Decreasing infection in neonatal intensive care units through quality improvement

Bowen, JR; Callander, I; Richards, R; Lindrea, KB; Chaudhari, T; Carmo, K; Spence, K; Wake, C; Kinross, D; Shein, D; Jolley, B; Shingde, V; Brandenburg, U; Bolisetti, S; Cameron, D; Bowen, J; Bowers, S; Gordon, A; Bredemeyer, S; Polverino, J; Morritt, ML; Marceau, J; Rochefort, M; Tracy, M; Bajuk, B; Sedgley, S; Leckie, M; Sinclair, L

Decreasing infection in neonatal intensive care units through quality improvement

Bowen, JR Callander, I Richards, R Lindrea, KB Chaudhari, T Carmo, K Spence, K Wake, C Kinross, D Shein, D Jolley, B Shingde, V Brandenburg, U Bolisetti, S Cameron, D Bowen, J Bowers, S Gordon, A Bredemeyer, S Polverino, J Morritt, ML Marceau, J Rochefort, M Tracy, M Bajuk, B Sedgley, S Leckie, M Sinclair, L

Permalink

Publication Type:: Journal Article
Citation:: Archives of Disease in Childhood: Fetal and Neonatal Edition, 2017, 102 (1), pp. F51 - F57
Issue Date:: 2017-01-01

Closed Access

	Filename	Description	Size
	F51.full.pdf	Published Version	457.8 kB	Adobe PDF	View/Open

Copyright Clearance Process

Recently Added
In Progress
Closed Access

This item is closed access and not available.

