Dr. Joseph Ting
The reported incidence of urinary tract infection (UTI) in NICU ranges from 0.1-1 in low birth weight infants. The procedures to obtain urine samples aseptically are invasive and carry the risk of trauma and infection. It is particularly challenging to obtain aseptic catheterised urine samples in very low birth weight infants. Contaminated urine culture results may result in unnecessary antibiotic prescriptions or iatrogenic UTIs. This quality improvement project aimed to reduce contamination rates by 50% in 6-months, and reduce unnecessary antimicrobial usage for contaminated urine samples by 50% in the same period of time. To assess the efficacy of this project, (i) pre-QI antibiotic prescriptions for UTI based upon contaminated urine samples (ii) post-QI catheterised urine specimens contamination rates and (iii) post-QI antibiotic prescriptions for UTI based upon contaminated urine samples were evaluated.