| A Decrease in the Number of Cases of Necrotizing Enterocolitis Associated with the Enhancement of Infection Prevention and Control Measures during a Staphylococcus aureus Outbreak in a Neonatal Intensive Care Unit. | |
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MedLine Citation:
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PMID: 22173519 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Objective. Most cases of necrotizing enterocolitis (NEC) are sporadic, but outbreaks in hospital settings suggest an infectious cause. Our neonatal intensive care unit (NICU) experienced an outbreak of methicillin-sensitive Staphylococcus aureus (MSSA). We aimed to assess whether the enhancement of infection prevention and control measures would be associated with a reduction in the number of cases of NEC. Design. Retrospective chart review. Setting. A 24-bed, university-affiliated, inborn level 3 NICU. Participants. Infants of less than 30 weeks gestation or birth weight ≤ 1,500 g admitted to the NICU between January 2007 and December 2008 were considered at risk of NEC. All cases of NEC were reviewed. Interventions. Infection prevention and control measures, including hand hygiene education, were enhanced during the outbreak. Avoidance of overcapacity in the NICU was reinforced, environmental services (ES) measures were enhanced, and ES hours were increased. Results. Two hundred eighty-two at-risk infants were admitted during the study. Their gestational age and birth weight (mean ± SD) were [Formula: see text] weeks and [Formula: see text] g, respectively. The proportion of NEC was 18/110 (16.4%) before the outbreak, 1/54 (1.8%) during the outbreak, and 4/118 (3.4%) after the outbreak. After adjustment for gestational age, birth weight, gender, and singleton versus multiple births, the proportion was lower in the postoutbreak period than in the preoutbreak period ([Formula: see text]). Conclusion. Although this observational study cannot establish a causal relationship, there was a significant decrease in the incidence of NEC following implementation of enhanced infection prevention and control measures to manage an MSSA outbreak. |
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Authors:
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Brigitte Lemyre; Wenlong Xiu; Nicole Rouvinez Bouali; Janet Brintnell; Jo-Anne Janigan; Kathryn N Suh; Nicholas Barrowman |
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Publication Detail:
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Type: Journal Article Date: 2011-11-11 |
Journal Detail:
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Title: Infection control and hospital epidemiology : the official journal of the Society of Hospital Epidemiologists of America Volume: 33 ISSN: 1559-6834 ISO Abbreviation: Infect Control Hosp Epidemiol Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2011-12-16 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8804099 Medline TA: Infect Control Hosp Epidemiol Country: United States |
Other Details:
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Languages: eng Pagination: 29-33 Citation Subset: IM; N |
Affiliation:
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The Ottawa Hospital, Ottawa, Ontario, Canada. |
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