Obstetric infection control in a developing country.
Identifieur interne : 000944 ( PubMed/Checkpoint ); précédent : 000943; suivant : 000945Obstetric infection control in a developing country.
Auteurs : W A Cronin [États-Unis] ; M G Quansah ; E. LarsonSource :
- Journal of obstetric, gynecologic, and neonatal nursing : JOGNN [ 0884-2175 ]
Descripteurs français
- KwdFr :
- Accouchement (procédure), Blanchissage (normes), Césarienne, Déchets médicaux, Désinfection (normes), Désinfection des mains (normes), Femelle, Ghana (épidémiologie), Humains, Infirmières sages-femmes (normes), Lutte contre l'infection (normes), Mortalité maternelle, Pays en voie de développement, Population rurale, Précautions universelles, Recherche en évaluation des soins infirmiers, Soins infirmiers en obstétrique (normes), Élimination des déchets (normes).
- MESH :
- normes : Blanchissage, Désinfection, Désinfection des mains, Infirmières sages-femmes, Lutte contre l'infection, Soins infirmiers en obstétrique, Élimination des déchets.
- épidémiologie : Ghana.
- Accouchement (procédure), Césarienne, Déchets médicaux, Femelle, Humains, Mortalité maternelle, Pays en voie de développement, Population rurale, Précautions universelles, Recherche en évaluation des soins infirmiers.
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- Cesarean Section, Delivery, Obstetric, Developing Countries, Disinfection (standards), Female, Ghana (epidemiology), Hand Disinfection (standards), Humans, Infection Control (standards), Laundering (standards), Maternal Mortality, Medical Waste, Nurse Midwives (standards), Nursing Evaluation Research, Obstetric Nursing (standards), Refuse Disposal (standards), Rural Population, Universal Precautions.
- MESH :
- chemical : Medical Waste.
- geographic , epidemiology : Ghana.
- standards : Disinfection, Hand Disinfection, Infection Control, Laundering, Nurse Midwives, Obstetric Nursing, Refuse Disposal.
- Cesarean Section, Delivery, Obstetric, Developing Countries, Female, Humans, Maternal Mortality, Nursing Evaluation Research, Rural Population, Universal Precautions.
Abstract
In Ghana, infection has been identified as a major cause of birth-related mortality. Results of a 2-month observation of infection control practices among Ghanaian obstetric nurses and midwives indicated that most personnel did not practice basic rules of asepsis. Problems included frequent breaks in technique, inadequate sterilization and disinfection, and repeated exposure to large amounts of blood and vaginal secretions. Supplies were limited and, even when available, not always used appropriately. The situation in developing countries is different from that in the United States. Therefore, an observational needs assessment is essential to plan relevant and practical measures for change.
PubMed: 8478737
Affiliations:
Links toward previous steps (curation, corpus...)
Links to Exploration step
pubmed:8478737Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Obstetric infection control in a developing country.</title><author><name sortKey="Cronin, W A" sort="Cronin, W A" uniqKey="Cronin W" first="W A" last="Cronin">W A Cronin</name><affiliation wicri:level="2"><nlm:affiliation>Johns Hopkins University School of Nursing, Baltimore, MD 21287.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Johns Hopkins University School of Nursing, Baltimore</wicri:cityArea></affiliation></author><author><name sortKey="Quansah, M G" sort="Quansah, M G" uniqKey="Quansah M" first="M G" last="Quansah">M G Quansah</name></author><author><name sortKey="Larson, E" sort="Larson, E" uniqKey="Larson E" first="E" last="Larson">E. Larson</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="????"><PubDate><MedlineDate>1993 Mar-Apr</MedlineDate></PubDate></date><idno type="RBID">pubmed:8478737</idno><idno type="pmid">8478737</idno><idno type="wicri:Area/PubMed/Corpus">000844</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000844</idno><idno type="wicri:Area/PubMed/Curation">000844</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000844</idno><idno type="wicri:Area/PubMed/Checkpoint">000844</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000844</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Obstetric infection control in a developing country.</title><author><name sortKey="Cronin, W A" sort="Cronin, W A" uniqKey="Cronin W" first="W A" last="Cronin">W A Cronin</name><affiliation wicri:level="2"><nlm:affiliation>Johns Hopkins University School of Nursing, Baltimore, MD 21287.