Surveillance systems for healthcare-associated infection in high and upper-middle income countries: A scoping review.

Abstract

BACKGROUND:

Healthcare-associated infection (HAI) surveillance is useful for improved infection control. To understand the current HAI surveillance systems (HAISS) trend globally, a scoping review was performed.

MATERIALS AND METHODS:

The search strategy included academic literature review, Google search, and questionnaires by the Embassies of Japan (registration number: UMIN000036035). Eighty-two high and 56 upper-middle income countries defined by country income classification for the World Bank were targeted. The following information was reviewed: name of the system, official website, languages used in the official website, foundation year, operating body, survey type (prevalence or incidence), reporting periodicity, mode of participation (mandatory or voluntary), targeted medical facilities, targeted HAIs and definitions, targeted antimicrobial resistant pathogens, and parameters. Online accessibility of the official websites of the SS was assessed through Google search.

RESULTS AND CONCLUSION:

Forty-two (30.4%) countries (35 [42.7%] high and 7 [12.5%] upper-middle income countries) had national HAISS. Most systems operated on a voluntary basis, monitored HAI incidence, and used the Center for Disease Control and Prevention definitions. Methicillin-resistant Staphylococcus aureus, surgical site infection, and catheter-related blood stream infection were most commonly monitored. Surveillance for device-associated infections was implemented mainly in intensive care units. Thirty-five countries had at least one official website on their systems, while 7 (20.0%) were identified in the top 30 Google search hits, in English. Approximately half of the academic articles identified through PubMed were from three English-speaking countries. The feasibility and benefits of standardization of the HAI surveillance criteria and efficient feedback methods are future considerations.

• Authors: Saho Takaya, Kayoko Hayakawa, Nobuaki Matsunaga, Yuki Moriyama, Yuichi Katanami, Taichi Tajima, Chika Tanaka, Yuki Kimura, Sho Saito, Yoshiki Kusama, Shinichiro Morioka, Yumiko Fujitomo, Norio Ohmagari
• Journal: Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy (J Infect Chemother) Vol. 26 Issue 5 Pg. 429-437 (May 2020) ISSN: 1437-7780 [Electronic] Netherlands
• PMID: 32081645 (Publication Type: Journal Article, Systematic Review)
• Copyright: Copyright © 2020 Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

Topics

• Catheter-Related Infections (epidemiology)
• Cross Infection (epidemiology)
• Epidemiological Monitoring
• Humans
• Income (statistics & numerical data)
• Infection Control (statistics & numerical data)
• Intensive Care Units
• Methicillin-Resistant Staphylococcus aureus
• Staphylococcal Infections (epidemiology)
• Surgical Wound Infection (epidemiology)
• Surveys and Questionnaires