tetano
Editor, Senior Moderator
Am J Infect Control
. 2023 Nov 7:S0196-6553(23)00768-X.
doi: 10.1016/j.ajic.2023.10.011. Online ahead of print. Interventions for preventing or controlling healthcare-associated infection amongst healthcare workers or patients within primary care facilities: a scoping review
Lucyna Gozdzielewska[SUP] 1 [/SUP], Deepti Kc[SUP] 2 [/SUP], John Butcher[SUP] 2 [/SUP], Mark Molesworth[SUP] 2 [/SUP], Katie Davis[SUP] 2 [/SUP], Lisa Barr[SUP] 2 [/SUP], Carlotta DiBari[SUP] 3 [/SUP], Laure Mortgat[SUP] 3 [/SUP], Miranda Deeves[SUP] 4 [/SUP], Kavita U Kothari[SUP] 5 [/SUP], Julie Storr[SUP] 4 [/SUP], Benedetta Allegranzi[SUP] 4 [/SUP], Jacqui Reilly[SUP] 2 [/SUP], Lesley Price[SUP] 2 [/SUP]
Affiliations
Background: This review aimed to synthesize the evidence on infection prevention and control (IPC) interventions for the prevention of healthcare-associated infection (HAI) amongst healthcare workers (HCW) or patients within primary care facilities.
Methods: PubMed, CINAHL, EMBASE and CENTRAL databases were searched for quantitative studies published between 2011-2022. Study selection, data extraction and quality assessment using Cochrane and Joanna Briggs tools, were conducted by independent review with additional sensitivity checking performed on study selection.
Results: Four studies were included. A randomized trial and a cross-sectional survey, respectively, found no statistical difference in laboratory-confirmed influenza in HCW wearing N95 versus medical masks (p=0.18) and a significant inverse association between the implementation of tuberculosis (TB) control measures and TB incidence (p=0.02). For the prevention of surgical site infections following minor surgery, randomized trials found non-sterile gloves (8.7%; 95% CI, 4.9%-12.6%) to be non-inferior to sterile gloves (9.3%; 95% CI, 7.4%-11.1%) and no significant difference between prophylactic antibiotics compared to placebo (p=0.064). All studies had a high risk of bias.
Conclusion: Evidence for IPC interventions for prevention of HAI in primary care is very limited and insufficient to make practice recommendations. Nevertheless, the findings highlight the need for future research.
Keywords: healthcare-associated infections; infection prevention and control; primary care; scoping review.
. 2023 Nov 7:S0196-6553(23)00768-X.
doi: 10.1016/j.ajic.2023.10.011. Online ahead of print. Interventions for preventing or controlling healthcare-associated infection amongst healthcare workers or patients within primary care facilities: a scoping review
Lucyna Gozdzielewska[SUP] 1 [/SUP], Deepti Kc[SUP] 2 [/SUP], John Butcher[SUP] 2 [/SUP], Mark Molesworth[SUP] 2 [/SUP], Katie Davis[SUP] 2 [/SUP], Lisa Barr[SUP] 2 [/SUP], Carlotta DiBari[SUP] 3 [/SUP], Laure Mortgat[SUP] 3 [/SUP], Miranda Deeves[SUP] 4 [/SUP], Kavita U Kothari[SUP] 5 [/SUP], Julie Storr[SUP] 4 [/SUP], Benedetta Allegranzi[SUP] 4 [/SUP], Jacqui Reilly[SUP] 2 [/SUP], Lesley Price[SUP] 2 [/SUP]
Affiliations
- PMID: 37944755
- DOI: 10.1016/j.ajic.2023.10.011
Background: This review aimed to synthesize the evidence on infection prevention and control (IPC) interventions for the prevention of healthcare-associated infection (HAI) amongst healthcare workers (HCW) or patients within primary care facilities.
Methods: PubMed, CINAHL, EMBASE and CENTRAL databases were searched for quantitative studies published between 2011-2022. Study selection, data extraction and quality assessment using Cochrane and Joanna Briggs tools, were conducted by independent review with additional sensitivity checking performed on study selection.
Results: Four studies were included. A randomized trial and a cross-sectional survey, respectively, found no statistical difference in laboratory-confirmed influenza in HCW wearing N95 versus medical masks (p=0.18) and a significant inverse association between the implementation of tuberculosis (TB) control measures and TB incidence (p=0.02). For the prevention of surgical site infections following minor surgery, randomized trials found non-sterile gloves (8.7%; 95% CI, 4.9%-12.6%) to be non-inferior to sterile gloves (9.3%; 95% CI, 7.4%-11.1%) and no significant difference between prophylactic antibiotics compared to placebo (p=0.064). All studies had a high risk of bias.
Conclusion: Evidence for IPC interventions for prevention of HAI in primary care is very limited and insufficient to make practice recommendations. Nevertheless, the findings highlight the need for future research.
Keywords: healthcare-associated infections; infection prevention and control; primary care; scoping review.