Document Detail


Reducing nosocomial infections in neonatal intensive care.
MedLine Citation:
PMID:  20718580     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Nosocomial infection is a common problem in neonatal intensive care. A pilot quality improvement initiative focussing on hand hygiene and aimed at reducing nosocomial infection in very low birth weight (VLBW) infants was introduced in five Neonatal Intensive Care Units.
METHODS: Line associated laboratory confirmed bloodstream infection (LCBSI) and ventilator associated pneumonia (VAP) were chosen as main outcome measures.
RESULTS: In VLBW infants, the rate of line associated LCBSI per 1000 central venous catheter days fell by 24%. The rate of VAP per 1000 ventilator days in VLBW infants fell by 38%. Pre- and post-intervention questionnaires showed a statistically significant increase in use of alcohol-based gels and increased knowledge of hand hygiene.
Authors:
Eileen Rogers; Fiona Alderdice; Emma McCall; John Jenkins; Stanley Craig
Publication Detail:
Type:  Evaluation Studies; Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  23     ISSN:  1476-4954     ISO Abbreviation:  J. Matern. Fetal. Neonatal. Med.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-19     Completed Date:  2010-12-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  1039-46     Citation Subset:  IM    
Affiliation:
Neonatal Intensive Care Outcomes, Research & Evaluation Group, NICORE Office, Division of Maternal & Child Health, Institute of Clinical Science, Queen's University Belfast, Belfast, Northern Ireland. eileenarogers@yahoo.co.uk
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MeSH Terms
Descriptor/Qualifier:
Catheters / microbiology
Cross Infection / epidemiology,  prevention & control*
Decontamination / standards
Hand / microbiology
Health Knowledge, Attitudes, Practice
Humans
Hygiene / standards
Infant, Newborn
Infant, Very Low Birth Weight
Infection Control / methods*,  statistics & numerical data
Infectious Disease Transmission, Professional-to-Patient / prevention & control*,  statistics & numerical data
Intensive Care Units, Neonatal / organization & administration,  statistics & numerical data*
Pilot Projects
Pneumonia, Ventilator-Associated / epidemiology,  prevention & control
Quality Improvement
Questionnaires

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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