{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T21:34:07Z","timestamp":1778621647530,"version":"3.51.4"},"reference-count":18,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2024,1,25]],"date-time":"2024-01-25T00:00:00Z","timestamp":1706140800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0899823X23002878_as1\"><jats:title>Background:<\/jats:title><jats:p>Tuberculosis (TB) infection prevention and control (IPC) in healthcare facilities is key to reducing transmission risk. A framework for systematically improving TB IPC through training and mentorship was implemented in 9 healthcare facilities in China from 2017 to 2019.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X23002878_as2\"><jats:title>Methods:<\/jats:title><jats:p>Facilities conducted standardized TB IPC assessments at baseline and quarterly thereafter for 18 months. Facility-based performance was assessed using quantifiable indicators for IPC core components and administrative, environmental, and respiratory protection controls, and as a composite of all control types We calculated the percentage changes in scores over time and differences by IPC control type and facility characteristics.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X23002878_as3\"><jats:title>Results:<\/jats:title><jats:p>Scores for IPC core components increased by 72% during follow-up when averaged across facilities. The percentage changes for administrative, environmental, and respiratory protection controls were 39%, 46%, and 30%, respectively. Composite scores were 45% higher after the intervention. Overall, scores increased most during the first 6 months. There was no association between IPC implementation and provincial economic development or volume of TB services.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X23002878_as4\"><jats:title>Conclusions:<\/jats:title><jats:p>TB IPC policies and practices showed most improvement early during implementation and did not differ consistently by facility characteristics. The training component of the project helped increase the capacity of healthcare professionals to manage TB transmission risks. Lessons learned here will inform national TB IPC guidance.<\/jats:p><\/jats:sec>","DOI":"10.1017\/ice.2023.287","type":"journal-article","created":{"date-parts":[[2024,1,25]],"date-time":"2024-01-25T08:31:08Z","timestamp":1706171468000},"page":"651-657","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":5,"title":["Implementing a continuous quality-improvement framework for tuberculosis infection prevention and control in healthcare facilities in China, 2017\u20132019"],"prefix":"10.1017","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1819-5347","authenticated-orcid":false,"given":"Canyou","family":"Zhang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1526-6277","authenticated-orcid":false,"given":"Stephanie","family":"O\u2019Connor","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7962-9017","authenticated-orcid":false,"given":"Sarah E.","family":"Smith-Jeffcoat","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9091-9122","authenticated-orcid":false,"given":"Diana Forno","family":"Rodriguez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hui","family":"Guo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ling","family":"Hao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hui","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yanbo","family":"Sun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yan","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8159-5664","authenticated-orcid":false,"given":"Jiying","family":"Xu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0821-5682","authenticated-orcid":false,"given":"Liang","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lan","family":"Xia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xing","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8860-0195","authenticated-orcid":false,"given":"Anand","family":"Date","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9469-4134","authenticated-orcid":false,"given":"Jun","family":"Cheng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2024,1,25]]},"reference":[{"key":"S0899823X23002878_ref5","doi-asserted-by":"crossref","first-page":"1485","DOI":"10.5588\/ijtld.12.0193","article-title":"Risk factors associated with tuberculosis infection among healthcare workers in Inner Mongolia, China","volume":"16","author":"He","year":"2012","journal-title":"Int J Tuberc Lung Dis"},{"key":"S0899823X23002878_ref10","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.ijid.2018.11.010","article-title":"Prevalence and determinants of latent tuberculosis infection among frontline tuberculosis healthcare workers in southeastern China: a multilevel analysis by individuals and health facilities","volume":"79","author":"Chen","year":"2019","journal-title":"Int J Infect Dis"},{"key":"S0899823X23002878_ref3"},{"key":"S0899823X23002878_ref13","unstructured":"13. Moshe, Y , Garekwe, M , Jibril, HB , et al. A continuous quality improvement approach to implementing TB infection control in Botswana. 