David Kitya, Joseph Ssembatya, Blessing Taremwa, Herve Lekuya, Josephine Najjuma, Raymond Atwine, Vallence Niyonzima, Anthony Fuller
Purpose: Cryptococcal infection in the Central Nervous System (CNS) is frequently seen in human immunodeficiency virus (HIV) patients and others with low immunity. CNS cryptococcoma in immunocompetent patients is rare. We present a case of CNS cryptococcoma in an immunocompetent patient and review literature.
Methodology: A 62-year-old, HIV negative, immunocompetent female patient with no known chronic illness, presented with 5 months’ history of a progressive headache, associated with on and off episodic generalized convulsions. She had been to several hospitals before referral to our center with a diagnosis of a brain tumor on CT scan imaging. Before this and despite a negative CSF analysis result, she had received treatment for bacterial meningitis with no success.
Findings: At Mbarara Regional Referral Hospital (MRRH), she had surgery with excision biopsy which showed features consistent with cryptococcosis on histology. The patient had a successful adjuvant treatment with antifungal drugs following surgery.
Unique Contribution to Theory, Practice and Policy: The diagnosis of a CNS cryptococcal infection in an immunocompetent patient and its successful treatment by including surgery, were both unusual. Fatal postsurgical outcomes have been reported by other authors who favor a totally conservative approach to the treatment of this lesion.
{"title":"CNS Cryptococcoma in an Immunocompetent Adult from a Low Resource Setting: An Illustrative Case Report","authors":"David Kitya, Joseph Ssembatya, Blessing Taremwa, Herve Lekuya, Josephine Najjuma, Raymond Atwine, Vallence Niyonzima, Anthony Fuller","doi":"10.47604/jhmn.2165","DOIUrl":"https://doi.org/10.47604/jhmn.2165","url":null,"abstract":"Purpose: Cryptococcal infection in the Central Nervous System (CNS) is frequently seen in human immunodeficiency virus (HIV) patients and others with low immunity. CNS cryptococcoma in immunocompetent patients is rare. We present a case of CNS cryptococcoma in an immunocompetent patient and review literature.
 Methodology: A 62-year-old, HIV negative, immunocompetent female patient with no known chronic illness, presented with 5 months’ history of a progressive headache, associated with on and off episodic generalized convulsions. She had been to several hospitals before referral to our center with a diagnosis of a brain tumor on CT scan imaging. Before this and despite a negative CSF analysis result, she had received treatment for bacterial meningitis with no success.
 Findings: At Mbarara Regional Referral Hospital (MRRH), she had surgery with excision biopsy which showed features consistent with cryptococcosis on histology. The patient had a successful adjuvant treatment with antifungal drugs following surgery.
 Unique Contribution to Theory, Practice and Policy: The diagnosis of a CNS cryptococcal infection in an immunocompetent patient and its successful treatment by including surgery, were both unusual. Fatal postsurgical outcomes have been reported by other authors who favor a totally conservative approach to the treatment of this lesion.","PeriodicalId":16078,"journal":{"name":"Journal of Health, Medicine and Nursing","volume":"204 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135872033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chronic kidney disease (CKD) is a challenging and prevalent problem that affects around 120 Filipinos per million people annually, with 5,000 on dialysis and 1.1 million on kidney replacement therapy. However, only a few researchers have explored the perspectives of these individuals' experiences; hence, this study was intended to fill that knowledge gap. This study aims to provide a guideline for nurses in providing a holistic approach to chronic kidney disease patients by analyzing their lived experiences. Researchers utilized a qualitative research design and hermeneutic-phenomenological method. The data were gathered using an interview questionnaire adapted from the study of Wasihun et al. (2021), with twelve participants interviewed in a Tertiary Hospital in Laguna, Philippines. The transcripts were thematically analyzed and yielded five (5) key themes, including the severity of the disease, physico-psycho emotional effects of having CKD, coping with HD treatment, socio-economic impacts of HD treatment, and healthcare provision. CKD patients face diverse physical, psychological, emotional, and financial challenges. Despite these impediments, they were able to comply with treatment and manage their problems. Healthcare providers should holistically address patients' needs for healthier lives. Keywords: Chronic kidney disease, CKD, Hemodialysis, HD, Lived-Experiences, Severity of the Disease, Physico-psycho Emotional Effects of Having CKD, Coping with HD Treatment. Socio-Economic Impacts of the HD Treatment, and Health Care Provision DOI: 10.7176/JHMN/110-05 Publication date: October 31 st 2023
