Scrubswire

CLINICAL

First U.S. RSV outbreak in a NICU traced to a visitor mistake

Eleven neonates contracted RSV after a visitor ignored a posted screening sign, a hospital review found.

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An internal review at Children’s Hospital of Philadelphia traced an 11-patient RSV outbreak in its level-IV NICU last winter to a single visitor who entered the unit despite a posted screening sign indicating active respiratory symptoms.

The review, obtained by Scrubswire, recommends a transition from a paper screening sign to a hard-stop badge entry system at the unit’s only public door.


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