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Johns Hopkins University School of Nursing, Baltimore</wicri:cityArea></affiliation></author><author><name sortKey="Quansah, M G" sort="Quansah, M G" uniqKey="Quansah M" first="M G" last="Quansah">M G Quansah</name></author><author><name sortKey="Larson, E" sort="Larson, E" uniqKey="Larson E" first="E" last="Larson">E. Larson</name></author></analytic><series><title level="j">Journal of obstetric, gynecologic, and neonatal nursing : JOGNN</title><idno type="ISSN">0884-2175</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cesarean Section</term><term>Delivery, Obstetric</term><term>Developing Countries</term><term>Disinfection (standards)</term><term>Female</term><term>Ghana (epidemiology)</term><term>Hand Disinfection (standards)</term><term>Humans</term><term>Infection Control (standards)</term><term>Laundering (standards)</term><term>Maternal Mortality</term><term>Medical Waste</term><term>Nurse Midwives (standards)</term><term>Nursing Evaluation Research</term><term>Obstetric Nursing (standards)</term><term>Refuse Disposal (standards)</term><term>Rural Population</term><term>Universal Precautions</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Accouchement (procédure)</term><term>Blanchissage (normes)</term><term>Césarienne</term><term>Déchets médicaux</term><term>Désinfection (normes)</term><term>Désinfection des mains (normes)</term><term>Femelle</term><term>Ghana (épidémiologie)</term><term>Humains</term><term>Infirmières sages-femmes (normes)</term><term>Lutte contre l'infection (normes)</term><term>Mortalité maternelle</term><term>Pays en voie de développement</term><term>Population rurale</term><term>Précautions universelles</term><term>Recherche en évaluation des soins infirmiers</term><term>Soins infirmiers en obstétrique (normes)</term><term>Élimination des déchets (normes)</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Medical Waste</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Ghana</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Blanchissage</term><term>Désinfection</term><term>Désinfection des mains</term><term>Infirmières sages-femmes</term><term>Lutte contre l'infection</term><term>Soins infirmiers en obstétrique</term><term>Élimination des déchets</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Disinfection</term><term>Hand Disinfection</term><term>Infection Control</term><term>Laundering</term><term>Nurse Midwives</term><term>Obstetric Nursing</term><term>Refuse Disposal</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Ghana</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Cesarean Section</term><term>Delivery, Obstetric</term><term>Developing Countries</term><term>Female</term><term>Humans</term><term>Maternal Mortality</term><term>Nursing Evaluation Research</term><term>Rural Population</term><term>Universal Precautions</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Accouchement (procédure)</term><term>Césarienne</term><term>Déchets médicaux</term><term>Femelle</term><term>Humains</term><term>Mortalité maternelle</term><term>Pays en voie de développement</term><term>Population rurale</term><term>Précautions universelles</term><term>Recherche en évaluation des soins infirmiers</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ghana</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In Ghana, infection has been identified as a major cause of birth-related mortality. Results of a 2-month observation of infection control practices among Ghanaian obstetric nurses and midwives indicated that most personnel did not practice basic rules of asepsis. Problems included frequent breaks in technique, inadequate sterilization and disinfection, and repeated exposure to large amounts of blood and vaginal secretions. Supplies were limited and, even when available, not always used appropriately. The situation in developing countries is different from that in the United States. Therefore, an observational needs assessment is essential to plan relevant and practical measures for change.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">8478737</PMID><DateCreated><Year>1993</Year><Month>05</Month><Day>27</Day></DateCreated><DateCompleted><Year>1993</Year><Month>05</Month><Day>27</Day></DateCompleted><DateRevised><Year>2016</Year><Month>10</Month><Day>20</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0884-2175</ISSN><JournalIssue CitedMedium="Print"><Volume>22</Volume><Issue>2</Issue><PubDate><MedlineDate>1993 Mar-Apr</MedlineDate></PubDate></JournalIssue><Title>Journal of obstetric, gynecologic, and neonatal nursing : JOGNN</Title><ISOAbbreviation>J Obstet Gynecol Neonatal Nurs</ISOAbbreviation></Journal><ArticleTitle>Obstetric infection control in a developing country.