Minia University Hospital Research Articles

Detection of Methicillin resistance of Staphylococcus aureus among Minia University Hospital Patients

Detection of Methicillin resistance of Staphylococcus aureus among Minia University Hospital Patients

Prevalence of Blactx-M Gene Among MDR Escherichia Coli Isolated from Wound Infections in Minia University Hospital, Egypt

Prevalence of Blactx-M Gene Among MDR Escherichia Coli Isolated from Wound Infections in Minia University Hospital, Egypt

Corneal endothelial evaluation after phacoemulsification in eyes with pseudoexfoliation syndrome

Purpose The aim of this study was to evaluate the corneal endothelial cell changes after phacoemulsification in patients with age-related cataract and pseudoexfoliation (PEX) syndrome compared with control patients having age-related cataract using specular microscopy.Patients and methods In this prospective interventional case–control study, 20 eyes with cataract and PEX and 20 control eyes with cataract without PEX were subjected to phacoemulsification and posterior chamber foldable intraocular lens implantation at Minia University Hospital and Genaidy Eye Center, Minia, Egypt, between March 2019 and December 2020. Specular microscopy was done preoperatively and at 3 and 6 months postoperatively. The endothelial cell density (ECD), coefficient of variation, hexagonality (HEX%), pleomorphism, and corneal thickness were evaluated and compared between PEX and control eyes.Results The median best-corrected visual acuity improved significantly from a preoperative value of 0.3 in both groups to 0.5 and 0.6 in PEX and control groups, respectively, at 3 and 6 months postoperatively (P<0.001). In patients with PEX, the preoperative median ECD significantly decreased from 2790.5 cells/mm2 to 2387 at 3 months (P<0.001) and to 2380 cells/mm2 at 6 months (P<0.001). In the control group, the preoperative median ECD significantly decreased from 2599 to 2364 cells/mm2 at 3 months (P<0.001) and to 2353 cells/mm2 at 6 months (P<0.001). There was a statistically insignificant difference between the two groups regarding the preoperative and third and sixth postoperative month ECD (P=0.499, 0.850, and 0.860, respectively). The median of HEX% decreased significantly in the PEX eyes from a preoperative value of 45.5 to 39% at 3 months (P<0.001) and to 38% at 6 months (P<0.001). In the control eyes, the HEX% decreased significantly from a preoperative value of 42 to 38.5% at 3 months (P=0.009) and to 37% at 6 months (P<0.012). There was no statistically significant difference between the preoperative and postoperative values of the coefficient of variation % in either group, with no statistically significant difference between the two groups. In addition, there was no statistically significant difference between the two groups either before or after surgery in the central corneal thickness.Conclusion Although the percentage of reduction in ECD was more in the PEX eyes compared with the control eyes after phacoemulsification, there was no statistically significant difference in most of the studied parameters between the two groups.

Pelvic inflammatory disease

Background Pelvic inflammatory disease (PID) is one of the most serious infections faced by women today. It is a common problem encountered in post natal, post abortions and family planning clinics. Aim To evaluate the effect of educational program on women awareness regarding postabortive preventive measures of PID. Patients and methods A quasi-experimental design was used to achieve the aim of the study, which was conducted at the outpatient clinics of Maternal and Child Minia University Hospital. Sampling A purposive sample of 100 women was recruited. Tools Three tools were used in the current study for data collection: tool 1, structured interviewing questionnaire; tool 2, knowledge assessment tool; and tool 3, self-reported practice assessment tool. Results Overall, 85% of women had poor level of knowledge regarding PID and its prevention at preeducational test; this improved at posteducational test to 90% of them having good level of knowledge about PID and its prevention. Moreover, 83% of women had unsatisfactory level of reported practices related to postabortion care at preeducational test; this improved at posteducational test to 88% of them having satisfactory level of reported postabortion care practices. There was a positive association between knowledge scores and reported practice scores of the women at posteducational program. Conclusion Application of health education program was significant in enhancing the knowledge and self-reported practices among women in postabortion period regarding preventive measures of PID. Recommendations More research studies are needed to increase women’s awareness regarding postabortive preventive measures of PID because there were few research studies in this field.

