Drug-resistant bacteria screening and patient barrier precautions are associated with decreased neonatal nosocomial infection
DOI:
https://doi.org/10.3855/jidc.9526Keywords:
hospital infection, intervention strategy, neonatesAbstract
Introduction: Neonates are at high risk of nosocomial infections, especially in developing countries. This study aimed to examine the effectiveness of drug-resistant bacteria (DRB) screening in combination with patient barrier precautions in controlling nosocomial infections in neonatal wards.
Methodology: The clinical data of neonates admitted to the Mianyang Central Hospital, Mianyang, China in 2010 and 2012 were retrospectively analyzed. In 2010, DRB screening was conducted using nasal and anal swabs. In 2012, in addition to the DRB screening, patient barrier precautions were implemented. The barrier precautions were lifted if the patients were negative for the DRB screening. Patients with DRB colonization were further isolated to reduce the risk of nosocomial infection. The rate of nosocomial infections in the two years was compared.
Results: A total of 1280 neonates in 2010 and 1504 neonates in 2012 were included in the analysis. No significant difference was noticed between the two years in gestational weeks, age, gender, and birth weight. The rate of nosocomial infections was reduced significantly from 2.34% in 2010 to 1.13% in 2012.
Conclusions: DRB screening in combination with the patient barrier precautions may reduce the risk of nosocomial infection in neonates.
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