</ArticleTitle><Pagination><MedlinePgn>137-44</MedlinePgn></Pagination><Abstract><AbstractText>In Ghana, infection has been identified as a major cause of birth-related mortality. Results of a 2-month observation of infection control practices among Ghanaian obstetric nurses and midwives indicated that most personnel did not practice basic rules of asepsis. Problems included frequent breaks in technique, inadequate sterilization and disinfection, and repeated exposure to large amounts of blood and vaginal secretions. Supplies were limited and, even when available, not always used appropriately. The situation in developing countries is different from that in the United States. Therefore, an observational needs assessment is essential to plan relevant and practical measures for change.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Cronin</LastName><ForeName>W A</ForeName><Initials>WA</Initials><AffiliationInfo><Affiliation>Johns Hopkins University School of Nursing, Baltimore, MD 21287.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Quansah</LastName><ForeName>M G</ForeName><Initials>MG</Initials></Author><Author ValidYN="Y"><LastName>Larson</LastName><ForeName>E</ForeName><Initials>E</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Obstet Gynecol Neonatal Nurs</MedlineTA><NlmUniqueID>8503123</NlmUniqueID><ISSNLinking>0090-0311</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D008506">Medical Waste</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><CitationSubset>J</CitationSubset><CitationSubset>N</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D002585" MajorTopicYN="N">Cesarean Section</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D036861" MajorTopicYN="N">Delivery, Obstetric</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003906" MajorTopicYN="Y">Developing Countries</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004203" MajorTopicYN="N">Disinfection</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="N">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005869" MajorTopicYN="N" Type="Geographic">Ghana</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006235" MajorTopicYN="N">Hand Disinfection</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="N">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017053" MajorTopicYN="N">Infection Control</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007846" MajorTopicYN="N">Laundering</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="N">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008428" MajorTopicYN="N">Maternal Mortality</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008506" MajorTopicYN="N">Medical Waste</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009721" MajorTopicYN="N">Nurse Midwives</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015403" MajorTopicYN="N">Nursing Evaluation Research</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009773" MajorTopicYN="N">Obstetric Nursing</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012037" MajorTopicYN="N">Refuse Disposal</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="N">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012424" MajorTopicYN="N">Rural Population</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016635" MajorTopicYN="N">Universal Precautions</DescriptorName></MeshHeading></MeshHeadingList><OtherID Source="PIP">090483</OtherID><OtherID Source="POP">00226786</OtherID><OtherAbstract Type="PIP" Language="eng"><AbstractText>In the summer of 1991, a project director, codirector, and a US nursing student observed infection control practices of obstetric nurse and midwives before, during, and after vaginal deliveries and Cesarean sections at 12 health facilities in the North and South Birim districts in rural eastern Ghana to gather baseline data which the Ministry would use to design intervention strategies to reduce puerperal infections. Most of the midwives and obstetric nurses did not use aseptic techniques. They did not wash lancets for hemoglobin testing between uses and stored them in small glass containers or in disinfectant, but the disinfectant was often moldy. Reusable instruments were washed with a bar of soap rather than with detergent. The predominant disinfection technique was boiling, but the staff did not time the boiling or fully immerse the equipment. They often used Dettol to disinfect equipment, yet this is ineffective. The hospital had an autoclave, but it was often used incorrectly. The facilities had an inadequate supply of needles, syringes, and gloves. Staff reused needles and syringes and did not wear gloves when they were available. Even though 81% knew that exposure to blood placed them at risk of hepatitis B virus and HIV, just 69% thought that they should wear gloves. Physicians prescribed antibiotic prophylaxis too late and too long for Cesarean section patients. 