Nurses' professional values and its Relation to their Burnout in Minia university hospitals

Background: An awareness of professional values, cultural differences, and bases help to avoid ineffective communication in stressful situations which can help staff nurses in preventing their feeling of burnout. Aim: To assess nurses' professional values and its relation to their Burnout in Minia university hospitals. Research design: A descriptive cross- sectional research design. Subjects: A representative sample 30% from total staff nurses all staff nurses who working in Minia University Hospitals (N= 337). Setting: The study was conducted in Minia University Hospitals, Egypt. Tools of data collection: included two tools; Nurses Professional Values Scale (NPVS), and Maslach’s Burnout Inventory scale. Results: Staff nurses had moderate mean score level for all subscale of professional values; also there were more than three quarter (78.3%) of the staff nurses had moderate score level of total professional value, less than one quarter (20.8%) of them had high score level degree. Also, there were less than two third (62.9%) of staff nurses had high total score levels of Maslach’s burnout inventory; more than one third (37.1%) of them have moderate score level; and no one of them had low burnout level score. Conclusion: The findings of this study revealed that staff nurses had moderate to high level of professional values perception as well as their burnout level. Also, there were negative correlation between professional values and level of burnout. Recommendation: Training programs should be designed continuously for staff nurses to improve their professional values perception and decrease their burnout level.

Effect of Health Educational Program on Mothers’ Knowledge and Practices RegardingCare of Children with Trachoma

Aim: The study aimed to evaluate the effect of health educational program on mothers’ knowledge and practices regarding care of children with trachoma. Study design: quasi-experimental design (pretest-posttest) used to conduct this study. Sample: The study sample includes 60 mothers caring for children with trachoma. Setting: This study was conducted at outpatient Ophthalmological clinics of Minia University hospital and ophthalmology hospital in Minia City .Tools: Three tools were utilized in this study; the first tool was an interviewing structured questionnaire sheet. The second tool: Mothers' knowledge regarding trachoma, and the third tool: self-reported practices scale. Results the minority (5%) of the studied mothers had high level of knowledge pre-educational program that increased to most (91.7%) of them immediately after the end of the educational program and a majority (88.3%) of them after one month of educational program with statistically significant differences. More than one third (41.7%) of them had good self-reported practices level pre-educational program increased to most (91.7%) of them immediately after the end of the educational program and more than majority (88.3%) of them after one month of an educational program with a highly statistically significant difference. Also, there was a strong positive association between mothers’ knowledge and their reported practices regarding trachoma at pre-educational program. Conclusion: The teaching program is effective in improving the knowledge and practices of mothers. It found that levels of knowledge and practices of mothers posttest were significantly higher compared to pretest.

Relationship between nurses’ motivation and patients’ satisfaction in dialysis units in Minia city

Background: In the health-care system, motivation is crucial for retaining healthcare workers. As a result, health-care systems become more productive, which is reflected in patient outcomes. In the nursing profession, there are various motivating patterns to consider, including rewards, relationships, challenges, control, and drive. Patient satisfaction, quality of life, symptoms, morbidity, and mortality are only a few of the health-care service's patient outcomes. Aim: To assess relation between nurses’ motivation and patients’ satisfaction in dialysis units. Research design: Cross sectional descriptive correlative research design. Subjects: Convenience sample, the study subjects were including nurses and patients in dialysis units with total number 447patients and 83 nurses. Setting: The study was conducted at Dialysis Units of: Minia General Hospital, Minia University Hospital and Health Insurance Hospital. Tools of data collection: included two tools; first tool Motivation factors of nurses; second tool Patient's satisfaction. Results: the majority of staff nurses (89.2%) have moderate level of motivational factors in selected Hospitals, while (10.8%) of them has high level of motivational factors. Moreover the majority of patients (66%) have moderate level of satisfaction in selected Hospitals, while (34%) of them has high level of satisfaction. Conclusion: The findings of this study revealed that positive correlation between nurses' Motivation factors and patients' satisfaction in selected Hospitals. Recommendations: The hospital should establish multidisciplinary motivation teams which will be responsible for care of the careers. The team would also be responsible in conducting meetings and facilitate in exploring other means of motivating the nurses. Moreover the nursing care should continually involve the patients in their care in order to individualize the care.

