中国医院感染暴发事件文献质量评价

Assessment on quality of literatures about healthcare-associated infection outbreaks in China

目的评价近10年中国医院感染暴发事件文献的质量,以期规范研究过程和报告方法。方法系统检索万方、维普、中国知网等数据库,检索2007年1月1日—2017年12月31日发表的医院感染暴发事件报告和干预研究,由2位研究者按纳入与排除标准独立筛选文献、交叉核对提取资料后,应用医院感染暴发报告和干预研究的透明报告规范(ORION规范)评价报告质量。结果共纳入166篇医院感染暴发事件报告文献,ORION平均得分为5.34分。发表研究最多的省份为广东(19篇)、江苏(19篇)和湖北(18篇)。发表单篇研究质量较高的3个省份为广东(17.0分)、陕西(13.5分)与江苏(12.0分)。研究质量评价显示存在未详细介绍研究背景(80.72%),未说明研究目的(87.95%),未开展医院感染暴发相关经济学研究(100%)等问题。结论近10年中国医院感染暴发事件报告欠规范,其质量存在较大提升空间。

Objective To assess the quality of literatures about healthcare -associated infection (HAI)outbreaks in China in recent 10 years,so as to standardize the research process and reporting methods. Methods HAI outbreak and intervention literature reports published from January 1,2007 to December 31,2017 were searched systematically from Wan Fang Database,China National Knowledge Infrastructure (CNKI),two researchers independently screened literatures according to inclusion and exclusion criteria,data were cross-checked and extracted,quality of literature reports was evaluated according to on-line retrieval of information over a network (ORION) statement guidelines. Results A total of 166 literature reports on HAI outbreaks were included in study,with an average ORION score of 5.34. The top three provinces that published the most research were Guangdong (19 studies),Jiangsu (19 studies) and Hubei (18 studies). The top three provinces with higher quality of published study were Guangdong (17.0 points),Shaanxi (13.5 points) and Jiangsu (12.0 points). The main methodological flaws involved: the background of the study was not described in detail(80.72%),the purpose of study were not explained(87.95%),HAI outbreak-related economics research was not carried out (100%) and so on. Conclusion In the past 10 years,literature reports on HAI outbreaks in China are not standardized,and there is much room for quality improvement .