scholarly journals Urinary tract infection preventive behaviors among adolescent girls: a quasi-experimental study

2019 ◽  
Vol 9 (4) ◽  
pp. 330-336
Author(s):  
Naval Heydari ◽  
Iran Jahanbin ◽  
Fariba Ghodsbin ◽  
◽  
◽  
...  
Keyword(s):  
Experimental Study ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Adolescent Girls ◽  
Preventive Behaviors ◽  
Quasi Experimental

scholarly journals Comparison of the Effect of Perineal Care with Normal Saline and 2% Chlorhexidine Solution on the Rate of Catheter-Associated Urinary Tract Infection in Women Hospitalized in Intensive Care Units: A Quasi-Experimental Study

2020 ◽  
Vol 9 (2) ◽  
Author(s):  
Hamed Sarani ◽  
Zahra Pishkar Mofrad ◽  
Hamed Faghihi ◽  
Mehrangiz Ghabimi
Keyword(s):  
Experimental Study ◽  
Urinary Tract Infection ◽  
Intensive Care ◽  
Urinary Tract ◽  
Tract Infection ◽  
Normal Saline ◽  
Female Patients ◽  
Quasi Experimental ◽  
Perineal Care ◽  
Chlorhexidine Solution

Background: Urinary tract infection is the most common site of infection associated with health care in the Intensive Care Unit (ICU) patients. Long-term catheterization is the most important risk factor for Urinary Tract Infections (UTIs). These infections are more common in women than in men. Colonized microorganisms in the perineal skin and around the urethra may move into the urinary system through the external surfaces of the urinary catheter to cause infection. Objectives: The present study aimed to compare the effect of perineal care with normal saline and 2% chlorhexidine solution on the rate of catheter-associated urinary tract infection (CAUTI) in women hospitalized in ICUs. Methods: A quasi-experimental study was performed on 70 female patients hospitalized in the ICU of Khatam-Al-Anbia Hospital of Zahedan in 2019. The research units meeting the inclusion criteria were selected using convenience sampling and then randomly divided into two groups of normal saline (n = 35) and chlorhexidine (n = 35). The perineal area of patients in the first group was washed with normal saline and the second group with 2% chlorhexidine solutions twice a day for seven days in both groups. To diagnose UTIs, urine samples were cultured on the first and seventh days. Data were analyzed using SPSS 21 via the independent t-test, chi-square test, and Fisher’s exact test at a significance level of less than 0.05. Results: Finally, 60 participants completed the study. The two groups did not differ significantly in terms of age, marital status, level of education, cause of hospitalization, antibiotic use, underlying diseases, fluid intake, and urinary output. At the end of the seventh day after the intervention, the incidence of UTIs was significantly lower in the chlorhexidine group (13.3%) than in the normal saline group (76.7%) (P = 0.001). Conclusions: The results showed that washing the perineal area every 12 hours with 2% chlorhexidine solution compared to normal saline reduces the incidence of CAUTIs in women hospitalized in ICUs. Therefore, perineal care with a 2% chlorhexidine solution is recommended for perineal care of female patients with urinary catheters hospitalized in ICUs.

scholarly journals Urinary Tract Infection- Knowledge and Habitual Practices among Adolescent Girls Residing in College Hostel of Mangaluru, India: A Cross-sectional Study

2021 ◽  
Author(s):  
Sonia KarenLiz Sequera ◽  
Leena Kunnath Chacko ◽  
Priya Sweety Pereira
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Nursing Students ◽  
Tract Infection ◽  
Adolescent Girls ◽  
Cross Sectional Study ◽  
Congenital Defects ◽  
Sectional Study ◽  
Cross Sectional ◽  
Study Results

