Sustained reductions in neonatal nosocomial infection rates following a comprehensive infection control intervention

Robert Schelonka, S. Scruggs, K. Nichols, R. A. Dimmitt, W. A. Carlo

Research output: Contribution to journalArticle

41 Citations (Scopus)

Abstract

Objective: Nosocomial infections (NI) are a frequent and important cause of morbidity and mortality in newborn infants who receive intensive care. We sought to determine if comprehensive infection control (CIC) measures decrease rates in a large neonatal intensive care nursery. Methods: Single center interventional study. The CIC intervention consisted of increasing nursing and physician education and awareness of infection rates, establishing common improvement goals, training in hand and environment care, and implementing a specialty nursing team for central venous and arterial catheter care. Demographic and microbiology information for all infants admitted to the NICU from January 1, 1999 to December 31, 2000 established baseline data. The intervention period was during January and February 2001. The postintervention period was March 1, 2001 to February 29, 2004. The main outcome measure was the rate of blood, cerebrospinal and/or urinary tract bacterial infections per 1000 hospital days. Results: Baseline infection rate was 8.5 per 1000 hospital days. The NI rate fell 26% (P=0.002) from baseline in the first year and 29% (P

Original languageEnglish (US)
Pages (from-to)176-179
Number of pages4
JournalJournal of Perinatology
Volume26
Issue number3
DOIs
StatePublished - Mar 2006
Externally publishedYes

Fingerprint

Infection Control
Cross Infection
Nursing Specialties
Team Nursing
Neonatal Intensive Care
Central Venous Catheters
Nurseries
Nursing Education
Critical Care
Microbiology
Infection
Bacterial Infections
Urinary Tract Infections
Hand
Demography
Outcome Assessment (Health Care)
Newborn Infant
Morbidity
Physicians
Mortality

Keywords

  • Infection control
  • Neonate
  • Nosocomial sepsis
  • Process improvement

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health

Cite this

Sustained reductions in neonatal nosocomial infection rates following a comprehensive infection control intervention. / Schelonka, Robert; Scruggs, S.; Nichols, K.; Dimmitt, R. A.; Carlo, W. A.

In: Journal of Perinatology, Vol. 26, No. 3, 03.2006, p. 176-179.

Research output: Contribution to journalArticle

Schelonka, Robert ; Scruggs, S. ; Nichols, K. ; Dimmitt, R. A. ; Carlo, W. A. / Sustained reductions in neonatal nosocomial infection rates following a comprehensive infection control intervention. In: Journal of Perinatology. 2006 ; Vol. 26, No. 3. pp. 176-179.
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