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Published in: Systematic Reviews 1/2022

Open Access 01-12-2022 | Care | Protocol

Economic evaluation of healthcare-associated infection prevention and control in long-term care: a systematic review protocol

Authors: Eric Nguemeleu Tchouaket, Katya Kruglova, Idrissa Beogo, Drissa Sia, Stephanie Robins, Emilie Bélanger, Maripier Jubinville, Catherine Séguin, Kelley Kilpatrick, Sandra Boivin, Josiane Létourneau

Published in: Systematic Reviews | Issue 1/2022

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Abstract

Background

Given the high risk of contracting a healthcare-associated infection in long-term care facilities, infection prevention and control are essential for the quality of care and safety of residents and staff. To develop more effective infection prevention and control interventions in long-term care facilities, it is important to assess the cost-effectiveness and cost-benefit of existing interventions. There are only a few reviews on this subject, but these are not recent and most do not perform an economic evaluation. Moreover, none uses a discounting approach which limits inter-study comparison. To address these gaps, we will conduct a systematic review of economic evaluations related to healthcare-associated infection prevention and control in long-term care facilities using a discounting approach.

Methods

We will query MEDLINE, Embase, Web of Science, Cochrane, CINAHL, EconLit, JSTOR, and Scopus, as well as the gray literature databases CORDIS and ProQuest. We will include quantitative studies that evaluate four clinical best practices associated with infection prevention and control (hand hygiene, hygiene and sanitation, screening, basic, and additional precautions) and use at least one of five economic analyses (cost-effectiveness, cost-benefit, cost-minimization, cost-utility, cost-consequences). Primary outcomes will include net cost savings, incremental cost-effectiveness ratio, incremental cost per quality-adjusted life year, and incremental cost per disability-adjusted life year. Two co-authors will independently screen and select articles, extract data, and assess the quality of selected articles using the Scottish Intercollegiate Guidelines Network criteria, the Economic Evaluation criteria, and the Cochrane criteria for economic evaluation. Extracted data will be synthesized, and values will be adjusted to 2022 Canadian dollars using the discount rates of 3%, 5%, and 8%.

Discussion

Information obtained through this systematic review may help researchers and policy makers make more efficient use of limited healthcare resources to ensure the safety and quality of long-term care.

Systematic review registration

Research registry ID: reviewregistry1210.
Appendix
Available only for authorised users
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Metadata
Title
Economic evaluation of healthcare-associated infection prevention and control in long-term care: a systematic review protocol
Authors
Eric Nguemeleu Tchouaket
Katya Kruglova
Idrissa Beogo
Drissa Sia
Stephanie Robins
Emilie Bélanger
Maripier Jubinville
Catherine Séguin
Kelley Kilpatrick
Sandra Boivin
Josiane Létourneau
Publication date
01-12-2022
Publisher
BioMed Central
Keyword
Care
Published in
Systematic Reviews / Issue 1/2022
Electronic ISSN: 2046-4053
DOI
https://doi.org/10.1186/s13643-022-02128-7

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