Introduction: Urinary Tract Infection (UTI) is a common infection among female adolescents, causing significant distress in the hospital or community settings. Most of the issues related to UTI could be prevented by adequate knowledge and safe habitual practices. Within the context of reproductive health services, nurses or nursing students being healthcare providers are typically expected to have knowledge on the causes of UTI, methods of preventing and managing such conditions and teaching the same to young girls and women. Education provided to women, particularly adolescents, by nurses and by trainers who have relevant experience and knowledge may ensure proper hygiene practices. Aim: To determine the level of knowledge, expressed habitual practice among 82 adolescent girls of a selected nursing college hostel. Materials and Methods: This was a descriptive cross-sectional study conducted between June 2019 and December 2019. Tools included structured questionnaire on knowledge of UTI and a rating scale on expressed habitual practice on UTI prevention. All the 82 students of 1st BSc Nursing from the study institute were recruited. Adolescent girls who have undergone training on prevention of UTI in nursing curriculum and who had congenital defects of urinary system were excluded from the study. Results: The mean age of the subjects was 18.69±0.46 years. Total 13.4% experienced UTI in their life time. In terms of overall knowledge score, out of 82 subjects, around 40.2% had average (scoring between 8-10 out of 14) and few (28%) had good knowledge (≥11) on UTI prevention. In terms of overall expressed habitual practice, majority (53.7%) had average practice (score between 26-33 out of 46) whereas, 4.9% had unsafe practice (score ≤25). The Karl Pearson correlation coefficient was 0.1 and showed weak positive correlation between knowledge and expressed habitual practice. Association was found between experience of UTI p-value<0.001 and expressed habitual practice. Conclusion: Pooled results showed overall knowledge and expressed habitual practice was average and safe. Healthcare professionals, especially primary care givers such as nurses and nursing students, have the responsibility to broadcast proper information about UTI so that women/adolescents can identify the causes, risk factors, symptoms of UTI in early stages thereby preventing the mortality and morbidity related to UTI.

Study of gynecological problems of adolescent girls attending gynaecology outpatient department at tertiary care center

2021 ◽  
Vol 19 (2) ◽  
pp. 31-34
Author(s):  
Parikh Rana ◽  
◽  
Robina Mirza ◽  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Menstrual Cycle ◽  
Tract Infection ◽  
Adolescent Girls ◽  
Tertiary Care ◽  
Female Adolescent ◽  
Outpatient Department ◽  
Delayed Puberty ◽  
Breast Diseases

Background: The most striking change in adolescent girls is the onset of menstruation. After menarche, common menstrual abnormalities that the female adolescent may encounter include premenstrual syndrome, dysmenorrhea, prolonged menstrual bleeding, and emotional disturbances, In present study, we evaluated gynaecological problems of adolescent girls attending outpatient gynaecology department at tertiary care centre. Material and Methods: Present study was prospective, observational study, conducted in adolescent girls (10-19 years age) attending to the outpatient department of Obstetrics and gynaecology suffering from various gynaecological problems, willing to participate. Results: During study period, total 396 adolescent girls visited gynaecology outpatient department were considered for present study. Most cases belonged to 17-19 years age (52.8 %) followed by 14-16 years age (37.4 %) In study cases, menstrual complaints (67.7 %) were most common indication to visit OPD, followed by complaints like irregular cycles (48.5 %), pain in abdomen (29.8 %), abnormal vaginal discharge (13.9 %), acne and hirsutism (13.6 %) and obesity (11.4 %). Other less common complaints were delayed puberty (4.5 %), Bartholin cyst/abscess (3.3 %), breast diseases (2.8 %), mass per abdomen (0.8 %) and urogenital malformations (0.8 %). On basis of history and relevant investigations, menstrual cycle related gynaecological problems such as dysmenorrhea (24.7 %), oligomenorrhoea (19.7 %), menorrhagia (16.9 %), metrorrhagia (14.9 %) and hypomenorrhea (11.4 %) were noted. Amenorrhea was noted in 9.8 % cases, 1.5 % had primary amenorrhea while 8.3 % cases had secondary amenorrhea. Other problems were anaemia (28.8 %), urinary tract infection (19.7 %), PID (12.4 %), teenage pregnancy (2.3 %) and ovarian cyst (1.0 %). Conclusion: In present study menstrual cycle related gynaecological problems (dysmenorrhea, oligomenorrhoea, menorrhagia, hypomenorrhea, amenorrhea), anemia, urinary tract infection and PID were common in adolescent girls attending gynaecology OPD.

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