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Sustainable Neonatal CLABSI Surveillance: Consensus Toward New Criteria in the Netherlands

Consensus statementWorking Group on Neonatal Infectious Diseases, Dutch Paediatric Society2021Full text
  • Care and rehabilitation
  • Infection and sepsis
  • Infection prevention
  • Line and device care
  • Medical
  • Nursing
  • Professional practice
  • Sepsis

Summary

A modified Delphi consensus among Dutch neonatologists producing national surveillance criteria for neonatal central-line-associated bloodstream infection (CLABSI). The criteria define CLABSI as a laboratory-confirmed bloodstream infection occurring after the first 72 hours of life in a neonate with an indwelling central venous or arterial line, with separate provisions for recognised pathogens versus common commensals alongside clinical sepsis and CRP. It is designed to fit a single blood-culture policy in neonatal practice and to enable intra- and interfacility comparison for quality improvement. Relevant to PICU and NICU teams involved in line-infection surveillance and infection prevention, though the criteria are neonatal-specific.

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