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Hygiene During Childbirth: An Observational Study to Understand Infection Risk in Healthcare Facilities in Kogi and Ebonyi States, Nigeria

Background: Infections acquired during labour and delivery are a significant cause of maternal and child morbidity and mortality. Adherence to hand hygiene protocols is a critical component of infection prevention strategies, but few studies have closely examined the hand hygiene of health care prov...

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Autores principales: Buxton, Helen, Flynn, Erin, Oluyinka, Olutunde, Cumming, Oliver, Esteves Mills, Joanna, Shiras, Tess, Sara, Stephen, Dreibelbis, Robert
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6479678/
https://www.ncbi.nlm.nih.gov/pubmed/30979005
http://dx.doi.org/10.3390/ijerph16071301
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author Buxton, Helen
Flynn, Erin
Oluyinka, Olutunde
Cumming, Oliver
Esteves Mills, Joanna
Shiras, Tess
Sara, Stephen
Dreibelbis, Robert
author_facet Buxton, Helen
Flynn, Erin
Oluyinka, Olutunde
Cumming, Oliver
Esteves Mills, Joanna
Shiras, Tess
Sara, Stephen
Dreibelbis, Robert
author_sort Buxton, Helen
collection PubMed
description Background: Infections acquired during labour and delivery are a significant cause of maternal and child morbidity and mortality. Adherence to hand hygiene protocols is a critical component of infection prevention strategies, but few studies have closely examined the hand hygiene of health care providers with sufficient detail to understand infection risks and prioritize prevention strategies. Methods: This observational study was conducted in six healthcare facilities in Nigeria. In each, five women were observed from the onset of labour through to delivery of the placenta. Hand hygiene infection risk was estimated for all procedures requiring aseptic technique compared against adherence to proper hand hygiene protocol and potential recontamination events. Results: Hands were washed with soap and sterile gloves applied with no observed recontamination before only 3% of all observed procedures requiring aseptic technique. There was no significant difference in hygiene compliance between midwives and doctors nor facilities or states. Adherence to proper hygiene protocol was observed more in morning compared to afternoon and night shifts. Conclusions: This study highlights that hand hygiene remains a barrier to delivering high-quality and safe care in health facilities. Improving hygiene practices during labour and delivery will require strategies that extend beyond infrastructure provision.
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spelling pubmed-64796782019-04-29 Hygiene During Childbirth: An Observational Study to Understand Infection Risk in Healthcare Facilities in Kogi and Ebonyi States, Nigeria Buxton, Helen Flynn, Erin Oluyinka, Olutunde Cumming, Oliver Esteves Mills, Joanna Shiras, Tess Sara, Stephen Dreibelbis, Robert Int J Environ Res Public Health Article Background: Infections acquired during labour and delivery are a significant cause of maternal and child morbidity and mortality. Adherence to hand hygiene protocols is a critical component of infection prevention strategies, but few studies have closely examined the hand hygiene of health care providers with sufficient detail to understand infection risks and prioritize prevention strategies. Methods: This observational study was conducted in six healthcare facilities in Nigeria. In each, five women were observed from the onset of labour through to delivery of the placenta. Hand hygiene infection risk was estimated for all procedures requiring aseptic technique compared against adherence to proper hand hygiene protocol and potential recontamination events. Results: Hands were washed with soap and sterile gloves applied with no observed recontamination before only 3% of all observed procedures requiring aseptic technique. There was no significant difference in hygiene compliance between midwives and doctors nor facilities or states. Adherence to proper hygiene protocol was observed more in morning compared to afternoon and night shifts. Conclusions: This study highlights that hand hygiene remains a barrier to delivering high-quality and safe care in health facilities. Improving hygiene practices during labour and delivery will require strategies that extend beyond infrastructure provision. MDPI 2019-04-11 2019-04 /pmc/articles/PMC6479678/ /pubmed/30979005 http://dx.doi.org/10.3390/ijerph16071301 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Buxton, Helen
Flynn, Erin
Oluyinka, Olutunde
Cumming, Oliver
Esteves Mills, Joanna
Shiras, Tess
Sara, Stephen
Dreibelbis, Robert
Hygiene During Childbirth: An Observational Study to Understand Infection Risk in Healthcare Facilities in Kogi and Ebonyi States, Nigeria
title Hygiene During Childbirth: An Observational Study to Understand Infection Risk in Healthcare Facilities in Kogi and Ebonyi States, Nigeria
title_full Hygiene During Childbirth: An Observational Study to Understand Infection Risk in Healthcare Facilities in Kogi and Ebonyi States, Nigeria
title_fullStr Hygiene During Childbirth: An Observational Study to Understand Infection Risk in Healthcare Facilities in Kogi and Ebonyi States, Nigeria
title_full_unstemmed Hygiene During Childbirth: An Observational Study to Understand Infection Risk in Healthcare Facilities in Kogi and Ebonyi States, Nigeria
title_short Hygiene During Childbirth: An Observational Study to Understand Infection Risk in Healthcare Facilities in Kogi and Ebonyi States, Nigeria
title_sort hygiene during childbirth: an observational study to understand infection risk in healthcare facilities in kogi and ebonyi states, nigeria
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6479678/
https://www.ncbi.nlm.nih.gov/pubmed/30979005
http://dx.doi.org/10.3390/ijerph16071301
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