{"title":"Lived Experiences of Patients with Chronic Kidney Disease Receiving In-Center Hemodialysis at a Tertiary Hospital in Laguna, Philippines","authors":"","doi":"10.7176/jhmn/110-05","DOIUrl":"https://doi.org/10.7176/jhmn/110-05","url":null,"abstract":"Chronic kidney disease (CKD) is a challenging and prevalent problem that affects around 120 Filipinos per million people annually, with 5,000 on dialysis and 1.1 million on kidney replacement therapy. However, only a few researchers have explored the perspectives of these individuals' experiences; hence, this study was intended to fill that knowledge gap. This study aims to provide a guideline for nurses in providing a holistic approach to chronic kidney disease patients by analyzing their lived experiences. Researchers utilized a qualitative research design and hermeneutic-phenomenological method. The data were gathered using an interview questionnaire adapted from the study of Wasihun et al. (2021), with twelve participants interviewed in a Tertiary Hospital in Laguna, Philippines. The transcripts were thematically analyzed and yielded five (5) key themes, including the severity of the disease, physico-psycho emotional effects of having CKD, coping with HD treatment, socio-economic impacts of HD treatment, and healthcare provision. CKD patients face diverse physical, psychological, emotional, and financial challenges. Despite these impediments, they were able to comply with treatment and manage their problems. Healthcare providers should holistically address patients' needs for healthier lives. Keywords: Chronic kidney disease, CKD, Hemodialysis, HD, Lived-Experiences, Severity of the Disease, Physico-psycho Emotional Effects of Having CKD, Coping with HD Treatment. Socio-Economic Impacts of the HD Treatment, and Health Care Provision DOI: 10.7176/JHMN/110-05 Publication date: October 31 st 2023","PeriodicalId":16078,"journal":{"name":"Journal of Health, Medicine and Nursing","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136198644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose: Emergency obstetric and newborn care (EmONC) is the most important intervention to improve maternal survival. The study assessed facility based health education intervention on utilization of Emergency Obstetrics and Newborn care services.
Methodology The study was a randomized control trial and utilized a mixed method. Multistage sampling was used. Key informants were purposefully selected Allocation to each study group was done on a 1:1 ratio; hence each group had 191 participants. The sample size was determined by Kelsey et al 1996 formula for calculation of sample size for randomized controlled trials and in order to take care of attrition 10% increase was done hence the sample size was 382 women. Pregnant mothers 26-32 weeks of gestation were enrolled. Structured questionnaire, focused group discussion and key informant interview schedules used. A pre-test was conducted at Kuresoi North Sub County. To ensure validity, research assistants were trained on the various research instruments. Descriptive statistics Fisher’s exact test at bivariate and odds ratio at multivariate analysis level were computed. Qualitative data was analysed using thematic content analysis. Ethical approval for the research was sought from the K.U research ethical committee, the National council for Science and Technology and Ministry of health. Informed consent was obtained from respondent prior to the study.
Results: The intervention group had 95.93% (n =165) utilization of EmONC services in comparison to the control arm 75.29% (n = 128). There was no significance difference in the control group from base line to final survey OR 1.209, CI 0.742 to 1.969 and P-value 0.446. From the study findings the chances of EmONC services utilization after intervention was high. Those that received the intervention were seven times likely to utilize than those that did not receive the health education with an OR 7.734, 95% CI 3.363 to 17.787 and a P-value < 0.001 when we compare the intervention group and the control group.
