Nursing Management

Nursing Management

CHAPTER I


INTRODUCTION

``Prevention is better than cure``


Prevention of infection of any kind is an integral part of nursing care

delivery in any setting to reduce risk of mortality and mobility among patients and

care gives at all levels. Basic principles of infection prevention are simple and

include maintenance of personal enviournment hygiene particularly hand washing,

technique of gowning, gloving and use of mask etc.

Sepsis is an invasive infection of the body that is spread by the bloodstream.

Newborns who develop sepsis become clinically ill. Many bacteria and viruses

produce sepsis in newborns. Early-onset sepsis is a blood infection that occurs

before the seventh 18 day of life. Late-onset sepsis occurs at or after the seventh

day of life.

Neonatal sepsis remains as an important cause of mortality and mobility

among infants in developing countries accountancy for 30-50% of total deaths each

year. In India infant mortality rate is still high compared to developed countries.

One million newborn infants die every year because of neonatal infections and

50% of infants deaths occurs during the first four weeks of life due to the neonatal

sepsis Two third of the babies in our country are born at home and are at higher

risk of developing Sepsis, Babies born in hospital may also develop infection at

home after getting discharged from the hospital.



The common source of infections are unhygienic practice during delivery in

dark dirty room, cord cut with any available sharp instrument and the baby

wrapped in old dirty cloths and other practices that increases the risk of infection

include harmful application to the cord.

W.H.O in its studies stated that 1/3 neonatal deaths occurs due to improper

care or due to infection for example, Pneumonia, tetanus, Neonatal...

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