title: Reduction in coagulase-negative staphylococcus infection rates in the NICU using evidence-based research.
abstract: Coagulase-negative Staphylococcus (CoNS) bloodstream infection is the most common cause of sepsis in the NICU and can lead to significant morbidity and mortality. There is evidence that hand hygiene using an alcohol-based gel and wearing gloves during patient care, management of central and peripheral intravenous lines using the Centers for Disease Control and Prevention (CDC) guidelines, and a closed medication administration system can reduce the incidence to CoNS sepsis in the (NICU). To successfully apply the evidence and decrease the CoNS infection rate, a systematic process is necessary. One approach to process change that significantly reduced the CoNS infection rate in a health care system with two Level III NICUs included using system thinking; working within a multidisciplinary team; using evidence to revise, develop, and implement policies and procedures; developing staff education programs; and monitoring and providing feedback to all staff members.
authors.affiliation: Bryn Mawr Hospital NICU, Bryn Mawr, Pennsylvania, USA. kanee@mlhs.org
authors.forename: Ellen
authors.initials: E
authors.lastname: Kane
authors.forename: Gwen
authors.initials: G
authors.lastname: Bretz
mesh_terms: D003030:Coagulase / Q000096:biosynthesis; D006801:Humans; D006920:Hygiene / Q000592:standards; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal / Q000592:standards*; D009729:Nursing / Q000379:methods; D010414:Pennsylvania; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000201:enzymology / Q000451:nursing* / Q000517:prevention & control*
chemical_list: D003030:Coagulase