BACKGROUND In terms of pediatric healthcare-associated infections (HAI), neonatal intensive care units (NICU) constitute the greatest risk. Contacting a health care personnel, either directly or indirectly, elevates NICU occurrence rate and risks other infants in the same unit. In this study, it is aimed to retrospectively analyze the effect of the training along with camera monitoring and feedback (CMAF) to control the infection following a small outbreak. METHODS ESBL producing Klebsiella pneumoniae was detected on three infants in May 2014 at the isolation room of Sakarya University Hospital NICU. Precautions were taken to prevent further spread of the infection. The infected infants were isolated and the decolonization process was initiated. For this aspect, health care workers (HCWs) in NICU were trained for infection control measures. An infection control committee has monitored the HCWs. Before monitoring, an approval was obtained from the hospital management and HCWs were informed about the CMAF, who were then periodically updated. On a weekly basis, NICU workers were provided with the feedbacks. Epidemic period and post-epidemic control period (June-July-August 2014) were evaluated and p value < 0.05 was considered statistically significant. RESULTS Healthcare-associated infection (HAI) density was 9.59% before the onset of the CMAF, whereas it was detected as 2.24% during the CMAF period (p < 0.05). Following the precautions, HAI and HAI density rates have reduced to 76.6% and 74.85%, respectively. Moreover, hand hygiene compliance of health care workers was found 49.0% before the outbreak, whereas this rate has elevated to 62.7% after CMAF. CONCLUSIONS Healthcare workers should be monitored in order to increase their compliance for infection control measures. Here, we emphasized that that CMAF of health workers may contribute reducing the HAI rate in the NICU.

中文翻译：

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摄像头监测和反馈以及培训对新生儿重症监护病房医院感染率的影响。


背景就儿科医疗相关感染（HAI）而言，新生儿重症监护病房（NICU）构成最大的风险。直接或间接联系医护人员会提高 NICU 的发生率，并给同一病房的其他婴儿带来风险。在本研究中，旨在回顾性分析培训以及摄像头监测和反馈（CMAF）在小规模疫情爆发后控制感染的效果。方法 2014 年 5 月，萨卡里亚大学医院新生儿重症监护室隔离室的 3 名婴儿检出产 ESBL 肺炎克雷伯菌。采取了预防措施以防止感染进一步蔓延。受感染的婴儿被隔离并启动非殖民化进程。为此，新生儿重症监护室的医护人员 (HCW) 接受了感染控制措施培训。感染控制委员会对医护人员进行监控。在监测之前，获得医院管理层的批准，并向医护人员通报 CMAF，然后定期更新。新生儿重症监护病房 (NICU) 工作人员每周都会收到反馈。对流行期和流行病控制后时期（2014年6月-7月-8月）进行了评估，p值< 0.05被认为有统计学意义。结果 CMAF 发生前，医疗保健相关感染 (HAI) 密度为 9.59%，而在 CMAF 期间检测到的密度为 2.24% (p < 0.05)。采取预防措施后，医院感染率和医院感染密度率分别降至76.6%和74.85%。此外，疫情爆发前，医护人员的手卫生依从率为49.0%，而在CMAF之后，这一比例上升至62.7%。 结论 应监测医护人员，以提高他们对感染控制措施的依从性。在此，我们强调卫生工作者的 CMAF 可能有助于降低 NICU 的 HAI 率。