Surveillance of infection in neonatal intensive care units

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Monitoring infection rates is increasingly regarded as an important contributor to safe and high quality health care, especially in intensive care settings. Early-onset neonatal sepsis rates are an important indicator of ante- and intra-partum care, especially as medicalisation of obstetric practice increases. However, surveillance of late-onset neonatal sepsis is required to monitor the quality of Neonatal Intensive Care Unit (NICU)-related care. Infection surveillance on NICUs presents a number of unique challenges, including defining infections, the preponderance of coagulase-negative staphylococci as both pathogens and commensals, and allowing for the influence of important risk factors. Ideally an infection surveillance programme should permit benchmarking of infection rates, and multi-centre programmes have been reported to decrease the incidence of healthcare-associated infections on NICUs. However, further research is required to identify the most clinically- and cost-effective means of surveying NICU-acquired infections before a national programme can be implemented. Until then, considerable value can be obtained from local infection surveillance. © 2007 Elsevier Ireland Ltd. All rights reserved.

Author-supplied keywords

  • *newborn infection/di [Diagnosis]
  • *newborn infection/dm [Disease Management]
  • *newborn infection/dr [Drug Resistance]
  • *newborn infection/dt [Drug Therapy]
  • *newborn infection/ep [Epidemiology]
  • *newborn infection/et [Etiology]
  • *newborn intensive care
  • antibiotic agent/dt [Drug Therapy]
  • antibiotic resistance
  • antibiotic therapy
  • article
  • coagulase negative Staphylococcus
  • commensal
  • cost effectiveness analysis
  • drug use
  • health care quality
  • health program
  • health survey
  • hospital infection/di [Diagnosis]
  • hospital infection/dm [Disease Management]
  • hospital infection/dr [Drug Resistance]
  • hospital infection/dt [Drug Therapy]
  • hospital infection/ep [Epidemiology]
  • hospital infection/et [Etiology]
  • human
  • incidence
  • infection rate
  • infection risk
  • intensive care unit
  • intrapartum care
  • medical practice
  • meticillin
  • newborn monitoring
  • newborn sepsis
  • obstetric care
  • onset age
  • patient safety
  • quality control
  • risk factor
  • vancomycin/dt [Drug Therapy]

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