Promoting and sustaining a hospital-wide, multifaceted hand hygiene program resulted in significant reduction in health care-associated infections.

Background: Hand hygiene is the single most important intervention to combat infections in any health care setting. However, adherence to hand hygiene practice remains low among health care workers.

Objectives: Our objective was to assess compliance with hand hygiene over time utilizing a multifaceted approach to hand hygiene.

Peripherally inserted central catheter bloodstream infection surveillance rates in an acute care setting in Saudi Arabia.

Background And Objective: Peripherally inserted central venous catheters (PICCs) are alternatives to short-term central venous catheters and provide intravenous access in the acute hospital setting. In this study, we describe the rate of PICC-associated bloodstream infections (BSI).

Design And Setting: Prospective cohort study using data on PICC lines reviewed from January to December 2009.

Clostridium difficile-associated disease among patients in Dhahran, Saudi Arabia.

Clostridium difficile-associated diarrhea (CDAD) is an important healthcare-associated infection. However, there are no data from Saudi Arabia on this disease. A two-year prospective, observational study on the incidence of CDAD in a hospital in Saudi Arabia was carried out.

Decreasing ventilator-associated pneumonia in adult intensive care units using the Institute for Healthcare Improvement bundle.

Background: Ventilator-associated pneumonia (VAP) increases in-hospital mortality of ventilated patients to 46%, compared with 32% for ventilated patients who do not develop VAP. In addition, VAP prolongs time spent on the ventilator, length of intensive care unit (ICU) stay, and length of hospital stay.

Methods: In this study, we implemented VAP bundle to decrease the rate of VAP infection.

Prevalence and antimicrobial resistance of health care associated bloodstream infections at a general hospital in Saudi Arabia.

Objective: To determine the trend of health care associated blood stream infection (HA-BSI) at Saudi Aramco Medical Services Organization.

Methods: This prospective survey was conducted during the year 2002-2006. Definitions of HA-BSI infections were based on the Centers for Disease Control and Prevention categories.

Attitudes towards influenza vaccination of multi-nationality health-care workers in Saudi Arabia.

Background: The compliance with influenza vaccination among health-care workers (HCWs) is known to be low. A multi-nationality survey to explore the reasons for such poor compliance has not been studied in depth.

Materials And Methods: An epidemiologic survey to evaluate the compliance rates with influenza vaccination and possible associated reasons for compliance.

Antimicrobial resistance rates of Enterobacter spp.: a seven-year surveillance study.

Objective: The aim of the study was to evaluate the trends of antimicrobial resistance of Enterobacter spp. over time in a Saudi Arabian hospital.

Materials And Methods: This is an in vitro surveillance study of the antibiotic susceptibility pattern among Enterobacter spp.

Susceptibility pattern and epidemiology of Mycobacterium tuberculosis in a Saudi Arabian hospital: a 15-year study from 1989 to 2003.

Objectives: The objective of this study was to examine the prevalence and trends of drug resistance of Mycobacterium tuberculosis at the Saudi Aramco Medical Services Organization.

Methods: We retrospectively identified M tuberculosis isolates from January 1989 to December 2003. Antimicrobial susceptibility and clinical data were collected and analyzed.