Predicting Successful Extubation Rate Using Modified Spontaneous Breathing Trial in PICUs

Background: Extubation readiness is assessed by spontaneous breathing trials (SBTs); however, there is a lack of universally agreed protocols for their accurate performance and reporting in pediatric intensive care units (PICUs). Objectives: We aimed to evaluate extubating bundles, including modified SBT, in predicting successful extubation in critically-ill children with planned extubation. Method: This prospective cross-sectional study was based on the collection of data from 150 critically-ill children admitted to the PICU at Minia University Hospital. From January 2019 to June 2020, those children admitted to the PCIU and subjected to mechanical ventilation (MV), and extubation were enrolled. When the clinical team decided a child was ready for extubation based on the extubating bundle, a modified SBT (10 min) was used. It was started with switching to the CPAP\PS mode, followed by PS zero, and maintaining the original PEEP for 3 min. Finally, PS was kept at 5 - 8 cm H2O, and the original PEEP was maintained for the remaining 7 min (total period of 10 min). Results: The extubation bundle with modified SBT could predict extubation success with 89% sensitivity and 89.9% positive predictive value (PPV). There were no significant differences in age, weight, gender, and length of intubation between children with failed SBT and those who were successfully extubated. In 41 cases, SBT failure occurred in 3 ‐ 5 min, while nine cases showed failure in 6 ‐ 10 min. Conclusions: Extubation bundle with modified SBT before elective extubation is indicated for children. Guidelines for extubation among critically-ill children are needed to reduce unnecessary exposure to mechanical ventilation's adverse effects. Further multicenter research is required to enhance outcomes and decline the burden of these patients.

A comparative study between topical short and long-acting insulin preparations in management of wounds in diabetic patients

Wounds of diabetic patients often require weeks of adequate and appropriate care for full recovery. The use of systemic insulin in diabetic patients was reported to enhance wound healing. Thus, the present study was conducted to evaluate the effect of topical insulin on diabetic wounds. Our objective was to compare the effectiveness of topical short and long acting insulin combined with standard wound dressings in healing of wounds in diabetic patients. Thirty adult patients of both sexes from the outpatient settings of the General and Plastic surgery wards at Minia University Hospital were included in the study. Patients were assigned into three groups; control, patients applying short acting insulin and those applying long-acting insulin. The wounds were compared for healing time, inflammation and pain at days 0, 14, and 21. The mean age of patients included in the study was 58.9±5.3 years. The unit healing time for diabetic control group was 25.1±22.9 which was significantly higher than the two other groups (10.02±5.4 and 5.1±2.4, respectively) with no significant difference between topical short and long-acting insulin applying groups. Upon scoring of wounds, the long acting score of the short acting insulin was significantly lower than the control group at day 14 (p=0.001) while both topical insulin groups showed significantly reduced scores at day 21 compared to the control group (p=0.001 and p=0.009 for short and long-acting insulin, respectively). Both topical insulin treatments resulted in an acceleration of the wound healing process with no significant difference between short and long-acting insulin.

