Development of a novel prevention bundle for pediatric healthcare-associated viral infections

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Hillary HeiJulia S Sammons

Abstract

To reduce the healthcare-associated viral infection (HAVI) rate to 0.70 infections or fewer per 1,000 patient days by developing and sustaining a comprehensive prevention bundle. A 546-bed quaternary-care children's hospital situated in a large urban area.PatientsInpatients with a confirmed HAVI were included. These HAVIs were identified through routine surveillance by infection preventionists and were confirmed using National Healthcare Safety Network definitions for upper respiratory infections (URIs), pneumonia, and gastroenteritis. Quality improvement (QI) methods and statistical process control (SPC) analyses were used in a retrospective observational analysis of HAVI data from July 2012 through June 2016. In total, 436 HAVIs were identified during the QI initiative: 63% were URIs, 34% were gastrointestinal infections, and 2.5% were viral pneumonias. The most frequent pathogens were rhinovirus (n=171) and norovirus (n=83). Our SPC analysis of HAVI rate revealed a statistically significant reduction in March 2014 from a monthly average of 0.81 to 0.60 infections per 1,000 patient days. Among HAVIs with event reviews completed, 15% observed contact with a sick primary caregiver and 15% reported contact with a sick visitor. P...Continue Reading

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Citations

Oct 23, 2018·Current Opinion in Gastroenterology·Sarah J O'BrienStephen P Rushton
Dec 30, 2020·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Eimear KittSusan E Coffin
Apr 17, 2021·Hospital Pediatrics·Meghan M GalliganRobert M Sutton
Jun 27, 2021·Journal of the Pediatric Infectious Diseases Society·William Matthew Linam, Andi L Shane
Jul 13, 2021·The Pediatric Infectious Disease Journal·Ioannis KopsidasTheoklis Zaoutis
Jul 28, 2021·Journal of the Pediatric Infectious Diseases Society·Samantha HanleyJulia S Sammons

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