ผลของการพัฒนาคุณภาพด้านการป้องกันการติดเชื้อเพื่อลดอัตราการติดเชื้อในไอซียูทารกแรกเกิดของโรงพยาบาลพระมงกุฎเกล้า

Abstract

Nosocomial infection in neonates is a problem leading to increase morbidity and mortality. Quality improvement of infectious control may reduce infection in the neonatal intensive care unit (NICU) Objective:Todetermine compliance of NICU staff to the infectious control guidelines and to assess the incidence of infection in neonates. Methodology: We reviewed infection rate per year before initiating the study. Educational program on  preventing nosocomial infection including hand-washing and sterile intravenous catheter placement and care were  established. Continuous monitoring and surveillance of infection rates and reviewing the distribution of pathogens  were performed. Compliance to infectious control guidelines was serially monitored. Statistical analysis: Data was analyzed by using descriptive statistics Chi-square for repeated samples or Mann-Whitney test  as appropriate. Results: After educational program compliance to prevent nosocomial infection improved. Overall  infection rate of infection decreased from those of previous year. Conclusions: Educational program of infectious control including hand-washing and intravenous catheter insertion are helpful in reducing the infection rate.