Bureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, Japan.
Bureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, Japan
BMJ Open. 2021 Mar 5;11(3):e044971. doi: 10.1136/bmjopen-2020-044971.
Healthcare-associated infections (HCAIs) are a worldwide problem. Infection control in hospitals is usually implemented by an infection control team (ICT). Initially, ICTs consisted of doctors, nurses, epidemiologists and microbiologists; then, in the 1980s, the infection control link nurse (ICLN) system was introduced. ICTs (with or without the ICLN system) work to ensure the health and well-being of patients and healthcare professionals in hospitals and other healthcare settings, such as acute care clinics, community health centres and care homes. No previous study has reported the effects of ICTs on HCAIs. This systematic review aims to assess the effectiveness of ICTs with or without the ICLN system in reducing HCAIs in hospitals and other healthcare settings.
We will perform a comprehensive literature search for randomised controlled trials in four databases: PubMed, Embase, CINAHL and the Cochrane Library. The primary outcomes are: patient-based/clinical outcomes (rate of HCAIs, death due to HCAIs and length of hospital stay) and staff-based/behavioural outcomes (compliance with infection control practices). The secondary outcomes include the costs to the healthcare system or patients due to extended lengths of stay. Following data extraction, we will assess the risk of bias by using the Cochrane Effective Practice and Organization of Care risk of bias tool. If data can be pooled across all the studies, we will perform a meta-analysis.
We will use publicly available data, and therefore, ethical approval is not required for this systematic review. The findings will be submitted for publication in peer-reviewed journals.
CRD42020172173.
医疗保健相关感染（HAI）是一个全球性问题。医院中的感染控制通常由感染控制团队（ICT）实施。最初，ICT 由医生、护士、流行病学家和微生物学家组成；然后，在 20 世纪 80 年代，引入了感染控制联络护士（ICLN）系统。ICT（有或没有 ICLN 系统）致力于确保医院和其他医疗保健环境（如急症诊所、社区保健中心和护理院）中的患者和医疗保健专业人员的健康和福祉。以前没有研究报告过 ICT 对 HAI 的影响。本系统评价旨在评估有或没有 ICLN 系统的 ICT 在减少医院和其他医疗保健环境中的 HAI 方面的有效性。
我们将在四个数据库中进行全面的文献检索：PubMed、Embase、CINAHL 和 Cochrane 图书馆。主要结局是：基于患者的/临床结局（HAI 发生率、HAI 导致的死亡和住院时间）和基于员工的/行为结局（感染控制实践的依从性）。次要结局包括由于住院时间延长而导致的医疗保健系统或患者的成本。在提取数据后，我们将使用 Cochrane 有效实践和组织护理偏倚风险工具评估偏倚风险。如果可以对所有研究进行数据合并，我们将进行荟萃分析。
我们将使用公开可用的数据，因此，本系统评价不需要伦理批准。研究结果将提交给同行评议的期刊发表。
CRD42020172173。