Full metadata record

Field	Value	Language
dc.contributor.author	Bowen, JR	en_US
dc.contributor.author	Callander, I	en_US
dc.contributor.author	Richards, R	en_US
dc.contributor.author	Lindrea, KB	en_US
dc.contributor.author	Chaudhari, T	en_US
dc.contributor.author	Carmo, K	en_US
dc.contributor.author	Spence, K	en_US
dc.contributor.author	Wake, C	en_US
dc.contributor.author	Kinross, D	en_US
dc.contributor.author	Shein, D	en_US
dc.contributor.author	Jolley, B	en_US
dc.contributor.author	Shingde, V	en_US
dc.contributor.author	Brandenburg, U	en_US
dc.contributor.author	Bolisetti, S	en_US
dc.contributor.author	Cameron, D	en_US
dc.contributor.author	Bowen, J	en_US
dc.contributor.author	Bowers, S	en_US
dc.contributor.author	Gordon, A	en_US
dc.contributor.author	Bredemeyer, S	en_US
dc.contributor.author	Polverino, J	en_US
dc.contributor.author	Morritt, ML	en_US
dc.contributor.author	Marceau, J	en_US
dc.contributor.author	Rochefort, M	en_US
dc.contributor.author	Tracy, M	en_US
dc.contributor.author	Bajuk, B	en_US
dc.contributor.author	Sedgley, S	en_US
dc.contributor.author	Leckie, M	en_US
dc.contributor.author	Sinclair, L https://orcid.org/0000-0002-4209-9745	en_US
dc.date.available	2016-04-07	en_US
dc.date.issued	2017-01-01	en_US
dc.identifier.citation	Archives of Disease in Childhood: Fetal and Neonatal Edition, 2017, 102 (1), pp. F51 - F57	en_US
dc.identifier.issn	1359-2998	en_US
dc.identifier.uri	http://hdl.handle.net/10453/124127
dc.description.abstract	Objective To decrease the incidence of bloodstream infection (BSI) for neonates <29 weeks gestation through quality improvement. Design Commencing in September 2011, eight neonatal intensive care units (NICUs) in New South Wales and Australian Capital Territory, Australia participated in the Sepsis Prevention in NICUs Group project, a multicentre quality improvement initiative to reduce neonatal infection through implementation of potentially better practices and development of teaching resources. Data were collected for neonates <29 weeks gestation from D3 to 35, using point of care data entry, for BSI, central line-associated BSI (CLABSI) and antibiotic use. Exponentially weighted moving average data trend lines for rates of BSI, CLABSI and antibiotic use for each NICU were automatically generated and composite charts were provided each month to participating NICUs. Results Between January 2012 and December 2014, data were collected from D3 to 35 for 1075 neonates <29 weeks gestation who survived >48 h, for a total of 33 933 bed days and 14 447 central line days. There was a significant decrease from 2012 to 2014 in BSI/1000 bed days (7.8±3.0 vs 3.8±1.1, p=0.000), CLABSI/1000 bed days (4.6±2.1 vs 2.1±0.8, p=0.003), CLABSI/1000 central line days (9.9±4.3 vs 5.4±1.7, p=0.012) and antibiotic days/100 bed days (31.1±4.3 vs 25.5±4.2, p=0.046). Conclusions This study demonstrates a >50% reduction in BSI in extremely premature neonates from D3 to 35 following a collaborative quality improvement project to reduce neonatal infection across an NICU network, supported by timely provision of data.	en_US
dc.relation.ispartof	Archives of Disease in Childhood: Fetal and Neonatal Edition	en_US
dc.relation.isbasedon	10.1136/archdischild-2015-310165	en_US
dc.subject.classification	Pediatrics	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Cross Infection	en_US
dc.subject.mesh	Catheterization, Central Venous	en_US
dc.subject.mesh	Incidence	en_US
dc.subject.mesh	Survival Rate	en_US
dc.subject.mesh	Retrospective Studies	en_US
dc.subject.mesh	Follow-Up Studies	en_US
dc.subject.mesh	Infection Control	en_US
dc.subject.mesh	Infant, Newborn	en_US
dc.subject.mesh	Infant, Very Low Birth Weight	en_US
dc.subject.mesh	Intensive Care Units, Neonatal	en_US
dc.subject.mesh	Guideline Adherence	en_US
dc.subject.mesh	Australian Capital Territory	en_US
dc.subject.mesh	New South Wales	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Catheter-Related Infections	en_US
dc.subject.mesh	Quality Improvement	en_US
dc.title	Decreasing infection in neonatal intensive care units through quality improvement	en_US
dc.type	Journal Article
utslib.citation.volume	1	en_US
utslib.citation.volume	102	en_US
utslib.for	1114 Paediatrics and Reproductive Medicine	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access
pubs.issue	1	en_US
pubs.publication-status	Published	en_US
pubs.volume	102	en_US

Abstract:

Objective To decrease the incidence of bloodstream infection (BSI) for neonates <29 weeks gestation through quality improvement. Design Commencing in September 2011, eight neonatal intensive care units (NICUs) in New South Wales and Australian Capital Territory, Australia participated in the Sepsis Prevention in NICUs Group project, a multicentre quality improvement initiative to reduce neonatal infection through implementation of potentially better practices and development of teaching resources. Data were collected for neonates <29 weeks gestation from D3 to 35, using point of care data entry, for BSI, central line-associated BSI (CLABSI) and antibiotic use. Exponentially weighted moving average data trend lines for rates of BSI, CLABSI and antibiotic use for each NICU were automatically generated and composite charts were provided each month to participating NICUs. Results Between January 2012 and December 2014, data were collected from D3 to 35 for 1075 neonates <29 weeks gestation who survived >48 h, for a total of 33 933 bed days and 14 447 central line days. There was a significant decrease from 2012 to 2014 in BSI/1000 bed days (7.8±3.0 vs 3.8±1.1, p=0.000), CLABSI/1000 bed days (4.6±2.1 vs 2.1±0.8, p=0.003), CLABSI/1000 central line days (9.9±4.3 vs 5.4±1.7, p=0.012) and antibiotic days/100 bed days (31.1±4.3 vs 25.5±4.2, p=0.046). Conclusions This study demonstrates a >50% reduction in BSI in extremely premature neonates from D3 to 35 following a collaborative quality improvement project to reduce neonatal infection across an NICU network, supported by timely provision of data.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/124127