Establishment of an Infection Prevention and Control Program in Jeddah Hospitals of Saudi Arabia: a three-year project

Muhammad Halwani 1, Nidal Tashkandy 2

Al Baha University, Faculty of Medicine, Jeddah, Saudi Arabia

Health Affairs, Ministry of Health, Jeddah, Saudi Arabia

 

Background
The objective of this study was to establish a scientifically-based program to prevent infections in the twelve hospitals of the Ministry of Health in Jeddah, Saudi Arabia. We documented compliance and the impact of the program on infection rates over a 3-year period.
Materials
An auditor from the infection control administration visited each hospital every four months from January 2009 to December 2011. The auditor used a set of performance indicators 55 in total, which were based on the British Infection Prevention Society’s auditing tool for monitoring infection control standards and were modified to reflect the clinical environment of Jeddah’s hospitals. Compliance of the indicators was recorded during the visit. The overall compliance at each hospital was calculated yearly and after the three years.
Results
Routine audits after 3 years revealed that only 36% (37/104) of the infection control departments (ICDs) in the Jeddah hospitals were supervised by specialized personnel. In addition, 44% (44/101) of ICDs supervised and managed isolation rooms properly, and 50% (52/104) of hospital sinks were equipped with the required tools for hand hygiene. Decisions that were made by the infection control committee were followed by 45% (47/104) of ICDs, and 53% (55/104) of infection control committee decisions were implemented.
Conclusion
Development of a standardised infection prevention and control program in conjunction with regular audits and feedback managed to pick up major defects in infection control in Jeddah hospitals. We believe that this program can be a useful tool for improving infection control practices in hospitals.

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