Reducing Staphylococcus aureus infections in the neonatal intensive care unit.


Journal

Journal of perinatology : official journal of the California Perinatal Association
ISSN: 1476-5543
Titre abrégé: J Perinatol
Pays: United States
ID NLM: 8501884

Informations de publication

Date de publication:
11 2022
Historique:
received: 01 11 2021
accepted: 22 04 2022
revised: 07 02 2022
pubmed: 30 4 2022
medline: 2 11 2022
entrez: 29 4 2022
Statut: ppublish

Résumé

Our neonatal intensive care unit (NICU) saw an increase in Staphylococcus aureus (SA) infections-methicillin-resistant SA (MRSA) infections increased from 2.1/10,000 patient days (PD) to 5.1/10,000 PD, and methicillin-sensitive SA (MSSA) infections from 1.2/10,000 PD to 3.9/10,000 PD. This quality improvement project aimed to decrease the rates of SA infections to less than 2.0/10,000 PD, and to determine the rate of SA decolonization. Infection prevention interventions targeted patient factors (SA surveillance, patient cohorting, decolonization protocol), provider factors (provider cohorting, enhanced hand hygiene) and environmental factors (room structure, equipment optimization). The rates of MRSA and MSSA infections decreased to 0.6/10,000 PD and 0.7 infections/10,000 PD respectively. Persistent decolonization of SA was successful in 67% of colonized patients. Specific interventions targeting patient, provider, and environmental factors, including the implementation of a SA decolonization protocol, were successful in decreasing the incidence of SA infections in neonates.

Identifiants

pubmed: 35487977
doi: 10.1038/s41372-022-01407-4
pii: 10.1038/s41372-022-01407-4
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1540-1545

Informations de copyright

© 2022. The Author(s), under exclusive licence to Springer Nature America, Inc.

Références

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Auteurs

Noura Nickel (N)

Maternal, Fetal, and Neonatal Institute, Johns Hopkins All Children's Hospital, St. Petersburg, FL, USA. nnickel1@jhmi.edu.

Sandra Brooks (S)

Maternal, Fetal, and Neonatal Institute, Johns Hopkins All Children's Hospital, St. Petersburg, FL, USA.

Chris Mize (C)

Infection Prevention, Johns Hopkins All Children's Hospital, St. Petersburg, FL, USA.

Allison Messina (A)

Infection Prevention, Johns Hopkins All Children's Hospital, St. Petersburg, FL, USA.

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