Unique Contribution to Theory, Practice and Policy: Administration of Health education is crucial in the utilization of EmONC services thus improving maternal mortality and morbidity. This study concurs with the Theory of Planned Behavior and the theory of Reasoned Action. Health education intervention may change the behavior intention of the client hence influencing utilization of EmONC services. It is recommended stakeholders to come up with a well-structured health education program in all regions of Kenya to improve emergency obstetric and newborn care services utilization.
{"title":"Effectiveness of a Facility-Based Health Education Intervention on Utilization of Emergency Obstetric and Newborn Care Services among Women of Reproductive Age in Nakuru County, Kenya","authors":"Nancy Maingi, Margaret Keraka, Drusilla Makworo","doi":"10.47604/jhmn.2103","DOIUrl":"https://doi.org/10.47604/jhmn.2103","url":null,"abstract":"Purpose: Emergency obstetric and newborn care (EmONC) is the most important intervention to improve maternal survival. The study assessed facility based health education intervention on utilization of Emergency Obstetrics and Newborn care services.
 Methodology The study was a randomized control trial and utilized a mixed method. Multistage sampling was used. Key informants were purposefully selected Allocation to each study group was done on a 1:1 ratio; hence each group had 191 participants. The sample size was determined by Kelsey et al 1996 formula for calculation of sample size for randomized controlled trials and in order to take care of attrition 10% increase was done hence the sample size was 382 women. Pregnant mothers 26-32 weeks of gestation were enrolled. Structured questionnaire, focused group discussion and key informant interview schedules used. A pre-test was conducted at Kuresoi North Sub County. To ensure validity, research assistants were trained on the various research instruments. Descriptive statistics Fisher’s exact test at bivariate and odds ratio at multivariate analysis level were computed. Qualitative data was analysed using thematic content analysis. Ethical approval for the research was sought from the K.U research ethical committee, the National council for Science and Technology and Ministry of health. Informed consent was obtained from respondent prior to the study.
 Results: The intervention group had 95.93% (n =165) utilization of EmONC services in comparison to the control arm 75.29% (n = 128). There was no significance difference in the control group from base line to final survey OR 1.209, CI 0.742 to 1.969 and P-value 0.446. From the study findings the chances of EmONC services utilization after intervention was high. Those that received the intervention were seven times likely to utilize than those that did not receive the health education with an OR 7.734, 95% CI 3.363 to 17.787 and a P-value < 0.001 when we compare the intervention group and the control group.
 Unique Contribution to Theory, Practice and Policy: Administration of Health education is crucial in the utilization of EmONC services thus improving maternal mortality and morbidity. This study concurs with the Theory of Planned Behavior and the theory of Reasoned Action. Health education intervention may change the behavior intention of the client hence influencing utilization of EmONC services. It is recommended stakeholders to come up with a well-structured health education program in all regions of Kenya to improve emergency obstetric and newborn care services utilization.","PeriodicalId":16078,"journal":{"name":"Journal of Health, Medicine and Nursing","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135980529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose: The aim of the study was to determine the proportion of reproductive age women utilizing mobile maternal health services in Makueni County. Methodology: An analytical cross-sectional study was carried out in Makueni County. Kibwezi East and Kaiti Sub-Counties were purposively selected. Ukia ward from Kaiti sub-county and Nzambani ward from Kibwezi East sub-county were randomly selected using folded pieces of paper. Both qualitative and quantitative data were collected. Questionnaires were the tools used for quantitative data while guides for key informant were used to collect data qualitatively. The study systematically sampled 367 women of reproductive age as primary respondents from households at a sampling interval of 5. Twelve Key Informant Interviewees were purposively selected to provide additional qualitative data which were community health extension workers and healthcare providers. The research instruments were pretested at Kilome Sub County before actual data collection. Analytical correctional statistical analysis was done using the Statistical Package for Social Sciences software version 20.0. Pie-charts, frequency tables and graphs were used to present data. Triangulation of data collected qualitatively with quantitative data was done and presented as direct quotes. Findings: The study found out that 40.6% of respondents utilized mobile maternal health services in Makueni County. The most common service sought was antenatal care. Distance from health facilities was the main reason for using mobile maternal health services. However, the main reason for non-use was preference for hospitals among respondents. Unique Contribution to Theory, Practice and Policy: These results would inform policy makers to craft interventions seeking to advance mobile maternal health services utilization. Community Health Volunteers should conduct house to house campaigns on availability of mobile maternal health clinics and the designated days on their respective regions to increase awareness among women of reproductive age.
