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3 results on '"Saad AlMohrij"'

1. Risk of COVID-19 morbidity and mortality among healthcare workers working in a Large Tertiary Care Hospital

Author

Majid M. Alshamrani, MD, Aiman El-Saed, MD, PhD, Mohammed Al Zunitan, MD, Rawabi Almulhem, RN, PHN, and Saad Almohrij, MD

Subjects
Coronavirus disease (COVID-19), pandemic, hospital, healthcare, Saudi Arabia, Infectious and parasitic diseases, RC109-216
Abstract

ABSTRACT: OBJECTIVES: To estimate COVID-19 infection and outcomes among healthcare workers (HCWs) compared with non-HCWs. METHODS: A prospective surveillance study was conducted among HCWs and non-HCWs eligible for treatment at a large tertiary care facility in Riyadh between March 1st to November 30th, 2020. RESULTS: A total 13,219 cases with confirmed COVID-19 have been detected during the study; 1596 (12.1%) HCW patients (HCWPs) and 11623 (87.9%) non-HCWPs. Infection per 100 population was almost ten-fold higher in HCWs compared with non-HCWs (9.78 versus 1.01, p

Published
2021
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2. Risk of COVID-19 in healthcare workers working in intensive care setting

Author

Majid M. Alshamrani, Aiman El-Saed, Yaseen M Arabi, Mohammed Al Zunitan, Fayssal M Farahat, Henry Baffoe Bonnie, Muayed Matalqa, Fatmah Othman, and Saad Almohrij

Subjects
professional category, Critical Care, Epidemiology, healthcare workers, Health Policy, health care facilities, manpower, and services, Health Personnel, education, Public Health, Environmental and Occupational Health, Saudi Arabia, Coronavirus disease (COVID-19), COVID-19, intensive care unit, Infectious Diseases, Major Article, Humans, Prospective Studies, hospital
Abstract

Background The higher risk of COVID-19 in healthcare workers (HCWs) is well-known. However, the risk within HCWs is not fully understood. The objective was to compare the COVID-19 risk in intensive care unit (ICU) versus non-ICU locations. Methods A prospective surveillance study was conducted among HCWs at a large tertiary care facility in Riyadh between March 1st to November 30th, 2020. HCWs included both clinical (provide direct patient care) and non-clinical positions (do not provide direct patient care). Results A total 1,594 HCWs with COVID-19 were included; 103 (6.5%) working in ICU and 1491 (93.5%) working in non-ICU locations. Compared with non-ICU locations, ICU had more nurses (54.4% versus 22.1%, p

Published
2022

3. High Burden of Resistant Gram-Negative Pathogens Causing Device-Associated Healthcare Infections in Saudi Arabia, 2008–2016

Author

Aiman Ramadan, Majid Alshamrani, Saad Al-Qahtani, Wafa Al Nasser, Asim AlSaedi, Yassen Arabi, Sameera Aljohani, Saad AlMohrij, Adel Alothman, Hanan H. Balkhy, Ayman El Gammal, and Henry Baffoe-Bonnie

Subjects
Microbiology (medical), medicine.medical_specialty, Klebsiella, biology, Epidemiology, business.industry, Enterobacter, Acinetobacter, biology.organism_classification, medicine.disease_cause, Enterobacteriaceae, Multiple drug resistance, Infectious Diseases, Antibiotic resistance, Staphylococcus aureus, Internal medicine, Medicine, Antimicrobial stewardship, business
Abstract

Objectives: There is local and regional deficiency in the data examining the contribution of resistant pathogens to device-associated healthcare-associated infections (DA-HAIs). We examined such data in a multihospital system in Saudi Arabia in comparison with the US NHSN reports. Methods: Surveillance of DA-HAIs was prospectively conducted between 2008 and 2016 in 4 hospitals of Ministry of National Guard Health Affairs. Consecutive NHSN reports were used for comparison. Definitions and methodology of DA-HAIs and bacterial resistance were based on the NHSN reports. Results: In total, 1,260 pathogens causing 1,141 DA-HAI events were included. Gram-negative pathogens (GNPs) were responsible for 62.5% of DA-HAIs, with significantly higher Klebsiella, Pseudomonas, Acinetobacter, and Enterobacter than NHSN hospitals. Approximately 28.3% of GNPs and 23.5% of gram-positive pathogens (GPPs) exhibited some type of resistance. Nearly 34.3% of Klebsiella were cephalosporin-resistant; 4.8% of Enterobacteriaceae were carbapenem-resistant (CRE); 24.4% of Staphylococcus aureus were methicillin-resistant (MRSA; and 21.9% of Enterococci were Vancomycin-resistant (VRE). The multidrug resistance (MDR) rates were 65.0% for Acinetobacter, 26.4% for Escherichia coli, 23.0% for Klebsiella, and 14.9% for Pseudomonas. Resistant GNPs including cephalosporin-resistant Klebsiella, MDR Klebsiella, and MDR Escherichia coli were significantly more frequent than in NHSN hospitals, whereas resistant GPPs including MRSA and VRE were significantly less frequent than in NHSN hospitals. Conclusion: Compared with American hospitals, GNPs that contribute to DA-HAIs in Saudi hospitals show more resistance. The higher resistance rates in Klebsiella and Escherichia coli are alarming and call for effective antimicrobial stewardship programs.Funding: NoneDisclosures: None

Published
2020

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