Prevention of Sepsis Among Neonates Admitted to Intensive Care Units through Promotion of Infection Control - PowerPoint PPT Presentation

1 / 17
About This Presentation
Title:

Prevention of Sepsis Among Neonates Admitted to Intensive Care Units through Promotion of Infection Control

Description:

... of Infection Control Practices Related to IV & Medication Preparation before and after Intervention Percentage of IV Fluid Samples Contaminated Admissions, ... – PowerPoint PPT presentation

Number of Views:376
Avg rating:3.0/5.0
Slides: 18
Provided by: carol528
Category:

less

Transcript and Presenter's Notes

Title: Prevention of Sepsis Among Neonates Admitted to Intensive Care Units through Promotion of Infection Control


1
  • Prevention of Sepsis Among Neonates Admitted to
    Intensive Care Units through Promotion of
    Infection Control
  • Safe Injection Global Network Meeting in
    Cambodia, 2002

2
Background Request for Assistance to Prevent
Sepsis among NICU Patients at a University
Hospital in Egypt
  • High rates of sepsis among infants in neonatal
    ICU- mortality rates gt 50- poor response to
    antibiotic therapy
  • Early onset sepsis- immediately after admission


3
Methods Investigation of Sepsis among NICU
Patients in Egypt
  • Observation of infection control practices
  • Epidemiology - laboratory-based surveillance
    for BSI (blood
  • culture) - culture of IV fluids (opened
    and unopened)
  • - culture of medications - monitor
    mortality


4
Results Investigation of Sepsis in NICU
  • Clinical practice
  • All infants placed on IV fluids and antibiotics
  • Assessment of Infection control practices
  • Poor understanding of infection control
  • Unsafe practices in the preparation of IV fluids
  • Opened IV fluids Contaminated (klebsiella
    predominant)
  • Unopened IV fluids no growth
  • NICU environmental surfaces Klebsiella
    predominant
  • Prospective surveillance
  • 70 of infants with sepsis (most is early onset)
  • 55 mortality


5
Investigation of Sepsis in Newborn Nursery
Poor infection control practices

Contamination of IV fluids
Sepsis and death
6
  • Rapid Assessment of Sepsis in NICUs
  • Sample - NICUs throughout the country (n
    36)
  • Assessment - sepsis and mortality rates -
    culture of IVF - BSI among patients with
    clinical sepsis - infection control practices
    with emphasis on management of IV fluids
  • Team - laboratory, epidemiologist,
    neonatologist


7
Results of IV Fluid and Blood Cultures Survey of
Rapid Assessment of Sepsis in NICUs ,Egypt 02

8
  • Results Assessment of Infection Control
    Practices
  • Rapid assessment of Sepsis in NICUs
  • General - poor understanding of infection
    control
  • Preparation of IV fluids - mixing of fluids
    on ward - poor adherence to aseptic
    techniques - prolonged usage of individual
    bags - no assigned nurse or special area for
    IV preparation - reuse of syringes to
    prepare IV fluids
  • Infection control supplies - gloves, syringes,
    appropriately sized IV fluids


9
  • Intervention to Prevent Sepsis in NICUs
  • Task analysis on preparation of IV fluids
  • - SOPs for preparation of IV fluids
  • Training - 3 days onsite, applied and
    didactic - follow-up with monthly site visits
  • Supplies and reagents - distribution of
    critical infection control materials
  • Supervision and monitoring
  • - key indicators


10
  • Key Indicators to Monitor Intervention
  • Infection Control Practices
  • - observational tool
  • - score developed for critical
  • procedures
  • IV fluid contamination
  • Admissions, deaths, mortality rates


11
Observation Tool to Monitor Infection Control
Practices
  • Hand washing before procedures
  • IV fluid mixing and preparation
  • Medication mixing and preparation
  • Cannula insertion steps

12
Comparison of Infection Control Practices Related
to IV Medication Preparation before and after
Intervention
13
Percentage of IV Fluid Samples Contaminated
Pre-intervention
Post-intervention
14
Admissions, Deaths and Mortality Rates in 22
NICUs from Dec 01 to Jun 02
15
SummaryBehavior Change Related to Intervention
  • Improved hand washing
  • Improved aseptic techniques for
  • IV fluid mixing and preparation
  • Medication mixing and preparation
  • Cannula insertion

16
Summary Promotion of Infection Control
  • Evidence-based monitoring and evaluation is
    essential
  • Applied training is vital
  • Availability of critical supplies
  • Promotion of infection control is the key
    strategy to reduce nosocomial infections
  • Investment in infection control has great
    potential to - reduce disease in patients -
    lower health care costs

17
(No Transcript)
Write a Comment
User Comments (0)
About PowerShow.com