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Volume 5 Neonatal and Pediatric Medicine
Page 44
conference series.com
June 17-18, 2019 Dubai, UAE
Joint Meeting on
2nd Annual Conference on
&
Pediatric Nursing and Healthcare
23rd World Nutrition & Pediatrics Healthcare Conference
Health Care, Nutrition & Pediatrics Meet 2019
June 17-18, 2019
Aquality improvement approach to reduce infections in neonatal intensive care
Outcomes in neonatology has improved dramatically in the last 3 decades
Improved survival- associated with increasing short term and long term morbidity
Infections- important cause of morbidity and mortality
Majority of infections are potentially preventable
Early onset sepsis related to maternal and perinatal factors
NICU professionals have little control!
Late- 72 hrs / 7 days
Late onset usually HAI and linked to infection control measures
Controllable and potentially preventable
Reported Incidence – 15-50% depending on location and gestation
25% of VLBW in the NICHD network
Incidence falling in developed economies- eg:15% in Canada (2010/11) and drop from 38/1000 admissions to
20/1000 admissions in the UK 2006-2014
Gulf region – (2013-15) 56/1000 admissions
Seasonal variations have been described
To reduce the infection, we need to have policies in place.
• Hand hygiene policy
• Central line policy and bundles
• Isolation policies
• Antibiotic policies
• Cleaning and waste
We might have Disjoint between policy and care delivery
The metrics being used were nor accurate/fit for purpose
If we look at hand hygiene policy , it may happen:
• Policy in place
Monika Kaushal, Neonat Pediatr Med 2019, Volume 5
Monika Kaushal
Emirates Specialty Hospital, UAE