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Effect of camera monitoring and feedback along with training on hospital infection rate in a neonatal intensive care unit

Annals of Clinical Microbiology and Antimicrobials Nov 21, 2019

Karabay M, et al. - Given that neonatal intensive care units (NICU) constitute the greatest risk in terms of pediatric healthcare-associated infections (HAI), researchers retrospectively investigated the impact of the training along with camera monitoring and feedback (CMAF) to control the infection following a small outbreak. At the isolation room of Sakarya University Hospital NICU, ESBL producing Klebsiella pneumoniae was detected on three infants in May 2014. To prevent further spread of the infection, isolation of the infected infants and initiation of their decolonization were performed. For this aspect, training was provided to healthcare workers (HCWs) in NICU for infection control measures. The HCWs were monitored by an infection control committee via installing cameras in the NICU. The CMAF period exhibited a significant decrease in infection rate in this study. Moreover, a crucial increase in handwashing compliance was noted following the implementation of camera monitoring. Before the onset of the CMAF, HAI density of 9.59% was reported; it reduced to 2.24% during the CMAF period. The results thereby support the utility of CMAF process for increasing the compliance of infection control and improving hand hygiene habits in NICU.
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