challenges in guideline development in the area of infection prevention and control.
本文介绍了医疗保健感染控制实践咨询委员会（HICPAC）指南制定方法的最新更新。这些方法将用于制定未来的 HICPAC 指南，从 2009 年发布的预防导管相关性尿路感染指南开始。本文包括 HICPAC 的背景、过去二十年来使用这些方法的优势和局限性，以及这些最新更新的基本原理。此外，我们还描述了用于在 HICPAC 制定指南的新基础设施、方法学中的关键变化以及 HICPAC 指南的新要素，如实施和审核部分。我们还描述了感染控制指南制定方面当前面临的挑战。目前的更新建立在过去的优势和当前指南制定和实施方面的进展之上，使 HICPAC 能够提高其指南的有效性和可用性，同时应对感染预防和控制领域指南制定方面出现的新挑战。
