Poster Presentation

Thursday, July 12, 2007
9:30 AM - 10:15 AM

Thursday, July 12, 2007
3:15 PM - 4:00 PM
This presentation is part of : Poster Presentation II
Comparison of Infection Rates, Bacterial Species and Related Factors in a Neonatal Intensive Care Unit Before and After Moving into a New Building
Yong-Chuan Chen, RN, MS1, Ho-Mei Chang, RN, MSN1, and Juei-Chao Chen, PhD2. (1) Department of nursing, Taichung Veterans General Hospital, Taichung, Taiwan, (2) Institute of Applied Statistics, Fu Jen Catholic University, Taichung, Taiwan
Learning Objective #1: To investigate changes in nosocomial infection rates, bacterial species.
Learning Objective #2: To discuse the related factors about nosocomial infection in an old and new building.

Background: Nosocomial infections are significant causes of morbidity and mortality in preterm infants who required in Neonatal Intensive Care Unit (NICU). Objective: This comparative study was to investigate changes in nosocomial infection rates, bacterial species, and related factors in a NICU before and after moving into a new building at a medical center in central Taiwan. Method: The study enrolled 30 premature infants (gestation age: 26-36 weeks) who spending time in the old NICU and 30 infants (gestation age: 26-36 weeks) who spent time in the new facility. Data including invasive catheters and culture results were statistically analyzed with SPSS/PC 10.0. Results: Nosocomial infection rates and changes in bacterial species were included in a descriptive analysis. The results show that the nosocomial infection rate decreased from 15.59 ‰ (Old NICU) to 7.02 ‰ (New NICU) (statistically significant at p< .01). Methicillin-resistant Staphylococcus aureus (MRSA) was the most common nosocomial infection species in both buildings (Old: 24.32%; New: 26.24%), and the lower respiratory tract was the most common infection site in both buildings (Old: 58.18%; New: 55.35%). We analyzed the potential effects of several related factors, including change in environment (such as distance between two beds, hand washing device and alcohol based solution), encouraging staff members to wash hands before and after touch, and health education program. Conclusion: The findings suggest that environment changing and knowledge elevation for health workers are very important.