Neonatal Umbilical Cord Infections: Incidence, Associated Factors and Cord Care Practices by Nursing Mothers at a Tertiary Hospital in Western Uganda

• 作者: Bernis Melvis Maren Gloria Kiconco Martin Nduwimana Munanura Turyasiima Robinson Ssebuufu Silva Manuel Andres Walufu Ivan Egesa
• 来源期刊: 儿科学期刊(英文)
• 学科: 医学
• 关键词: Umbilical Cord Infection Cord Care Practices Associated Factors Western Uganda
• 年，卷（期）: 2020,（2）
• 页码范围: 288-301
• 页数: 14页
• 分类号: R47

摘要

<b><span style="font-family:Verdana;">Background</span></b><span style="font-family:Verdana;">: Umbilical cord infections complicate to neonatal sepsis that significantly contributes to neonatal mortality worldwide. There is paucity of data on the incidence, factors associated with neonatal umbilical cord infections in western Uganda</span><span style="font-family:Verdana;">, </span><span style="font-family:""><span style="font-family:Verdana;">yet nursing mothers continue to practice potentially dangerous cord care practices. We described the incidence, factors associated with umbilical cord infections and cord care practices by nursing mothers at a tertiary hospital in western Uganda. </span><b><span style="font-family:Verdana;">Methods</span></b><span style="font-family:Verdana;">: This was a hospital based cross sectional study at a tertiary hospital in western Uganda between the months of March and June 2019. Two hundred and forty (240) neonates aged between 2 </span></span><span style="font-family:Verdana;">to </span><span style="font-family:Verdana;">1</span><span style="font-family:Verdana;">4</span><span style="font-family:Verdana;"> days attending the neonatal </span><span style="font-family:Verdana;">unit</span><span style="font-family:""><span style="font-family:Verdana;"> were recruited in the study. Umbilical cord infection was assessed based on the World Health Organisation (WHO) clinical definition: finding of any of discharge, redness and swelling on the umbilical stump. Data on sociodemographic characteristics, maternal and neonatal perinatal factors and cord care practices of the nursing mothers were analysed by bivariate and multivariate logistic regression using STATA 13.0 to determine factors associated with umbilical cord infection. </span><b><span style="font-family:Verdana;">Results</span></b><span style="font-family:Verdana;">: Sixty-five, 65 (27.1%) neonates had at least one sign of cord infection. Majority of the nursing mothers, 168 (70%) do not use the recommended umbilical cord care