Behavioral Barriers To Adherence To Infection Control Protocols In Primary Care Settings
VOLUME 21, 2024
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
Bandar Othman Alzahrani, Saud Abdulaziz Zainy, Mazen Saeed Takroony, Omar Mohammad Ahmed Hinaidi, Sami Ahmed Shihrali
Abdulmoti Hassan Saqar Alhothli, Khalid Mohammad Mohammad Alyami, Mohammed Medreq Fiallah Ruddah Almehmadi, Sameer Ahmed Shahrali, Alaa Adel Hussen Alsabbagh
Abstract
Aim: To explore behavioral barriers to adherence to infection control protocols in primary care settings and propose strategies to overcome them.
Adherence to infection control protocols, such as hand hygiene, PPE use, and sterilization, is critical for preventing disease transmission. However, behavioral barriers, including knowledge gaps, poor risk perception, time constraints, organizational culture, cognitive overload, and physical discomfort, often hinder compliance. These challenges are compounded in primary care due to high patient volumes and diverse tasks. Addressing these barriers requires targeted interventions, such as education, workflow optimization, leadership engagement, and support for staff well-being, to foster a culture of adherence and enhance patient and healthcare worker safety.
Keywords :
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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