Alslaim Hossam S, Chan Jonathan, Saleem-Rasheed Fozia, Ibrahim Yousef, Karabon Patrick, Novotny Nathan
Department of Surgery, Medical College of Georgia at Augusta University, Augusta, GA 30912, USA.
Department of Emergency Medicine, St. John's Riverside Hospital, Yonkers, NY 10701, USA.
Children (Basel). 2022 Apr 1;9(4):492. doi: 10.3390/children9040492.
This study evaluates practices of infection control in the NICU as compared with the available literature. We aimed to assess providers' awareness of their institutional policies, how strongly they believed in those policies, the correlation between institution size and policies adopted, years of experience and belief in a policy's efficacy, and methods employed in the existing literature. An IRB-approved survey was distributed to members of the AAP Neonatal Section. A systematic review of the literature provided the domains of the survey questions. Data was analyzed as appropriate. A total of 364 providers responded. While larger NICUs were more likely to have policies, their providers are less likely to know them. When a policy is in place and it is known, providers believe in the effectiveness of that policy suggesting consensus or, at its worst, groupthink. Ultimately, practice across the US is non-uniform and policies are not always consistent with best available literature. The strength of available literature is adequate enough to provide grade B recommendations in many aspects of infection prevention. A more standardized approach to infection prevention in the NICU would be beneficial and is needed.
本研究将新生儿重症监护病房（NICU）的感染控制措施与现有文献进行了比较。我们旨在评估医护人员对所在机构政策的知晓程度、他们对这些政策的信任程度、机构规模与所采用政策之间的相关性、工作经验年限与对政策有效性的信任度，以及现有文献中所采用的方法。一份经机构审查委员会（IRB）批准的调查问卷分发给了美国儿科学会新生儿科的成员。对文献的系统回顾为调查问卷的问题领域提供了依据。对数据进行了适当分析。共有364名医护人员做出了回应。虽然规模较大的NICU更有可能制定政策，但其医护人员了解这些政策的可能性较小。当一项政策存在且为人所知时，医护人员相信该政策的有效性，这表明存在共识，或者往最坏的情况说，存在群体思维。最终，美国各地的做法并不统一，政策也并不总是与现有最佳文献一致。现有文献的力度足以在感染预防的许多方面提供B级建议。在NICU采用更标准化的感染预防方法将是有益的，也是必要的。
