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August 2022 -
Volume 20, Issue 8


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From the Editor

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Assessing health literacy among hypertensive patients attending primary healthcare clinics at King Abdulaziz Medical City, Riyadh, Saudi Arabia
Jammaz Asman Al-Arifi, Malek Abdulrahman Balous, Ahoud Hamoud Al-Mutairi, Bader Al-Tulihi
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525113

Awareness and Compliance Behavior of Diabetic Patients for Eye care to Prevent Diabetic Retinopathy: The Status of Jazan Region, Saudi Arabia
Ismail Abuallut
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525114

Community-level awareness of proper immediate steps regarding ocular chemical injury in Asir Region
Saeed Abu Sabah, Abdullah Jallwi Korkoman, Abdulaziz Saad Alshahrani, Ahmed Mohammed Abu Sabah, Faisal Saud Alhudaithi, Anas Mohammed Abusabah, Mofareh Ahmed M Asiri, Hassan Adel H Alasiri, Bandar Mohammed Moshabbab Asiri, Hamad Mohammed Abusebah
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525115

Relationship Between Early Onset Type 2 Diabetes Mellitus And Late-Night Dinner Along With Skipping Breakfast In AL Madinah, Saudi Arabia: Case Control Study
Amal Adnan Arruhaily, Nadiyah karim Alenenzi, Farah Asad Mansori
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525117

Regional Covid

Acceptance of a COVID-19 vaccine and its related determinants among the general adult population in Jeddah, Saudi Arabia
Fathi El-Gamal, Amira Mohammed, Assmaa Shaker, Noor Aljohani, Yara Alasli
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525120

Neurological Manifestations of COVID-19
Alaa Salah AG Alsharei, Safaa Elbashir
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525121

Population and Community Studies

Perspective of Adolescents Regarding Need of Adolescent Health Services; A Mixed Method Study in Rawalpindi, Pakistan
M Zubair Rafique, Hassan Mumtaz, Hassan ul Hussain, Sadaf Rashid, Namrah Hussain, Humaira Mahmood, Amara Arshad
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525118

Review

Prevalence of Depression in adults with type 2 Diabetes Mellitus in the Middle East countries and the factors associated with it: A systematic review
Sabit Sunwar
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525123

Case Study

Diagnosing Boerhaave Syndrome in a 16-year-old girl in a primary care centre
Javed Khan, Abdul Muhid, Farah Mushtaq
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525125

Original Clinical Research

Predictors of COVID-19 Disease Course and Pulmonary Insult
Diana S. Al-jammal, Shefa S Almashaqbeh, Samer F. Alqudah, Walid Ahmed Al-nozami, Raad Y Altahat
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525126

An outbreak investigation of extensively drug-resistant Acinetobacter baumannii cases in the intensive care unit of Al-Qatif Central Hospital, Saudi Arabia
Faris Maeed Alqahtani, Shady A. Kamel, Sami Almudarra, Alaa A. Mathkour
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525127

Vaccination against Influenza among Health Care Workers in Al Mashaer during Hajj 2019 (1440 H); Uptake and Barriers
Faris Maeed Alqahtani, Shady A. Kamel, Sami Almudarra, Alaa A. Mathkour
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525128

Middle East Quality Improvement Program
(MEQUIP QI&CPD)


Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE

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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
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: lesleypocock@mediworld.com.au
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August 2022 - Volume 20, Issue 8

An outbreak investigation of extensively drug-resistant Acinetobacter baumannii cases in the intensive care unit of
Al-Qatif Central Hospital, Saudi Arabia

Corresponding Author
Dr. Faris Maeed Alqahtani
Public Health Physician, Communicable Diseases Department,
General Directorate of Health Affairs, Aseer Region,
Saudi Arabia
Email: dr.faris.jubran@gmail.com

Received: June 2022 Accepted: July 2022; Published: August1, 2022. Citation: Faris Maeed Alqahtani et al. An outbreak investigation of extensively drug-resistant Acinetobacter baumannii cases in the intensive care unit of Al-Qatif Central Hospital, Saudi Arabia. World Family Medicine. 2022; 20(8): 102-111 DOI: 10.5742/MEWFM.2022.525127

Abstract

Background: Acinetobacter baumannii has emerged as an extremely disturbing pathogen for several institutions worldwide. It is common in hospital environments, and outbreaks of Acinetobacter infections classically arise in intensive care units (ICUs). This investigation aimed to describe the extensively drug-resistant Acinetobacter baumannii (XDRAB) outbreak, which occurred in the intensive care unit (ICU) of Al-Qatif central hospital, Saudi Arabia.

Methodology: This is a cross-sectional study for all positive (XDRAB) reported cases in the ICU of Al-Qatif Central Hospital, Eastern region during August and September 2019. Investigation of cases was based on the patient’s files, charts, lab records, interviewing the infection prevention and control team of the hospital, and the directorate. Microbiological and environmental samples were collected and tested for XDRAB.

Results: A total of nine patients tested positive. Eight of the cases were male, and only three of them were Non-Saudi. The age ranged from 21 to 82 years, the mean age was 48.6 ± 21.14 years, and the mean length of ICU stay was eight ± 5.75 days. The environmental samples and the swabs from the health care workers (HCW) hand results were negative for XDRAB. Eight of the nine affected patients were on a mechanical ventilator (OR 9.2, 95% CI:1.09-77.9, P = 0.029), and according to the control chart, there was a previous outbreak attack in early 2019.

Conclusion: The ICU of Al-Qatif hospital experienced an XDRAB outbreak in August, and it continued till September 2019. There was a previous outbreak with the same organism early in the same year, which required a strong adherence to the control and prevention measures and further analytical studies to find out the reasons behind the recurrent XDRAB outbreak.

Key Words: Acinetobacter baumannii, outbreak investigation, drug-resistance, Saudi Arabia.







 


 

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