Bacterial flora on hands of nursing staff as a source of health care associated infections at a tertiary care centre

Background: Emergency obstetric care in health care requires a linked referral system to be effective in reducing maternal morbidity and mortality. This review is aimed at summarizing the proportion of referrals from urban, rural and tribal areas of surrounding districts to tertiary care centre, King George Hospital, Visakhapatnam for a 6 month period; from May 2018 to October 2018.Methods: Retrospective study done at a tertiary care teaching hospital, including 3157 cases referred from the surrounding urban, rural and tribal areas.Results: Out of the 3157 referred cases, most of them (1658) were from rural areas, 1030 from urban and 469 from tribal areas. Referrals done in view of post caesarean pregnancies were more in urban and rural areas whereas more preeclampsia and anaemia cases were referred from tribal areas. Various indications of referral are documented. Majority of them were unbooked cases.Conclusions: Specific guidelines regarding whom to refer, how to refer and when to refer would be helpful in making timely referral. These would also help to decrease the burden on the tertiary care centers which deal with a huge caseloads in spite of limited infrastructure and manpower. Adequate attention and better care can be given to complicated cases if the total case load is reduced. Stringent documentation in referral slip and better co-ordination are required for a strong health care system.

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Needle Stick Injuries: A study Among Health Care Workers Tertiary Care Centre Nepal

Medical Journal of Shree Birendra Hospital ◽

10.3126/mjsbh.v17i2.18871 ◽

2018 ◽

Vol 17 (2) ◽

pp. 44

Author(s):

Manjari Bajracharya ◽

Sushila Bhandari

Keyword(s):

Health Care ◽

Health Care Workers ◽

Tertiary Care ◽

Working Hours ◽

Needle Stick Injury ◽

Care Centre ◽

Tertiary Care Centre ◽

Long Working Hours ◽

Needle Stick ◽

Care Workers

Introduction: A needle stick injury is a percutaneous piercing wound typically set by a needle point but possibly also by other sharp instruments or objects commonly encountered by health care professionals because of the risk to transmitting blood borne diseases like Hepatitis B Virus (HBV), Hepatitis C (HCV) and Human Immuno Deficiency Virus (HIV). The aim of this study was to assess the prevalence, causes, awareness and knowledge regarding Needle Stick Injury among health care workers Tertiary Care Centre of Nepal.Methods: A descriptive cross sectional study was conducted in 350 staffs of Tertiary Care Centre Nepal, from June to August 2013. Data was collected through semi-structured self-administered questionnaire. All the collected data was processed and analyzed by using descriptive statistics namely the frequency and percentage. Results: The study showed that out of the 350 respondents, 65.1% had there medicinal years of practices extended to five years. Among the responses 44.8% mentioned, highest number of needle prick was observed when recapping the needles due to long working hours. About 64.6% respondents washed their hands with soap, water or other antiseptics for effective post exposure preventive measures and 24.9% had access to infection control protocol.Conclusions: Despite the awareness regarding needle stick injury and its preventive measures, health care workers are yet bound to face it often during their surgical or medicinal area of practice due to monotonous and long working hours. <div> </div>

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