The Journal of the Egyptian Public Health Association
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Puerperal infections are an important cause of maternal morbidity and mortality in developing nations. Investigators have noted several risk factors for developing puerperal sepsis. However, the relative importance of these risk factors varies and has to be determined for each setting. ⋯ A pre-designed interviewing questionnaire was used to collect data about risk factors of puerperal sepsis. Logistic regression analysis indicated that very low socio-economic score (OR = 6.4), no ANC (OR = 4.5), delivery at a governmental maternity hospital (OR = 203.4), frequent vaginal examinations (OR = 5.1), anemia during puerperium (OR = 4.3), unsanitary vaginal douching during puerperium (OR = 19.9) and unhygienic preparation of diapers used immediately after delivery (OR = 12.1) were significantly related to the occurrence of puerperal sepsis. Improving infection control measures during delivery, limiting the frequency of vaginal examinations, and avoiding all unhygienic practices related to delivery are strongly recommended.
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Bronchial asthma admission rate has increased dramatically all over the world. Part of this increase in hospital admissions is due to patients' readmission. ⋯ Previous NICU admission, bronchopulmonary dyspalsia, and history of previous asthma admissions, tracheosophageal fistula, recurrent aspirations, intensive care admission, intubation and intravenous steroids were significant predictors of asthma short readmission.
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J Egypt Public Health Assoc · Jan 2000
Study of nosocomial respiratory infections and nurses' performance related to infection control measures in artificially ventilated patients.
The aim of this study was to assess nurses' performance related to control and prevention of nosocomial respiratory infection in artificially ventilated patients and to estimate incidence and the causative microorganisms of such infection. The study was conducted on 30 ventilated patients and 30 nurses who were responsible for their care. An observation checklist was used to assess nurses' practices regarding daily care activities, ventilator decontamination, use of universal infection control measures and maintenance of the patients' care environment. ⋯ A third sheet was designed to help in daily assessment of the patient's health condition. The study revealed a high incidence of nosocomial respiratory infections (83.3%) and pseudomonas was the causative agents in more than one-fourth of the cases. Moreover, nurses' infection control practices were inadequate.
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J Egypt Public Health Assoc · Jan 1995
The relationship between the knowledge of nursing staff and their compliance to universal precautions for prevention of hepatitis B viral infection.
This study examined the relationship between the knowledge of nurses working in Tanta Fever Hospital (N = 54) and their compliance to universal precautions as a prevention of HBV. An interview questionnaire and observation checklist were designed to fulfill the aim of the study. ⋯ Although no significant relation was found between nurses' knowledge and their performance regarding the universal precautions, nurses having less than 5 years of experience had a higher score of performance than those having more than 5 years of experience in 6 items. The study reflects the need for in-service educational and training programs on infection control for nurses.
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J Egypt Public Health Assoc · Jan 1994
An audit of caesarean section among Saudi females in Jeddah, Saudi Arabia.
In this study the case records of 1414 patients who delivered at Alshaty hospital within one year were examined and some important variables related to caesarean section cases and their outcome were discussed. The caesarean section rate was found to be 9.9%. The high number of grand multigravida and primigravida among these Saudi mothers have contributed to this high caesarean section rate. ⋯ The main indications of caesarean section in this hospital were repeated caesarean section (34.3%), failure of progress (19.3%) and fetal distress 12.9%. The relation and interaction between the three groups were thoroughly discussed based on the mechanisms of these indications. It is concluded that the changing trend of indications of caesarean section was mostly related to the change in departmental management rather than change in the characteristics of the patients.