TY - JOUR
T1 - Effectiveness of simple strategies in reducing multidrug resistant blood stream infections in Neonatal Intensive Care Unit of tertiary care hospital in Karachi, Pakistan
AU - Qadir, Maqbool
AU - Qamar, Farah Naz
AU - Resham, Shahzadi
AU - Ali, Rehan
AU - Khalil, Ahmad
AU - Ahmed, Shakeel
AU - Amin, Hasina
AU - Mossani, Sunaina
N1 - Publisher Copyright:
© 2015, Pakistan Medical Association. All rights reserved.
PY - 2015
Y1 - 2015
N2 - Objectives: To report reduction in transmission of multidrug resistant organisms from the neonatal intensive care unit after the implementation of simple risk-reduction strategies. Methods: Using a pre-and-post design, the study was carried out from June 2010 to December 2011 at the neonatal intensive care unit of Aga Khan University Hospital, Karachi, which is 12-bed, level III facility. The intervention comprised hand washing certification for all staff, use of chlorhexidine instead of povodine iodine for skin preparation, use of non-sterile gloves for diaper change, implementation of barrier nursing for clinically-suspected and culture-proven infections, provision of separate intubation and central line trolley for each room and limiting the use of umbilical catheters to 7 days. Data is reported for 3-month pre-intervention period, one-month implementation phase, and for 3-month post-intervention phase. Data for 12 months post-implementation is reported to show sustainability. Results: The average pre intervention rates of bloodstream infections due to extended spectrum β lactamase, Acinetobacter, Pseudomonas and methicillin resistant staphylococcus aureus were 4.7, 3.3, 1.2 and zero respectively. The average number of admissions during the 3 phases was almost similar (49, 46 and 53 respectively). There was sustained reduction in rates for all organisms 12 months after the intervention period. Conclusion: Nosocomial transmission of multi drug resistant organisms within the neonatal intensive care unit can be effectively reduced by adopting simple strategies.
AB - Objectives: To report reduction in transmission of multidrug resistant organisms from the neonatal intensive care unit after the implementation of simple risk-reduction strategies. Methods: Using a pre-and-post design, the study was carried out from June 2010 to December 2011 at the neonatal intensive care unit of Aga Khan University Hospital, Karachi, which is 12-bed, level III facility. The intervention comprised hand washing certification for all staff, use of chlorhexidine instead of povodine iodine for skin preparation, use of non-sterile gloves for diaper change, implementation of barrier nursing for clinically-suspected and culture-proven infections, provision of separate intubation and central line trolley for each room and limiting the use of umbilical catheters to 7 days. Data is reported for 3-month pre-intervention period, one-month implementation phase, and for 3-month post-intervention phase. Data for 12 months post-implementation is reported to show sustainability. Results: The average pre intervention rates of bloodstream infections due to extended spectrum β lactamase, Acinetobacter, Pseudomonas and methicillin resistant staphylococcus aureus were 4.7, 3.3, 1.2 and zero respectively. The average number of admissions during the 3 phases was almost similar (49, 46 and 53 respectively). There was sustained reduction in rates for all organisms 12 months after the intervention period. Conclusion: Nosocomial transmission of multi drug resistant organisms within the neonatal intensive care unit can be effectively reduced by adopting simple strategies.
KW - BSI
KW - Multidrug resistant organisms
KW - NICU
KW - Pakistan
UR - http://www.scopus.com/inward/record.url?scp=84928078062&partnerID=8YFLogxK
M3 - Article
C2 - 25831680
AN - SCOPUS:84928078062
SN - 0030-9982
VL - 65
SP - 72
EP - 75
JO - Journal of the Pakistan Medical Association
JF - Journal of the Pakistan Medical Association
IS - 1
ER -