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

Am J Infect Control

Department of Neonatology, Ziv Medical Center, Tsfat, Israel; Azrieli Faculty of Medicine, Bar-Ilan University, Ramat Gan, Israel.

Published: August 2019

AI Article Synopsis

  • - A quality improvement program was implemented to reduce infection rates by comparing data from 2011-2012 and 2013-2015.
  • - The incidence of central line-associated bloodstream infections significantly decreased from 15.2 to 2.29 episodes per 1000 catheter days (P = .004).
  • - Key improvements included a rise in hand hygiene practices before procedures (from 69.9% to 89.9%) and a reduction in catheter usage duration (from 5.4 days to 4.4 days) (P = .001).

Article Abstract

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).

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Source
http://dx.doi.org/10.1016/j.ajic.2019.01.001DOI Listing

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