Managing and preventing outbreaks of Gram-negative infections in UK neonatal units.
Arch Dis Child Fetal Neonatal Ed
; 98(6): F549-53, 2013 Nov.
Article
em En
| MEDLINE
| ID: mdl-23792354
ABSTRACT
De novo guidance on the management of Gram-negative bacteria outbreaks in UK neonatal units was developed in 2012 by a Department of Health, England Antimicrobial Resistance and Healthcare Associated Infection working group. The recommendations included activation of an organisational response and establishing a control team when an outbreak is suspected; screening for the specific organism only during an outbreak; undertaking multidisciplinary reviews of cleaning routines, hand hygiene and Gram-negative bacteria transmission risks; considering deep-cleaning; cohorting colonised and infected babies preferably but not necessarily in isolation cubicles; and considering reducing beds or closing a unit to new admissions as a way of improving spacing and staffpatient ratios until the outbreak is under control. The group advised establishing mechanisms to communicate effectively across the network; informing parents of the outbreak as early as possible, and providing prewritten 'infection outbreak' information sheets. For prevention of outbreaks, the group advised meeting national staffing and cot-spacing requirements; following a Water Action Plan; using infection reduction care bundles and benchmarking; and introducing breast milk early and limiting antibiotic use.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Unidades de Terapia Intensiva Neonatal
/
Infecção Hospitalar
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Controle de Infecções
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Infecções por Bactérias Gram-Negativas
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Bactérias Gram-Negativas
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Antibacterianos
Tipo de estudo:
Guideline
Limite:
Humans
/
Newborn
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article