沙特阿拉伯国家卫生保健机构实施降低导尿管相关尿路感染(CAUTI)发生率战略的影响

IF 3.8 3区 医学 Q2 INFECTIOUS DISEASES
Fayez Aldalbehi, Faisal Mohammad Alsheddi, Mohammad Ali Alqahtani, Tabish Humayun, Yvonne Suzette Aldecoa, Mutlaq Alotaibi, Wafa Hamad Alshammari, Shmokh Mohammad Alsalamah, Hind Owyed Alanizi, Mishari Saud Almana, Bader Mohammed Albalawai, Amani Mahal Alaida, Khalid H Alanazi
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引用次数: 0

摘要

背景:为了解决成人内科外科(M/S)重症监护病房(icu)的导管相关性尿路感染(CAUTI),在沙特阿拉伯王国(KSA)的MOH(卫生部)设施中实施了一项称为国家外尿路感染(CAUTIoN)的策略。目的:本研究的目的是评估在医疗机构中实施国家战略的有效性,评估每个战略组成部分的结果,并比较CAUTI干预前和干预后的比率。方法:采用回顾性研究方法,评估实施策略后CAUTI发生率的变化。结果:从2022年第二季度到2024年第一季度,CAUTI率下降了3.6个百分点(PP)。干预后第一季度CAUTI率小幅上升至0.9 / 1000导管天,2023年第四季度下降至0.34 / 1000导管天,2024年第一季度上升至0.62 / 1000导管天。结论:谨慎的战略实施被发现是有效的将我们的组织愿景转化为行动。我们回顾性研究了干预措施与CAUTI发生率的相关性。领导、监测、数据管理、培训、教育和C2C倡议等干预措施在实施该战略方面最为有效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The impact of implementing a strategy on the rate reduction of catheter-associated urinary tract infections (CAUTI) in national health care facilities in Saudi Arabia.

Background: To address catheter associated urinary tract infections (CAUTI) in adult medical surgical (M/S) intensive care units ICUs, a strategy known as CAUTI out of nation (CAUTIoN) was implemented in MOH (Ministry of Health) facilities in KSA (Kingdom of Saudi Arabia).

Objectives: The aim of this study was to assess the effectiveness of the implementation of a national strategy, in healthcare facilities and evaluate the outcome of each strategy's components and to compare the pre and post intervention rates of CAUTI.

Methods: It was a retrospective, to assess changes in CAUTI rates after the implementation of strategy.

Results: CAUTI rates reduced by 3.6 percentage points (PP) between the second quarter of 2022 and the first quarter of 2024. The rate of CAUTI slightly increased to 0.9 per 1000 catheter-days in the first quarter after the intervention, then dropped to 0.34 per 1000 catheter-days in the fourth quarter of 2023, before increasing to 0.62 in the first quarter of 2024.

Conclusions: Strategy implementation of CAUTIoN is found to be effective for turning our organizational vision into action. We retrospectively studied the correlation of interventions and the CAUTI rates. Interventions like leadership, surveillance, data management, training, education and C2C (CAUTIoN to CAUTI) initiative were most effective in the implementation of the strategy.

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来源期刊
CiteScore
7.40
自引率
4.10%
发文量
479
审稿时长
24 days
期刊介绍: AJIC covers key topics and issues in infection control and epidemiology. Infection control professionals, including physicians, nurses, and epidemiologists, rely on AJIC for peer-reviewed articles covering clinical topics as well as original research. As the official publication of the Association for Professionals in Infection Control and Epidemiology (APIC)
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