Cultura

Reconceptualizing Infection Prevention In Healthcare: A Multidepartmental Review Of Clinical, Organizational, And Digital Strategies

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

Mohammad Ali Mohammad Al Hammam, Abdullah Sami Alaamer, Mohammad Mahdi Maree Al Abbas, Yahya Mohammed Alkhriem, Sraeg Nasser Sraeg Bani Humyyim
Mohammed Habbash Almansour, Ali Hamad Mohammad Alwabran, Abdullah Ahmad M Daiel, Muqatil Fahd Abdullah Al Munif

Abstract

Healthcare-associated infections (HAIs) remain a significant challenge to patient safety, quality of care, and health system sustainability worldwide. Despite advances in infection prevention and control (IPC), many healthcare organizations continue to rely on fragmented, department-specific strategies that fail to address the complex and interconnected nature of infection risks across care pathways. This review reconceptualizes infection prevention as a multidepartmental, system-wide function, integrating clinical practices, organizational governance, and digital health strategies. Drawing on recent evidence, the review synthesizes how coordinated actions across medical and support departments enhance compliance with IPC protocols, strengthen surveillance and early detection, and reduce transmission during patient flow and care transitions. The analysis highlights the critical role of leadership, workforce engagement, policy alignment, and digital infrastructure in enabling effective infection prevention. An integrated conceptual perspective is proposed, illustrating how clinical, organizational, and technological elements interact to form resilient infection prevention systems. By moving beyond siloed approaches, this review provides a comprehensive framework to guide healthcare leaders, policymakers, and researchers in designing sustainable, coordinated, and adaptive IPC strategies suited to modern healthcare environments.

Keywords : Infection prevention and control; healthcare-associated infections; multidisciplinary healthcare; patient safety; hospital governance; digital health; clinical integration; health system resilience.
Erin Saricilar
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