Tesfaye Taye Gelaw*, Alamirew Alebachew Gessesse, Amare Aschalew Yehuala, Yiheyis Genetu Belay, Shitahun Fentie Tilahun, Senay Zerihun Mengste, Zebenay Bitew Zeleke, Ibrahim Muhammed Getahun, Mensur Azeze Getahun, Aemiro Adebabay Berihun, Bezza Ademe Akalu, Behayilu Yizengaw Muluye, Minichil Aschale Demil and Sefina Abdie Muhammed
Background: Health-care-associated-infections are infections occurring while receiving health care that first appear 48 hours or more after hospital admission, or within 30 days of receiving health care.
Objective: Measure the impact of quality improvement interventions on health-care-associated-infection in the Neonatal Unit of Tibebe Ghion Hospital.
Method: We conducted pre-post Interventional Study between February 01, 2022 and May 01, 2023. Multifaced interventions; implementing recommended minimum NICU standards, re-enforcing WHO IPC Guideline and Hand Hygiene practice, were introduced. NICU Standards achieved, Hand hygiene compliance, WHO IPC guideline Implementation and Health-care-associated-infections were surveyed. Comparison of Health-Care-associated-infection rates before and after the intervention was conducted.
Results: Recommended NICU Design standards status was improved from 8% pre-intervention to 79% and 79.5% during and post-intervention respectively. Hand Hygiene compliance in the unit was 10% pre-intervention and improved to 79.5% and 81.3% during and post-intervention respectively. The WHO IPC implementation status was 15% pre-intervention and maximized to 58% both during and post-intervention. These package of interventions were associated with reduction of Health-Care-associated-Infections. [X2 (Degree of Freedom=1, Sample Size=432) 8.2, p=004]
Conclusion: Infection Prevention practice, Hand Hygiene Compliance and improving NICU Design standards were associated with decrease in health-care-associated-infection rates.
Published Date: 2023-12-04; Received Date: 2023-11-06
