Background: Neonates with urinary tract infection (UTI) are susceptible to higher rates of morbidity and mortality, specifically when presented with hyperbilirubinemia. Screening for UTIs in jaundiced neonates is a cost-effective strategy. The aims of this study were to investigate the pattern of UTI (prevalence, etiology, and susceptible antimicrobial agents) in neonates admitted to the NICU with unexplained indirect hyperbilirubinemia, as well as to identify early predictors of UTI in order to reduce the present morbidity and long-term consequences in NICU patients. . Methods: A cross-sectional hospital-based study that included 140 neonates diagnosed with unexplained indirect hyperbilirubinemia in the first 4 weeks of life. A questionnaire was applied to obtain demographic and clinical data. A number of laboratory parameters were assessed with clinical examination. Bacterial growth of 1 × 103 colony-forming units/mL of a single uropathogen was used to identify the existence of UTI. Multivariate analysis was used to identify the predicting factors of UTIs. Results: In the NICU group investigated, 25.7% of subjects had a culture-proved UTI. The most frequently isolated organism was Escherichia coli. Amikacin was the most common antibiotic that the isolates were susceptible to. In multivariable logistic regression analysis, a positive urine culture was statistically associated with an increase in WBCs (OR= 6.90, p= 0.001), pyuria (OR= 5.55, p= 0.001), small for gestational age (OR= 4.07, p= 0.021), prolonged phototherapy duration (OR= 3.50, p= 0.034), and the presence of obstetric complications (OR= 2.92, p= 0.001). Conclusion: UTI is substantially prevalent among neonates admitted to the NICU with unexplained indirect hyperbilirubinemia. The importance of routine UTI screening (urine culture) as part of the clinical assessment of unexplained hyperbilirubinemia was highlighted in this study, particularly in neonates with leukocytosis, pyuria, small for gestational age, prolonged phototherapy, and those born from mothers with a history of obstetric complications.
Background: elevation of body temperature is common in postoperative children as an inflammatory reaction to surgical incision prompts the mothers need for support by proper knowledge and practice. Aim the aim was to evaluate the effect of nursing educational sessions about fever on the knowledge and practices of mothers at the pediatric surgical unit. Design one group pre-posttest quasi-experimental research design Sample: A convenience sample of 100 mothers of children admitted to the pediatric surgical unit in Cairo University Specialized Pediatric Hospital for 6 months. Setting: the study conducted at Cairo University Specialized Pediatric Hospital (CUSPH) in the right side of pediatric surgical unit on the fourth floor. Tools: Structured interview questionnaire, observational checklists for axillary temperature, and cold compressors developed by the researcher. Results: there were a statistically significance difference between the total mean scores of mothers' knowledge and practice before and after the educational sessions and at the time of discharge. Also, there was a statistically significant correlation between mothers' knowledge and level of education and place of residence in addition to significant statistical correlation between mothers' axillary temperature practice and level of education. Conclusion: the current study concluded that mothers who receive nursing educational sessions about fever have a higher mean score of knowledge and practice than before. Recommendations: emphasize the importance of education provided for mothers including knowledge and practice to improve their knowledge and performance regarding fever care.
Background: IV therapy is a commonly performed nursing procedure that involves the delivery of fluids, and occasionally medications, to a child who is unable to maintain a regular fluid balance through oral consumption. The choice of route, amount, and type of fluids administered are critical factors in effectively managing a child undergoing IV therapy. The study aimed to evaluate the effect of intravenous therapy administration guidelines on pediatric nurses' knowledge, practice, and selected child's outcomes at ICUs. One group pre-posttest quasi-experimental research design was utilized to achieve the aim of the current study. The study was conducted in Cardio-thoracic, Neurological Intensive Care Units (ICUs) and Neonatal Intensive Care Unit (NICU) at Cairo University Specialized Pediatric Hospital (CUSPH). A Convenient sample of 30 nurses who cared for children in ICUs in CUSPH. Four tools were used to collect data a structured interview questionnaire, Nurses' Knowledge Assessment Questionnaire, and Nurses' Practice Checklist and children's outcomes assessment checklist Results: the study revealed that there were statistically significant differences between total mean score of nurses' knowledge before and after receiving the IVT administration guidelines as well as, nurses who received the IVT administration guidelines had higher mean score of practice. Children who are provided with care by nurses who have received guidelines for intravenous therapy administration had better outcomes compared to children who are cared for by them after receiving the IVT administration guidelines. Conclusion: the current study concluded that nurses who receive the IVT administration guidelines had higher mean score of knowledge and higher mean score of practice than before. Better outcomes in children receiving care from nurses after IVT administration guidelines Recommendation: training programs about IVT administration guidelines recommended to improve outcomes of IVT administration.
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