目的:本研究的目的是确定Makueni县利用流动孕产妇保健服务的育龄妇女比例。方法:在Makueni县进行了一项分析性横断面研究。有目的地选择基布维兹东部和开提县。使用折叠的纸片随机选择凯提副县的乌基亚区和基布韦齐东部副县的恩赞巴尼区。收集了定性和定量资料。问卷是定量数据收集的工具，而关键信息提供者指南是定性数据收集的工具。本研究系统地从家庭中抽取367名育龄妇女作为主要调查对象，每隔5次抽样一次。有目的地选择了12个关键信息受访者，以提供额外的定性数据，这些受访者是社区卫生推广工作者和卫生保健提供者。在实际数据收集之前，研究仪器在Kilome Sub县进行了预测试。使用statistical Package for Social Sciences软件20.0版本进行分析校正统计分析。使用饼图、频率表和图形来表示数据。将定性收集的数据与定量数据进行三角测量，并以直接引用的形式呈现。调查结果:研究发现，40.6%的答复者在Makueni县利用流动孕产妇保健服务。最常寻求的服务是产前护理。远离保健设施是使用流动孕产妇保健服务的主要原因。然而，不使用的主要原因是受访者对医院的偏好。对理论、实践和政策的独特贡献:这些结果将为决策者提供信息，以制定旨在促进流动孕产妇保健服务利用的干预措施。社区卫生志愿人员应在各自区域开展挨家挨户宣传流动产妇保健诊所的情况和指定日期的活动，以提高育龄妇女的认识。
{"title":"Proportion of Reproductive Age Women Utilizing Mobile Maternal Health Services in Makueni County","authors":"Joyce Mumo, Sarah Tai, Rosebella J. Kipkalom","doi":"10.47604/jhmn.2076","DOIUrl":"https://doi.org/10.47604/jhmn.2076","url":null,"abstract":"Purpose: The aim of the study was to determine the proportion of reproductive age women utilizing mobile maternal health services in Makueni County. \u0000Methodology: An analytical cross-sectional study was carried out in Makueni County. Kibwezi East and Kaiti Sub-Counties were purposively selected. Ukia ward from Kaiti sub-county and Nzambani ward from Kibwezi East sub-county were randomly selected using folded pieces of paper. Both qualitative and quantitative data were collected. Questionnaires were the tools used for quantitative data while guides for key informant were used to collect data qualitatively. The study systematically sampled 367 women of reproductive age as primary respondents from households at a sampling interval of 5. Twelve Key Informant Interviewees were purposively selected to provide additional qualitative data which were community health extension workers and healthcare providers. The research instruments were pretested at Kilome Sub County before actual data collection. Analytical correctional statistical analysis was done using the Statistical Package for Social Sciences software version 20.0. Pie-charts, frequency tables and graphs were used to present data. Triangulation of data collected qualitatively with quantitative data was done and presented as direct quotes. \u0000Findings: The study found out that 40.6% of respondents utilized mobile maternal health services in Makueni County. The most common service sought was antenatal care. Distance from health facilities was the main reason for using mobile maternal health services. However, the main reason for non-use was preference for hospitals among respondents. \u0000Unique Contribution to Theory, Practice and Policy: These results would inform policy makers to craft interventions seeking to advance mobile maternal health services utilization. Community Health Volunteers should conduct house to house campaigns on availability of mobile maternal health clinics and the designated days on their respective regions to increase awareness among women of reproductive age.","PeriodicalId":16078,"journal":{"name":"Journal of Health, Medicine and Nursing","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77115334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Getachew, Fanuel Belayneh, Efrem Lejore, Amanuel Ayele, Teshale Belayneh
Abstract Background: Proper diet and nutrition are necessary for the physical growth, mental development, performance, productivity, health, and well-being of an individual. Lactating women are among the most vulnerable groups of the population due to their increased nutritional requirements. This study aimed to assess the magnitude and associated factors of malnutrition among lactating women at public health facilities in Dale, Sidama Region, Ethiopia. Methods: Institution-based cross-sectional study was conducted among 400 randomly selected lactating mothers from March 20 to April 20, 2022. A structured interviewer-administered questionnaire was used to collect the data. A logistic regression model was applied to analyze the data using SPSS version 25. An adjusted odds ratio with a 95% CI was used to determine factors associated with malnutrition, considering a p-value <0.05 to declare statistical significance. Result: The magnitude of malnutrition among lactating women in this study was 30.1%. Early marriage [AOR = 2.46, 95% CI: 1.15–5.3], not