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Table 1 NHCPRC areas and elements of infection prevention and control identified by 27 survey reports – Systematic review on implementation of infection prevention and control in acute care hospitals in Mainland China, 2012–2017

From: Implementation of infection prevention and control in acute care hospitals in Mainland China – a systematic review

NHCPRC areas

Elements

Primary care hospitals

Secondary/tertiary care hospitals

P value

Reports (N)

Hospitals (N)

Yesa

N; % (95% CI)

Reports (N)

Hospitals (N)

Yesa

N; % (95% CI)

Structure & organisation

Guideline provision

7

397

229; 57.7 (52.7–62.6)

6

492

422; 85.8 (82.4–88.7)

< 0.001

Interdisciplinary IPC committee

6

360

256; 71.1 (66.1–75.7)

10

882

865; 98.1 (96.9–98.9)

< 0.001

Formal IPC programme

5

302

187; 61.9 (56.2–67.4)

12

893

761; 85.2 (82.7–87.5)

< 0.001

Feedback of IPC indicators

3

312

292; 93.6 (90.3–96.0)

Allocated IPC funding/budget

3

282

86; 30.5 (25.2–36.2)

IPC research

5

464

126; 27.2 (23.2–31.4)

Education & training

Postgraduate IPC training

8

379

203; 53.6 (48.4–58.7)

8

374

283; 75.7 (71.0–79.9)

< 0.001

Surveillance & Audit

Point prevalence survey of HAI

3

233

92; 39.5 (33.2–46.1)

3

201

135; 67.2 (60.2–73.6)

< 0.001

Incidence surveillance of SSI

2

188

73; 38.8 (31.8–46.2)

5

406

292; 71.9 (67.3–76.2)

< 0.001

Incidence surveillance in ICU

2

188

50; 26.6 (20.4–33.5)

5

406

157; 38.7 (33.9–43.6)

0.004

Incidence surveillance in NICU

4

373

100; 26.8 (22.4–31.6)

Surveillance of AMR

4

277

83; 30.0 (24.6–35.7)

7

459

295; 64.3 (59.7–68.7)

< 0.001

Surveillance of antimicrobial use

4

231

129; 55.8 (49.2–62.4)

3

182

114; 62.6 (55.2–69.7)

0.164

Standard and isolation precaution measures

5

201

81; 40.3 (33.5–47.4)

2

39

12; 30.8 (17.0–47.6)

0.264

Waste management

9

423

266; 62.9 (58.1–67.5)

3

59

34; 57.6 (44.1–70.4)

0.435

Sterilization and decontamination

7

372

217; 58.3 (53.1–63.4)

2

38

21; 55.3 (38.3–71.4)

0.715

Environmental culturing

6

357

204; 57.1 (51.8–62.3)

3

201

186; 92.5 (88.0–95.8)

< 0.001

 

Total

10b

466

 

19b

1168

  
  1. aNumber of hospitals reporting on having established the element
  2. bTwo studies reported on both primary- and secondary/tertiary care hospitals
  3. 95% CI: 95% confidence interval; AMR antimicrobial resistance, IPC infection prevention and control, ICU intensive care unit, NHCPRC National Health Commission of the People’s Republic of China, NICU neonatal intensive care unit, SSI surgical site infection