Combined endophthalmitis and orbital cellulitis in patients with corona virus disease (COVID-19)

PurposeTo document the presentation of unilateral combined endophthalmitis and orbital cellulitis in patients with COVID-19 infection and study their prognosis.Patients and methodsThis interventional case series study included 9 patients referred to the Ophthalmology Department, Minia University Hospital with unilateral combined endophthalmitis and orbital cellulitis between April 2020 and March 2021. In addition to the COVID-19 work-up, all patients were subjected to full ophthalmological evaluation and managed according to their ophthalmic and systemic disease.ResultsThe patients were 5 females and 4 males. They had clinical, laboratory and imaging findings that confirmed COVID-19 infection. All patients had unilateral endophthalmitis with orbital cellulitis and profound visual loss in the affected eye. Three patients died due to respiratory failure, while 6 patients recovered systemically. The survived patients developed atrophia bulbi in 4 patients and in 2 patients, the globe retained normal size but with complete visual loss.ConclusionCombined endophthalmitis and orbital cellulitis can be one of the early presentations of patients with COVID-19 infection with poor visual prognosis.Trial registrationClinical registration: clinicaltrials.gov identifier: NCT04456556.

Perception, Coping Behavior and Quality of Life during COVID-19 among Nursing Intern Students

Background: COVID-19 is the most recent pandemic, with a significant morbidity and mortality rate over the world. These types of crises can have a negative impact on the mental and physical health of health-care employees, particularly nursing intern students. As a result, the success of the COVID-19 nursing intern students' struggle will be determined by their perception and coping behavior used to improve their quality of life during the global pandemic. Aim: Current study aimed to assess perception, coping behavior and quality of life during COVID- 19 among nursing intern students. Design: Descriptive correlational comparative design was utilized. Sample: Convenience sample consisted of 400 nursing intern students which available in Minia university hospitals and 160 nursing intern students from 6 October university hospitals (total No. 560). Setting: Minia university hospitals and 6 October university hospitals, in Cairo, Egypt. Tools: four tools were utilized in this study. I: Personal characteristic data questionnaire, II: Perception about COVID 19 instrument, III: Coping behavior questionnaire, and IV: Quality of life scale. Results: this study revealed that more than two third of 6 October nursing intern students had satisfactory perception, nearly all intern students had moderate level of coping behavior, and more than two third of them had high level in quality of life. While Minia nursing intern students about two third of them had satisfactory perception, and moderate level of coping behavior, also about have of them had high level in quality of life. Conclusion: level of perception among nursing intern students was satisfactory, while coping behavior was moderate, and quality of life among them was high. There was a positive correlation and no statistically significant difference was found between perception and coping behavior; while there was a positive correlation and no statistically significant difference was found between perception and quality of life. Recommendation: Periodic workshop and training to improve and updating knowledge, perception and how to cope with COVID-19 that improve quality of life among intern nursing students.

Effect of Educational Sessions on Improving Knowledge and Lifestyle among Rural Versus Urban Gestational Diabetic Women

