ArticleCureus2026
A Structured Quality Improvement Framework for Managing Serratia marcescens Outbreaks in a Resource-Limited Neonatal Intensive Care Unit.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
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Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNeonatal intensive care units (NICUs) in resource-limited settings face major infection-control challenges due to patient vulnerability, high device use, and limited staffing.
objectiveTo evaluate whether implementation of a structured, multimodal, Plan-Do-Study-Act (PDSA)-based QI framework was associated with improved outbreak containment and infection-control process measures in a resource-limited NICU.
methodsWe conducted a single-centre, retrospective pre-post quality improvement evaluation comparing two
resultsOutbreak incidence was observed to decrease from 8.9 to 2.5 cases per 1,000 patient-days, and outbreak duration was shorter, declining from 53 to 14 days. Hand-hygiene compliance improved from 78.9% to 92.0%, environmental-cleaning scores from 78% to 96%, and PPE compliance reached 100%.
conclusionImplementation of a structured, PDSA-based outbreak-management framework was temporally associated with improvements in infection-control process measures in a resource-limited NICU. Despite a limited sample size and an uncontrolled pre-post design, this model supports feasibility and measurable benefit in low-resource NICUs.
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