- May 25, 2020
Nosocomial Infection in Hospital Labor and Delivery Units
NosocomialInfection in Hospital Labor and Delivery Units
Therehas been overwhelming evidence over the past three decades that havelaid rest to the notion of hospitals as bastions of cleanliness andwell=being, due to the prevalence if hospital-acquired infections.According to Bowler, such infections affect approximately 1.4 millionpeople globally at any point in time. The impact of nosocomialinfections on the labor and delivery units within hospitals and otherhealthcare facilities is significant. This fact is exemplified by thehigh rate of cesarean deliveries within the U.S., which by 2011 wasat 31.3%. Women who deliver via this method face a double risk ofnosocomial infections due to the presence of both a surgical scar andurinary catheter. Results of a multiple cohort study in England foundthat over 9% of women who had undergone this procedure developedpostsurgical infections, meaning that one in ten cesarean operationlead to nosocomial infection.
Theurgency of infection prevention within the labor and delivery unit isfurther highlighted by the fact that cesarean deliveries are thehighest risk factor for Puerperal infections, which in turn are aprimary cause of maternal morbidity and mortality [ CITATION Abb16 l 1033 ].There isa number of methods that have been highlighted to help in theprevention of delivery unit nosocomial infections. These includeinterventions such as: use of chlorhexidine-alcohol skin preparationutilization of clippers for hair removal as opposed to shavingpreoperative antiseptic bathing on the morning of surgery and,extended-spectrum antibiotic prophylaxis (Beam, Keating, &Razonable, 2016 Richards, 2016). Ketel [CITATION Bea16
l 1033 ]however notedthat infection prevention and control encompasses almost every facetof the healthcare system, for example, evidence based practicefacilities and buildings decontamination and microbiology and,statistics and surveillance. Another angle of approach for deliveryunit nurses may be observing the link between obesity and anincreased risk of nosocomial infection post-delivery, which warrantsspecial consideration has to be given for such patients.
Inconclusion, it should be observed that education in itself isinefficient to tackle the problem of nosocomial infections. Amultifaceted approach has the best effect on the learning, as well asimplementation of guidelines relating to infection prevention. Amultifaceted approach may incorporate education, local opinionleaders, reminder, and implementation teams.
Abbaszadeh, A., Mohamamdnejad, E., Souri, H., & Afhami, S. (2016). Resource allocation: the main problem in infection control in intensive care units of hospitals. Journal of Nursing & Midwifery Sciences, 3(2), 19.
Beam, E., Keating, M. R., & Razonable, R. R. (2016). A Survey of Infection Prevention and Control Practices among Hematopoietic Stem Cell Transplant Centers. Infection Control & Hospital Epidemiology, 37(3), 348.
Ketel, J. (2016). Doing infection prevention and control right – right? Kai Tiki Nursing New Zealand, 22(6), 20.
Richards, S. (2016). Infection Control: Taking the Lead with the Code of Practice and maintaining the cold chain. Practice Nurse, 46(5), 35.