Worldwide, Healthcare Associated Infections (HAIs) and Multidrug Resistant Organisms (MDROs) cause a significant clinical and economic burden. One of the strategies that have been implemented to reduce antimicrobial resistance is the development of healthcare settings with specific MDROs control policies and guidelines. The aim of this study was to perform an audit in order to assess whether, at the time of writing, the relevant policies and procedures were in place at the King Fahad Hofuf Hospital. The Carter and colleagues’ model, which uses a matrix of acknowledging, auditing, stating of aims, and setting out of actions was used as a model for the assessment of the policies. The researchers conducted site visit rounds of the ICU and the general wards to report on the ratio of rooms for patient care, and the general areas in which hand washing sinks and alcohol-based hand rub products were available. Eight policies related to multidrug resistant organisms were analysed. Inappropriate scientific references were presented in the policies and there were no acknowledgements, auditing, or recommended actions in the majority of these policies according to the Carter and colleagues’ method. The sink to bed ratio was 1:6 in the ICU and 1:25 in the general ward. As well, the sinks were not equipped with non-manual control equipment. In conclusion, An audit of policies in the healthcare setting indicated a number of deficiencies regarding best standard policies and guidelines for infection control. Moreover, there were also inadequate environmental control measures for HAIs and MDROs, including hand hygiene facilities
Keywords: Environment, Infection control, KFHH, MDROs, Saudi Arabia, policies