RÉSUMÉ
Background: Methicillin resistant Staphylococcus aureus (MRSA) is a major pathogen causing morbidity and mortality in hospital setup. Healthcare professionals (HCPs) colonized by MRSA, play a key role in transmission of this organism to the patients. Compliance of the HCPs with sanitary guidelines is fundamental to prevent nosocomial Infections. Hence, imparting education and creating awareness is the first step towards this. The aim of this study was to determine baseline knowledge about MRSA in healthcare professionals (HCPs). The further aim of the study was to assess the impact of health education on HCPs.Methods: A total of 104 participants, including 54 nurses and 50 doctors, were surveyed using pre-validated questionnaire, regarding MRSA colonization, modes of transmission, high risk areas in hospital, isolation policy, disinfection and treatment. The survey was followed by a health education session on MRSA. Thereafter a post-test questionnaire was administered to study the impact of the health education session.Results: The study sample of 104 respondents comprised of 50 doctors (48%) and 54 nurses (52%). It was found that baseline awareness regarding MRSA was lesser in the nursing staff as compared to doctors. Statistically significant positive impact of the health education session on all the HCPs was observed when paired t-test was applied. Various challenges expressed by the participants in prevention of MRSA transmission were noted.Conclusions: Due to suboptimal awareness noted in HCPs, educational programs should be conducted to bridge the gap in knowledge and perception of HCPs to prevent spread of MRSA.
RÉSUMÉ
Background: Twin pregnancies account for 2 to 4% of the total number of births. Twin pregnancies are associated with signicantly higher morbidity and mortality than are singleton pregnancies. Among the twin pregnancies, Dichorionic pregnancies occur in 70% of the total twin pregnancies. Monochorionic twins are at higher risk twins for perinatal complications. The objective of the present study is to analyze neonatal outcomes associated with Monochorionic and Dichorionic twin pregnancies. Material and Methods: The study was Retrospective and Hospital based study conducted in Tertiary Care Hospital in Mumbai in 2018. The sample size was 50 (N=50). The patients with maternal co-morbidities like DM or other systemic illness were excluded from the study. The patients were divided into two groups, viz. Monochorionic or Dichorionic twins. The maternal age and its association with Monochorionic and Dichorionic twin pregnancy are studied. The neonatal outcome in Monochorionic and Dichorionic twins were then analyzed in terms of Birth weight, NICU stay, Neonatal deaths, etc. Statistical analysis: The maternal age and the various neonatal outcomes in Monochorionic and Dichorionic twin pregnancy were recorded. The student t test was used to compare the difference in both groups. Results: The maternal age was almost similar in both Monochorionic and Dichorionic twin pregnancies. The mean Birth Weight was more in Dichorionic group (p < 0.05). The Neonatal Outcomes like IUFD, TTTS and Discordant growth were more common in Monochorionic group as compared to Dichorionic group. Conclusion and Recommendations: Twin pregnancy rates have increased in the past 25-30 years, particularly in developing countries. The reasons may be more advanced maternal age and increased use of assisted reproductive techniques. The neonatal mortality and morbidity in twin deliveries is high in Monochorionic pregnancy as compared to Dichorionic pregnancy. The early identication of chorionicity in early pregnancy is necessary to prevent neonatal complications.