scholarly journals Noise levels in the newly designed neonatal intensive care unit at King Edward Memorial Hospital

2017 ◽  
Vol 53 ◽  
pp. 17-17
2016 ◽  
Vol 10 (3) ◽  
pp. 30-39 ◽  
Author(s):  
Karlie Ramm ◽  
Trudi Mannix ◽  
Yvonne Parry ◽  
Mary P. (Caroline) Gaffney

Objective: The objective of this study was to compare the noise levels recorded in two different neonatal intensive care unit (NICU) settings: a pod and an open plan NICU located in the same hospital. Background: The NICU is a busy environment with ambient noise levels that often exceed established recommendations. This noise deleteriously affects the physiological stability and developmental outcomes of sick and preterm infants. Pods have reduced numbers of cots (in this case, 6) compared to open plan NICUs (in this case, 11), yet the noise levels in pods have not been reported. Method: This study compared real-time decibel (dB) levels in an A-weighted scale, captured continuously by sound dosimeters mounted in both NICU settings for a period of 4 weeks: a pod setting and an open plan NICU. Researchers also collected observational data. Results: The average noise level recorded in the pod was 3 dBs less than in the open plan NICU. This result was statistically significant. However, dB recordings in both areas were over the recommended limits by 4–6 dBs, with isolated peaks between 74.5 dBs (NICU) and 75.9 dBs (pod). Observational data confirmed this correlation. Conclusions: Further research to evaluate interventions to decrease the noise levels in both settings are needed, especially during times of peak activity. Staff working in these settings need to be more aware that control of acoustic levels is important in the neuroprotection of neonates. Coupling this with careful consideration to structural components and evidence-based design planning may contribute to lowering dB levels in the NICU environment.


2015 ◽  
Vol 19 (2) ◽  
Author(s):  
Lenilce da Silva Reis Santana ◽  
Luciana Soares da Silva ◽  
Renata Rocha da Silva ◽  
João Edson Carvalho ◽  
Wesley Souza Santana ◽  
...  

2012 ◽  
Vol 50 (3) ◽  
pp. 279-282 ◽  
Author(s):  
A. Ramesh ◽  
S. B. Denzil ◽  
R. Linda ◽  
P. K. Josephine ◽  
M. Nagapoornima ◽  
...  

2018 ◽  
Vol 33 (4) ◽  
pp. 93-100
Author(s):  
Sharita Rameshwarnath ◽  
Saloshni Naidoo

Background: Nosocomial infections are one of the main causes of neonatal morbidity and mortality in low- and middle-income countries. The neonatal intensive care unit is a suitable environment for disseminating infections. The aim of this study was to identify risk factors associated with having a nosocomial infection in the neonatal intensive care unit at Mahatma Gandhi Memorial hospital between 2014 and 2015.Methods: An observational, analytical case-control study was conducted at the neonatal intensive care unit at Mahatma Gandhi Memorial hospital in 2017 following ethical approval (BE336/16). A retrospective review of medical records for a sample size of 144 cases and 144 matched controls from 2014 to 2015 was analysed. Descriptive statistics were presented and multivariate conditional logistic regression was used to determine associations between the independent variables and having a nosocomial infection.Results: A total of 144 neonates developed nosocomial infections as proven by positive cultures with Klebsiella pneumoniae being most frequent (n = 60; 41.67%). On multivariate logistic regression analysis, multiple deliveries, low birth weight, respiratory distress, prematurity, neonatal jaundice, hyaline membrane disease, the use of total parenteral nutrition, blood transfusion and surfactant administration, immediate use of oxygen and intravenous fluid and central line insertion were significantly associated with having a nosocomial infection (p ≤ 0.001).Conclusion: Neonatal-related factors and treatment modalities were identified as factors that increased the risk for nosocomial infections. A review of treatment modalities and related infection prevention and control in neonatal management are the key to prevention, early detection and management of nosocomial infections.


2013 ◽  
Vol 33 (1) ◽  
pp. 41-43
Author(s):  
Deborah Discenza

In a neonatal intensive care unit (NICU), babies are subjected to various noises. Despite best intentions, staff and visitors alike contribute to a significant amount of “noise pollution” in the unit. One father came up with a solution that is now implemented nationwide and is making a huge difference to the nerves and the brain development of our most vulnerable population—NICU babies.


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