کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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3373793 | 1219310 | 2007 | 5 صفحه PDF | دانلود رایگان |

SummaryThe influence of the inanimate hospital environment and hospital design on nosocomial infection is a topic for discussion. This study evaluated the impact of the neonatal intensive care unit (NICU) environment on the risk of hospital-acquired infection (HAI). HAI surveillance was performed during a four-year period when the NICU was moved initially from an old facility to temporary accommodation and then eventually to a new and better-designed facility. The rate of HAI rose significantly from 12.8 to 18.6% (P < 0.01) after moving to the temporary unit, which had a lower sink:cot ratio and a higher monthly admission rate. In contrast, the rates of catheter-associated staphylococcal bacteraemia decreased significantly after moving to the new NICU (P < 0.0001). Since peripherally inserted central catheters (PICCs) were introduced concomitantly with the move to the new unit, however, the catheter type may have contributed towards this reduction in CVC-related staphylococcal bacteraemias. Moving to a temporary NICU with poor handwashing facilities and higher admission activity resulted in higher rates of HAI.
Journal: Journal of Hospital Infection - Volume 65, Issue 4, April 2007, Pages 314–318