{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T09:28:50Z","timestamp":1793957330065,"version":"4.8.0"},"reference-count":9,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Infection Prevention"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Long-stay inpatients accumulate modifiable healthcare-associated infection (HCAI) risks. Structured infection prevention and control (IPC) review processes specifically targeting these risks in long-stay inpatients are uncommon.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To evaluate the feasibility of a structured long-stay patient IPC review tool designed to identify and reduce modifiable HCAI risk in adult inpatients with prolonged hospitalisation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This service evaluation was conducted across four adult inpatient wards in an acute NHS hospital in England between January and April 2026. Patients with a length of stay of at least 14\u00a0days underwent IPC review using an 11-item binary tool generating a total risk score (TRS; range of 0\u201311). Modifiable IPC risks were identified, and recommendations were communicated to ward teams, with patients re-reviewed according to risk level. Paired analysis compared initial and final follow-up TRS where repeat reviews were available.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifty-two patients were reviewed across 84 review episodes, comprising 52 initial and 32 follow-up reviews. Eighteen patients contributed to the paired analysis. Mean TRS decreased from 3.33 to 2.17 between initial and final review, indicating a reduction in modifiable IPC risk. Eleven patients (61.1%) improved, while six (33.3%) were unchanged. The proportion classified as low risk increased from 61.1 to 83.3% following IPC review and intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This study demonstrated that a structured long-stay patient review framework could be integrated into routine IPC practice to identify and target modifiable IPC risk factors in prolonged hospital admissions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Significance and impact<\/jats:title>\n                    <jats:p>The findings highlight the potential role of structured long-stay review processes within preventive and predictive IPC practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17571774261495775","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T18:22:51Z","timestamp":1791397371000},"page":"324-330","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Development and pilot evaluation of a long-stay patient infection prevention and control risk stratification tool: A single-centre service evaluation"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-6167-2795","authenticated-orcid":false,"given":"Harmony","family":"Owhotake","sequence":"first","affiliation":[{"name":"Walsall Healthcare NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Bonney-Wheate","sequence":"additional","affiliation":[{"name":"Walsall Healthcare NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jossy","family":"Ashlin","sequence":"additional","affiliation":[{"name":"Walsall Healthcare NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Oggiano","sequence":"additional","affiliation":[{"name":"Walsall Healthcare NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aiden J.","family":"Plant","sequence":"additional","affiliation":[{"name":"Walsall Healthcare NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"e_1_3_6_2_1","doi-asserted-by":"publisher","DOI":"10.1017\/ash.2025.10054"},{"key":"e_1_3_6_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0023137"},{"key":"e_1_3_6_4_1","unstructured":"Collins AS (2008) Preventing health care\u2013associated infections. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK2683\/"},{"issue":"6","key":"e_1_3_6_5_1","first-page":"367","article-title":"Factors that contribute to health care associated infections: how to prevent them","volume":"26","author":"Corrales-Fern\u00e1ndez MJ","year":"2011","unstructured":"Corrales-Fern\u00e1ndez MJ, Gea-Vel\u00e1zquez de Castro MT, Lim\u00f3n-Ram\u00edrez R, et al. (2011) Factors that contribute to health care associated infections: how to prevent them. Revista de Calidad Asistencial 26(6): 367\u2013375. https:\/\/doi.org\/10.1016\/j.cali.2011.10.002","journal-title":"Revista de Calidad Asistencial"},{"key":"e_1_3_6_6_1","doi-asserted-by":"publisher","DOI":"10.2147\/IDR.S177247"},{"key":"e_1_3_6_7_1","doi-asserted-by":"publisher","DOI":"10.1086\/668422"},{"key":"e_1_3_6_8_1","unstructured":"NHS England (2026) Isolation prioritisation tool. https:\/\/www.england.nhs.uk\/wp-content\/uploads\/2022\/04\/PRN01702-nipc-isolation-prioritisation-tool-v2.xlsm"},{"key":"e_1_3_6_9_1","unstructured":"UK Health Security Agency (2023) Point prevalence survey on healthcare-associated infections antimicrobial use and antimicrobial stewardship in England 2023 national report. https:\/\/assets.publishing.service.gov.uk\/media\/6827325d010c5c28d1c7e728\/HCAI-AMU-PPS-2023-report.pdf"},{"key":"e_1_3_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2023.09.020"}],"container-title":["Journal of Infection Prevention"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17571774261495775","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17571774261495775","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17571774261495775","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T08:57:54Z","timestamp":1793955474000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17571774261495775"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,7]]},"references-count":9,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1177\/17571774261495775"],"URL":"https:\/\/doi.org\/10.1177\/17571774261495775","relation":{},"ISSN":["1757-1774","1757-1782"],"issn-type":[{"value":"1757-1774","type":"print"},{"value":"1757-1782","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,7]]}}}