Reduction of hospital-acquired infections in the neonatal intensive care unit: A long-term commitment

被引：2

作者：

Flidel-Rimon, Orna ^{[1
,3
]}

Guri, Alex ^{[2
]}

Levi, Dina ^{[1
]}

Ciobotaro, Pnina ^{[2
]}

Oved, Maly ^{[2
]}

Shinwell, Eric S. ^{[4
,5
]}

机构：

[1] Kaplan Med Ctr, Dept Neonatol, POB 1, IL-76100 Rehovot, Israel

[2] Kaplan Med Ctr, Infect Dis, Rehovot, Israel

[3] Hebrew Univ Jerusalem, Jerusalem, Israel

[4] Ziv Med Ctr, Dept Neonatol, Safed, Israel

[5] Bar Ilan Univ, Azrieli Fac Med, Ramat Gan, Israel

来源：

AMERICAN JOURNAL OF INFECTION CONTROL | 2019年 / 47卷 / 08期

关键词：

CLABSI; Late onset sepsis; Very low birth weight; BLOOD-STREAM INFECTION; BIRTH-WEIGHT INFANTS; LINE; RISK; PREVENTION; GUIDELINES; SEPSIS; RATES;

D O I：

10.1016/j.ajic.2019.01.001

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

We instituted quality improvement program. We compare the infection rate before (2011-2012) and after (2013-2015). Central line associated blood stream infection episodes decreased from 15.2 to 2.29 episodes per 1000 catheter days (P = .004). We found two major changes, 1. Hand hygiene increased mainly "before aseptic task", from 69.9% to 89.9% and 2. A significant decrease in the length of the catheter use from 5.4 +/- 4.5 before to 4.4 +/- 2.5 days after the intervention (P = .001). (C) 2019 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

引用

页码：1002 / 1005

页数：4

共 19 条

[1]

Centers for Disease Control and Prevention, 2017, CDC/NHSN surveillance definitions for specific types of infections

[2] Systematic intervention to reduce central line-associated bloodstream infection rates in a pediatric cardiac intensive care unit [J].

Costello, John M. ;

Morrow, Debra Forbes ;

Graham, Dionne A. ;

Potter-Bynoe, Gail ;

Sandora, Thomas J. ;

Laussen, Peter C. .

PEDIATRICS, 2008, 121 (05) :915-923

[3] Catheter-Associated Bloodstream Infections in the NICU: Getting to Zero [J].

Curry, Sabra ;

Honeycutt, Michele ;

Goins, Gail ;

Gilliam, Craig .

NEONATAL NETWORK, 2009, 28 (03) :151-155

[4] Reduction in Central Line-Associated Bloodstream Infection Rates After Implementations of Infection Control Measures at a Level 3 Neonatal Intensive Care Unit [J].

Dumpa, Vikramaditya ;

Adler, Bonny ;

Allen, Delena ;

Bowman, Deborah ;

Gram, Amy ;

Ford, Pat ;

Sannoh, Sulaiman .

AMERICAN JOURNAL OF MEDICAL QUALITY, 2016, 31 (02) :133-138

[5] Early enteral feeding and nosocomial sepsis in very low birthweight infants [J].

Flidel-Rimon, O ;

Friedman, S ;

Lev, E ;

Juster-Reicher, A ;

Amitay, M ;

Shinwell, ES .

ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION, 2004, 89 (04) :F289-F292

[6] IMPORTANCE OF THE ENVIRONMENT AND THE FECAL FLORA OF INFANTS, NURSING STAFF AND PARENTS AS SOURCES OF GRAM-NEGATIVE BACTERIA COLONIZING NEWBORNS IN 3 NEONATAL WARDS [J].

FRYKLUND, B ;

TULLUS, K ;

BERGLUND, B ;

BURMAN, LG .

INFECTION, 1992, 20 (05) :253-257

[7] Simple Strategies to Reduce Healthcare Associated Infections in the Neonatal Intensive Care Unit: Line, Tube, and Hand Hygiene [J].

Graham, Philip L., III .

CLINICS IN PERINATOLOGY, 2010, 37 (03) :645-+

[8] Candidal versus bacterial late-onset sepsis in very low birthweight infants in Israel: a national survey [J].

Makhoul, Imad R. ;

Bental, Yoram ;

Weisbrod, Meir ;

Sujov, Polo ;

Lusky, Ayala ;

Reichman, Brian .

JOURNAL OF HOSPITAL INFECTION, 2007, 65 (03) :237-243

[9] Summary of Recommendations: Guidelines for the Prevention of Intravascular Catheter-related Infections [J].

O'Grady, Naomi P. ;

Alexander, Mary ;

Burns, Lillian A. ;

Dellinger, E. Patchen ;

Garland, Jeffrey ;

Heard, Stephen O. ;

Lipsett, Pamela A. ;

Masur, Henry ;

Mermel, Leonard A. ;

Pearson, Michele L. ;

Raad, Issam I. ;

Randolph, Adrienne G. ;

Rupp, Mark E. ;

Saint, Sanjay .

CLINICAL INFECTIOUS DISEASES, 2011, 52 (09) :1087-1099

[10] Guidelines for the prevention of intravascular catheter-related infections [J].

O'Grady, NP ;

Alexander, M ;

Dellinger, EP ;

Gerberding, JL ;

Heard, SO ;

Maki, DG ;

Masur, H ;

McCormick, RD ;

Mermel, LA ;

Pearson, ML ;

Raad, II ;

Randolph, A ;

Weinstein, RA .

AMERICAN JOURNAL OF INFECTION CONTROL, 2002, 30 (08) :476-489

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