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Overview :
Kilbride et al identified a number of practices that should
help to reduce the risk of nosocomial bacteremia in neonates. The authors are
from multiple Children's Hospitals in the United States.
Recommended practices:
(1) improving compliance with hand hygiene practices
(2) increasing accuracy in the diagnosis of bacteremia
(3) decreasing bacterial contamination of the line and line
connection (hub)
(4) using maximal barrier protection when inserting entral
lines
(5) taking steps to improve skin integrity
(6) decreasing the number of skin punctures
(7) decreasing the duration of intravenous lipid
infusions
(8) decreasing the duration of use for central venous
lines
where:
•
Application of skin emollients was initially proposed as a method to improve
skin integrity, but this was later modified when it was found to increase
bacterial colonization.
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