17. ISOLATION PROCEDURE
Contact isolation for infected neonates .
Placed in a separate room and
gown,mask,cap and gloves to be used.
Gown and gloves to be removed before the
exit.
21. Catheter related practices
Aseptic technique for insertion & Care
Date & Time of insertion, Dressing ,removal should be
entered in a standardized form.
Use semipermiable /transparent dressing to cover the
site.
Cleaning of injection port with 70% alcohol.
Promptly remove any cath which is no longer essential.
22. Gowning
Routine use does not help in
decreasing nosocomial infection
rate.
Should be used in specific
condition in which the risk
of contamination is high.
When the infant is being held.
23. Fumigation
No additional benefit, if excellent house
keeping and asepsis .
Mostly done routinely.
During endemic
Low occupancy
24. General Housekeeping
Cleaning should be followed in Patient areas
,accessory areas then adjacent areas .
Dry dusting to be avoided.
Sink to be cleaned with detergent at least
once in a day.
Cabinet, counters should be cleaned at least
once
25. Waste Management
Segregation of waste
Washing of Dustbins Daily
Emptying the dustbin
Blood spills should be removed
immediately.
27. Oral Care
NIV
Slight elevation of head
Sterile suctioning
Changing of tube as per the policies
28. Detecting Environmental reservoirs
Cultures of Environmental specimens
Tap water
sink drains
Liquid medications
respiratory therapy equipments
Hand soaps& Hand creams
Water bath used to warm formula
29. Dry & Moist environmental surface
were swabbed with a cotton swab.
Hand swabs from health care
workers.
It should be processed within 1
hour
30. Breast Milk
Prevents respiratory infections.
Infections causes diarrhea
Breast milk contains micronutrients which
helps in prevention of infections.
Lactoferin contains antimicrobial immune
building effects.
31. Summary
Each unit has a baseline rate of infection
due to inherent modifiable risk factors.
Effective strategy focus on modifiable risk
factors.
Strategic nursery design: space ,sinks, soaps
etc.
Adequate staffing
32. Hand hygiene compliance
Minimization of catheter days
Sterile preparation of all fluids to be
administered.
Promote enteral feeding especially with
EBM/BF
Monitoring /surveillance of nosocomial
infection.
Education and frequent feed back from staff