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| ID | Type | Description | Link |
|---|---|---|---|
| ID-RCB | Other Identifier | 2020-A00818-31 |
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Nosocomial infections are responsible for morbidity and mortality in hospitalized neonates. The environment of the neonates and especially the incubators can constitute the reservoir of pathogenic bacteria. That is why decontamination of incubators is a major step in the fight against nosocomial infections in NICUs.
The hypothesize is that the usual procedure of decontamination, based on antiseptic molecules, is not sufficient to eradicate all pathogenic bacteria from the incubators.
In this study the investigator's aim to assess the efficacy of the usual procedure of decontamination and to compare it with another procedure based on steam pulverization. Another objective will be to explore a possible contamination of the hands of the healthcare workers, that can be involved in the cycle of transmission of bacteria to neonates. Finally, clinical data about the neonates housed in the incubator will be retrieved from clinical reports, to identify the occurrence of sepsis and if so, to compare the bacteria involved in the sepsis and the bacteria present in the incubator.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| standard decontamination | incubators decontaminated with antiseptic molecules, healthcare workers involved in this decontamination, patients housed in these incubators |
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| steam pulverization | incubators decontaminated with steam pulverization, healthcare workers involved in this decontamination, patients housed in these incubators |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Skin sampling of the hands of the healthcare workers involved in the decontamination of incubators | Biological | Each incubator will be sampled in 5 points before and after decontamination. The healthcare worker that will be involved in the decontamination will also be sampled (skin sample of the hand) before and after decontamination of the incubator. All the samples will be analyzed for the presence of pathogenic bacteria, using an inoculation on selective agar then an identification of each bacterial colony. |
| Measure | Description | Time Frame |
|---|---|---|
| Absence of bacterial contamination | Efficacy of decontamination will be defined for each incubator as the absence of bacterial contamination after the process of decontamination | Day 0 (just before the decontamination) |
| Absence of bacterial contamination | Efficacy of decontamination will be defined for each incubator as the absence of bacterial contamination after the process of decontamination | Day 0 (just after the decontamination) |
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Inclusion Criteria:
Exclusion Criteria:
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Healthcare workers of the NICU of the Hopital Femme Mere enfant (HFME), Hospices Civils de Lyon, that will be involved in the process of decontamination of the incubators during the study period.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hôpital Femme Mère Enfant | Bron | 69500 | France |
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