47% of the women in the area place herbs or spices in the vagina within a week after delivery, but the health workers did not tell the discharged mothers not to insert anything into the vagina. The nurses and midwives did not give the women adequate discharge instructions about umbilical cord stump care, yet most women did not bring their newborns back to the facility for such care.</AbstractText></OtherAbstract><KeywordList Owner="PIP"><Keyword MajorTopicYN="N">Africa</Keyword><Keyword MajorTopicYN="N">Africa South Of The Sahara</Keyword><Keyword MajorTopicYN="Y">Antibiotics</Keyword><Keyword MajorTopicYN="N">Behavior</Keyword><Keyword MajorTopicYN="Y">Cesarean Section</Keyword><Keyword MajorTopicYN="Y">Data Collection</Keyword><Keyword MajorTopicYN="Y">Delivery</Keyword><Keyword MajorTopicYN="N">Delivery Of Health Care</Keyword><Keyword MajorTopicYN="N">Demographic Factors</Keyword><Keyword MajorTopicYN="N">Developing Countries</Keyword><Keyword MajorTopicYN="N">Diseases</Keyword><Keyword MajorTopicYN="N">Drugs</Keyword><Keyword MajorTopicYN="N">English Speaking Africa</Keyword><Keyword MajorTopicYN="Y">Equipment And Supplies</Keyword><Keyword MajorTopicYN="N">Ghana</Keyword><Keyword MajorTopicYN="N">Health</Keyword><Keyword MajorTopicYN="Y">Health Facilities</Keyword><Keyword MajorTopicYN="N">Health Personnel</Keyword><Keyword MajorTopicYN="Y">Hygiene--standards</Keyword><Keyword MajorTopicYN="Y">Infections--prevention and control</Keyword><Keyword MajorTopicYN="Y">Nurse-midwives</Keyword><Keyword MajorTopicYN="Y">Nurses</Keyword><Keyword MajorTopicYN="N">Obstetrical Surgery</Keyword><Keyword MajorTopicYN="N">Population</Keyword><Keyword MajorTopicYN="N">Population Characteristics</Keyword><Keyword MajorTopicYN="Y">Postoperative Procedures--standards</Keyword><Keyword MajorTopicYN="Y">Postpartum Women</Keyword><Keyword MajorTopicYN="N">Pregnancy</Keyword><Keyword MajorTopicYN="N">Pregnancy Outcomes</Keyword><Keyword MajorTopicYN="Y">Preoperative Procedures--standards</Keyword><Keyword MajorTopicYN="N">Public Health</Keyword><Keyword MajorTopicYN="N">Puerperium</Keyword><Keyword MajorTopicYN="N">Reproduction</Keyword><Keyword MajorTopicYN="N">Research Methodology</Keyword><Keyword MajorTopicYN="Y">Risk Reduction Behavior</Keyword><Keyword MajorTopicYN="Y">Rural Population--women</Keyword><Keyword MajorTopicYN="Y">Sanitation</Keyword><Keyword MajorTopicYN="N">Surgery</Keyword><Keyword MajorTopicYN="N">Treatment</Keyword><Keyword MajorTopicYN="N">Western Africa</Keyword></KeywordList><GeneralNote Owner="PIP">TJ: JOURNAL OF OBSTETRIC, GYNECOLOGIC, AND NEONATAL NURSING : NAACOG.</GeneralNote></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1993</Year><Month>3</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1993</Year><Month>3</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1993</Year><Month>3</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">8478737</ArticleId><ArticleId IdType="pii">S0884-2175(15)33031-8</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Maryland</li></region></list><tree><noCountry><name sortKey="Larson, E" sort="Larson, E" uniqKey="Larson E" first="E" last="Larson">E. Larson</name><name sortKey="Quansah, M G" sort="Quansah, M G" uniqKey="Quansah M" first="M G" last="Quansah">M G Quansah</name></noCountry><country name="États-Unis"><region name="Maryland"><name sortKey="Cronin, W A" sort="Cronin, W A" uniqKey="Cronin W" first="W A" last="Cronin">W A Cronin</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaGhanaV1/Data/PubMed/Checkpoint
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000944 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/PubMed/Checkpoint/biblio.hfd -nk 000944 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= SidaGhanaV1
|flux= PubMed
|étape= Checkpoint
|type= RBID
|clé= pubmed:8478737
|texte= Obstetric infection control in a developing country.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/PubMed/Checkpoint/RBID.i -Sk "pubmed:8478737" \
| HfdSelect -Kh $EXPLOR_AREA/Data/PubMed/Checkpoint/biblio.hfd \
| NlmPubMed2Wicri -a SidaGhanaV1
| This area was generated with Dilib version V0.6.31. |  |