consuming additional meals during lactation [AOR = 2.19, 95% CI: 1.0–4.72], not using contraceptives [AOR =3.41, 95% CI: 1.05–11.04], dietary diversity score below three [AOR = 3.64, 95% CI: 1.94-6.82], and food insecurity [AO = 7.86, 95% CI: 2.09–29.55] were significantly associated with malnutrition. Conclusion: In the current study, malnutrition among lactating women was high. Attention should be given to early married, non-contraceptive users. In addition, it is crucial to ensure food security and consume additional diversified meals during lactation. Keywords: Malnutrition, Lactating Women, Health Facility, Associated Factors, Dale Woreda
{"title":"Malnutrition and associated factors among lactating women in Dale District, Sidama, Ethiopia","authors":"S. Getachew, Fanuel Belayneh, Efrem Lejore, Amanuel Ayele, Teshale Belayneh","doi":"10.47604/jhmn.1989","DOIUrl":"https://doi.org/10.47604/jhmn.1989","url":null,"abstract":"Abstract \u0000Background: Proper diet and nutrition are necessary for the physical growth, mental development, performance, productivity, health, and well-being of an individual. Lactating women are among the most vulnerable groups of the population due to their increased nutritional requirements. This study aimed to assess the magnitude and associated factors of malnutrition among lactating women at public health facilities in Dale, Sidama Region, Ethiopia. \u0000Methods: Institution-based cross-sectional study was conducted among 400 randomly selected lactating mothers from March 20 to April 20, 2022. A structured interviewer-administered questionnaire was used to collect the data. A logistic regression model was applied to analyze the data using SPSS version 25. An adjusted odds ratio with a 95% CI was used to determine factors associated with malnutrition, considering a p-value <0.05 to declare statistical significance. \u0000Result: The magnitude of malnutrition among lactating women in this study was 30.1%. Early marriage [AOR = 2.46, 95% CI: 1.15–5.3], not consuming additional meals during lactation [AOR = 2.19, 95% CI: 1.0–4.72], not using contraceptives [AOR =3.41, 95% CI: 1.05–11.04], dietary diversity score below three [AOR = 3.64, 95% CI: 1.94-6.82], and food insecurity [AO = 7.86, 95% CI: 2.09–29.55] were significantly associated with malnutrition. \u0000Conclusion: In the current study, malnutrition among lactating women was high. Attention should be given to early married, non-contraceptive users. In addition, it is crucial to ensure food security and consume additional diversified meals during lactation. \u0000Keywords: Malnutrition, Lactating Women, Health Facility, Associated Factors, Dale Woreda \u0000 \u0000 ","PeriodicalId":16078,"journal":{"name":"Journal of Health, Medicine and Nursing","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77824768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Phenomenological Exploration of Women's Utilisation of Maternal Healthcare Services in Bauchi State, Nigeria","authors":"","doi":"10.7176/jhmn/110-01","DOIUrl":"https://doi.org/10.7176/jhmn/110-01","url":null,"abstract":"","PeriodicalId":16078,"journal":{"name":"Journal of Health, Medicine and Nursing","volume":"67 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78663782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: The most important factor in the spread of hospital infections is the hands of healthcare personnel. The aim of ths study was to determine which micro-organisms are transferred from home to hospital, and which from hospital to home, by the hands of healthcare personnel. Material and Methods: The sample universe of this research was the healthcare personnel in a tertiary level public hospital. A total of 10 doctors and 53 nurses, selected at random according to the clinics where they worked, were included. The study data were collected in two stages. In the first stage, the study participants completed a personal information form. In the second stage, samples were taken from the right and left hands of the healthcare personnel on entering and leaving the hospital. The samples were isolated and seeded in culture media. Bacteria identification and antibiotic sensitivity were determined using a BD Phoenix 100 automated