Details

Autor(en) / Beteiligte

• Anthony, Mark
• Bedford-Russell, Alison
• Cooper, Tracey
• Fry, Carole
• Heath, Paul T
• Kennea, Nigel
• McCartney, Maureen
• Patel, Bharat
• Pollard, Tina
• Sharland, Mike
• Wilson, Peter

Titel

Managing and preventing outbreaks of Gram-negative infections in UK neonatal units

Ist Teil von

• Archives of Disease in Childhood. Fetal and Neonatal Edition, 2013-11, Vol.98 (6), p.F549-F553

Ort / Verlag

London: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health

Erscheinungsjahr

2013

Quelle

BMJ Journals Archiv - DFG Nationallizenzen

Beschreibungen/Notizen

• De novo guidance on the management of Gram-negative bacteria outbreaks in UK neonatal units was developed in 2012 by a Department of Health, England Antimicrobial Resistance and Healthcare Associated Infection working group. The recommendations included activation of an organisational response and establishing a control team when an outbreak is suspected; screening for the specific organism only during an outbreak; undertaking multidisciplinary reviews of cleaning routines, hand hygiene and Gram-negative bacteria transmission risks; considering deep-cleaning; cohorting colonised and infected babies preferably but not necessarily in isolation cubicles; and considering reducing beds or closing a unit to new admissions as a way of improving spacing and staff:patient ratios until the outbreak is under control. The group advised establishing mechanisms to communicate effectively across the network; informing parents of the outbreak as early as possible, and providing prewritten ‘infection outbreak’ information sheets. For prevention of outbreaks, the group advised meeting national staffing and cot-spacing requirements; following a Water Action Plan; using infection reduction care bundles and benchmarking; and introducing breast milk early and limiting antibiotic use.