epidemiological study of nosocomial infections in surgical departments in Assiut University Hospitals

Nosocomical infection is a localized of systemic condition that results from adverse reactions to the presence of an infectious agents[s] or its toxin[s] that was not present or incubating at the time of admission to the hospital [CDS, 2003]. Nosocomial infection usually appears three days after a patient is admitted to a hospital or other health-cure facility. One third of all nosocomial infections are preventable. We determine the incidence of nosocomial infection among the studied patients and the risk factors of nosocomial infection among them. The study was a hospital-based prospective study conducted for one year in Neurosurgery Department and unit Cl from General Surgery Department at Assiut University Hospitals. The total number of patients that was enrolled in the study 1377 patients. Data collection through personal interviews with all patients admitted in the selected departments immediately after admission. Daily follow up of these patients to detect the development of nosocomial infection. The incidence rate of nosocomial infection was 15% Nosocomial infection was higher among rural than urban residents with significant difference. According to the wards, unit Cl, Neurosurgery Department and Neurosurgery ICU, it was 48.5%, 29.4%, 22.2% respectively. 94.7% of patients undergo operations, 99.5% of patients exposed to invasive devices and 61.0% of patients with contaminated wounds acquired infection. The incidence of nosocomial infection increased significantly with those exposed to general anesthesia, trauma, multiple procedures, implants and complicated surgery. As regard the type of organisms, Klebsiella was the most common organism followed by E.coli and Enterococci then proteus [28.0%, 16.0% and 14.0%] respectively

Health related behaviors among adolescents and youth in Assiut governorate, Upper Egypt

A cross-sectional community-based study in rural and urban areas was designed to study the cultural norms and health related behavior about reproduction, female circumcision, STDs, smoking and leisure time use. The data were collected by a personal interview of 1660 adolescents and youth aged 15-24 years in two rural [1151] and two urban [509] areas. Three children were the ideal number of wanted children in 54.2% and more than half considered 35-40 years the ideal age for terminating child bearing. About one-fourth of married females got pregnant three times or more and this was depending on the number of living children and duration of marriage by using logistic regression analysis. Female circumcision was almost universal [98.5%] and decreased markedly by mother's education [82.5%] and 75.9% intended to circumcise their daughters. About-half of adolescents and youth [48.4%] knew about STDs. Of the aware group, 94.9% knew AIDS and 59.2% recommended sticking to religious teaching to protect themselves against STD/AIDS. 30% of males were smokers and the habit was much higher among working groups as free business, skilled workers and farmers. Leisure time use was underutilized, sports were practiced by 26.6%, reading as a hobby by 41.6% and only 12.2% were volunteers for public activities. Literacy and unemployment are major problems with gender disparities

relation between entamoeblasis infection and blood groups

This work included 287 persons from secondary school of nursing students and patients attending Assiut Endemic Diseases Hospital. Stool and urine samples were examined for parasitic infection. Fifty- seven were infected with Entamoeba histolytica and 230 were free from parasites. Every one was examined for ABO blood groups. Twenty-seven cases were of blood group A, fourteen, thirteen and three were of blood groups O, B and AB, respectively. Entamoebiasis was more common among urban 28 than rural 24 and semi-urban 5. The infection rates were higher among females 37 than males 20 and among the age group 10-20 and 20-30 years

Prevalence of obesity among elderly in Assiut governorate

This work included 462 persons aged 55 years and more. The results showed that tea was the most preferred drink by males and females in the studied areas and men drank more than women. Lunch was the main meal for both sexes, 87%, 93% in Assiut City, 71%, 73% in Manqabad and 52%, 61.5% in El-Maasara for men and women, respectively. Also, snacks were common among females than males. 72%, 56.2% and 55.6% of men perform active exercise compared to 28.8%, 35% and 34% of women perform home physical activities in El-Maasara, Manqabad and Assiut City, respectively. The means of relative body weight of women were higher than men, 105.5% and 94.8% in El-Maasara, 113.1% and 107% in Manqabad and 114% and 108.9% in Assiut City and the differences were statistically significant. Obesity among men was higher in Assiut City [42.6%] than Manqabad [24%] and El-Maasara [16%] villages

study of health services utilization in a village in Assiut governorate, 1990

This field work was carried out in Bani Zaid El-Akrad village, Assiut Governorate, 1990 to study the factors affecting the utilization of health services in this rural locality. T he study included 351 mothers of 592 child aged from 10 months to less than 5 years age. The results of the present work revealed that the educational level of the parents has a direct effect on the number of children in the family, immunization level of the children and causes for vaccination failure. Age of the mother has a strong relationship with awareness about vaccination and medical care given to the children. Also, the obtained results showed that visits performed by the mothers to the rural health unit for seeking medical advice were very few in number

Study of job satisfaction among nurses in Assiut University Hospitals in 1991

Job satisfaction is an important issue nowadays for both, the performance, productivity at work and personal satisfaction from the job. Job satisfaction is a function of correspondence between the individual needs and job reinforces. In this study 220 nurses of Assiut University Hospitals filled in a questionnaire consisted of 2 groups of questions each. The first group was to know the satisfaction variable scores and the second group was to measure the importance of the variables for personal satisfaction. The results show a mean age of nurses 26.4 +/- 7.7 years. The range of experience is from one to 23 years and most of the nurses were married 138 [62.7%]. Positive relationship was found with most factors except the pay factor. Positive correlation was found with relation to coworkers, relation to supervisors, and doctor nurse relationship followed by job content and job security level. Job security factor was ranking number one in terms of both satisfaction and importance. Nurses generally didn't care of items like pay, work condition and environment and job content

study of knowledge, practice and acceptability of family planning methods in El-Wilidia, Assiut governorate

The present work was carried out in MCH center in El-Wilidia, Assiut and included 178 mothers in the child bearing period and their husbands. Our results revealed that 12 [6.7%] of husbands and 40 [22.5%] of wives were illiterate. 15.6 [87.6%] of husbands and 170 [95.5%] of wives agreed in family planning. 103 [57.8%] of wives were house wives and 74 [41.6%] were employees. Parent's opinion in family planning was proportionally decreased with increasing number of girls and increased with increasing number of boys. IUDs was the most used method, 121 [68.0%], followed by oral contraceptive pills, 50 [28.1%]. Easily administration was the main cause for selection as it represented 84.3% in IUD and 54.0% in pills. Medical complications showed percentages of 14.0% in IUD and 22% in pills. 66 [37.7%] of the studied sample stopped use of birth control methods, 40 [60.6%] of them stopped use because they get pregnant, 17 [25.6%] want to get pregnant while 1 [1.5%] stopped use because of medical complications