Strategies for Reducing Nosocomial Infection in Iranian Hospitals: A Scoping Review

Background: Hospital-acquired infections (HAIs)—also known as nosocomial infections—represent a significant global public health concern, especially in developing countries such as Iran.Aim: This review was conducted with aim to identify and synthesize effective strategies for reducing nosocomial infections in Iranian hospitals.Method: In accordance with the Joanna Briggs Institute (JBI) Manual and PRISMA-ScR guidelines, a comprehensive literature search was performed in PubMed, Web of Science, Scopus, SID, Magiran, and Google Scholar up to January ۳۱, ۲۰۲۵. Studies conducted among healthcare professionals in Iranian hospitals that evaluated infection prevention and control interventions were included. After screening and eligibility assessment, ۴۱ studies were analyzed.Results: The included studies, conducted across multiple provinces in Iran, identified strategies grouped into six domains: governance and leadership, financing, human resources, infrastructure, medical products and equipment, and information systems and service delivery. Key interventions comprised continuous training of healthcare staff, strict adherence to hand hygiene protocols, regular infection control audits, improvement of hospital environments, rational antibiotic stewardship, and development of national infection control guidelines. Additional strategies involved strengthening infection control committees, promoting interdisciplinary collaboration, enhancing workforce competency, and raising public awareness about infection prevention.Implications for Practice: A comprehensive, multi-faceted, and evidence-based approach is essential to effectively reduce HAIs in Iranian hospitals. Sustained education, leadership engagement, robust monitoring systems, and adherence to national and international standards are critical. Policymakers should integrate these strategies into national health policies to improve overall healthcare quality.

کلیدواژه ها:

Hospital-acquired infection ، infection control ، Iran ، Nosocomial infection ، Prevention Strategy ، Scoping Review