BACKGROUND: This study examined the effects of a standardized hand hygiene program on the rate of nosocomial infection (NI) in very low birth weight (VLBW) infants (birth weight < 1500 g) admitted to our neonatal intensive care unit (NICU). METHODS: We compared the rate of NI in VLBW infants in 2 separate periods. In the first period, staff were encouraged to perform handwashing using a plain fluid detergent (0.5% triclosan). In the second period, a standardized hand hygiene program was implemented using antimicrobial soap (4% chlorhexidine gluconate) and alcohol-based hand rubs. RESULTS: NI after 72 hours of life was detected in 16 of the 85 VLBW infants in the first period and in 5 of the 80 VLBW infants in the second period. The rate of central venous catheter colonization was significantly lower in the second period (5.8%) than in the first period (16.6%). CONCLUSION: In our NICU, the incidence of NI in VLBW infants was significantly reduced after the introduction of a standardized handwashing protocol. In our experience, a proper hand hygiene program can save approximately 10 NI episodes/year, at a cost of $10,000 per episode. Therefore, improving hand hygiene practice is a cost-effective program in the NICU.

Impact of a standardized hand hygiene program on the incidence of nosocomial infection in very low birth weight infants / Capretti MG; Sandri F; Tridapalli E; Galletti S; Petracci E; Faldella G.. - In: AMERICAN JOURNAL OF INFECTION CONTROL. - ISSN 0196-6553. - ELETTRONICO. - 36:(2008), pp. 430-435. [10.1016/j.ajic.2007.10.018]

Impact of a standardized hand hygiene program on the incidence of nosocomial infection in very low birth weight infants.

GALLETTI, SILVIA;FALDELLA, GIACOMO
2008

Abstract

BACKGROUND: This study examined the effects of a standardized hand hygiene program on the rate of nosocomial infection (NI) in very low birth weight (VLBW) infants (birth weight < 1500 g) admitted to our neonatal intensive care unit (NICU). METHODS: We compared the rate of NI in VLBW infants in 2 separate periods. In the first period, staff were encouraged to perform handwashing using a plain fluid detergent (0.5% triclosan). In the second period, a standardized hand hygiene program was implemented using antimicrobial soap (4% chlorhexidine gluconate) and alcohol-based hand rubs. RESULTS: NI after 72 hours of life was detected in 16 of the 85 VLBW infants in the first period and in 5 of the 80 VLBW infants in the second period. The rate of central venous catheter colonization was significantly lower in the second period (5.8%) than in the first period (16.6%). CONCLUSION: In our NICU, the incidence of NI in VLBW infants was significantly reduced after the introduction of a standardized handwashing protocol. In our experience, a proper hand hygiene program can save approximately 10 NI episodes/year, at a cost of $10,000 per episode. Therefore, improving hand hygiene practice is a cost-effective program in the NICU.
2008
Impact of a standardized hand hygiene program on the incidence of nosocomial infection in very low birth weight infants / Capretti MG; Sandri F; Tridapalli E; Galletti S; Petracci E; Faldella G.. - In: AMERICAN JOURNAL OF INFECTION CONTROL. - ISSN 0196-6553. - ELETTRONICO. - 36:(2008), pp. 430-435. [10.1016/j.ajic.2007.10.018]
Capretti MG; Sandri F; Tridapalli E; Galletti S; Petracci E; Faldella G.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/69281
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