system. Results: According to the samples taken, there was determined to be greater bacteria production on the hands of the healthcare personnel when entering the hospital. The greatest production was in the least washed area of the right hand (93.7% on entry, 74.6% on exit). Nurses and those working in surgical clinics were seen to have greater bacteria production on both entry to and exit from the hospital compared to other healthcare workers. The bacteria most produced were MSSE, Micrococcus, Staphylococcus strains, Streptococcus strains and MRSE. In the examination of antibiotic sensitivity, the antibiotics to which the produced bacteria were most sensitive were amikacin, ciprofloxacin, daptomycin, gentamicin levoflaxocin, teicoplanin, linezolid teicoplanin, trimetoprim/sulfamethoxazole and vancomycin. Conclusion: The study results showed that just as healthcare personnel transferred some micro-organisms from home to hospital on their hands, they also transferred some bacteria to home on leaving the hospital. This is of great importance in respect of the spread of hospital infections. With the necessary precautions taken to prevent the transfer of micro-organisms to or from hospital, the prevalence of hospital infections will decrease. Keywords: Healthcare personnel, Micro-organisms, Antibiotic resistance, Hand DOI: 10.7176/JHMN/110-04 Publication date: August 31 st 2023
{"title":"Which Micro-Organisms are Transferred by Healthcare Personnel Between Hospital and Home?","authors":"","doi":"10.7176/jhmn/110-04","DOIUrl":"https://doi.org/10.7176/jhmn/110-04","url":null,"abstract":"Introduction: The most important factor in the spread of hospital infections is the hands of healthcare personnel. The aim of ths study was to determine which micro-organisms are transferred from home to hospital, and which from hospital to home, by the hands of healthcare personnel. Material and Methods: The sample universe of this research was the healthcare personnel in a tertiary level public hospital. A total of 10 doctors and 53 nurses, selected at random according to the clinics where they worked, were included. The study data were collected in two stages. In the first stage, the study participants completed a personal information form. In the second stage, samples were taken from the right and left hands of the healthcare personnel on entering and leaving the hospital. The samples were isolated and seeded in culture media. Bacteria identification and antibiotic sensitivity were determined using a BD Phoenix 100 automated system. Results: According to the samples taken, there was determined to be greater bacteria production on the hands of the healthcare personnel when entering the hospital. The greatest production was in the least washed area of the right hand (93.7% on entry, 74.6% on exit). Nurses and those working in surgical clinics were seen to have greater bacteria production on both entry to and exit from the hospital compared to other healthcare workers. The bacteria most produced were MSSE, Micrococcus, Staphylococcus strains, Streptococcus strains and MRSE. In the examination of antibiotic sensitivity, the antibiotics to which the produced bacteria were most sensitive were amikacin, ciprofloxacin, daptomycin, gentamicin levoflaxocin, teicoplanin, linezolid teicoplanin, trimetoprim/sulfamethoxazole and vancomycin. Conclusion: The study results showed that just as healthcare personnel transferred some micro-organisms from home to hospital on their hands, they also transferred some bacteria to home on leaving the hospital. This is of great importance in respect of the spread of hospital infections. With the necessary precautions taken to prevent the transfer of micro-organisms to or from hospital, the prevalence of hospital infections will decrease. Keywords: Healthcare personnel, Micro-organisms, Antibiotic resistance, Hand DOI: 10.7176/JHMN/110-04 Publication date: August 31 st 2023","PeriodicalId":16078,"journal":{"name":"Journal of Health, Medicine and Nursing","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136375409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Descriptive Study on Management of Neonatal Jaundice in Children Hospital