Background: Gestational diabetes mellitus (GDM) is accompanying by possibly risky impacts on the mother and fetus. Therefore, early detection of gestational diabetes mellitus allows enhancing pregnancy consequences and announcing women to suitable nutrition & lifestyle health promotion. Aim: To evaluate the effect of educational sessions on improving knowledge and lifestyle among rural versus urban gestational diabetic women. Subjects and Method: Design: Quasi-experimental pretest/posttest research design was utilized. Subjects: A purposive sample of 80 women carefully chosen by purposive sampling method as described in inclusion criteria, attended out-patient clinics of Maternal and Child Minia University Hospital, and suffer from GDM. Tools: The data were gathered by using an Arabic structured interviewing sheet including socio-demographic data, knowledge assessment tool, and lifestyle assessment tool. Results: 65.2% and 70.5% of both urban and rural groups lacked the essential knowledge regarding GDM in the pretest.82% and 80% of them respectively has an unhealthy lifestyle score. However, after the implementation of the educational sessions, it noticed that there was a greatly significant enhancement in their knowledge and healthy lifestyle. Conclusion: There was a statistically significant difference between total knowledge and total lifestyle score, P Recommendation: Provide a continuous planned educational program and offered on regular basis for both urban and rural groups of women with gestational diabetes to improve their knowledge, the lifestyle and associated morbidity. Background: Gestational diabetes mellitus (GDM) is accompanying by possibly risky impacts on the mother and fetus. Therefore, early detection of gestational diabetes mellitus allows enhancing pregnancy consequences and announcing women to suitable nutrition & lifestyle health promotion. Aim: To evaluate the effect of educational sessions on improving knowledge and lifestyle among rural versus urban gestational diabetic women. Subjects and Method: Design: Quasi-experimental pretest/posttest research design was utilized. Subjects: A purposive sample of 80 women carefully chosen by purposive sampling method as described in inclusion criteria, attended out-patient clinics of Maternal and Child Minia University Hospital, and suffer from GDM. Tools: The data were gathered by using an Arabic structured interviewing sheet including socio-demographic data, knowledge assessment tool, and lifestyle assessment tool. Results: 65.2% and 70.5% of both urban and rural groups lacked the essential knowledge regarding GDM in the pretest.82% and 80% of them respectively has an unhealthy lifestyle score. However, after the implementation of the educational sessions, it noticed that there was a greatly significant enhancement in their knowledge and healthy lifestyle. Conclusion: There was a statistically significant difference between total knowledge and total lifestyle score, P Recommendation: Provide a continuous planned educational program and offered on regular basis for both urban and rural groups of women with gestational diabetes to improve their knowledge, the lifestyle and associated morbidity.

The Clinical Role of Diffusion-Weighted MRI for Detecting Residual Cholesteatoma in Canal Wall up Mastoidectomy.

The purpose of this study was to assess the value of the diffusion MRI with the non-echoplanar imaging (Non-EPI) technique for follow-up the post-operative patients to detect residual cholesteatomas. This prospective study was performed on 40 patients. All patients were at least one year after Canal Wall Up mastoidectomy surgery for cholesteatoma and scheduled for a second-look surgery. This prospective study was performed on 40 patients. All patients were subjected to Canal Wall Up surgery and planned for the second-look operation. After one year as removal of choleasteatoma is uncertain in first surgery. The study done at Tertiary referral centers (Ain shams, Mansoura, and Minia university hospitals), non-echoplanar diffusion MRI (NEP-DWI) technique for follow-up the post-operative patients to detect residual cholesteatomas, then second look surgery done 2weeks after MRI. Forty patients underwent MRI with Non-echoplanar diffusion-weighted imaging (NEP-DWI). Twenty-six patients had positive MRI results with the remaining 14 patients had negative results. These results were compared to operative findings. All positive MRI cases showed positive intra-operative findings. Ten of negative MRI cases showed negative intra-operative findings. Four of DWI-negative cases showed small cholesteatomas. The use of NEP-DWI is a valuable tool in detecting residual cholesteatoma that could replace the second look surgery in many cases.

Developing disaster management plan of emergency unit at Minia University Hospital

Developing disaster management plan of emergency unit at Minia University Hospital

Prognostic value of clinical scoring systems and coagulation parameters in severe community aquired pneumonia

Introduction Predicting ICU outcome in community-acquired pneumonia (CAP) is important for effective clinical decision making. CAP is associated with coagulation abnormalities even in patients with nonsevere illness, and these parameters may improve the ability of simple clinical scores to expect mortality in severe CAP. Patients and methods A prospective study was conducted on 100 patients with a primary diagnosis of CAP and who needed admission to ICU Minia University Hospital between the period of September 2018 and October 2019. The study aimed to evaluate the value of clinical scoring systems and coagulation parameters to predict prognosis of severe CAP. Results The overall ICU mortality was 41%. Following multivariable regression, male sex, Simplified Acute Physiological Score II score, diagnosis of cancer, and prothrombin time (PT) were significantly associated with ICU mortality. Apart from Acute Physiologic Assessment and Chronic Health Evaluation III score, all other severity scores, including the CURB-65 score, can differentiate between ICU survivors and nonsurvivors when calculated at the time of admission to ICU (P&lt;0.0001). Allocating an extra point for PT more than 17 s to the CURB-65 score improved its sensitivity. Conclusion Mortality from severe CAP remains high. The ability of the CURB-65 score to differentiate between survivors and nonsurvivors of severe CAP is comparable to other more complex scores. Addition of PT may further improve its discriminatory ability.

