Infection Prevention and Control Department, King Abdulaziz Medical City, Riyadh, Saudi Arabia; Community Medicine Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt; The Arab Countries Infection Control Network (AcicN), Abu Dhabi, United Arab Emirates.
College of Medicine, King Saud Bin Abdul Aziz University for Health Science, Riyadh, Saudi Arabia; King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
Am J Infect Control. 2023 Oct;51(10):1151-1156. doi: 10.1016/j.ajic.2023.03.004. Epub 2023 Mar 16.
Surveillance of healthcare-associated infections (HAIs) is a cornerstone for effective infection prevention and control (IPC) programs. The objective was to evaluate the coverage and methods of HAI surveillance in Middle Eastern and North African (MENA) countries.
A cross-sectional study targeted IPC staff working in MENA countries using the Infection Control Network electronic database of the Arab countries. The study focused on self-reported surveillance-related characteristics of IPC staff, facilities, and the IPC program.
A total of 269 IPC staff were included. They were mainly females (68%), nurses (63%), and working in GCC countries (83%). Approximately 69% of covered facilities had surveillance activities. Hand hygiene, multidrug-resistant organisms, central line-associated bloodstream infections, and catheter-associated urinary tract infections were the most common surveillance activities (>90%). The surveillance workload consumed 27% of the average weekly working time. The scores of performing multiple surveillance, with appropriate methods and tools, were 83%, 67%, and 61% (respectively). Appropriate surveillance methods and/or tools were linked to GCC region, CBIC qualifications, surveillance training, specific setting (acute care and long term), staff-to-bed ratio, presence and active function of IPC committee, presence of IPC annual plan, communications with health care workers, and leadership support.
While most health care facilities in the MENA region perform multiple surveillance, surveillance methods and tools are still suboptimal and their optimization should be a priority.
医疗保健相关感染（HAI）监测是有效感染预防和控制（IPC）计划的基石。目的是评估中东和北非（MENA）国家的 HAI 监测覆盖范围和方法。
本横断面研究以阿拉伯国家感染控制网络电子数据库中的 MENA 国家的 IPC 工作人员为目标。研究重点是 IPC 工作人员、设施和 IPC 计划的自我报告监测相关特征。
共纳入 269 名 IPC 工作人员。他们主要是女性（68%）、护士（63%）和在海湾合作委员会国家（83%）工作。约 69%的覆盖设施开展了监测活动。手卫生、多重耐药菌、中心静脉相关血流感染和导管相关尿路感染是最常见的监测活动（>90%）。监测工作量占平均每周工作时间的 27%。执行多项监测、使用适当的方法和工具的得分分别为 83%、67%和 61%（分别）。适当的监测方法和/或工具与海湾合作委员会地区、CBIC 资格、监测培训、特定设置（急性护理和长期护理）、人员与床位比例、IPC 委员会的存在和积极功能、IPC 年度计划的存在、与医护人员的沟通和领导支持有关。
尽管 MENA 地区的大多数医疗机构都进行了多项监测，但监测方法和工具仍然不理想，应优先优化。
