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Reducing health care associated Infections in a Neonatal Intensive Care Unit through Quality Improvement approach, Tibebe-Ghion Specialized Teaching Hospital, Bahir Dar University, Bahir Dar, Ethiopia – Mirror of the Health Care Quality

Article scientifique 2023 Anglais

Résumé

Abstract Background: Health-care-associated-infections are infections occurring while receiving health care, that first appear 48hours or more after hospital admission, or within 30days of receiving health care. Objective: Measure the impact of quality improvement interventions on health-care-associated-infection in the Neonatal Unit of Tibebe – Ghion Hospital. Method: We conducted pre – post Interventional Study between February 01, 2022 and May 01, 2023. Multifaced interventions; implementing recommended minimum NICU standards, re-enforcing WHO IPC Guideline and Hand Hygiene practice, were introduced. NICU Standards achieved, Hand hygiene compliance, WHO IPC guideline Implementation and Health-care-associated-infections were surveyed. Comparison of Health-Care-associated-infection rates before and after the intervention was conducted. Results: Recommended NICU Design standards status was improved from 8% pre-intervention to 79% and 79.5% during and post-intervention respectively. Hand Hygiene compliance in the unit was 10% pre-intervention and improved to 79.5% and 81.3% during and post-intervention respectively. The WHO IPC implementation status was 15% pre-intervention and maximized to 58% both during and post-intervention. These package of interventions were associated with reduction of Health-Care-associated-Infections. (X2 (Degree of Freedom = 1, Sample Size = 432) = 8.2, p = .004.) Conclusions: Infection Prevention practice, Hand Hygiene Compliance and improving NICU Design standards were associated with decrease in health-care-associated-infection rates.

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Gelaw, T., Gessesse, A., Yehuala, A., Belay, Y., Tilahun, S., Mengste, S., Zeleke, Z., Getahun, I., Azeze, M., Berihun, A., Akalu, B., Muluye, B., Demil, M., Muhammed, S. (2023). Reducing health care associated Infections in a Neonatal Intensive Care Unit through Quality Improvement approach, Tibebe-Ghion Specialized Teaching Hospital, Bahir Dar University, Bahir Dar, Ethiopia – Mirror of the Health Care Quality. https://doi.org/10.21203/rs.3.rs-3438721/v1

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Auteur(s)

Tesfaye Taye Gelaw A. A. Gessesse Amare Aschalew Yehuala Yiheyis Genetu Belay Shitahun Fentie Tilahun Senay Mengste Zebenay B. Zeleke Ibrahim Getahun Mensur Azeze Aemiro Berihun Bezza Akalu Behayilu Muluye Minichil Demil Sefina Muhammed

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