美国医疗机构感染防控的实施性研究方法指南解读

Interpretation of practice recommendation:Implementing Strategies to Prevent Infections in Acute-care Settings of the United States

该文通过解读美国医疗保健流行病学学会、美国感染病学会、美国感染控制与流行病学协会联合发布的医院感染预防与控制实施性研究的指南,介绍了实施性研究的概念、实施策略、实施的决定因素、实施的评价方法,以及实施性研究在医院感染防控领域常用的理论、模型与框架,旨在引导读者思考医院感染防控实施的科学问题,找到适合特定环境和情况的资源,促进医院感染防控领域循证指南在医疗机构中的落实。该指南希望通过促进和指导医院感染防控领域实施性研究的开展,达到降低医院感染发生的目标。

This article provides a thorough interpretation of the recommendations for implementation research in healthcare-associated infection(HAI)prevention and control,jointly issued by the Society for Healthcare Epidemiology of America,the Infectious Diseases Society of America,and the Association of Professionals in Infection Control and Epidemiology.The recommendations elaborate on the concepts,strategies,determinants,and evaluation methods of implementation research,as well as the commonly used theories,models,and frameworks(TMF)in the field of HAI prevention and control.By expounding on these TMF,this article aims to guide readers in deeply considering the scientific issues related to the implementation of hospital infection prevention and control,and to provide guidance on selecting and applying appropriate resources in specific environments and situations.The release of these recommendations aims to promote the implementation of evidence-based guidelines in medical institutions and ultimately achieve the goal of reducing the incidence of hospital infections by promoting and guiding the conduct of implementation research in the field of HAI prevention and control.