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OP-085 Neonatal intensive care health service-associated infection surveillance central venous catheter-associated bloodstream infection
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  1. Zeynep Alp Unkar1,
  2. Eymen Pınar2,
  3. Ersin Ulu1,
  4. Mehmet Vural1
  1. 1Istanbul University Cerrhapasa-Cerrahpasa Medical Faculty, Child Health and Diseases, Neonatology Department
  2. 2Istanbul University Cerrhapasa-Cerrahpasa Medical Faculty, Child Health and Diseases

Abstract

Aim The survival of low birth weight premature infants and their prolonged follow-up in Neonatal Intensive Care Units (NICUs) pose various risks. The use of invasive devices and the prevalence of hospital-acquired infections requiring broad-spectrum antibiotics in neonatal intensive care units range from 9.3% to 25%. It is essential to identify infectious agents through surveillance studies conducted by the Hospital Infection Control Committee (HICC).

Material and Method The Hospital Infection Control Committee (HICC) conducted Healthcare-Associated Infection (HAI) surveillance in the Neonatal Intensive Care Unit (NICU) from 2021 to 2023. Using the ’Ministry of Health National Healthcare-Associated Infections Surveillance Guide (2017),’ data for 2021–2022 was presented in four periods, and 2023 data in the 1st and 2nd periods, classified by incidence density, infection rates, invasive device-associated infections, device usage rates, and causative agent distribution.

Results In 2021, with 250 patient admissions and an infection rate of 19%, the incidence density was 12.2. Infants weighing less than 750 grams had a 24% Central Venous Catheter-Associated Bloodstream Infection rate, decreasing with weight. Despite a high density of 18.6 in the 1st period, with Introducing a checklist created by the HICC team to ensure adherence to infection control measures during the placement of CVC/PICC/SVC it significantly decreased in the 2nd period to 8.5. In 2022, adherence to protocols led to a 25% decrease. In 2023, improvements in protocols led to decreased CVC infections, aligning with national averages, especially for infants weighing under 1000 grams.

Conclusions SVC-Related Bloodstream Infection density for all weight categories decreased from 12.1 in 2021 to 6.1 in 2022 and further to 6.2 in the first 6 months of 2023. This decline indicates a reduction in infection density compared to the previous period. Implementing a Active surveillance system is key to achieving a significant reduction or complete prevention of hospital infections.

  • neonatal
  • catheter
  • infection

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