Specialty Internal Medicine Unit, Room A-428-2, Building 61, Dhahran Health Center, Saudi Aramco Medical Services Organization, Saudi Aramco, PO Box 76, Dhahran 31311, Saudi Arabia.
Int J Infect Dis. 2013 Dec;17(12):e1207-11. doi: 10.1016/j.ijid.2013.06.015. Epub 2013 Aug 8.
Device-associated infections (DAI) are recognized as a marker of patient safety. Data regarding DAI rates in Saudi Arabia are sparse.
This was a prospective surveillance study of DAI rates conducted in the adult intensive care units of the Saudi Aramco Medical Services Organization, carried out using the DAI definition provided by the Centers for Disease Control and Prevention's National Healthcare Safety Network. DAI prevention bundles were introduced in 2006 for ventilator-associated pneumonia (VAP), in mid-2010 for catheter-associated urinary tract infections (CAUTI), and in 2008 for central line-associated blood stream infections (CLABSI).
DAI rates for VAP, CLABSI, and CAUTI are reported for the study period from 2004 to 2011. CAUTI was the most common DAI (42.2%), followed by CLABSI (38.5%) and VAP (19.3%). The overall rate of each infection type per 1000 device-days was 8.18 for CAUTI, 10 for CLABSI, and 4.52 for VAP. Annual DAI rates showed a significant reduction over time from the beginning of the study to the end of the study for CLABSI (16.3 vs. 6.06), CAUTI (6.75 vs. 3.41), and VAP (9.8 vs. 1.3) (p<0.05).
CAUTI was the most common infection, and the use of DAI prevention bundles was associated with a significant decrease in DAI rates over time.
器械相关感染（DAI）被认为是患者安全的标志。有关沙特阿拉伯 DAI 发生率的数据很少。
这是在沙特阿美医疗服务组织的成人重症监护病房进行的 DAI 发生率的前瞻性监测研究，使用疾病控制和预防中心的国家医疗保健安全网络提供的 DAI 定义进行。2006 年为呼吸机相关性肺炎（VAP）引入了 DAI 预防套件，2010 年中期为导管相关尿路感染（CAUTI），2008 年为中心静脉相关血流感染（CLABSI）。
报告了 2004 年至 2011 年研究期间的 VAP、CLABSI 和 CAUTI 的 DAI 发生率。CAUTI 是最常见的 DAI（42.2%），其次是 CLABSI（38.5%）和 VAP（19.3%）。每种感染类型每 1000 个器械日的发生率分别为 CAUTI 8.18、CLABSI 10 和 VAP 4.52。从研究开始到结束，每年的 DAI 率显示出随着时间的推移显著下降，CLABSI（16.3 比 6.06）、CAUTI（6.75 比 3.41）和 VAP（9.8 比 1.3）（p<0.05）。
CAUTI 是最常见的感染，使用 DAI 预防套件与 DAI 发生率随着时间的推移显著下降有关。
