Regular and well-organized inspection of infection control is an essential element of an infection control program. The aim of this study was to identify the functional scope of weekly infection control team rounding (ICTR) in an acute care hospital. We conducted weekly ICTR between January 18 and December 26, 2018 to improve the compliance to infection control and prevention measures at a 734-bed academic hospital in the Republic of Korea and analyzed the results retrospectively. We categorized the results into five groups: “well maintained,” “improvement needed,” “long-term support, such as space or manpower, needed,” “not applicable,” or “could not be observed”. A total of nine categories and 85 sub-elements of infection control and prevention practices were evaluated. The median number of infection control team (ICT) visits per department was 7 (interquartile range [IQR]: 6–7). The ICT assessed a median of 16 elements (IQR: 12–22), and a total of 7452 results were obtained. Of those, 75% were monitored properly, 22% were “not applicable”, and 4% were difficult to observe. The most common practices that were difficult to observe were strategies to prevent catheter-related surgical site infections, pneumonia, and occupationally acquired infections as well as injection safety practices. Although the ICTR was able to maintain regular visits to each department, further strategies beyond regular ICTR are needed to reduce category of “could not observed”. This pilot study may provide an important reference for institutional infection prevention practices as it is the first study to investigate the functional coverage of ICTR.

中文翻译：

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每周在急性护理教学医院进行的感染控制小组巡视的范围：一项试点研究。

定期且组织良好的感染控制检查是感染控制程序的基本要素。本研究的目的是确定急诊医院每周感染控制小组巡视（ICTR）的功能范围。我们于2018年1月18日至12月26日进行了每周一次的ICTR，以提高在大韩民国拥有734个床位的学术医院中感染控制和预防措施的依从性，并对结果进行回顾性分析。我们将结果分为五类：“维护良好”，“需要改进”，“需要长期支持，例如空间或人力”，“不适用”或“无法遵守”。总共对感染控制和预防措施的9个类别和85个子要素进行了评估。每个部门的感染控制小组（ICT）访问的中位数为7（四分位间距[IQR]：6-7）。ICT评估了16个元素的中位数（IQR：12-22），总共获得了7452个结果。其中，有75％受到了适当监控，有22％“不适用”，有4％难以观察。难以观察到的最常见做法是预防与导管相关的手术部位感染，肺炎和职业性感染的策略以及注射安全措施。尽管卢旺达问题国际法庭能够维持对每个部门的定期访问，但仍需要常规卢旺达问题国际法庭以外的其他战略来减少“无法遵守”的类别。