Expert consensus on prevention and control of Chikungunya in healthcare institutions (2025 Edition)

OBJECTIVE To standardize the strategies for prevention and control of Chikungunya (CHIK) in healthcare institutions so as to reduce the risk of transmission in the institutions.

METHODS A working group comprising the experts in hospital infection control, infectious diseases, and microbiology systematically reviewed domestic and international evidence and current guidelines, integrated China′s vector ecology and healthcare realities, conducted two rounds of Delphi to achieve expert consensus, and graded the evidence and recommendation strength using the Oxford Centre for Evidence-Based Medicine system.

RESULTS The consensus issues 18 actionable recommendations on triage, patient mosquito-proof isolation, integrated vector control, protection of susceptible populations, environmental cleaning and disinfection, specimen management, medical textile handling, and outbreak emergency response, with each statement assigned an evidence level and recommendation strength.

CONCLUSION This consensus is for the first time in China to provide evidence-graded strategies for control of CHIK in healthcare institutions, offering work flow-oriented, implementable guidance for clinicians, laboratorians, and infection-control personnel under different risk scenarios and enhancing the comprehensive coping capacity of the healthcare institutions.