Pediatric asthma

Introduction Asthma is a heterogeneous chronic airway disease that is common in childhood. Childhood asthma is commonly related to other atopic diseases. The potential correlation of allergic sensitization and asthma in children has been contributed to the allergic model of the March. Aim The study aims to estimate the age of onset of asthma in children in Minia governorate, in middle Egypt, and also to see the presenting features of bronchial asthma in our locality and compare this with what is present in different parts of the world. Patients and methods This study was carried out in the Pediatric and Chest Departments of Minia University hospitals. The study included 100 children with a clear diagnosis of bronchial asthma. Detailed medical history concerned mainly with the respiratory events were recorded between birth and the time of study enrollment. This also included some asthma family history or other allergic disorders (allergic rhinitis, eczema, and allergic conjunctivitis). Results In most cases, asthma symptoms started less than 1 year of age (64% of the studied group). Asthma symptoms started between the age of 1.1 and 2 years in 16% of patients and above 6 years of age in only 12% of cases. Overall, 40% of the studied group had a positive family history of bronchial asthma in their mothers and 44% of them had a positive family history of bronchial asthma in their fathers. Only 10% of the studied group had a positive family history of bronchial asthma of both parents. Conclusion A great portion of asthmatic children fulfill the criteria of bronchial asthma diagnosis in the first year of their life. Only a small portion of asthmatic children start their asthma after the age of 6 years.

Effect of Transition Training Program on Novice Nurses' Working at University Hospitals

Background: Transition is the period of learning, adjustment and socialization, when the nurse applies, consolidates and increases their existing knowledge, gaining competence (knowledge, skill, and attitude) that is applicable to the nursing practice of the clinical setting or patient population in which they are expected to perform. Aim: investigating effect of effect of transition training program on novice bachlors' degree nurses' working at Minia University Hospitals. Research design: Quasi-experimental research design was utilized in this study. Setting: The study was carried out at Minia University Hospitals. Subject: A convenient sample the study subjects were include all novice nurses (bachelor's degree) in University Hospitals. They are working in the field of nursing practice less than one year (no=110). Tools: Two tools were used in this study; nurse's transition training program knowledge questionnaire, and The Casey-Fink Graduate Nurse Experience Survey. Results: There were statistical significance differences in knowledge test scores as well as mean scores of transition role among new graduate nurses. Conclusions: There was a positive effect of transition training program on Novice Nurses. Recommendations: Further attention to academic preparation of nursing new graduate nurses to promote their perceptions about role transition.

Effect of Implementing Nursing Educational Protocol on Reducing Deep Venous Thrombosis among Orthopedic Surgery Patients

