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NOSOCOMIAL INFECTION

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by

suhad salih

on 17 August 2014

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Transcript of NOSOCOMIAL INFECTION

Introduction
Nosocomial infections are associated with significant Morbidity and increased Mortality in Neonatal Intensive Care Units (NICU), particularly among preterm infants (ELBW)
Definition
It is as an infection that occurs at any site, which is acquired during hospitalization and results from inoculation with an organism that was not present or incubated in the patient at the time of admission.
In Neonates
Early onset infection (presented with symptoms within 48hrs of life) 89%
Causes
Gram-negative & Gram- positive Organisms
Fact
Blood stream infections are reported to be the most common Neonatal Infection with an incidence as high as 78% of the total NIs reported.
The next most common site varies among NICUs but is often in either the Respiratory or Urinary tract
NOSOCOMIAL INFECTION
IN THE
NEONATAL ICU,

Inevitable or preventable?
Improvements in antenatal and neonatal intensive care management over the past 10 to 15 years have changed the prognosis for preterm infants.

More than 85% of infants born at 25 weeks’ gestation now survives their preterm birth.

CDC studies (NNIS)system
late onset infection ( presented with symptoms after 72 hrs of life)
Hospital Acquired Infection
(HAI)
Bacterial
Viral
Fungal
CDC
Fact
NICUs contain many risk factors that increases the incidence of babies catching an infection.
out of control
Partially controllable
Physicians, nurses, physiotherapistsand other hospital personnel/ health care workers.
Remarkable increase in our infection rate (CVC).
Staff

knowledge about the effect of improper hand hygiene on transmission of Nasocomal infection .
In compliance of health team members to hand washing.

Aim
Hands Scanning
before
Audit all health team members for compliance to hand washing
Distribution of hand washing related posters
Intensive education and practice on proper hand washing/scrubbing
what did we do through the campaign ?
Reminder day
after
how to do?
when to do?
how frequent?
CLABSI
Central Line Associated Blood Stream Infection committee
Review and update Hospital related policy
Create & introduce a hospital approved CVC management check list to the staff.
Design a unified CVC sterile dressing kit
Intensive education on proper handling of CVCs
63%
90%
before
after
Compliance to hand washing
CLA BSI
before
after
5.78
3.18
job well done
Commitment
Thank you
Suhad Salih
NICU Clinical Instructor
ND&S
KFSHRC
Preventable
Full transcript