Bathing babies: current practices in UK neonatal intensive care units.
Bathing babies: current practices in UK neonatal intensive care units.
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给婴儿洗澡：英国新生儿重症监护室的现行做法。
DOI：
10.1136/archdischild-2020-320355
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发表时间：
2021
期刊：
影响因子：
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通讯作者：
Dhamodaran M
中科院分区：
文献类型：
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作者：
Dhamodaran M
洗澡和皮肤清洁/消毒做法是住院患者预防和控制感染的重要措施。然而，关于新生儿重症监护病房(NICU)环境的研究很少，一些做法可能会带来特殊的风险，例如使用受污染的自来水时无意中感染。1虽然一项对成人患者(主要是重症监护患者)的荟萃分析表明，每天用洗必泰葡萄糖酸盐洗涤可以将导管相关血流感染的风险减半，2最新的国家国家卫生服务预防医疗相关感染指南(EPIC3)没有关于新生儿/儿童洗澡或定期消毒洗涤的具体建议。3为了调查英国目前的做法，我们对所有60个三级NICU进行了电话问卷调查。我们询问了高级护士/护士长关于他们单位的洗澡/皮肤清洁政策。我们在2019年11月至2020年2月期间进行了调查，并使用了定制的表格(在线补充文件S1)。我们从60个NICU中的57个(95%)获得了回复。在回应单位中，44个(77%)从婴儿第一次从NICU/高依赖度婴儿转移到被认为能够更好地保持体温的特殊护理开始定期洗澡；10个(18%)不经常洗澡，即只在婴儿准备出院、明显肮脏或在长时间住院后洗澡；
Bathing and skin cleansing/disinfection practices are important infection prevention and control measures in hospitalised patients. Yet there are few studies for the neonatal intensive care unit (NICU) environment, and some practices may pose peculiar risk, for example inadvertent infection when using contaminated tap water. 1 While a meta-analysis in adult patients, mostly in intensive care, showed that daily washing with chlorhexidine gluconate halved the risk of catheter-related bloodstream infections, 2 the latest national evidence-based guidelines for preventing healthcare-associated infections in the National Health Service (‘epic3’) contain no specific recommendations regarding bathing or regular antiseptic washes for neonates/children. 3 To investigate current UK practices, we conducted a telephone questionnaire of all 60 tertiary-level NICUs. We asked senior/lead nurses about their unit’s bathing/skin cleansing policy. We surveyed between November 2019 and February 2020 and used a bespoke pro forma (online supplemental file S1).We obtained responses from 57 (95%) of 60 NICUs. Of the responding units, 44 (77%) bathed regularly starting from when babies first moved from the NICU/highdependency to special care, when considered better able to maintain body temperature; 10 (18%) bathed infrequently, namely only when a baby was ready for discharge, visibly dirty or after a protracted inpatient stay;