Surveillance of device associated infections in intensive care units at a Saudi Arabian Hospital, 2017–2020

Coronavirus disease 2019 (COVID-19) impact on central-line-associated bloodstream infections (CLABSI): a systematic review

“…The authors also commented that the strict adherence to IPC measures had probably an impact in reducing the event of DAIs, but their results could not be generalized as limited to a single hospital. This is in line with another Saudi Arabian study from an hospital network with five ICUs [ 16 ], where they also recorded no difference in the CLABSI rates, but in contrast with a national analysis including all the Ministry of Health hospitals [ 32 ] where the COVID-19 pandemic was associated with increased CLABSI rates.…”

“…, 2022 [ 19 ] COVID-19 Healthcare associated infections (HAI), including central-line-associated bloodstream infections (CLABSI), catheter-associated urinary tract infections (CAUTI), Clostridioides difficile infections (CDI), and ventilator-associated events (VAE) USA Retrospective longitudinal multicenter cohort study 53 hospitals in Southeastern United States CLABSI increased by 24%, during the pandemic period On stratifying the analysis by hospital characteristics, the impact of the pandemic on HCAIs was more significant in smaller community hospitals Increase AlAhdal et al. , 2022 [ 15 ] COVID-19 Device associated infections (DAI), compliance with hand hygiene and other prevention bundles in ICU Saudi Arabia Retrospective observational study Single 500-bed hospital, including 80 adult ICU beds There was no significant difference in the number of device associated infections or compliance with hand hygiene and other bundles No difference Alsaffar [ 32 ] COVID-19 CLABSI and CAUTI data Saudi Arabia Retrospective data analysis Data from the Saudi Health Electronic Surveillance Network (HESN) covering Ministry of Health Hospitals The COVID-19 pandemic was associated with increased CLABSI rates Increase Al-Tawfig [ 16 ] COVID-19 VAE, CAUTI and CLABSI data Saudi Arabia Retrospective data analysis Hospital network with 5 ICUs No significant difference observed for CLABSI (but limited to 2020 only) No difference Baker et al. , 2022 [ 17 ] COVID-19 CLABSI, CAUTI, methicillin-resistant Staphylococcus aureus (MRSA) bacteremias, and Clostridioides difficile infections (CDI) USA Prospective cohort study 148 hospitals affiliated with the Health Corporation of America (HCA) CLABSI and MRSA bacteraemias increased during the COVID pandemic Increase Ben-Aderet et al.…”

“…Overall, most studies analysed ( N =17) confirmed a significant increase in CLABSI incidence or rates during the COVID-19 pandemic. Only one study ( N =1) from a single center in India [ 13 ] showed a decrease, whilst three other studies ( N =3), one from Germany [ 14 ] and two from Saudi Arabia [ 15 , 16 ], showed no increase and no significant difference when comparing CLABSI rates in pre-pandemic and pandemic periods.…”

“…In terms of most effective CLABSI preventive measures, some answers may lie in the studies that have shown a decrease or no difference in line infections rates during the pandemic [ [13] , [14] , [15] , [16] ]. A high rate of hand hygiene compliance was a common theme, as well as high compliance with line care bundle.…”

Risk of central line-associated bloodstream infections during COVID-19 pandemic in intensive care patients in a tertiary care centre in Saudi Arabia

“…Our findings are consistent with a national study which examined the impact of COVID-19 on CLABSI among 78 Ministry of Health hospitals in Saudi Arabia [12] and reported an approximately 16% increase of CLABSI in 2020-2021 compared with the 2019 rates. This was also consistent with other international studies whether examined as multihospital systems or single center studies [4,[13][14][15].…”