Pediatric Infectious Disease

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VOLUME 7 , ISSUE 1 ( January-March, 2025 ) > List of Articles

Original Article

Effect of Hands-on Training on Infection Prevention to Prevent Hospital-acquired Infection in Neonatal Intensive Care Unit at Tertiary Health Care Center of Western India

Devesh N Joshi, Anal Chaudhari, Nirali Dhivar, Archi Dave, Nitiben S Gor

Keywords : Infections, Neonatal intensive care unit sepsis, Prevention

Citation Information : Joshi DN, Chaudhari A, Dhivar N, Dave A, Gor NS. Effect of Hands-on Training on Infection Prevention to Prevent Hospital-acquired Infection in Neonatal Intensive Care Unit at Tertiary Health Care Center of Western India. Pediatr Inf Dis 2025; 7 (1):9-14.

DOI: 10.5005/jp-journals-10081-1462

License: CC BY-NC 4.0

Published Online: 27-01-2025

Copyright Statement:  Copyright © 2025; The Author(s).


Abstract

Introduction: This study aims to address the issue of hospital-acquired infections (HAIs), which pose a significant threat to patient well-being. Citing Centers for Disease Control and Prevention (CDC) definitions, the prevalence of HAIs ranges from 10 to 20%, particularly impacting intensive care units. The study focuses on educating and sensitizing healthcare workers to improve knowledge, enhance infection prevention practices, and reduce HAI incidence. Material and Methodology: Objectives include assessing the impact of educational interventions on healthcare workers’ knowledge, studying the influence on daily clinical practices, and comparing HAI incidence before and after the intervention. The prospective interventional study involves neonatal intensive care unit (NICU) nursing staff and doctors. The methodology comprises: preintervention assessment, educational intervention, blind observational study, and retrospective data analysis. The educational intervention was conducted through a lecture, followed by group training and one-on-one doubt solving. All educational material and test questionnaires were validated by different topic experts apart from the investigators. Safety considerations are noted as not applicable, and outcome measures include knowledge assessment, hand hygiene compliance, and HAI reduction. Statistical analysis was conducted. Results and conclusion: A total of 42 participants were included, comprising nursing staff and doctors, at 64.3 and 35.7%, respectively. Twenty-two participants had previously attended an HAI prevention workshop elsewhere. Knowledge scores rose significantly postintervention, maintaining levels for 1 month. Hospitalized patient data revealed a marginal reduction in infections (22.4–20.8%) after the educational intervention. The study concludes that educating and sensitizing healthcare workers is vital for preventing hospital-acquired infections. While a one-time intervention showed marginal improvement, continuous motivation is necessary for sustained adherence.


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  1. Landelle C, Lepape A, Voirin N, et al. Low monocyte human leukocyte antigen-DR is independently associated with nosocomial infections after septic shock. Intensive Care Med 2010;36:1859–1866. DOI: 10.1007/s00134-010-1962-x
  2. Lukaszewicz AC, Grienay M, Resche-Rigon M, et al. Monocytic HLA-DR expression in intensive care patients: interest for prognosis and secondary infection prediction. Crit Care Med 2009;37:2746–2752. DOI: 10.1097/CCM.0b013e3181ab858a
  3. Smith H, Watkins J, Otis M, et al. Health care-associated infections studies project: an American journal of infection control and national healthcare safety network data quality collaboration case study-chapter 2 identifying healthcare-associated infections (HAI) for NHSN surveillance case study vignettes. Am J Infect Control 2022;50(6):695–698. DOI: 10.1016/j.ajic.2022.02.028
  4. Lodha R, Natchu UC, Nanda M, et al. Nosocomial infections in pediatric intensive care units. Indian J Pediatr 2001;68:1063–1070. DOI: 10.1007/BF02722358
  5. Urrea M, Pons M, Serra M, et al. Prospective incidence study of nosocomial infections in a pediatric intensive care unit. Pediatr Infect Dis J 2003;22:490–494. DOI: 10.1097/01.inf.0000069758.00079.d3
  6. Gupta A, Kapil A, Lodha R, et al. Burden of healthcare-associated infections in a paediatric intensive care unit of a developing country: a single centre experience using active surveillance. J Hosp Infect 2011;78:323–326. DOI: 10.1016/j.jhin.2011.04.015
  7. Stone PW, Braccia D, Larson E. Systematic review of economic analyses of health care-associated infections. Am J Infect Control 2005;33:501–509. DOI: 10.1016/j.ajic.2005.04.246
  8. Mouajou V, Adams K, DeLisle G, et al. Hand hygiene compliance in the prevention of hospital-acquired infections: a systematic review. J Hosp Infect 2022;119:33–48. DOI: 10.1016/j.jhin.2021.09.016
  9. Salama MF, Jamal WY, Al Mousa H, et al. The effect of hand hygiene compliance on hospital-acquired infections in an ICU setting in a Kuwaiti teaching hospital. J Infect Public Health 2013;6(1):27–34. DOI: 10.1016/j.jiph.2012.09.014
  10. Taylor JT. Implementing an Evidence-based Practice Care Bundle in the Prevention of Peripheral Intravenous (PIV) Site Infiltrations (Doctoral dissertation, Chatham University).
  11. Wasserman S, Gonzalo Bearman MD, FSHEA F. Guide to infection control in the hospital. Bundles in Infection Prevention and Safety. 2018.
  12. Kakkar SK, Bala M, Arora V. Educating nursing staff regarding infection control practices and assessing its impact on the incidence of hospital-acquired infections. J Educ Health Promot 2021;10:40. DOI: 10.4103/jehp.jehp_542_20
  13. Narasimhaiah J, Moorthy P. Effectiveness of structural teaching programme on knowledge regarding prevention of nosocomial infection among staff nurses in selected paediatric hospitals of Bengaluru, Karnataka, India. J Evol Med Dent Sci 2018;7(35):3811–3816. DOI: 10.14260/jemds/2018/855
  14. Gulia S, Kaur K, Devi S, et al. Nurses in NICUs' views on nosocomial infection prevention. J Educ Health Promot 2022;11:158. DOI: 10.4103/jehp.jehp_1019_21
  15. Elfiky SM, El-Sayed HF, Zaher AA, Amin MK. Health care-associated infection in neonatal intensive care units: what is the role of nurses’ knowledge and attitude? Suez Canal Univ Med J 2022;25(2):48–58. DOI: 10.21608/scumj.2022.250541
  16. Prakash SS, Rajshekar D, Cherian A, et al. Care bundle approach to reduce device-associated infections in a tertiary care teaching hospital, South India. J Lab Physicians 2017;9:273–278. DOI: 10.4103/JLP.JLP_162_16
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