Lahore","authors":"","doi":"10.7176/jhmn/110-02","DOIUrl":"https://doi.org/10.7176/jhmn/110-02","url":null,"abstract":"","PeriodicalId":16078,"journal":{"name":"Journal of Health, Medicine and Nursing","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87408627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Technical Challenges on CT Pulmonary Angiogram: Our Data","authors":"","doi":"10.7176/jhmn/110-03","DOIUrl":"https://doi.org/10.7176/jhmn/110-03","url":null,"abstract":"","PeriodicalId":16078,"journal":{"name":"Journal of Health, Medicine and Nursing","volume":"132 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79648183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose: Hospital acquired infections (HAIs) are a public health problem that is more prevalent in developing countries than in developed countries. Hand hygiene is a prime preventive measure for HAIs. This study assessed barriers and enablers to hand hygiene among health care workers (HCWs) in a developing country at Mbarara Regional Referral Hospital. Methodology: A descriptive cross-sectional design was employed. HCWs providing care to patients admitted on the selected wards were recruited. Data were collected by trained RAs from participants who fulfilled the eligibility criteria using a semi-structured questionnaire. Findings: The majority (73.4%) of the participants reported lack of hand hygiene protocols on the ward. The barriers and enablers were elicited using a Likert scale. The enablers to hand hygiene were water being visibly clean (M = 3.5, SD = 0.7) and availability of running water on the ward (M = 3.4, SD = 0.8). Barriers to hand hygiene identified were: lack of audits on hand hygiene compliance on the wards (M = 1.7, SD = 0.9), posters illustrating hand hygiene techniques are not displayed on the wards (M = 2.1, SD = 1.0) and alcohol hand rubs are not routinely distributed (M = 2.1, SD = 0.9). Unique Contribution to Theory, Practice and Policy: Donabedian model is a validated model used in quality improvement in health care. There is need to include training for health care workers in hand hygiene, ensure availability of hand hygiene protocols, and include mechanisms for monitoring to improve hand hygiene.
{"title":"Enablers and Barriers to Hand Hygiene among Health Workers at Mbarara Regional Referral Hospital","authors":"Vallence Niyonzima, Rachel Luwaga, Florence Beinempaka","doi":"10.47604/jhmn.2027","DOIUrl":"https://doi.org/10.47604/jhmn.2027","url":null,"abstract":"Purpose: Hospital acquired infections (HAIs) are a public health problem that is more prevalent in developing countries than in developed countries. Hand hygiene is a prime preventive measure for HAIs. This study assessed barriers and enablers to hand hygiene among health care workers (HCWs) in a developing country at Mbarara Regional Referral Hospital. \u0000Methodology: A descriptive cross-sectional design was employed. HCWs providing care to patients admitted on the selected wards were recruited. Data were collected by trained RAs from participants who fulfilled the eligibility criteria using a semi-structured questionnaire. \u0000Findings: The majority (73.4%) of the participants reported lack of hand hygiene protocols on the ward. The barriers and enablers were elicited using a Likert scale. The enablers to hand hygiene were water being visibly clean (M = 3.5, SD = 0.7) and availability of running water on the ward (M = 3.4, SD = 0.8). Barriers to hand hygiene identified were: lack of audits on hand hygiene compliance on the wards (M = 1.7, SD = 0.9), posters illustrating hand hygiene techniques are not displayed on the wards (M = 2.1, SD = 1.0) and alcohol hand rubs are not routinely distributed (M = 2.1, SD = 0.9). \u0000Unique Contribution to Theory, Practice and Policy: Donabedian model is a validated model used in quality improvement in health care. There is need to include training for health care workers in hand hygiene, ensure availability of hand hygiene protocols, and include mechanisms for monitoring to improve hand hygiene.","PeriodicalId":16078,"journal":{"name":"Journal of Health, Medicine and Nursing","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88387314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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