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In Sweden, survival is good for children born too early. However, these children who stay in the hospital for a long time may suffer from a serious infection, sepsis. It is therefore extremely important to prevent these infections. Research in the Örebro County area shows that routine cleaning of the concentrator reduces the risk of infection of infants in the newborn department.
"During my research, we found that using the" scrub-hub "buffer method reduced the risk of sepsis caused by a bacterium called KNS, a coagulase-negative staph," said Louise Björkman Hjalmarsson. , specialist physician at the Children and Adolescents Clinic of Örebro University Hospital, as well as a PhD student in the Department of Medicine. sciences at the University of Örebro.
KNS is a bacterium belonging to our normal flora but also a common cause of sepsis in extremely premature babies. Children born so early often have a tendency to be enrolled in the hospital until full time, that is to say, they would have been left in the stomach of the mother.
Warned of dangerous alcohol cork
As part of the subsequent development of the hub cleaning method, a cork has been developed to reduce the risk of bacteria settling at the entrance, reducing the risk of transferring bacteria into the bloodstream. An earlier study had shown that there was a risk of alcohol leaking from cork.
"We tested two cork stoppers in combination with two infrared connections in the laboratory, then measured the amount of alcohol absorbed into the blood if the entry was sitting on a suitable patient." Alcohol was leaking and so the products were not to be used in premature babies, so we did not use the corks in our neonatal department and we warned them in Sweden, "said Louise Björkman Hjalmarsson.
Hygiene procedures have improved over time
In the five parts of thesis dissertation, three of the EXPRESS national study, which means study on extremely premature infants in Sweden. As part of one of the works, a survey was conducted on the hygiene procedures used during the EXPRESS period between 2004-2007 and the 2013 survey.
– We found that hygiene procedures have improved over time, especially basic hygiene procedures and compliance with these procedures. When we examined the link between hygiene routines and the risk of sepsis, we found a link between catheter routines, blood culture procedures, the use of antibiotic therapy preventive and the risk of sepsis.
Risk of pulmonary disease
Preventing infections is important because sepsis during the neonatal period can lead to long-term illness. The results of the research showed a link between sepsis and the risk of developing a serious lung disease.
"It's a lung disease that causes breathing problems for the child and the need for oxygen for a long time.Over time, children can develop a state similar to that of asthma," concludes Louise Björkman Hjalmarsson.
facts
About 3,500 children are born each year in the county region of Örebro. About 3.3 in 1,000 children in Sweden are extremely premature and need breastfeeding for newborns.
EXPRESS (Study on extremely premature infants in Sweden) – national study conducted in Sweden between 2004 and 2007. The study included all children born premature born before week 27. The objective of the study was to map the care of these children and their long-term evolution. Several follow-ups of these children have taken place over time.
"Rub the hub" "It's a preventive routine that mechanically cleans the opening of infusions with a reduced alcohol interval for 15 seconds. This is done to reduce the risk of transmitting bacteria from the outside of the entry into the bloodstream.
For any other questions please contact
Louise Björkman Hjalmarsson
specialist
Clinic for children and adolescents
Örebro University Hospital
Region Örebro County
Mail: [email protected]
Telephone: 070 – 693 16 90
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