44th Union World Conference on Lung Health; November 2013; Paris, France."},{"key":"S0899823X23002878_ref7","doi-asserted-by":"crossref","first-page":"e104673","DOI":"10.1371\/journal.pone.0104673","article-title":"Latent tuberculosis infection and occupational protection among health care workers in two types of public hospitals in China","volume":"9","author":"Zhou","year":"2014","journal-title":"PLoS One"},{"key":"S0899823X23002878_ref16","volume-title":"WHO Policy on TB Infection Control in Healthcare Facilities, Congregate Settings and Households","year":"2009"},{"key":"S0899823X23002878_ref1","volume-title":"WHO Guidelines on Tuberculosis Infection Prevention and Control, 2019 Update","year":"2019"},{"key":"S0899823X23002878_ref12","first-page":"1","article-title":"Guidelines for preventing the transmission of Mycobacterium tuberculosis in healthcare settings, 2005","volume":"54","author":"Jensen","year":"2005","journal-title":"MMWR Recomm Rep"},{"key":"S0899823X23002878_ref15","volume-title":"China Health Statistical Yearbook 2021","year":"2021"},{"key":"S0899823X23002878_ref18","doi-asserted-by":"crossref","first-page":"666","DOI":"10.46234\/ccdcw2020.183","article-title":"Tuberculosis infection control project management experience and its application in COVID-19 response","volume":"2","author":"Sun","year":"2020","journal-title":"China CDC Wkly"},{"key":"S0899823X23002878_ref4","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1186\/1471-2334-10-313","article-title":"Infection control and the burden of tuberculosis infection and disease in healthcare workers in China: a cross-sectional study","volume":"10","author":"He","year":"2010","journal-title":"BMC Infect Dis"},{"key":"S0899823X23002878_ref6","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1016\/j.jhin.2013.04.015","article-title":"Prevalence of latent tuberculosis infection among healthcare workers in China as detected by two interferon-gamma release assays","volume":"84","author":"Wei","year":"2013","journal-title":"J Hosp Infect"},{"key":"S0899823X23002878_ref14","doi-asserted-by":"crossref","first-page":"941","DOI":"10.5588\/ijtld.15.0892","article-title":"Evaluation of a TB infection control implementation initiative in out-patient HIV clinics in Zambia and Botswana","volume":"20","author":"Emerson","year":"2016","journal-title":"Int J Tuberc Lung Dis"},{"key":"S0899823X23002878_ref2","unstructured":"2. Global Tuberculosis Report, 2023. World Health Organization website. https:\/\/www.who.int\/teams\/global-tuberculosis-programme\/tb-reports\/global-tuberculosis-report-2023. Accessed January 5, 2024."},{"key":"S0899823X23002878_ref17","volume-title":"China\u2019s Guidelines on Tuberculosis Infection Prevention and Control","author":"Cheng","year":"2023"},{"key":"S0899823X23002878_ref8","doi-asserted-by":"crossref","first-page":"e120","DOI":"10.1017\/S0950268818002777","article-title":"Isolation measures and protection awareness are significant for latent tuberculosis infection: a cross-sectional study based on T-SPOT.TB among healthcare workers in China","volume":"147","author":"Deng","year":"2019","journal-title":"Epidemiol Infect"},{"key":"S0899823X23002878_ref11","unstructured":"11. TB infection control in healthcare settings fact sheet. US Centers for Disease Control and Prevention website. https:\/\/www.cdc.gov\/tb\/publications\/factsheets\/prevention\/ichcs.htm. Updated April 25, 2016. Accessed October 10, 2022."},{"key":"S0899823X23002878_ref9","doi-asserted-by":"crossref","first-page":"2581","DOI":"10.1111\/crj.12960","article-title":"First assessment of interferon gamma release assay results among healthcare workers at a general hospital in China","volume":"12","author":"Guo","year":"2018","journal-title":"Clin Respir J"}],"container-title":["Infection Control &amp; Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0899823X23002878","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,18]],"date-time":"2024-04-18T10:30:07Z","timestamp":1713436207000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0899823X23002878\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,25]]},"references-count":18,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2024,5]]}},"alternative-id":["S0899823X23002878"],"URL":"https:\/\/doi.org\/10.1017\/ice.2023.287","relation":{},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"value":"0899-823X","type":"print"},{"value":"1559-6834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,25]]},"assertion":[{"value":"\u00a9 The Author(s), 2024. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}