Asghar Saima, Atif Muhammad, Masood Imran, Khan Madiha
Department of Pharmacy Practice, Faculty of Pharmacy, The Islamia University of Bahawalpur, Bahawalpur, Pakistan.
Department of Pharmacy Practice, Faculty of Pharmacy, The Islamia University of Bahawalpur, Bahawalpur, Pakistan.
Infect Dis Health. 2025 Aug;30(3):260-283. doi: 10.1016/j.idh.2025.03.005. Epub 2025 Apr 7.
This systematic review aims to underscore the adoption and implementation of infection prevention and control (IPC) practices based on the World Health Organization's Infection Prevention and Control Assessment Framework (IPCAF) in low- and middle-income countries (LMICs).
Systematic review.
Cochrane Handbook for systematic reviews and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
PubMed, Google Scholar, Web of Science, Scopus, Cochrane, grey literature and reference lists of studies published between January 2018 and September 2024.
Peer reviewed full length, cross-sectional, mixed method and quasi-experimental studies written in English, conducted in LMICs and used IPCAF as assessment tool.
Data were extracted on a data extraction form and quality of studies was evaluated by using the Standard Quality Assessment Criteria for Evaluating Primary Research Papers from a Variety of Fields. Evidence was generated as a group of themes.
In total, 24 studies were selected based on eligibility criteria. IPC program was implemented to a varying degree in healthcare facilities (HCFs) of LMICs. Key barriers reported were; no allocation of budget for IPC, insufficient staffing of full-time IPC professionals, absence of clear IPC goals, challenges in staff training, lack of resources, no periodic monitoring and inconsistent availability of IPC supplies.
There was an evidence on implementation of IPC program in the HCFs of LMICs, however, LMICs faced substantial challenges in achieving consistent and effective IPC.
本系统评价旨在强调基于世界卫生组织感染预防与控制评估框架（IPCAF）的感染预防与控制（IPC）措施在低收入和中等收入国家（LMICs）的采用与实施情况。
系统评价。
Cochrane系统评价手册以及系统评价与Meta分析的首选报告项目（PRISMA）指南。
PubMed、谷歌学术、科学网、Scopus、Cochrane、灰色文献以及2018年1月至2024年9月发表的研究的参考文献列表。
在LMICs开展的、以英文撰写的、经过同行评审的全文、横断面、混合方法和准实验研究，并使用IPCAF作为评估工具。
通过数据提取表提取数据，并使用来自各个领域的评估初级研究论文的标准质量评估标准对研究质量进行评估。证据以一组主题的形式呈现。
根据资格标准共筛选出24项研究。IPC项目在LMICs的医疗机构（HCFs）中得到了不同程度的实施。报告的主要障碍包括：未为IPC分配预算、全职IPC专业人员配备不足、缺乏明确的IPC目标、员工培训面临挑战、资源匮乏、缺乏定期监测以及IPC用品供应不一致。
有证据表明LMICs的HCFs实施了IPC项目，然而，LMICs在实现一致且有效的IPC方面面临重大挑战。
