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Meta-Analysis
. 2019 Feb 11:8:32.
doi: 10.1186/s13756-019-0481-y. eCollection 2019.

Implementation of infection prevention and control in acute care hospitals in Mainland China - a systematic review

Jiancong Wang  1   2   3 , Fangfei Liu  4 , Jamie Bee Xian Tan  1   5 , Stephan Harbarth  1 , Didier Pittet  1 , Walter Zingg  1   6
Affiliations
Meta-Analysis

Implementation of infection prevention and control in acute care hospitals in Mainland China - a systematic review

Jiancong Wang et al. Antimicrob Resist Infect Control. .

Abstract

Background: Healthcare-associated infections (HAIs) and antimicrobial resistance (AMR) affect patients in acute-care hospitals worldwide. No systematic review has been published on adoption and implementation of the infection prevention and control (IPC) key components. The objective of this systematic review was to assess adoption and implementation of the three areas issued by the "National Health Commission of the People's Republic of China" in acute-care hospitals in Mainland China, and to compare the findings with the key and core components on effective IPC, issued by the European Centre for Disease Prevention and Control (ECDC) and the World Health Organization (WHO).

Methods: We searched PubMed and the Chinese National Knowledge Infrastructure for reports on the areas "structure, organisation and management of IPC", "education and training in IPC", and "surveillance of outcome and process indicators in IPC" in acute-care facilities in Mainland China, published between January 2012 and October 2017. Results were stratified into primary care hospitals and secondary/tertiary care hospitals.

Results: A total of 6580 publications were retrieved, of which 56 were eligible for final analysis. Most of them were survey reports (n = 27), followed by observational studies (n = 17), and interventional studies (n = 12), either on hand hygiene promotion and best practice interventions (n = 7), or by applying education and training programmes (n = 5). More elements on IPC were reported by secondary/tertiary care hospitals than by primary care hospitals. Gaps were identified in the lack of detailing on organisation and management of IPC, education and training activities, and targets of surveillance such as central line-associated bloodstream infections, ventilator associated pneumonia, catheter-associated urinary tract infections, and Clostridium difficile infections. Information was available on adoption and implementation of 7 out of the 10 ECDC key components, and 7 out of the 8 WHO core components.

Conclusion: To variable degrees, there is evidence on implementation of all NHCPRC areas and of most of the ECDC key components and the WHO core components in acute care hospitals in Mainland China. The results are encouraging, but gaps in effective IPC were identified that may be used to guide future national policy-making in Mainland China.

Keywords: Adoption; China; Healthcare-associated infection; Hospital management; Implementation; Infection prevention and control; Systematic review.

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Conflict of interest statement

Not applicableNot applicableThe authors declare that they have no competing interests.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Systematic review profile – Systematic review on infection prevention and control in Mainland China, 2012–2017
See this image and copyright information in PMC

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