Agenzia Sanitaria e Sociale Regionale Emilia-Romagna, Area Rischio Infettivo, Bologna, Italy.
J Hosp Infect. 2011 Jan;77(1):52-7. doi: 10.1016/j.jhin.2010.08.009. Epub 2010 Dec 4.
A national survey was conducted to describe the coverage and characteristics of infection prevention and control (IC) programmes in Italy and to evaluate progress during recent years. All regions, with one small exception, participated and the response rate was 88%. Nearly all 278 respondent public health trusts reported having an IC committee, 80% of the 615 respondent hospitals to have instituted an IC team, and 79% to have an IC nurse. However, when the presence of truly operating IC bodies was considered, the pattern was different: only 27% of IC teams met at least monthly, and variation by region was extremely large [coefficient of variation (CV): 1.06]. The IC programme characteristics with the greatest variation by region included: availability of qualified nurses and IC doctors (CV: 1.55 and 1.39 respectively); integration of IC activities and clinical risk management (CV: 1.05); IC programmes also involving community services (CV: 0.98); training of personnel at induction (CV: 0.82); and availability of written policies for the control of multidrug-resistant organisms (CV: 1.08). A relevant and statistically significant North-South gradient showed Southern Regions averaging 23 points less than Northern Regions on the IC score. Compared with a similar survey conducted in 2000, the distribution of several activities by region had improved significantly. Despite the noteworthy improvement observed over time, the situation in Italy is still unsatisfactory, due to significant variation in the development of IC organisations and initiatives by region and by type of hospital.
一项全国性调查旨在描述意大利感染预防和控制（IC）计划的覆盖范围和特征，并评估近年来的进展。除了一个小地区外，所有地区都参与了调查，回复率为 88%。几乎所有 278 个回应的公共卫生信托机构都报告说有一个 IC 委员会，615 个回应的医院中有 80%设立了 IC 团队，79%有 IC 护士。然而，当考虑到真正运作的 IC 机构的存在时，情况就不同了：只有 27%的 IC 团队至少每月开会一次，而且地区之间的差异非常大（变异系数（CV）：1.06）。按地区差异最大的 IC 计划特征包括：合格护士和 IC 医生的可用性（CV：分别为 1.55 和 1.39）；IC 活动和临床风险管理的整合（CV：1.05）；还涉及社区服务的 IC 计划（CV：0.98）；人员入职培训（CV：0.82）；以及控制多药耐药菌的书面政策的可用性（CV：1.08）。一个相关的、具有统计学意义的南北梯度表明，南部地区的 IC 得分比北部地区平均低 23 分。与 2000 年进行的类似调查相比，几个地区的活动分布有了显著改善。尽管随着时间的推移观察到了显著的改善，但由于地区和医院类型的 IC 组织和举措的发展存在显著差异，意大利的情况仍然不尽如人意。
