Implementation of evidence-based strategies for surgical site infections around the globe and their effects
10.11816/cn.ni.2025-251015
- VernacularTitle:全球基于循证的手术部位感染实施策略及其效果评估现况
- Author:
Jinqi WANG
1
;
Bowen HUANG
;
Qian WANG
;
Lulu WANG
;
Lu ZHAO
;
Xi YAO
Author Information
1. 华中科技大学同济医学院附属武汉中心医院医院感染管理办公室,湖北武汉 430030
- Publication Type:Journal Article
- Keywords:
Surgical site infection;
Infection prevention and control;
Implementation science;
Implementation strategy;
Evidence-based practice;
Multimodal strategy;
Scoping review
- From:
Chinese Journal of Nosocomiology
2025;35(20):3054-3062
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To evaluate the application effect of implementation strategies in the prevention and control of sur-gical site infection(SSI),and to review its research progress.METHODS A scoping review method was employed,invol-ving systematic searches across databases such as Web of Science,PubMed,Cochrane,CNKI and Wanfang.After screening based on the inclusion and exclusion criteria,the included literature was analyzed and reported in a standard-ized manner.RESULTS A total of 47 articles were included.Most studies adopted comprehensive evidence-based practices(EBP)(≥2 types)and employed multimodal implementation strategies(≥3 items)to facilitate the implementation of SSI prevention and control EBP.Within the framework of the WHO multimodal strategy,42,39,39 and 24 studies re-spectively applied the four implementation strategies of system change,education and training,monitoring and feedback and reminder and communication,while only 9 studies applied the strategy of creating a safety culture.The highest pro-portion of studies(31.91％,15/47)employed a combination of four implementation strategies,with the common combi-nation being"system change+education and training+monitoring and feedback+reminder and communication"(29.79％,14/47),and this combination of four implementation strategies demonstrated outstanding performance in en-hancing EBP compliance.Totally 26(55.32％)showed decrease in the incidence of SSI after intervention(P＜0.05).CONCLUSIONS Implementation strategies are crucial for the successful implementation of SSI prevention and con-trol EBP.Multimodal implementation strategies are common approaches to facilitate the implementation of EBP.In the future,it is necessary to further standardize the application of scientific methods and improve the effect evaluation of im-plementation strategies,providing a reference for the sustained and widespread application of EBP in clinical practice.
