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KNS is a bacterium belonging to our normal flora but also a common cause of sepsis in extremely premature babies. Children born very early often tend to be enrolled in the hospital until full time, that is to say, when they were left in the stomach of the mother.
Due to the increased risk, it is extremely important to prevent sepsis in premature childhood departments.
"In my research, we found that using the scrub-hub averaging method reduced the risk of sepsis caused by a bacterium called KNS, a coagulase-negative staphylococcus," said Louise Björkman Hjalmarsson, medical specialist at clinic for children and adolescents of the university hospital.
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.
Rub the clutches
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) is a national study conducted in Sweden between 2004 and 2007. The study included all premature born infants born before week 27. The goal of the study was 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. "Scrub the hub" is 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.
"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
Louise Björkman Hjalmarsson's thesis is based on three of the EXPRESS national study, which means study on extremely premature infants in Sweden. In one of the works, a survey was conducted on the hygiene procedures used at the hospital in 2004-2007 compared to 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 cultures, the use of preventive antibiotic therapy and risk sepsis.
A child born after 35 or 36 weeks of pregnancy can often be cared for in a usual BB service and come home a few days after childbirth.
Children born of pregnancy starting at week 34 and before usually need care in a neonatal department. It is a department where to care for children born prematurely and born poorly.
Children born before 32 weeks of pregnancy often need some form of intensive care at the beginning. It is called that the child is "very premature".
If a child is born before week 28, it is called "extremely premature".
A child can survive if he is already born around the 22nd week of his pregnancy. Source: Health Care Guide
Risk of pulmonary disease
Preventing infections is also important for sepsis during the neonatal period to 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.
Contact:
Louise Björkman Hjalmarsson, Medical Specialist at the Children and Youth Clinic
Örebro University Hospital, Örebro County, [email protected]
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