Nurses’ knowledge and performance regarding infection control during milk formula preparation and its effect on neonates at El-Minia city hospitals
Shaimaa Shaban Mohamed1, Basma Abd El – Moez Ali2, Hekmat E. Abd-El-karim3 and Eman S. Masoed.1
1Department of Pediatric Nursing, Faculty of Nursing, 2 Department of Pediatric Medicine, Faculty of Medicine, El-Minia Universty, 3 Department of Pediatric Nursing, Faculty of Nursing, Assiut University
Abstract: Milk products are excellent media for multiplication of potentially pathogenic bacteria. Inadequate conditions of production, preparation and handling formula milk may there –fore pose a considerable risk to infants. A number of cases of serious and sometimes fatal infection have been reported in formula fed preterm and term infants. This work aimed to assess the effect of nurses' knowledge and performance toward infection control measures that can be used during milk formula preparation on neonates in neonatal intensive care unit (NICU) in Minia University Hospital for obstetrics and pediatrics and in El- Minia General Hospital. The study subjects included 32 of nurses who working in neonatal intensive care units, 18 of them from El- Minia University Hospital for Obstetrics and Pediatrics (MUHOP) and 14 from El- Minia General Hospitals and 50 of neonates(preterm and full term)and receiving artificial feeding, who will be selected randomly. During the period from 15thof September 2009 to15th of January 2010. This study is divided to three tools used by the researcher: The first tool was structured knowledge assessment questionnaire sheet, included the following, Biosocial data about nurses and Nurses' knowledge related to infection control, second tool A structured observational check-list, In order to delineate and collect data related to nurses' performance as regard the application of infection control measures during milk formula preparation in neonatal intensive care unit. The third tool Assessment sheet for the neonates: which included Personal and clinical data, Child food consumption pattern, Results of laboratory investigation, Clinical manifestation of neonatal infection. Obtained results revealed that, it was observed that the total score of nurses’ knowledge and performance who attended training courses about infection control were higher than nurses’ who didn’t attend. There were a highly statistical significant difference in the + ve CRP, leukocytosis and TLC. Also; found neonates who receiving oral route have the lower score of signs of infection than those who receiving nasogastric tube route (NGT). It's concluded that neonates in Minia University Hospital for Obstetrics and Pediatrics (MUHOP) have less signs of infection than those in El –Minia General Hospital, the preterm neonates had more signs of infection than full term neonates, and the neonates receiving nasogastric tube feeding had more signs of infection than those who received bottle feeding.
[Shaimaa Shaban Mohamed, Basma Abd El–Moez Ali, Hekmat E. Abd-El-karim and Eman S. Masoed.Nurses’ knowledge and performance regarding infection control during milk formula preparation and its effect on neonates at El-Minia city hospitals. J Am Sci 2012;8(10):782-787]. (ISSN: 1545-1003).http://www.jofamericanscience.org. 105
Key words: knowledge, performance, infection control, milk formula, neonates.