Evidence map›Paper›PMID 39304235›Full record

ArticleThe Lancet. Global health2024

Evaluating national infection prevention and control minimum requirements: evidence from global cross-sectional surveys, 2017-22.

Ermira Tartari, Sara Tomczyk, Anthony Twyman, Ana Paula Coutinho Rehse, Mohamed Gomaa, Maha Talaat, Aparna Singh Shah, Howard Sobel, Joao Paulo Toledo, Benedetta Allegranzi

Abstract read
In one paragraph

Article in The Lancet. Global health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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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

10 authors.

Ermira TartariInfection Prevention and Control Hub and Task Force, Department of Integrated Health Services, WHO, Geneva, Switzerland; Faculty of Health Sciences, University of Malta, Msida, Malta.
Sara TomczykDepartment for Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany.
Anthony TwymanInfection Prevention and Control Hub and Task Force, Department of Integrated Health Services, WHO, Geneva, Switzerland.
Ana Paula Coutinho RehseInfectious Hazard Management Programme, Health Emergencies Programme, WHO Regional Office for Europe, Copenhagen, Denmark.
Mohamed GomaaWHO Regional Office for the Eastern Mediterranean, Cairo, Egypt.
Maha TalaatWHO Regional Office for the Eastern Mediterranean, Cairo, Egypt.
Aparna Singh ShahHealth Surveillance, Disease Prevention and Control, WHO Regional Office for South-East Asia, New Delhi, India.
Howard SobelMinistry of Health, WHO, Honiara, Solomon Islands.
Joao Paulo ToledoInfection Prevention and Control Hub and Task Force, Department of Integrated Health Services, WHO, Geneva, Switzerland; High Impact Epidemics, WHO Health Emergencies Programme, WHO, Geneva, Switzerland.
Benedetta AllegranziInfection Prevention and Control Hub and Task Force, Department of Integrated Health Services, WHO, Geneva, Switzerland. Electronic address: allegranzib@who.int.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundWHO infection prevention and control (IPC) minimum requirements provide standards to reduce the risk of infection during health-care delivery. We aimed to investigate the global implementation of these requirements at national levels and the progress of doing so across 2021-22 compared with 2017-18 to identify future directions for interventions.

methodsNational IPC focal points were invited to complete an online survey measuring IPC minimum requirements from July 19, 2021, to Jan 31, 2022. The primary outcome was the proportion of countries meeting IPC minimum requirements. Country characteristics associated with this outcome were assessed with beta regression. Subset analyses were conducted to compare the 2021-22 indicators with a WHO IPC survey conducted in 2017-18 and to assess the correlation of the proportion of IPC minimum requirements met with the results of other WHO metrics.

findings106 countries (ie, 13 low income, 27 lower-middle income, 33 upper-middle income, and 33 high income) participated in the survey (56% response rate). Four (4%) of 106 met all IPC minimum requirements. The highest scoring IPC core component was multimodal improvement strategies and the lowest was IPC education and training. The odds of meeting IPC minimum requirements was higher among high-income countries compared with low-income countries (adjusted odds ratio 2·7, 95% CI 1·3-5·8; p=0·020). Compared with the 2017-18 survey, there was a significant increase in the proportion of countries reporting an active national IPC programme (65% to 82%, p=0·037) and a dedicated budget (26% to 44%, p=0·037). Evaluation of the IPC minimum requirements compared with other survey instruments revealed a low positive correlation.

interpretationTo build resilient health systems capable of withstanding future health threats, urgently scaling up adherence to WHO IPC minimum requirements is essential.

fundingWHO. TRANSLATIONS: For the French and Spanish translations of the abstract see Supplementary Materials section.

Indexed as

Global HealthInfection ControlWorld Health OrganizationCross-Sectional StudiesHumansSurveys and Questionnaires

Identifiers

PMID39304235
PMCPMC11420467

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.