Comparison of Nosocomial Infection Rates in a Neonatal Intensive Care Unit Before and After Moving to a New Location

2.50
Hdl Handle:
http://hdl.handle.net/10755/304199
Category:
Abstract
Type:
Presentation
Title:
Comparison of Nosocomial Infection Rates in a Neonatal Intensive Care Unit Before and After Moving to a New Location
Author(s):
Chen, Yong-Chuan; Huang, Fang-Liang; Chen, Juei-Chao
Lead Author STTI Affiliation:
Non-member
Author Details:
Yong-Chuan Chen, RN, yongchuan72@gmail.com; Fang-Liang Huang, MD; Juei-Chao Chen, PhD;
Abstract:

Poster presented on: Thursday, July 25, 2013, Wednesday, July 24, 2013

Purpose: The study investigated changes in nosocomial infection rates, infection sites, and bacterial species in a neonatal intensive care unit (NICU) before and after moving to a new location at a tertiary hospital in central Taiwan. 

Methods: We adopted a retrospective research design; 212 qualified infants were recruited as subjects between November 2009 and October 2011; 90 had been admitted to the old NICU (old NICU group); 122 had spent time in the new facility (new NICU group). We compared nosocomial infection rates and identified differences in infection sites and bacterial species. Research tools included a baseline data sheet and infection data from the hospital infection control committee. Data were analyzed using SPSS 15.0 for Windows.

Results: There were no significant differences between the two groups in terms of demographic variables, gestational age, birth body weight, and length of hospital stay; The average gestational age was lower in the new NICU group; The average nosocomial infection rate decreased from 5.95 cases per 1000 patient-days in the old NICU group to 4.73 cases per 1000 patient-days in the new NICU group (p= .001). Blood and the urinary tract were the most frequent infection sites in both NICU locations. Methicillin-resistant Staphylococcus aureus (MRSA) (30.52%) was the most frequent pathogen in the old NICU; MRSA (19.82%) and P. aeruginosa (18.8%) were the most frequent pathogens in the new NICU.

Conclusion: The change in environment and adequate hand-washing facilities may have been primary factors in reducing the nosocomial infection rate at the new NICU. The change in type of pathogens between the two locations emphasizes the importance of taking preventive measures to minimize nosocomial infection risks and initiate prompt treatment of infected patients in a new facility.

Keywords:
neonatal intensive care unit; nosocomial infection; hand washing
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleComparison of Nosocomial Infection Rates in a Neonatal Intensive Care Unit Before and After Moving to a New Locationen_GB
dc.contributor.authorChen, Yong-Chuanen_GB
dc.contributor.authorHuang, Fang-Liangen_GB
dc.contributor.authorChen, Juei-Chaoen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsYong-Chuan Chen, RN, yongchuan72@gmail.com; Fang-Liang Huang, MD; Juei-Chao Chen, PhD;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/304199-
dc.description.abstract<p>Poster presented on: Thursday, July 25, 2013, Wednesday, July 24, 2013</p><b>Purpose: </b>The study investigated changes in nosocomial infection rates, infection sites, and bacterial species in a neonatal intensive care unit (NICU) before and after moving to a new location at a tertiary hospital in central Taiwan.  <p><b>Methods: </b>We adopted a retrospective research design; 212 qualified infants were recruited as subjects between November 2009 and October 2011; 90 had been admitted to the old NICU (old NICU group); 122 had spent time in the new facility (new NICU group). We compared nosocomial infection rates and identified differences in infection sites and bacterial species. Research tools included a baseline data sheet and infection data from the hospital infection control committee. Data were analyzed using SPSS 15.0 for Windows.<b><i></i></b><p><b>Results: </b>There were no significant differences between the two groups in terms of demographic variables, gestational age, birth body weight, and length of hospital stay; The average gestational age was lower in the new NICU group; The average nosocomial infection rate decreased from 5.95 cases per 1000 patient-days in the old NICU group to 4.73 cases per 1000 patient-days in the new NICU group (p= .001). Blood and the urinary tract were the most frequent infection sites in both NICU locations. Methicillin-resistant Staphylococcus aureus (MRSA) (30.52%) was the most frequent pathogen in the old NICU; MRSA (19.82%) and P. aeruginosa (18.8%) were the most frequent pathogens in the new NICU.<b></b><p><b>Conclusion: </b>The change in environment and adequate hand-washing facilities may have been primary factors in reducing the nosocomial infection rate at the new NICU. The change in type of pathogens between the two locations emphasizes the importance of taking preventive measures to minimize nosocomial infection risks and initiate prompt treatment of infected patients in a new facility.<b></b>en_GB
dc.subjectneonatal intensive care uniten_GB
dc.subjectnosocomial infectionen_GB
dc.subjecthand washingen_GB
dc.date.available2013-10-22T20:31:02Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:31:02Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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