Cultura

The Impact of Infection Control Systems on Enhancing Infection Prevention in 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

Saeed Mohammed Al-Zahrani, Muhannad Mansour Ali Alqahtani, Salman Ahmed Hazazzi, Ghadi Mansour Mohammed Fatani, Ahmed Muqbil Abdulhameed Al-Zahrani, Murad Mohammed Faraj Zuweid, Ahmed Salah Saleh Al-Hazmi, Mutaib Abdulrahim Marzouq Al-Lahibi

Abstract

Introduction: Infections acquired during healthcare (HAIs) are an increasingly significant risk for both patient safety and the healthcare sector's long-term viability within the Kingdom of Saudi Arabia (KSA). To support the objectives of Saudi Vision 2030 (“KSA Vision 2030”), the Kingdom has moved from manually monitoring HAIs to using a cohesive national infection control system that incorporates HESN and meets CBAHI accreditation standards.

Objective: This research aims to evaluate how integrated Infection Control (IC) systems can reduce HAIs (Healthcare-Acquired Infections) in Saudi Arabia’s hospitals and the effect of Standardized IC Systems (CBAHI accreditation and HESN) on the rate of HCIRs (major HAIs) in all Saudi Arabia’s hospitals.

Method: The authors conducted a systematic search across four major databases (PubMed, Scopus, Web of Science and Saudi Digital Library) for studies published alluding to electronic surveillance, national accreditation and standardized bundles of IPC in the KSA from 2016 through 206. To conduct the search, the authors followed the PRISMA guidelines, identifying only articles that provided information on the use of electronic surveillance, the use of a nationally accredited system of healthcare facilities, or standardized IPC bundles in the KSA. Specifically, the authors evaluated the following process and outcome measures: incidence density rates for CLABSI, CAUTI, VAP and SSI; and process measures such as hand hygiene compliance.

Conclusion: In conclusion, infection control interventions across the KSA have substantially decreased the burden of HAIs by modelling best practice in safety through the use of information technology and accreditation systems. Given the current extent of nation-wide implementation of these systems, the next step would be to reduce the digital divide between urban and rural locations while exploring how Artificial Intelligence can be used to facilitate predictive rather than reactive methods for infection prevention.

Keywords : Health Electronic Surveillance Network, HESN, Digital Health, Infection Prevention, Joint Commission International, Ventilator-associated pneumonia..
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