scholarly journals Nurses Practice Regarding Infection Control Measures during The Second Stage of Labor: A Multicenter Study

2021 ◽  
Vol 3 (1) ◽  
pp. 13
Author(s):  
Somia F. E. Fahmi ◽  
Zeinab A. A. Baraia ◽  
Inaam H. Abdelati

Context: Infection prevention remains a significant public health challenge for healthcare systems, especially in maternity and delivery units. Good understanding and compliance of nurses with infection control measures during delivery are essential factors that improve maternal and neonatal outcomes and decrease morbidity and mortality. Aim: This study aimed to assess nurses' practice regarding infection control measures during the second stage of labor in multiple centers. Methods: Cross-sectional descriptive observational study was adopted in this study. The study population included all nurses working in labor rooms of four hospitals (100 nurses), namely Suez Canal University Hospital, Zagazig University Hospital, Ismailia General Hospital, And Zagazig General Hospital. Data collection tool encompassed a structured interviewing questionnaire to assess nurses' general characteristics, physical and organizational barriers that prevent nurses from complying with infection control measures, infection control practice checklist to assess nurses` compliance with infection control measures during the second stage of labor. Results: The highest percentage of the studied nurses' age was between 19-<29 (56.6%, 63.8%). Near half were technical nurses (43.4%, 44.7%). The majority of the studied nurses had not had periodic checks. Also, most of them were vaccinated against viral hepatitis B (86.8%, 91.5%). There was a statistically significant difference between Ismalia and Zagazig hospitals in physical barriers. The highest mean percent for infection control practice was for perineal care 100%, using the invasive device during labor 92%, preparing birthing room and its equipment 75.9%. A satisfactory infection control practice was revealed among 88% of the studied nurses. The satisfactory practice of nurses was 100%, 92.1%, 86.9%, 44.1% in Zagazig General Hospital, Ismalia University Hospital, Zagazig University Hospital, Ismalia General Hospital, respectively. Conclusion: The result of the study concluded that most nurses' practice regarding infection control in the delivery room was satisfactory. The study recommended upgrading and qualifying nurses in the labor room to improve their practical skills in Obstetric Nursing.

Author(s):  
Bipin Kumar Yadav ◽  
Ambesh Kumar Rai ◽  
Savita Agarwal ◽  
Bindu Yadav

Background: The purpose of this study was to assess the awareness and practice of infection control procedures among dental surgeons in the private dental hospital.Methods: This is an observational study conducted among thirty dental surgeons working in a private dental hospital in Gwalior, (M.P.) to evaluate the management policies and procedures associated with infection control and instrument decontamination. The doctors were indirectly interviewed by self-administered questionnaire consisted of twenty-one questions regarding the availability of infection control materials, use of personal protective devices, techniques of hand washing, sterilization methods, control of aerosols, status of immunization, asking about medical history, routine documentation of needle-prick injuries, methods of waste segregation etc. The study group was selected regardless of sex, age and field of expertise. This study was done in two weeks and in this time frame self-administered, pre-structured questionnaire was offered to professionals.Results: In this study it was found that although 95% of doctor’s wear gloves but only 6.6% doctors use protective eyewear and 3.3% use gowns for protection. The most of the doctor’s use soap bars for hand washing which is also not a good infection control practice method. There are only 10% doctors who use high-volume-evacuator but most of the time available evacuator is not in working state. Not a single doctor used rubber dam. Out of thirty 74% use gluteraldehyde, 67% use sodium hypochlorite, 54% use phenolic compounds as a surface disinfectant. Most of the doctors use non-sterilized hand pieces, burs, impression trays etc.Conclusions: The infection control actions implemented by dental surgeons were far from ideal. Efforts are needed to improve attitudes, encourage implementation, raise awareness, promote regular updating courses and motivate dental professionals in the correct and routine use of infection control measures. Apart from this, it is also important to improve the hospital management system.


Author(s):  
Hyppolite K Tchidjou ◽  
Bernard Romeo

Abstract Since 2019 coronavirus disease (COVID-19) is highly contagious with a high mortality rate. France has taken strict infection control measures. According to the report by the Center for Disease Control and Prevention, children are less affected with COVID-19 and seem to have less severe disease than adults. We reported the first confirmed infant case of co-infection with SARS-CoV-2 and Citrobacter koseri urinary infection in 6-week-old child admitted on 25 March 2020 with mild symptoms in the Pediatric COVID Unit of Amiens University Hospital, France.


