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 population585. Shifting Focus Toward Healthcare-Associated Bloodstream Infections: Need for More NICU-Specific NHSN Definitions
Advani S, Murray T, Bizzarro M. 585. Shifting Focus Toward Healthcare-Associated Bloodstream Infections: Need for More NICU-Specific NHSN Definitions. Open Forum Infectious Diseases 2019, 6: s276-s277. PMCID: PMC6810847, DOI: 10.1093/ofid/ofz360.654.Peer-Reviewed Original ResearchCentral line-associated bloodstream infectionsBloodstream infectionsNHSN definitionsChi-square testClinical definitionNational Healthcare Safety Network definitionsNeonatal intensive care unit populationIntensive care unit populationYale-New Haven Children's HospitalLine-associated bloodstream infectionsLevel IV NICUSafety Network definitionsMedian birth weightPercent of patientsSepsis-related mortalityHours of lifeHealthcare-Associated Bloodstream InfectionsMcNemar chi-square testPositive blood culturesSource of infectionGut translocationParenteral nutritionNICU populationRetrospective reviewGestational age