Kilbride et al identified a number of practices that should help to reduce the risk of nosocomial bacteremia in neonates. The authors are from multiple Children's Hospitals in the United States.
(1) improving compliance with hand hygiene practices
(2) increasing accuracy in the diagnosis of bacteremia
(3) decreasing bacterial contamination of the line and line connection (hub)
(4) using maximal barrier protection when inserting central lines
(5) taking steps to improve skin integrity
(6) decreasing the number of skin punctures
(7) decreasing the duration of intravenous lipid infusions
(8) decreasing the duration of use for central venous lines
where:
• Application of skin emollients was initially proposed as a method to improve skin integrity, but this was later modified when it was found to increase bacterial colonization.
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