Bacterial nosocomial infections in neonatal intensive care unit, Zagazig University Hospital, Egypt

Effective strategies to prevent nosocomial infections (NI) among neonates in neonatal intensive care unit (NICU) require a comprehensive study of epidemiology, risk factors and outcomes. Objectives: The purpose of this study was to determine the occurrence of NI, associated risk factors, distribution of pathogens and their susceptibility to antibiotics and calculating the death rates among the studied neonates in the NICU of the Zagazig University Hospital. Methods: A prospective cohort study was conducted over a period of one year, 418 non infected neonates at admission were included, where; Blood, Pus, CSF and Urine specimen were collected and processed. Results: Out of 418 neonates; 161 (38.5%) developed NI. Most of the infections were caused by Klebsiella (34.2%) and Staphylococcus aureus (26.1%). The main neonatal NI was bloodstream infection (58.0%), followed by pneumonia NI (46.0%). Low birth weight (LBW) and prematurity were reported to be important risk factors for NI. Neonates with NI had a significantly prolonged hospital stay. The death rate for NI was 26.7%. Conclusion: High incidence rate of NI in neonates admitted to NICU was documented, particularly premature and low birth weight neonates. Early identification of NI and its risk factors remain the keys to successful management of this condition

Effect of community-based intervention on knowledge, attitude, and self-efficacy toward home injuries among Egyptian rural mothers having preschool children.

BACKGROUND:Parent's level of knowledge, state of their attitude, and their self-efficacy are the most incriminated reasons for the faulty application of the first aid measures, particularly in children's home injuries. OBJECTIVES:To assess the effect of a health education intervention on improving knowledge, attitude and self- efficacy of mothers having preschool children about home injuries and the basic first aid measures. METHODS:A pre-posttest evaluation of the effect of a health education intervention on changing knowledge, attitude, and self-efficacy about home injuries and the basic first aid measures of 244 rural Egyptian mothers having preschool children. RESULTS:About 35% of the male children had home injuries 8 weeks earlier to the study. Mean score of total knowledge increased from 10.21±3.1 in pretest to 18.90 ± 2.6 in posttest, total attitude from 6.19±1.8 to 10.26±2.3 and self-efficacy from 20.75±6.1 to 34.43 ± 10.1 with (p < 0.001) for all changes. Age, education level and previous home injuries were the significant predicting factors for total knowledge, attitude and self- efficacy of the mothers. CONCLUSION:Health education improves knowledge, attitude, and self-efficacy of the mothers which were obvious regarding home injuries than first aid measures. There is a need for including knowledge about home injuries in the educational curriculum of high schools and universities and to perform training courses to mothers about first aid measures

General characters of the studied mothers.

<p>General characters of the studied mothers.</p

Occurrence and types home injuries among the preschool children.

<p>Occurrence and types home injuries among the preschool children.</p

Regression analyses of factors significantly predict post-intervention total knowledge, attitude, and self-efficacy for mothers about home injuries.

<p>Regression analyses of factors significantly predict post-intervention total knowledge, attitude, and self-efficacy for mothers about home injuries.</p

Mean score of knowledge of the participated mothers regarding prevention and first aid measures to the four types of home injuries under study.

<p>Mean score of knowledge of the participated mothers regarding prevention and first aid measures to the four types of home injuries under study.</p

Mother's knowledge, attitude, self-efficacy about prevention of home injuries and basic first aid measures.

<p>Mother's knowledge, attitude, self-efficacy about prevention of home injuries and basic first aid measures.</p