Corredor Sandra Milena, Abrahamyan Arpine, Thekkur Pruthu, Reyes Jorge, Celis Yamile, Cuellar Claudia, Zachariah Rony
Ministry of Health and Social Protection Bogotá Colombia Ministry of Health and Social Protection, Bogotá, Colombia.
Tuberculosis Research and Prevention Center Yerevan Armenia Tuberculosis Research and Prevention Center, Yerevan, Armenia.
Rev Panam Salud Publica. 2023 Apr 21;47:e70. doi: 10.26633/RPSP.2023.70. eCollection 2023.
This study aimed to determine the performance of infection prevention and control (IPC) programs in eight core components in level 2 and level 3 hospitals across all provinces in Colombia.
This cross-sectional study used self-assessed IPC performance data voluntarily reported by hospitals to the Ministry of Health and Social Protection during 2021. Each of the eight core components of the World Health Organization's checklist in the Infection Prevention and Control Assessment Framework contributes a maximum score of 100, and the overall IPC performance score is the sum of these component scores. IPC performance is graded according to the overall score as inadequate (0-200), basic (201-400), intermediate (401-600) or advanced (601-800).
Of the 441 level 2 and level 3 hospitals, 267 (61%) reported their IPC performance. The median (interquartile range [IQR]) overall IPC score was 672 (IQR: 578-715). Of the 267 hospitals reporting, 187 (70%) achieved an advanced level of IPC. The median overall IPC score was significantly higher in private hospitals (690, IQR: 598-725) than in public hospitals (629, IQR: 538-683) ( < 0.001). Among the core components, scores were highest for the category assessing IPC guidelines (median score: 97.5) and lowest for the category assessing workload, staffing and bed occupancy (median score: 70). Median overall IPC scores varied across the provinces ( < 0.001).
This countrywide assessment showed that 70% of surveyed hospitals achieved a self-reported advanced level of IPC performance, which reflects progress in building health system resilience. Since only 61% of eligible hospitals participated, an important next step is to ensure the participation of all hospitals in future assessments.
本研究旨在确定哥伦比亚各省二级和三级医院在感染预防与控制（IPC）项目八个核心组成部分方面的表现。
这项横断面研究使用了医院在2021年自愿向卫生和社会保护部报告的自我评估的IPC表现数据。《感染预防与控制评估框架》中世界卫生组织清单的八个核心组成部分，每个部分的最高得分为100分，IPC总体表现得分是这些组成部分得分的总和。IPC表现根据总分分为不足（0 - 200分）、基本（201 - 400分）、中等（401 - 600分）或先进（601 - 800分）。
在441家二级和三级医院中，267家（61%）报告了它们的IPC表现。IPC总体得分中位数（四分位间距[IQR]）为672分（IQR：578 - 715）。在报告的267家医院中，187家（70%）达到了先进的IPC水平。私立医院的IPC总体得分中位数（690分，IQR：598 - 725）显著高于公立医院（629分，IQR：538 - 683）（<0.001）。在核心组成部分中，评估IPC指南类别的得分最高（中位数得分：97.5），评估工作量、人员配备和床位占用类别的得分最低（中位数得分：70）。IPC总体得分中位数在各省之间存在差异（<0.001）。
这项全国性评估表明，70%的受调查医院达到了自我报告的先进IPC表现水平，这反映了在建设卫生系统复原力方面取得的进展。由于只有61%的符合条件的医院参与，下一步的重要举措是确保所有医院参与未来的评估。
