ROP Exams: Instrument Management / Best Practice
Examinations for retinopathy of prematurity (ROP) have been identified as predictors of healthcare-associated infections (HAI) in the neonatal intensive care unit (NICU). Reports in the scientific literature have linked ROP exams to bacterial and adenoviral conjunctivitis outbreaks, as well as serious, life-threatening, non-ocular neonatal infections. Some of these adverse events have been linked to inappropriate ROP instrument management and sterilization Investigators have concluded that the assurance of an adequate supply of sterile instruments, i.e. a separate, sterile instrument set for each examination, could decrease the risk of infection in premature infants. In January 2013, the American Academy of Pediatrics (AAP) published a revised policy statement, Screening Examination of Premature Infants for Retinopathy of Prematurity. Included is a recommendation that “sterile instruments should be used to examine each infant to avoid possible cross-contamination of infectious agents.” (Click here to view or/and download the article). The Centers for Disease Control and Prevention (CDC) in addressing the risks of adenoviral outbreaks in healthcare settings from ophthalmic instruments advised that, “facilities should use single-use disposable instruments whenever possible, especially in settings where adherence to recommended disinfection or sterilization practices cannot be ensured.” (Click here to view or/and download the article). Compliance with the AAP, CDC and Association for Professionals in Infection Control and Epidemiology (APIC) recommendations for properly sterilizing ophthalmic instruments can often be problematic in a busy NICU. A survey of 300 NICUs documented widespread, inconsistent management of reusable ROP instruments and inadequate sterilization practices –- and an associated increase in reporting of infections.
Safer for Patient
Simplifies Instrument Management, Saves Caregiver Time
- Single-use peel packs, in boxes of 20 for easy dispensing
- Eliminates time and inconvenience of gathering, processing, sterilizing and distributing reusable instruments
- Eliminates problems resulting from instrument loss
- Promotes standardization and best practice
The MORIA Disposable ROP Examination Kit enables hospitals to provide a safer, higher standard of care. It has been well received by NICUs and ophthalmologists, and, to date, incorporated into the practice of leading NICUs in 37 states, in the USA.
MORIA Disposable ROP Examination Kit:
Single-use ophthalmic speculum and depressor in a sterile peel-pack for retinopathy of prematurity exams
Click here to view ...
The Retinopathy of Prematurity Screening Examination: Ensuring a Safe and Efficient Examination While Examining Infant Discomfort.
Neonatal Network May/June 2010