<?xml version="1.0" encoding="utf-8"?>
			<journal>
			<title>Evidence Based Care</title>
			<title_fa>فصلنامه مراقبت مبتنی بر شواهد</title_fa>
			<short_title>EBC</short_title>
			<subject>Medical Sciences</subject>
			<web_url>https://ebcj.mums.ac.ir/</web_url>
			<journal_hbi_system_id>0</journal_hbi_system_id>
			<journal_hbi_system_user></journal_hbi_system_user>
			<journal_id_issn>2008-2487</journal_id_issn>
			<journal_id_issn_online>2008-370X</journal_id_issn_online>
			<journal_id_pii></journal_id_pii>
			<journal_id_doi></journal_id_doi>
			<journal_id_iranmedex></journal_id_iranmedex>
			<journal_id_magiran></journal_id_magiran>
			<journal_id_sid></journal_id_sid>
			<journal_id_nlai></journal_id_nlai>
			<journal_id_science></journal_id_science>
			<language>en</language>
			<pubdate>
				<type>jalali</type>
				<year>0</year>
				<month>0</month>
				<day>1</day>
			</pubdate>
			<pubdate>
				<type>gregorian</type>
				<year>2026</year>
				<month>7</month>
				<day>1</day>
			</pubdate>
			<volume>16</volume>
			<number>2</number>
			<publish_type>online</publish_type>
			<publish_edition>1</publish_edition>
			<article_type>fulltext</article_type>
			<articleset><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Prevalence of Nosocomial Infections and Prevention and Control Strategies in Iranian Hospitals: A Mixed-Methods Study</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa>مقاله پژوهشی اصیل کمی و کیفی</content_type_fa>
				<content_type>Original Quantitative and Qualitative Research Paper</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background: Hospital-acquired infections (HAIs) remain a major threat to patient safety and healthcare efficiency in Iran, contributing to increased morbidity, mortality, and healthcare costs.Aim: This study aimed to estimate the overall prevalence of HAIs in Iranian hospitals and identify the most effective strategies for their prevention and control.Method: A sequential explanatory mixed-methods design was employed. In Phase One, a systematic review and meta-analysis were conducted [on studies] published up to May 20, 2024, following Gough&#039;s nine-step framework, PRISMA 2020, and the PIO framework. In Phase Two, a two-round Delphi technique was used to develop and prioritize evidence-based strategies for reducing HAIs, informed by the findings of Phase One.Results: A total of 22 studies conducted between 1999 and 2020 reported hospital-acquired infection (HAI) prevalence ranging from 0.046% to 26.5%. In the second phase, the Delphi process initially identified 82 potential strategies, which were refined through expert consensus (agreement &gt;70%) during a face-to-face meeting. Ultimately, 56 context-specific strategies were finalized, with an emphasis on feasibility within Iranian clinical settings. These strategies focused on improving hand hygiene compliance, appropriate ventilation in high-risk units, strengthening infection control training, proper reprocessing of linens and medical equipment, establishment of infection prevention and control (IPC) committees, implementation of locally adapted evidence-based IPC guidelines informed by national surveillance and hospital data, timely and safe patient discharge, and effective hospital accreditation programs. Implications for Practice: Although published studies suggest a low prevalence of HAIs in Iranian hospitals, effective prevention and control remain essential. Prioritizing locally adapted infection prevention guidelines, staff training, hand hygiene, appropriate ventilation, and safe discharge practices can address key challenges in Iranian clinical settings.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Iran, Meta-analysis, Nosocomial infections, Prevalence, Systematic review</keyword>
				<start_page>7</start_page>
				<end_page>25</end_page>
				<web_url>https://ebcj.mums.ac.ir/article_27880.html</web_url>
			<author_list><author>
				<first_name>Vahideh</first_name>
				<middle_name></middle_name>
				<last_name>Emadi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>emadi@gmail.com</email>
				<code>122567</code>
				<coreauthor>No</coreauthor>
				<affiliation>MSc in Health Services Management, Zahedan University of Medical Sciences, Zahedan, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohammad</first_name>
				<middle_name></middle_name>
				<last_name>Abbaszadeh Bazi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>bi@gmail.com</email>
				<code>122568</code>
				<coreauthor>No</coreauthor>
				<affiliation>Assistant Professor, Department of Public Health, School of Public Health, Zabol University of Medical Sciences, Zabol, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Monireh</first_name>
				<middle_name></middle_name>
				<last_name>Shamsaei</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>shamsaei@gmil.com</email>
				<code>122569</code>
				<coreauthor>No</coreauthor>
				<affiliation>Assistant Professor, Department of Health Management, School of Public Health, Zabol University of Medical Sciences, Zabol, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohammad</first_name>
				<middle_name></middle_name>
				<last_name>Sarani</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>sarani@gmil.com</email>
				<code>122570</code>
				<coreauthor>No</coreauthor>
				<affiliation>Lecturer, Department of Public Health, School of Public Health, Zabol University of Medical Sciences, Zabol, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mahdieh</first_name>
				<middle_name></middle_name>
				<last_name>Poodineh Moghadam</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>moghdm@gmail.com</email>
				<code>122571</code>
				<coreauthor>No</coreauthor>
				<affiliation>Assistant Professor, Department of Nursing, School of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Parvaneh</first_name>
				<middle_name></middle_name>
				<last_name>Isfahani</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>p.isfehani@gmail.com</email>
				<code>122572</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Associate Professor, Department of Health Management, School of Public Health, Zabol University of Medical Sciences, Zabol, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article>
			</articleset>
			</journal>