RT Journal Article
SR Electronic
T1 Managing and preventing outbreaks of Gram-negative infections in UK neonatal units
JF Archives of Disease in Childhood - Fetal and Neonatal Edition
JO Arch Dis Child Fetal Neonatal Ed
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP F549
OP F553
DO 10.1136/archdischild-2012-303540
VO 98
IS 6
A1 Mark Anthony
A1 Alison Bedford-Russell
A1 Tracey Cooper
A1 Carole Fry
A1 Paul T Heath
A1 Nigel Kennea
A1 Maureen McCartney
A1 Bharat Patel
A1 Tina Pollard
A1 Mike Sharland
A1 Peter Wilson
YR 2013
UL http://fn.bmj.com/content/98/6/F549.abstract
AB De novo guidance on the management of Gram-negative bacteria outbreaks in UK neonatal units was developed in 2012 by a Department of Health, England Antimicrobial Resistance and Healthcare Associated Infection working group. The recommendations included activation of an organisational response and establishing a control team when an outbreak is suspected; screening for the specific organism only during an outbreak; undertaking multidisciplinary reviews of cleaning routines, hand hygiene and Gram-negative bacteria transmission risks; considering deep-cleaning; cohorting colonised and infected babies preferably but not necessarily in isolation cubicles; and considering reducing beds or closing a unit to new admissions as a way of improving spacing and staff:patient ratios until the outbreak is under control. The group advised establishing mechanisms to communicate effectively across the network; informing parents of the outbreak as early as possible, and providing prewritten ‘infection outbreak’ information sheets. For prevention of outbreaks, the group advised meeting national staffing and cot-spacing requirements; following a Water Action Plan; using infection reduction care bundles and benchmarking; and introducing breast milk early and limiting antibiotic use.