2013 ◽  
Vol 07 (S 01) ◽  
pp. S015-S019 ◽  
Author(s):  
Betul Rahman ◽  
Sheela Balu Abraham ◽  
Amna Mohammed Alsalami ◽  
Fatima Eisa Alkhaja ◽  
Shaikha Ibrahim Najem

ABSTRACT Objective: The purpose of this study was to investigate compliance, awareness and practices of infection control procedures among senior dental students at the College of Dentistry, University of Sharjah, United Arab Emirates. Materials and Methods: The study comprised of 119 subjects of 4 th and 5 th year dental students. A questionnaire was developed with 25 open and closed-ended questions related to barrier techniques, vaccination status, infection control practices and awareness. This was distributed among the senior dental students and completed upon signing the consent form. Each questionnaire was coded to ensure the confidentiality of responses. Results: The questionnaire was distributed among 223 senior dental students at the University of Sharjah of which only 119 students (53%) responded. Compliance with the use of protective barriers was high with the exception of protective eye wear, utilized by a mere 27% of students. There was a significant difference between 4 th and 5 th year dental students′ attitudes (p < 0.05) regarding the treatment of patients with infectious diseases. Compared with 44.4% of the 5 th year students, 68.5% of the 4 th year students did not mind treating patients with infectious diseases. Owing to this, 61.9% of the 5 th year students suffered from non-sterile percutaneous and mucous membrane exposures compared with 44.6% of the 4 th year students (p < 0.05). Conclusions: Efforts are needed to improve attitudes, implement information and motivate students in the correct and routine use of infection control measures. With all infection control protocols already implemented in dental schools, the challenge remains on improving compliance with infection control recommendations.


2020 ◽  
Vol 11 (6) ◽  
pp. 9-14
Author(s):  
Ravichandra Ravi ◽  
Srividya Athkuri ◽  
Charishma Chowdary Ponugubati ◽  
Roopesh Borugadda ◽  
Sahithi Pamidimukkala ◽  
...  

Background: The pandemic caused by novel coronavirus (SARS-CoV-2) in Wuhan, China, in December 2019 is a highly infectious disease. The World Health Organization (WHO) has declared the outbreak of Corona Virus Diseases (COVID 19) as a global public health emergency. Currently, research on novel coronaviruses is still in the primary stage. Aims and Objective: The aim of this study is to assess knowledge and awareness on the usage of mouth masks among dental fraternity during this pandemic COVID-19. Materials and Methods: A total of 507 dentists from the Andhra Pradesh (India) region completed a questionnaire-based survey on knowledge, awareness, and infection control measures, such as usage of mouth masks during the pandemic COVID -19. The questionnaire was tailored from the guidance and the information provided for healthcare workers issued by the US Centres for Disease Control and Prevention (CDC). A suitable sampling method was used for the collection of data, and the distribution of responses was presented as percentages. Explanatory statistics were performed for all groups based on the percentage of correct responses. Results: A total of 530 participated in the survey, out of which 507 dentists completely answered the survey, and the response rate was 95.6%. Among the respondents, general practitioners and postgraduates accounted for 58.8% and 41.2%, respectively. There was a statistically significant difference for all the questions solicited among the respondents. General or private practitioners seem to be more aware than postgraduates, as they have answered correctly (>65%) for almost all the questions. Conclusion: The inputs from the study help us to throw some light and fill up space where required. There is a specific and strong need to implement periodic educational programmes and training sessions on infection control practices for COVID-19 among dentists in particular.


2017 ◽  
Vol 20 (1) ◽  
pp. 40
Author(s):  
Mokhtar Saleh Al-anesi ◽  
Mohammed Nasser Alhajj ◽  
Abdulghani Ali Al-Basmi

<p><strong><em>Objectives:</em></strong> The aim of the study was to assess the knowledge, attitude and practice related to gender and study level toward infection control among senior dental students. <strong><em>Materials and Methods:</em></strong> The self-administered questionnaire was distributed among the pre-doctoral dental students (4th and 5th levels) in the Dental Teaching Hospital at Thamar University. It included questions related to vaccinations as well as knowledge and practice toward infection control. The collected data was analyzed using Chi-squared test with significant level <em>P</em>-value &lt; 0.05. <strong><em>Results:</em></strong> Response rate was 63%. Distribution of gender among the participants was almost equal with slight increase in number of male subjects. Participated students from 4<sup>th</sup>-year level were also close to the number of students from 5<sup>th</sup>-year level. Hepatitis immunization was completed by only 12.9% male students and 17.3% females with no significant difference. Likewise, no significant difference was found among the participants by study level. More than 90% of participants reported always wearing gloves during dental treatment. Unexpectedly, however, using of other protective barriers was low. More than 90% of students, with no significant difference between genders or study levels, reported sterilizing instruments after each dental procedure. <strong><em>Conclusion:</em></strong> The present study showed that the level of knowledge and practice of infection control measures was poor among dental students. The attitude towards infectious control measures was positive, but a greater compliance was needed. Rigorous infection control training for students prior to graduation is also highly recommended.</p><p><strong>Keywords:</strong> Infection control, Compliance, Dental students, Yemen.</p>


