2024
Barriers to Effective Infection Prevention in the Neonatal Intensive Care Unit
Weser V, Crocker A, Murray T, Wright J, Truesdell E, Ciaburri R, Marks A, Martinello R, Hieftje K, Team H. Barriers to Effective Infection Prevention in the Neonatal Intensive Care Unit. Advances In Neonatal Care 2024, 24: 475-484. PMID: 39196970, DOI: 10.1097/anc.0000000000001195.Peer-Reviewed Original ResearchConceptsPatients' family membersInfection preventionFamily membersGroup of nursesReduce nurses’ burdenHand hygieneHospital-wide surveyIntensive care unitInductive content analysisDesign of educational interventionsCare unitNeonatal intensive care unitImprove patient outcomesEffective infection preventionHH educationNursing burdenEducational interventionFrontline staffHospital staffNeonatal nursesIP educationPatient's familyRisk of infection transmissionFocus groupsIP behavior
2023
Reducing MRSA Infection in a New NICU During the COVID-19 Pandemic.
Barrett R, Fleiss N, Hansen C, Campbell M, Rychalsky M, Murdzek C, Krechevsky K, Abbott M, Allegra T, Blazevich B, Dunphy L, Fox A, Gambardella T, Garcia L, Grimm N, Scoffone A, Bizzarro M, Murray T. Reducing MRSA Infection in a New NICU During the COVID-19 Pandemic. Pediatrics 2023, 151 PMID: 36625072, DOI: 10.1542/peds.2022-057033.Peer-Reviewed Original ResearchConceptsInvasive MRSA infectionsInfection prevention strategiesMethicillin-resistant Staphylococcus aureusMRSA infectionOutcome measuresPrevention strategiesCOVID-19 pandemicMultidisciplinary quality improvement initiativeLevel IV NICUSubsequent invasive infectionsMRSA colonization rateCoronavirus disease 2019 (COVID-19) pandemicHealthcare Improvement's ModelQuality improvement initiativesDisease 2019 pandemicEffectiveness of interventionsPersonal protective equipmentSupply chain shortagesHospitalized neonatesInvasive infectionsPatient daysSkin colonizationHand hygieneMost NICUsNICU
2019
Shifting focus toward healthcare-associated bloodstream infections: The need for neonatal intensive care unit–specific NHSN definitions
Advani SD, Murray TS, Murdzek CM, Aniskiewicz MJ, Bizzarro MJ. Shifting focus toward healthcare-associated bloodstream infections: The need for neonatal intensive care unit–specific NHSN definitions. Infection Control And Hospital Epidemiology 2019, 41: 181-186. PMID: 31694731, DOI: 10.1017/ice.2019.310.Peer-Reviewed Original ResearchConceptsBloodstream infectionsNHSN definitionsNICU populationSite-specific definitionClinical definitionNational Healthcare Safety Network definitionsNeonatal intensive care unit populationIntensive care unit populationHealthcare-associated bloodstream infectionsYale-New Haven Children's HospitalLevel IV NICUSafety Network definitionsDirect prevention effortsMcNemar χ2 testSource of infectionGut translocationPreterm neonatesRespiratory supportPremature infantsRetrospective reviewChildren's HospitalPatient daysIncidence rateNICU teamUnit population
2014
Extended-spectrum β-lactamase-producing Klebsiella pneumoniae in the neonatal intensive care unit: Does vancomycin play a role?
Somily AM, Alsubaie SS, BinSaeed AA, Torchyan AA, Alzamil FA, Al-Aska AI, Al-Khattaf FS, Khalifa LA, Al-Thawadi SI, Alaidan AA, Al-Ahdal MN, Al-Qahtani AA, Murray TS. Extended-spectrum β-lactamase-producing Klebsiella pneumoniae in the neonatal intensive care unit: Does vancomycin play a role? American Journal Of Infection Control 2014, 42: 277-282. PMID: 24581016, DOI: 10.1016/j.ajic.2013.09.028.Peer-Reviewed Original ResearchConceptsNeonatal intensive care unitESBL-producing Klebsiella pneumoniaeIntensive care unitIncidence density ratioRisk factorsCare unitΒ-lactamase-producing Klebsiella pneumoniaeExtended-spectrum β-lactamase-producing Klebsiella pneumoniaeKlebsiella pneumoniaeRetrospective cohort studySignificant risk factorsPossible risk factorsExtended-spectrum β-lactamaseCohort studyParenteral feedingMechanical ventilationTeaching hospitalNeonatesKlebsiella speciesUnivariate analyzesPossible predictorsInfectionVancomycinΒ-lactamasePneumoniae