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Transcript of NOSOCOMIAL INFECTION
Nosocomial infections are associated with significant Morbidity and increased Mortality in Neonatal Intensive Care Units (NICU), particularly among preterm infants (ELBW)
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.
Early onset infection (presented with symptoms within 48hrs of life) 89%
Gram-negative & Gram- positive Organisms
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
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
NICUs contain many risk factors that increases the incidence of babies catching an infection.
out of control
Physicians, nurses, physiotherapistsand other hospital personnel/ health care workers.
Remarkable increase in our infection rate (CVC).
knowledge about the effect of improper hand hygiene on transmission of Nasocomal infection .
In compliance of health team members to hand washing.
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 ?
how to do?
when to do?
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
Compliance to hand washing
job well done
NICU Clinical Instructor