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

Am J Infect Control. 2019 Aug;47(8):1002-1005. doi: 10.1016/j.ajic.2019.01.001. Epub 2019 Mar 5.

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).

Keywords: CLABSI; Late onset sepsis; Very low birth weight.

MeSH terms

  • Catheter-Related Infections / prevention & control
  • Catheterization, Central Venous / adverse effects*
  • Central Venous Catheters / adverse effects
  • Cross Infection / prevention & control*
  • Hand Hygiene
  • Humans
  • Infant, Newborn
  • Infection Control / methods*
  • Infection Control / standards
  • Intensive Care Units, Neonatal / standards*
  • Quality Improvement / organization & administration*
  • Sepsis / etiology
  • Sepsis / prevention & control*