Background: Deep venous thrombosis is a most prevalent problem for orthopedic surgery patients. Nurses have been shown in the literature to play a significant role in reducing the incidence of deep venous thrombosis. Range of motion exercises increase blood flow to the lower extremities, and early mobilization has been shown to improve outcomes. Nurses are crucial in integrating these activities into their patients' regular care plans. Future research should concentrate on efforts to enhance nursing compliance with this exercise program .Aim of the study: To evaluate the effect of implementing nursing educational protocol on reducing deep vein thrombosis among orthopedic surgery patients. Research design: Quasi experimental research design was utilized to conduct this study (study and control group). Subjects: A purposive sample of 72 patients (36 patients for each group study and control). Setting: This study was carried out in orthopedic department and orthopedic outpatient clinic at Minia University Hospital. Tools of data collection: Demographic and medical sheet, the Autar DVT risk assessment scale and Deep vein thrombosis evaluation sheet. Results: There was a statistical significant difference between study and control groups regarding the occurrence of DVT especially Left limb DVT p.value (0.027*) after application of the nursing educational protocol. There were highly statistically significant differences between study and control groups regarding signs and symptoms of DVT in calf muscle regarding redness, swelling and absence of signs of DVT with p.value (0.012*, 0.001**, and 0.002**) respectively. While in thigh muscle presence of swelling show a statistical significant difference with p.value (0.005**) between the two groups. There was a statistical significant difference between study and control groups regarding the occurrence of DVT especially Left limb DVT p.value (0.027*) after application of the nursing educational protocol. Conclusion: Application of educational protocol was effective in reducing DVT among orthopedic surgery patients. Recommendations: Applying elastic stocking, exercising and range of motion had a positive effect on reducing incidence of DVT among orthopedic surgical patients. The in-service educational training program that illustrates purposes and benefits of applying elastic stocking, exercising and range of motion is very important.

Nurses' Knowledge, Practice, and Attitude Regarding Burn Injury Management

Background: Burn is bodily injury resulting from exposure to heat, electricity, or some radiations, marked by varying degrees of skin destruction and hyper anemia often with the formation of watery blisters Aim of study: to assess Nurses' Knowledge, Practice and, Attitude, Regarding Burn Injury Management. Subjects and methods: Descriptive study. The study was conducted at three hospitals (Beni-Suef general hospital, Minia general hospital and, Minia university hospital)first and second hospital affiliated to ministry of health, the third one affiliated to ministry of higher education. Forty nurses where included in the current study sample. Three tools of data collection were used to carry out this study namely, tool 1): Structured Self-Administered Questionnaire that include two parts; part 1): demographic characteristics, and part 2): nurse's knowledge, Tool П-: Nurses’ observational checklists procedure, and Tool IП: Structured nurse's attitude scales. Results: majority of the studied nurses (82.5%) had unsatisfactory knowledge, and, (100%) had unsatisfactory practices and negative attitude regarding burn injury management. Conclusion and recommendations: Most of nurses had shortage knowledge level, poor practice and, negative attitude due to lack of educational program, lack of training and, no update to nurse's performances so, the current study recommended that importance of Provide continuous education and update for nurses regarding evidence based nursing practices about burn patients and, provide sufficient supplies and equipment from hospital administration for nurses to perform their practice in a high quality, safe and in efficient way

Knowledge and Practices of Postnatal Mothers Regarding Prevention of Puerperal Sepsis

Background. Puerperal sepsis is infection of the genital tract occurring at any time between the onset of rupture of membranes or labor and the 42 day postpartum. It's one of the fifth common causes of maternal mortality worldwide. The aim of this study is To assess Knowledge and practices of postnatal mothers regarding prevention of puerperal sepsis . Research Design: A descriptive cross sectional research design. Subject: Purposive samples composed of (87) postnatal mothers from Minia University Hospital for obstetric and pediatric at postnatal department. Tools of data collection: include - A structured interview questionnaire, knowledge assessment tool and practical assessment tool. Results: the study revealed that (87.4%) of the studied women had unsatisfactory knowledge level regarding puerperal sepsis and (74.7%) of the studied sample had poor practice about prevention of puerperal sepsis. There is positive association between total knowledge score and total practices level (p. value < .ooo1) Conclusion: The study concluded that majority of postnatal mothers had poor level of knowledge regarding puerperal sepsis , and around three quarters of them had poor practice about prevention of puerperal sepsis. A positive fair association was found between knowledge and practice scores regarding prevention of puerperal sepsis. Recommendation: - The obstetric nurse could play and implement their role as health educator, counselor, coordinator, and supervisor and help post natal mothers to improve their knowledge and practices regarding puerperal sepsis and its prevention.