Poirier Etienne, Boulanger Virginie, MacLaurin Anne, Quach Caroline
Department of Microbiology, Infectious Diseases, and Immunology, Faculty of Medicine, University of Montréal, Montréal, QC.
Research Center, CHU Sainte-Justine, Montréal, QC.
Can Commun Dis Rep. 2022 Jul 7;48(7-8):340-349. doi: 10.14745/ccdr.v48i78a05.
National surveillance of healthcare-associated infections (HAIs) is necessary to identify areas of concern, monitor trends, and provide benchmark rates enabling comparison between hospitals. Benchmark rates require representative and large sample sizes often based on pooling of surveillance data. We performed a scoping review to understand the organization of national HAI surveillance programs globally.
The search strategy included a literature review, Google search and personal communications with HAI surveillance program managers. Thirty-five countries were targeted from four regions (North America, Europe, United Kingdom and Oceania). The following information was retrieved: name of surveillance program, survey types (prevalence or incidence), frequency of reports, mode of participation (mandatory or voluntary), and infections under surveillance.
Two hundred and twenty articles of 6,688 identified were selected. The four countries with most publications were the US (48.2%), Germany (14.1%), Spain (6.8%) and Italy (5.9%). These articles identified HAI surveillance programs in 28 of 35 countries (80.0%), operating on a voluntary basis and monitoring HAI incidence rates. Most HAIs monitored surgical site infections in hip (n=20, 71.4%) and knee (n=19, 67.9%) and infections (n=17, 60.7%).
Most countries analyzed have HAI surveillance programs, with characteristics varying by country. Patient-level data reporting with numerators and denominators is available for almost every surveillance program, allowing for reporting of incidence rates and more refined benchmarks, specific to a given healthcare category thus offering data that can be used to measure, monitor, and improve the incidence of HAIs.
对医疗保健相关感染（HAIs）进行全国性监测对于确定关注领域、监测趋势以及提供基准率以实现医院间比较至关重要。基准率通常需要基于监测数据汇总的具有代表性的大样本量。我们进行了一项范围综述，以了解全球国家HAI监测项目的组织情况。
检索策略包括文献综述、谷歌搜索以及与HAI监测项目管理人员的个人交流。目标是来自四个地区（北美、欧洲、英国和大洋洲）的35个国家。检索了以下信息：监测项目名称、调查类型（患病率或发病率）、报告频率、参与模式（强制性或自愿性）以及监测的感染类型。
从6688篇已识别的文章中筛选出220篇。发表文章最多的四个国家是美国（48.2%）、德国（14.1%）、西班牙（6.8%）和意大利（5.9%）。这些文章确定了35个国家中28个国家（80.0%）的HAI监测项目，这些项目以自愿为基础运作并监测HAI发病率。大多数HAI监测的是髋关节手术部位感染（n = 20，71.4%）、膝关节手术部位感染（n = 19，67.9%）以及[此处原文似乎不完整]感染（n = 17，60.7%）。
大多数分析的国家都有HAI监测项目，其特点因国家而异。几乎每个监测项目都有分子和分母的患者层面数据报告，从而能够报告发病率以及针对特定医疗保健类别的更精确基准，进而提供可用于衡量、监测和改善HAIs发病率的数据。
