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Assessing the implementation of infection prevention and control measures at private hospitals in Dubai, United Arab
Ahmed Mohamed Elhag1, Yasir Ahmed Mohammed Elhadi1, Iffat Elbarazi1
1Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Tawam street, 15551, Al Ain, United Arab Emirates.
Background:
Implementation of rigorous and effective infection prevention and control (IPC) measures is one of the pillars of preventing health care associated infections, reducing inappropriate use of antimicrobials, and combating antimicrobial resistance. Dubai Health Authority has long been implementing IPC programs in Dubai's health facilities. This study aimed to assess the level of IPC implementation in private hospitals in Dubai, United Arab Emirates.
Methods:
This was a hospital based cross-sectional study, using primary data collected between May and July 2023. Data were collected using the World Health Organization's Infection Prevention and Control Assessment Framework (IPCAF).
Results:
Of the 32 hospitals invited to participate in the study, 25 (78%) completed the survey. The overall IPCAF median score of participating hospitals was 752.5 (IQR: 710-760), which corresponds to an advanced level of IPC implementation. No statistically significant difference was observed either in median scores between hospital levels of care (P value = 0.2) or across hospitals with different bed capacity (P value = 0.6). All IPC components achieved high IPCAF scores, with core component 2 (IPC guidelines) and core component 6 (Monitoring and Feedback) having the highest (100) and the lowest (80) median scores, respectively. Notable variation observed within and between components. Despite high overall scores, several gaps were observed, particularly in implementing multimodal strategy, monitoring and assessing safety culture, institutionalizing leadership-driven staff empowerment in certain hospitals.
Conclusion:
The study indicated a strong overall IPC implementation in Dubai's private hospitals. However, targeted interventions such as standardized and continuous training, regular hand hygiene audits with feedback, improved surveillance, and expanded antimicrobial stewardship capacity are needed in specific areas to ensure effective and consistent implementation of the core components across all hospitals.
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