Evidence map›Paper›PMID 30455867›Full record

SynthesisAntimicrobial resistance and infection control2018

Healthcare-associated infections in intensive care units in Taiwan, South Korea, and Japan: recent trends based on national surveillance reports.

Cho-Han Chiang, Sung-Ching Pan, Tyan-Shin Yang, Keisuke Matsuda, Hong Bin Kim, Young Hwa Choi, Satoshi Hori, Jann-Tay Wang, Wang-Huei Sheng, Yee-Chun Chen and 2 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in Antimicrobial resistance and infection control, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed.

  1. Trial
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  9. Risk Factors for Methicillin-ResistantThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2025
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  16. Increased Involvement ofHealthcare (Basel, Switzerland) · 2021
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Cho-Han Chiang *1College of Medicine, National Taiwan University, Taipei, Taiwan.
Sung-Ching Pan *2Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Tyan-Shin Yang1College of Medicine, National Taiwan University, Taipei, Taiwan.
Keisuke Matsuda3Faculty of Medicine, Osaka University, Osaka, Japan.
Hong Bin Kim4Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Young Hwa Choi6Department of Infectious Diseases, Ajou University School of Medicine, Suwon, Republic of Korea.
Satoshi Hori7Department of Infection Control Science, Juntendo University Faculty of Medicine, Tokyo, Japan.
Jann-Tay Wang1College of Medicine, National Taiwan University, Taipei, Taiwan.
Wang-Huei Sheng1College of Medicine, National Taiwan University, Taipei, Taiwan.
Yee-Chun Chen1College of Medicine, National Taiwan University, Taipei, Taiwan.
Feng-Yee ChangDivision of Infectious Diseases and Tropical Medicine, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Shan-Chwen Chang1College of Medicine, National Taiwan University, Taipei, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Sustainable systematic interventions are important for infection prevention and control (IPC). Data from surveillance of healthcare-associated infections (HAI) provides feedback for implementation of IPC programs. To address the paucity of such data in Asia, we searched for national HAI surveillance and IPC programs in this region. Methods: Data were analysed from open access national surveillance reports of three Asian countries: Taiwan, South Korea and Japan from 2008 to 2015. National IPC programs were identified. Results: There were differences among the countries in surveillance protocols, hospital coverage rates, and national IPC policies and programs. Nevertheless, there was a 53.0% reduction in overall HAI over the 8-year period. This consisted of a decrease from 9.34 to 5.03 infections per 1000 patient-days in Taiwan, from 7.56 to 2.76 in Korea, and from 4.41 to 2.74 in Japan (Poisson regression, all Conclusion: We found a significant decrease in HAI across the three countries in association with sequential multifaceted interventions such as hand hygiene, care bundles, and antimicrobial stewardships. Further regional collaboration could be forged to develop joint strategies to prevent HAI.

Indexed as

Intensive Care UnitsCross InfectionDrug Resistance, MicrobialHealth PolicyHumansIncidenceJapanPublic Health SurveillanceRepublic of KoreaTaiwanAntimicrobial resistanceHealthcare-associated infectionsInfection prevention and control programNational policyNational surveillance

Identifiers

PMID30455867
PMCPMC6223041

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.