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Combined education and skin antisepsis intervention for persistently high blood-culture contamination rates in neonatal intensive care

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dc.contributor.author O'Connor, Ciara
dc.contributor.author Philip, Roy K.
dc.contributor.author Powell, James
dc.contributor.author Slevin, Barbara L.
dc.contributor.author Quinn, Catherine
dc.contributor.author Power, Lorraine
dc.contributor.author O'Connell, Nuala H.
dc.contributor.author Dunne, Colum P.
dc.date.accessioned 2016-09-02T10:46:47Z
dc.date.issued 2016
dc.identifier.uri http://hdl.handle.net/10344/5181
dc.description peer-reviewed en_US
dc.description.abstract Contaminated blood cultures represent challenges regarding diagnosis, duration of hospitalization, antimicrobial use, pharmacy and laboratory costs. Facing problematic neonatal blood culture contamination (3.8%), we instigated a successful intervention combining skin antisepsis using sterile applicators with 2% chlorhexidine gluconate in 70% isopropanol prior to phlebotomy (replacing 70% isopropanol) and staff education. In the six months prior to intervention, 364 neonatal peripheral blood samples were collected. Fourteen (3.8%) were contaminated. In the post-intervention six months, 314 samples were collected. Three (0.96%) were contaminated, representing significant improvement (Fisher’s exact test: P= 0.0259). No dermatological sequelae were observed. The improvement has been sustained. en_US
dc.language.iso eng en_US
dc.publisher Elsevier en_US
dc.relation.ispartofseries Journal of Hospital Infection;93, (1), pp. 105-107
dc.relation.uri http://dx.doi.org/10.1016/j.jhin.2016.01.011
dc.rights This is the author’s version of a work that was accepted for publication in Journal of Hospital Infecton. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Hospital Infection, 93 (1), pp. 105-107, http://dx.doi.org/10.1016/j.jhin.2016.01.011 en_US
dc.subject intervention en_US
dc.subject neonatal en_US
dc.subject blood culture en_US
dc.subject bacteria en_US
dc.subject contamination en_US
dc.subject chlorhexidine en_US
dc.title Combined education and skin antisepsis intervention for persistently high blood-culture contamination rates in neonatal intensive care en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.date.updated 2016-09-02T10:32:20Z
dc.description.version ACCEPTED
dc.identifier.doi 10.1016/j.jhin.2016.01.011
dc.date.embargoEndDate 2017-03-02
dc.embargo.terms 2017-03-02 en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US
dc.internal.rssid 1638875
dc.internal.copyrightchecked Yes
dc.description.status peer-reviewed


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