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Overcoming the obstacles of implementing infection prevention and control guidelines
Umeå University, Faculty of Medicine, Molecular Infection Medicine Sweden (MIMS).
2015 (English)In: Clinical Microbiology and Infection, ISSN 1198-743X, E-ISSN 1469-0691, Vol. 21, no 12, 1067-1071 p.Article, review/survey (Refereed) PublishedText
Abstract [en]

Reasons for a successful or unsuccessful implementation of infection prevention and control (IPC) guidelines are often multiple and interconnected. This article reviews key elements from the national to the individual level that contribute to the success of the implementation of IPC measures and gives perspectives for improvement. Governance approaches, modes of communication and formats of guidelines are discussed with a view to improve collaboration and transparency among actors. The culture of IPC influences practices and varies according to countries, specialties and healthcare providers. We describe important contextual aspects, such as relationships between actors and resources and behavioural features including professional background or experience. Behaviour change techniques providing goal-setting, feedback and action planning have proved effective in mobilizing participants and may be key to trigger social movements of implementation. The leadership of international societies in coordinating actions at international, national and institutional levels using multidisciplinary approaches and fostering collaboration among clinical microbiology, infectious diseases and IPC will be essential for success. Clinical Microbiology and Infection (C) 2015 European Society of Clinical Microbiology and Infectious Diseases. 

Place, publisher, year, edition, pages
2015. Vol. 21, no 12, 1067-1071 p.
Keyword [en]
Carbapenem-resistant Acinetobacter baumannii, carbapenemase-producing Enterobacteriaceae, ycopeptide-resistant enterococci, guidelines, implementation, infection control, methicillin-resistant aphylococcus aureus, strict contact precautions
National Category
Microbiology in the medical area
URN: urn:nbn:se:umu:diva-114027ISI: 000366585900008PubMedID: 26369604OAI: diva2:892800
Available from: 2016-01-11 Created: 2016-01-11 Last updated: 2016-01-11Bibliographically approved

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