Evaluation of the Saudi national CLABSI prevention model
Abstract:
Aim: Central-line catheterization is a routine but high-risk procedure in intensive care, with central-line-associated bloodstream (CLABSI) infections remaining a major contributor to patient morbidity, prolonged hospitalization, and increased healthcare costs. In response to nationally elevated CLABSI rates, the Saudi Ministry of Health introduced the “Go Green” Project and the CLABSI National Prevention Tool in 2022 to standardize and strengthen prevention practices.
Objective: To evaluate the national prevention model in a tertiary adult intensive care unit.
Methods: We conducted semi-structured interviews, direct observations, and document reviews with 29 stakeholders, including nurses, physicians, infection-prevention specialists, and administrators. The study identified two major themes. The first one, “A practical strategy requires both professional human resources and sufficient medical supplies,” comprised four codes: staffing, workload overload, competency, and medical supplies. The second theme, “An administrative strategy requires both awareness and behavioral attitudes,” was represented by four codes: “Go Green,” education and training, hands-off practices, and teamwork. While participants generally demonstrated strong foundational knowledge of CLABSI prevention, gaps remained among a minority.
Results: Key barriers included nursing workforce shortages, inconsistent supply availability, and variable competency in ultrasound-guided catheter insertion. Stakeholders emphasized the need for continuous training, improved supply-chain reliability, and stronger interdisciplinary collaboration, alongside a sustained cultural commitment to infection-prevention practices.
Significance and impact: Although the institution achieved national recognition for CLABSI reduction in 2022, long-term success will depend on maintaining adherence to best practices, addressing operational constraints, and ensuring ongoing competency development to meet future performance targets.
Reference:
Mazi WA, Halwani MA. Evaluation of the Saudi national prevention model for reduction of central-line-associated bloodstream infections: A single-center qualitative study. J Infect Prev. 2026 Oct 16:17571774261493285. doi: 10.1177/17571774261493285. Epub ahead of print. PMID: 42892782; PMCID: PMC13675407.