Key and core components of effective infection prevention and control programmes (IPCPs) issued by the European Centre for Disease Prevention and Control (ECDC) and the World Health Organization (WHO) have been described. WHO core component 1 relates to the structure, organization and management of IPCPs. The objective of this study was to assess the status and the time trends of some indicators of core component 1 of IPCPs in acute hospitals in Spain throughout the period 2012–2022. Hospital-level data from the Spanish point prevalence survey for years 2012–2022 were analysed. Core component 1 indicators were calculated and tested for association to healthcare-associated infections (HAIs). In addition, trends were also examined. Overall, 67.0% and 57.2% of Spanish hospitals reported having an annual infection prevention and control (IPC) plan and an annual IPC report that was approved by the hospital managing director, respectively. The global median number of full-time equivalent (FTE) IPC nurses per 250 beds for the period was 0.87 and the global median number of FTE IPC doctors was 0.70. The rates of blood cultures and stool tests for were 39.9 and 6.1 per 1000 patient-days, respectively. No significant correlation was found between core component 1 indicators and HAI prevalence. Spain is currently at a basic level on the structure, organization and management of IPCPs. Profound differences were found between hospitals depending on size and type.

中文翻译：

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欧洲疾病预防控制中心和世界卫生组织2012-2022年西班牙感染预防和控制规划评估：核心部分1的指标

欧洲疾病预防和控制中心 (ECDC) 和世界卫生组织 (WHO) 发布的有效感染预防和控制计划 (IPCP) 的关键和核心组成部分已得到描述。世卫组织核心部分 1 涉及 IPCP 的结构、组织和管理。本研究的目的是评估 2012 年至 2022 年期间西班牙急症医院 IPCP 核心部分 1 的一些指标的状况和时间趋势。对 2012-2022 年西班牙点患病率调查的医院层面数据进行了分析。计算并测试了核心组成部分 1 指标与医疗保健相关感染 (HAI) 的关联。此外，还研究了趋势。总体而言，67.0% 和 57.2% 的西班牙医院分别报告有年度感染预防和控制 (IPC) 计划和经医院总经理批准的年度 IPC 报告。同期每 250 个床位的全球全职等效 (FTE) IPC 护士人数中位数为 0.87 人，全球 FTE IPC 医生人数中位数为 0.70 人。血培养和粪便检测的比率分别为每 1000 个患者日 39.9 次和 6.1 次。核心成分 1 指标与 HAI 患病率之间未发现显着相关性。西班牙目前在IPCP的结构、组织和管理方面处于基础水平。根据规模和类型的不同，医院之间存在显着差异。