Microbiological Surveillance And Nursing Intervention Protocols: A Systematic Review Of Laboratory-Nursing Collaborative Approaches To Antimicrobial Resistance In Saudi Healthcare Facilities
VOLUME 22, 2025
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
Abeer Dheem Ayed Al-Saady, Haifaa Farheed Aldahfeery, Mantahaa Yousef Alshammari, Najwa Alzuayli Mulayhan Al Anazi, Maha Ayed Ateeg Aldhafiri, Aneefa Aziz alshammari, Saleh Mohammed Al-Shammari, Abdulkarim Mohammed Al-Shammari
Abstract
Antimicrobial resistance represents a critical public health challenge in Saudi Arabia, necessitating coordinated approaches between laboratory surveillance systems and nursing intervention protocols. This systematic review examines the collaborative frameworks between clinical microbiology laboratories and nursing professionals in addressing antimicrobial resistance within Saudi healthcare facilities. A comprehensive search of peer-reviewed literature published between 2006 and 2021 was conducted, focusing on microbiological surveillance programs, antimicrobial stewardship initiatives, infection control practices, and interprofessional collaboration models. The review identified substantial gaps in laboratory-nursing integration, limited knowledge regarding antimicrobial resistance among nursing personnel, and fragmented implementation of stewardship programs across Saudi healthcare institutions. Multidrug-resistant organisms, including carbapenem-resistant Enterobacteriaceae and methicillin-resistant Staphylococcus aureus, constitute persistent challenges requiring systematic surveillance and coordinated intervention strategies. Effective collaborative approaches necessitate structured communication protocols, enhanced educational programs, and institutionalized frameworks that position nurses as active participants in antimicrobial stewardship rather than passive implementers of physician directives. This review underscores the imperative for policy-level interventions that formalize laboratory-nursing partnerships and establish evidence-based protocols tailored to the Saudi healthcare context.
Keywords :
antimicrobial resistance, microbiological surveillance, nursing interventions, antimicrobial stewardship, laboratory-nursing collaboration, Saudi Arabia.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Abstract
Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords :
Diabetic foot ulcer, angiosome, angioplasty