Author(s):  
Māris Liepiņš ◽  
Raimonds Sīmanis ◽  
Aivars Lejnieks

Abstract There has been an increasing tendency of infections caused by multidrug-resistant organisms (MDRO), including multidrug-resistant Acinetobacter baumannii (MDRAB), in the Rīga East University Hospital (REUH) during the last decade. Over the last two years (2014-2015), this tendency has reversed and the prevalence of MDRAB has decreased considerably. In this study we assessed the prevalence of MDRAB in intensive care units (ICUs), internal medicine, surgery units and analysed antibiotic sensitivity profiles. In addition, we determined if current infection control measures are preventing further increase of infections caused by MDRAB in REUH. Retrospective Acinetobacter baumannii prevalence data were collected for the period from 2009 until 2012. For the time period from the beginning of 2013 until 2015, after implementing such infection control measures as control of compliance to hand hygiene guidelines, a review of central venous catheter insertion protocols and regular search for sources of MDRAB in hospital environment, prospective follow-up of new cases was conducted. Antimicrobial sensitivity profiles were assessed for the period from 2013 until 2015. Data were processed with the statistical software WHONET 5.5. Bacteria identification and antibiotic susceptibility testing were performed by VITEK 2 compact, BioMerieux, France. The prevalence of MDRAB in the period 2009 to 2013 increased from 71 to 217 cases per year, but from between 2013 (time of implementing infection control measures) and 2015 it decreased to 113 cases in 2015. In the three year period (2013-2015), the proportion of MDRAB causing bloodstream infections (BSI) and central nervous system infections (CNSI) was 15.85% from all identified MDRAB cases. Of the 113 MDRAB infections diagnosed in 2015, BSI was found in 16.81% cases (n = 19). Antibiotic resistance testing showed that colistin is the most effective drug against MDRAB. The majority of Acinetobacter baumannii isolates were resistant to Ampicillin/Sulbactam, Piperacillin/Tazobactam, Ceftazidime, Cefepime, Imipenem, Meropenem, Amikacin, Gentamicin, Tobramycin, and Ciprofloxacin. Over the last two years (2014-2015), prevalence of MDRAB infections decreased considerably. In the time period from 2013 to 2014, resistance of Acinetobacter baumannii increased to imipenem, ciprofloxacin and colistin, while decreased slightly to amikacin. Rigorous infection control measures, such as identification and elimination of new MDRAB sources in environment, review of the central venous catheter insertion protocol and improvements in hand hygiene, are crucial for decreasing distribution of and invasive infections caused by MDRAB in the hospital environment.


2017 ◽  
Vol 22 (39) ◽  
Author(s):  
Clara Lehmann ◽  
Matthias Kochanek ◽  
Diana Abdulla ◽  
Stephan Becker ◽  
Boris Böll ◽  
...  

In a patient transferred from Togo to Cologne, Germany, Lassa fever was diagnosed 12 days post mortem. Sixty-two contacts in Cologne were categorised according to the level of exposure, and gradual infection control measures were applied. No clinical signs of Lassa virus infection or Lassa specific antibodies were observed in the 62 contacts. Thirty-three individuals had direct contact to blood, other body fluids or tissue of the patients. Notably, with standard precautions, no transmission occurred between the index patient and healthcare workers. However, one secondary infection occurred in an undertaker exposed to the corpse in Rhineland-Palatinate, who was treated on the isolation unit at the University Hospital of Frankfurt. After German authorities raised an alert regarding the imported Lassa fever case, an American healthcare worker who had cared for the index patient in Togo, and who presented with diarrhoea, vomiting and fever, was placed in isolation and medevacked to the United States. The event and the transmission of Lassa virus infection outside of Africa underlines the need for early diagnosis and use of adequate personal protection equipment (PPE), when highly contagious infections cannot be excluded. It also demonstrates that larger outbreaks can be prevented by infection control measures, including standard PPE.


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