Evidence map›Paper›PMID 41742284›Full record

ArticleAntimicrobial resistance and infection control2026

Feasibility of the WHO Infection Prevention and Control Assessment Framework in long-term care facilities: a pilot study in the Netherlands.

K Halonen, A Haenen, M Smalbrugge, L W van Buul, R C Wang, C Schneeberger, D W Notermans, S E Geerlings, S C de Greeff

Abstract read
In one paragraph

Article in Antimicrobial resistance and infection control, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

9 authors.

K HalonenNational Institute for Public Health and the Environment, Bilthoven, The Netherlands. kati.halonen@rivm.nl.
A HaenenNational Institute for Public Health and the Environment, Bilthoven, The Netherlands.
M SmalbruggeDepartment of Medicine for Older People, Amsterdam UMC, VUmc, Amsterdam, The Netherlands.
L W van BuulDepartment of Medicine for Older People, Amsterdam UMC, VUmc, Amsterdam, The Netherlands.
R C WangDepartment of Medicine for Older People, Amsterdam UMC, VUmc, Amsterdam, The Netherlands.
C SchneebergerDepartment of Medicine for Older People, Amsterdam UMC, VUmc, Amsterdam, The Netherlands.
D W NotermansNational Institute for Public Health and the Environment, Bilthoven, The Netherlands.
S E GeerlingsDepartment of Infectious Disease, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
S C de GreeffNational Institute for Public Health and the Environment, Bilthoven, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe World Health Organization's Infection Prevention and Control Assessment Framework (IPCAF) is widely used to evaluate infection prevention and control (IPC) quality in hospitals, but IPC standards in long-term care facilities (LTCFs) are less studied and standardized. The IPCAF has not previously been used in LTCFs. This study aimed to pilot an adapted version of the IPCAF in Dutch LTCFs to assess its usability, perceived feasibility and acceptability in this context.

methodsFirst, the IPCAF was translated and adapted to the Dutch LTCF context through expert consultation for relevance. In this pilot, the adapted IPCAF was then completed during face-to-face interviews together with a multidisciplinary team in fourteen healthcare groups between May and September 2024. Second, LTCF characteristics were collected in advance through a separate questionnaire on LTCF level. Finally, after receiving feedback reports, LTCFs completed a separate web-based survey about their experiences with the process. Data were summarized descriptively and group differences were tested using the Kruskal-Wallis test.

resultsMost participants found the adapted IPCAF clear and informative, appreciating its ability to highlight areas needing attention and identify priorities for improvement. About a quarter of LTCFs expressed willingness to use the adapted IPCAF in the future, while over half were hesitant. IPC standards were generally high, with the highest scores for 'Workload, staffing and bed occupancy' and 'Environments, materials and equipment for IPC'. The lowest scores were for 'HAI surveillance' and 'IPC education', with only five LTCFs including HAI surveillance in their IPC programs.

conclusionsThis is the first study to adapt the WHO IPCAF as a tool for measuring IPC in LTCFs and to evaluate its usability, perceived feasibility, and acceptability in this context. The adapted IPCAF can be implemented in LTCFs and may help identify IPC priorities and areas for improvement. However, greater familiarity and support may be needed to enable wider adoption. While IPC standards were relatively high in the LTCFs included in this pilot, ongoing attention to surveillance and education remains essential. Further research may be needed to validate our findings in larger and more diverse LTCF populations and to explore its impact on IPC outcomes.

Indexed as

Cross InfectionInfection ControlLong-Term CareFeasibility StudiesHumansNetherlandsNursing HomesPilot ProjectsSurveys and QuestionnairesWorld Health OrganizationInfection prevention controlIPCIPCAFLong-term care facilitiesPilotQuestionnaireWHO

Identifiers

PMID41742284
PMCPMC13041286

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LicenceCC BY-NC-ND
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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.