PDF(Pubmed)
Abstract：
Remarkable progress has been made in infection prevention and control (IPC) in many countries, but some gaps emerged in the context of the coronavirus disease 2019 (COVID-19) pandemic. Core capabilities such as standard clinical precautions and tracing the source of infection were the focus of IPC in medical institutions during the pandemic. Therefore, the core competences of IPC professionals during the pandemic, and how these contributed to successful prevention and control of the epidemic, should be studied. To investigate, using a systematic review and cluster analysis, fundamental improvements in the competences of infection control and prevention professionals that may be emphasized in light of the COVID-19 pandemic. We searched the PubMed, Embase, Cochrane Library, Web of Science, CNKI, WanFang Data, and CBM databases for original articles exploring core competencies of IPC professionals during the COVID-19 pandemic (from January 1, 2020 to February 7, 2023). Weiciyun software was used for data extraction and the Donohue formula was followed to distinguish high-frequency technical terms. Cluster analysis was performed using the within-group linkage method and squared Euclidean distance as the metric to determine the priority competencies for development. We identified 46 studies with 29 high-frequency technical terms. The most common term was \"infection prevention and control training\" (184 times, 17.3%), followed by \"hand hygiene\" (172 times, 16.2%). \"Infection prevention and control in clinical practice\" was the most-reported core competency (367 times, 34.5%), followed by \"microbiology and surveillance\" (292 times, 27.5%). Cluster analysis showed two key areas of competence: Category 1 (program management and leadership, patient safety and occupational health, education and microbiology and surveillance) and Category 2 (IPC in clinical practice). During the COVID-19 pandemic, IPC program management and leadership, microbiology and surveillance, education, patient safety, and occupational health were the most important focus of development and should be given due consideration by IPC professionals.
摘要：
许多国家在感染预防和控制(IPC)方面取得了显著进展，但在2019年冠状病毒病(COVID-19)大流行的背景下出现了一些差距。标准临床预防措施和追踪感染源等核心能力是大流行期间医疗机构IPC的重点。因此,IPC专业人员在大流行期间的核心能力，以及这些如何有助于成功预防和控制流行病，应该研究。为了调查，使用系统回顾和聚类分析，鉴于COVID-19大流行，感染控制和预防专业人员能力的根本改善可能会得到强调。我们搜查了PubMed,Embase,科克伦图书馆,WebofScience,CNKI,万方数据,和CBM数据库，用于探索COVID-19大流行期间(2020年1月1日至2023年2月7日)IPC专业人员核心能力的原始文章。使用Weiciyun软件进行数据提取，并遵循Donohue公式来区分高频技术术语。使用组内链接方法和欧氏距离平方作为度量进行聚类分析，以确定开发的优先能力。我们确定了46项研究，使用29个高频技术术语。最常见的术语是“感染预防和控制培训”(184次，17.3%），其次是“手部卫生”(172次，16.2%）。“临床实践中的感染预防和控制”是报告最多的核心能力(367次，34.5%），其次是“微生物学和监测”(292次，27.5%）。聚类分析显示了两个关键的能力领域：类别1(项目管理和领导力，患者安全和职业健康，教育和微生物学和监测）和第2类（临床实践中的IPC）。在COVID-19大流行期间，IPC计划管理和领导，微生物学和监测，教育,患者安全,职业健康是最重要的发展重点，IPC专业人员应予以适当考虑。
