Compliance With Infection Control Standards in the Care of Mechanically Ventilated Patients: An Observational Audit Study in Adult Intensive Care Units

Taymaa Al-Tloul, Aya Awad, Zakari Ahmad, Bayan Shalaldeh, Nassrallah Sarhan and Maram M. Aladam

SAP Primary Care, 2026

Abstract: Introduction: Healthcare-associated infections remain a major patient safety concern in intensive care units, particularly among mechanically ventilated patients who are exposed to invasive procedures and prolonged critical illness. Despite the availability of international infection prevention guidelines, adherence to infection control standards in routine ICU practice remains inconsistent, especially in resource-limited settings.Objective: This study aimed to evaluate compliance with infection control standards in the care of mechanically ventilated adult patients using a structured observational audit approach.Methods: A non-participant observational audit was conducted in adult intensive care units of governmental and private hospitals in the Hebron Governorate, Palestine. Compliance was assessed using a structured checklist derived from international guidelines. A total of 712 care observations involving 158 ICU nurses and 142 mechanically ventilated patients were recorded across multiple shifts. Compliance scores were categorized as poor, moderate, or good. Non-parametric statistical tests examined associations between nurses’ characteristics and compliance levels.Results: Compliance varied across domains. High adherence was observed for proper disposal of contaminated materials (90.1%), closed suction system use (85.2%), and head-of-bed elevation (83.1%). Lower compliance was noted for oral care (54.9%), aseptic suctioning (62.7%), and hand hygiene before patient contact (67.6%). Overall, 41.1% of nurses demonstrated good compliance, while 13.9% exhibited poor adherence. Higher compliance was significantly associated with private hospital employment, advanced education, ICU experience, and prior infection control training (p < 0.05).Conclusion: Compliance was inconsistent, with gaps in technique-sensitive practices requiring targeted quality improvement strategies.

Date: 2026
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Persistent link: https://EconPapers.repec.org/RePEc:cwf:pcarti:pc202689

DOI: 10.62486/pc202689

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