Prevention of Neonatal healthcare-associated infections: Current update

Abstract

Looking at the neonatal mortality due to infectious diseases like sepsis and healthcare-associated infections (HAIs) in India. It is necessary to collate the evidence that is feasible to practice in the Indian healthcare system to prevent further morbidity or related mortality. This review focuses on the levels of evidences and the practices followed in neonatal settings to prevent HAIs. The articles published in a peer-reviewed journal published in the last 20 years were included. Articles were focusing more on central line-associated bloodstream infections, catheter-associated infections, and non-specific HAIs. There is dearth of studies related to VAP prevention and its effect among neonates. Many articles focused on hand washing practices, surveillance, continuous educational program and adherence to it is the prime focus to prevent HAIs. Monitoring using checklist is one of the tool practiced at many settings but with lot of challenges. We conclude that multimodal integrated approach by active and passive surveillance, hand washing practices and commitment of healthcare workers following the set policy can bring a change in the current status of neonatal mortality due to HAIs.