Rabaan Ali A, Alhani Hatem M, Bazzi Ali M, Al-Ahmed Shamsah H
Molecular Diagnostic Laboratory, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia.
Specialty Paediatric Medicine, Maternity and Children Hospital, Dammam, Saudi Arabia; Directorate of Infection Control at Eastern Province, Ministry of Health, Dammam, Saudi Arabia,.
J Infect Public Health. 2017 Sep-Oct;10(5):548-563. doi: 10.1016/j.jiph.2016.11.008. Epub 2017 Feb 16.
Effective implementation of infection prevention and control in healthcare facilities depends on training, awareness and compliance of healthcare workers. In Saudi Arabia recent significant hospital outbreaks, including Middle East Respiratory Syndrome Coronavirus (MERS-CoV), have resulted from lack of, or breakdown in, infection prevention and control procedures. This study was designed to assess attitudes to, and awareness of, infection prevention and control policies and guidelines among healthcare workers of different professions and institution types in Saudi Arabia. A questionnaire was administered to 607 healthcare workers including physicians (n=133), nurses (n=162), laboratory staff (n=233) and other staff (n=79) in government hospitals, private hospitals and poly clinics. Results were compared using Chi square analysis according to profession type, institution type, age group and nationality (Saudi or non-Saudi) to assess variability. Responses suggested that there are relatively high levels of uncertainty among healthcare workers across a range of infection prevention and control issues, including institution-specific issues, surveillance and reporting standards, and readiness and competence to implement policies and respond to outbreaks. There was evidence to suggest that staff in private hospitals and nurses were more confident than other staff types. Carelessness of healthcare workers was the top-cited factor contributing to causes of outbreaks (65.07% of total group), and hospital infrastructure and design was the top-cited factor contributing to spread of infection in the hospital (54.20%), followed closely by lack and shortage of staff (53.71%) and no infection control training program (51.73%). An electronic surveillance system was considered the most effective by staff (81.22%). We have identified areas of concern among healthcare workers in Saudi Arabia on infection prevention and control which vary between institutions and among different professions. This merits urgent multi-factorial actions to try to ensure outbreaks such as MERS-CoV can be minimized and contained.
医疗机构有效实施感染预防与控制取决于医护人员的培训、意识和依从性。在沙特阿拉伯，近期包括中东呼吸综合征冠状病毒（MERS-CoV）在内的重大医院感染暴发，都是由于感染预防与控制程序缺乏或失效所致。本研究旨在评估沙特阿拉伯不同职业和机构类型的医护人员对感染预防与控制政策及指南的态度和认识。对政府医院、私立医院和综合诊所的607名医护人员进行了问卷调查，其中包括医生（n = 133）、护士（n = 162）、实验室工作人员（n = 233）和其他工作人员（n = 79）。根据职业类型、机构类型、年龄组和国籍（沙特或非沙特），使用卡方分析比较结果，以评估变异性。调查结果表明，在一系列感染预防与控制问题上，医护人员存在较高程度的不确定性，包括机构特定问题、监测和报告标准，以及实施政策和应对疫情的准备情况和能力。有证据表明，私立医院的工作人员和护士比其他人员更有信心。医护人员的粗心是导致感染暴发原因中被提及最多的因素（占总群体的65.07%），医院基础设施和设计是导致医院内感染传播的首要因素（54.20%），紧随其后的是人员短缺（53.71%）和没有感染控制培训计划（51.73%）。工作人员认为电子监测系统最为有效（81.22%）。我们已经确定了沙特阿拉伯医护人员在感染预防与控制方面的关注领域，这些领域在不同机构和不同职业之间存在差异。这需要采取紧急的多因素行动，以尽量减少和控制类似MERS-CoV这样的疫情暴发。
