PDF(Pubmed)
Abstract：
Introduction Patients admitted to intensive care units (ICU), especially those with devices used to support their condition, are at a higher risk of getting healthcare-associated infections (HAIs). The aim of the present study was to analyze the surveillance data and assess the device-associated infection (DAI) rates such as central line-associated blood-stream infection (CLABSI), catheter-associated urinary tract infection (CAUTI), ventilator-associated pneumonia (VAP) and ventilator-associated event (VAE) in ICUs of the Ministry of Health (MoH) hospitals in Al-Ahsa region. Methodology The study was conducted retrospectively using the surveillance data of governmental hospitals\' intensive care units in the Al-Ahsa region. The surveillance data was collected from 10 ICUs at six MoH hospitals in the Al-Ahsa region during the year 2022. The data from the participating hospitals was entered into the Health Electronic Surveillance Network (HESN) plus program by trained infection prevention control practitioners of the respective hospitals. Results An overall CLABSI rate of 4.29 per 1000 central line days was reported during the study period. The CAUTI rate was 0.55 with a range from 0 to 1.29 cases per 1000 urinary catheter days. VAP rate ranged from 0.33 to 2.21 cases per 1000 ventilator days (average of 1.17). The study reported VAE only for the adult medical-surgical ICU (3.36 per 1000 ventilator days). Conclusion The present study revealed that the most common DAIs in the Al-Ahsa region are CLABSI and CAUTI. DAI rates generated from this study may be used as benchmarks for regional hospitals. An educational program regarding the prevention and control of DAIs targeting all healthcare workers, especially ICU staff, has to be done in the Al-Ahsa region.
摘要：
简介入住重症监护病房（ICU）的患者，尤其是那些使用设备来支持他们的病情的人，患医疗保健相关感染(HAIs)的风险更高。本研究的目的是分析监视数据并评估设备相关感染（DAI）率，例如中心线相关血流感染（CLABSI）。导管相关尿路感染（CAUTI），Al-Ahsa地区卫生部（MoH）医院ICU中的呼吸机相关性肺炎（VAP）和呼吸机相关事件（VAE）。方法本研究使用Al-Ahsa地区政府医院重症监护病房的监测数据进行回顾性研究。监测数据是在2022年从Al-Ahsa地区六家MoH医院的10个ICU收集的。来自参与医院的数据由各自医院的经过培训的感染预防控制从业人员输入健康电子监测网络（HESN）加计划。结果在研究期间报告的总体CLABSI率为4.29/1000个中央线路日。CAUTI率为0.55，范围为每1000导尿管0至1.29例。VAP发生率为每1000个呼吸机日0.33~2.21例(平均1.17例)。该研究仅报道了成人医疗外科ICU的VAE（每1000个呼吸机天3.36个）。结论本研究表明，Al-Ahsa地区最常见的DAI是CLABSI和CAUTI。本研究产生的DAI率可用作地区医院的基准。针对所有医护人员的DAI预防和控制教育计划，尤其是ICU的工作人员,必须在Al-Ahsa地区完成。
