当前位置： SCI文献检索 > INTERNATIONAL JOURNAL OF EPIDEMIOLOGY期刊下所有文献 > The current scope of healthcare-associated infection surveillance activities in hospitalized immunocompromised patients: a systematic review.

The current scope of healthcare-associated infection surveillance activities in hospitalized immunocompromised patients: a systematic review.

Abstract：

BACKGROUND:Immunocompromised patients are at increased risk of acquiring healthcare-associated infections (HAIs) and often require specialized models of care. Surveillance of HAIs is essential for effective infection-prevention programmes. However, little is known regarding standardized or specific surveillance methods currently employed for high-risk hospitalized patients. METHODS:A systematic review adopting a narrative synthesis approach of published material between 1 January 2000 and 31 March 2018 was conducted. Publications describing the application of traditional and/or electronic surveillance of HAIs in immunocompromised patient settings were identified from the Ovid MEDLINE®, Ovid Embase® and Elsevier Scopus® search engines [PROSPERO international prospective register of systematic reviews (registration ID: CRD42018093651)]. RESULTS:In total, 2708 studies were screened, of whom 17 fulfilled inclusion criteria. Inpatients diagnosed with haematological malignancies were the most-represented immunosuppressed population. The majority of studies described manual HAI surveillance utilizing internationally accepted definitions for infection. Chart review of diagnostic and pathology reports was most commonly employed for case ascertainment. Data linkage of disparate datasets was performed in two studies. The most frequently monitored infections were bloodstream infections and invasive fungal disease. No surveillance programmes applied risk adjustment for reporting surveillance outcomes. CONCLUSIONS:Targeted, tailored monitoring of HAIs in high-risk immunocompromised settings is infrequently reported in current hospital surveillance programmes. Standardized surveillance frameworks, including risk adjustment and timely data dissemination, are required to adequately support infection-prevention programmes in these populations.

journal_name

Int J Epidemiol

journal_title

International journal of epidemiology

authors

Valentine JC,Hall L,Verspoor KM,Worth LJ

doi

10.1093/ije/dyz162

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

1768-1782

issue

eissn

0300-5771

issn

1464-3685

pii

5541037

journal_volume

pub_type

杂志文章

在线工具

The current scope of healthcare-associated infection surveillance activities in hospitalized immunocompromised patients: a systematic review.