epic3: national evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England.
epic3: national evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England.
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DOI：
10.1016/s0195-6701(13)60012-2
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发表时间：
2014-01
期刊：
影响因子：
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通讯作者：
UK Department of Health
中科院分区：
文献类型：
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作者：
Loveday HP;Wilson JA;Pratt RJ;Golsorkhi M;Tingle A;Bak A;Browne J;Prieto J;Wilcox M;UK Department of Health
英国国家卫生服务(NHS)医院预防医疗保健相关感染的国家循证指南(HCAI)最初是由卫生部委托制定的，并于1998-2000年间由护士领导的多专业研究人员和专业临床医生团队开发。经广泛征询意见后，于2001年1月首次出版，并于2007年更新。循证指南的一个基本特点是，及时对其进行审查，以便识别、评估新的研究证据和技术进步，如果证明对预防人脑出血有效，则将其纳入修订的指南。定期更新证据库和准则建议对于维护其有效性和权威性至关重要。卫生署委托顾问检讨新证据，并已更新证据基础，以便提出预防和控制感染的建议。对最新证据的批判性评估表明，2007年公布的epic2准则仍然有力、相关和适当，但一些准则建议需要调整以提高清晰度，还需要提出一些新的建议。这些都已在文本中明确确定。此外，还更新了支持准则建议的证据提要。这些指南(Epic3)根据目前可用的最佳证据，为在医院和其他急性护理环境中预防人感染感染提供了全面的建议。国家循证指南是最佳实践的广泛原则，需要整合到当地实践指南中并进行审计，以减少实践中的差异并维护患者安全。临床有效的感染预防和控制实践是患者保护的一个基本特征。通过将这些指南纳入日常临床实践，可以增强患者的安全，并可以将患者在英格兰NHS医院的卫生保健期间感染的风险降至最低。
National evidence-based guidelines for preventing healthcare-associated infections (HCAI) in National Health Service (NHS) hospitals in England were originally commissioned by the Department of Health and developed during 1998–2000 by a nurse-led multi-professional team of researchers and specialist clinicians. Following extensive consultation, they were first published in January 2001 and updated in 2007. A cardinal feature of evidence-based guidelines is that they are subject to timely review in order that new research evidence and technological advances can be identified, appraised and, if shown to be effective for the prevention of HCAI, incorporated into amended guidelines. Periodically updating the evidence base and guideline recommendations is essential in order to maintain their validity and authority. The Department of Health commissioned a review of new evidence and we have updated the evidence base for making infection prevention and control recommendations. A critical assessment of the updated evidence indicated that the epic2 guidelines published in 2007 remain robust, relevant and appropriate, but some guideline recommendations required adjustments to enhance clarity and a number of new recommendations were required. These have been clearly identified in the text. In addition, the synopses of evidence underpinning the guideline recommendations have been updated. These guidelines (epic3) provide comprehensive recommendations for preventing HCAI in hospital and other acute care settings based on the best currently available evidence. National evidence-based guidelines are broad principles of best practice that need to be integrated into local practice guidelines and audited to reduce variation in practice and maintain patient safety. Clinically effective infection prevention and control practice is an essential feature of patient protection. By incorporating these guidelines into routine daily clinical practice, patient safety can be enhanced and the risk of patients acquiring an infection during episodes of health care in NHS hospitals in England can be minimised.