Background: Burns in children are a massive problem in Egypt. Nowadays, infections account for 51% of the overall fatalities and are the second leading cause of mortality and morbidity after burn injuries. Aim: to identify risk factors associated with wound infection in burned children. Methods: An exploratory descriptive research design was adopted for this study. At the burn and plastic surgery center of El-Mansoura University Hospitals, this study was conducted. Based on specific inclusion criteria, a purposive sample of 75 hospitalized burned children and a convenient sample of 30 nurses participated. Three main tool parts were utilized. Part I: Questionnaire Sheet: Personal information regarding burned children and personal information about nurses who care for hospitalized burned children. Part II: Health Profile Assessment Sheet covered information about a hospitalized burned child. Part III: Checklist of Observations was adapted from the Egyptian Ministry of Health's Infection Control Checklist. Results: The mean age of the burned children was 3.94 ±1.66 years. Two-thirds of the children were male. Pseudomonas infections cause about half of all burn infections. There was a statistically significant relationship between the nurses' practice score and the burn characteristics of burned children three days after admission to the unit. The nurses' practice scores and the length of time that children stay in hospitals were statistically related. Conclusion: Poor hand hygiene was the most significant contributing factor in acquiring infections, as was a lack of adherence to the wearing of Personal Protective Equipment (PPE) and contact isolation precautions not carried out.

Congenital clubfoot is a complex deformity that is readily apparent at birth and affects the muscles, ligaments, bones and joints of the developing foot and ankle. Aim of the current study was to evaluate the effect of nursing instructions for mothers on selected cast outcomes among their infants having congenital clubfoot. In order to represent the current research, the design of quasi-experimental was implemented. The study was conducted in the orthopedic out-patient clinic in the Cairo University Specialized Pediatric Hospital (CUSPH). Purposive sample of 60 mothers of infants with clubfoot was participated in the current study; mothers and their children were split into two equal groups: 30 as a control group and 30 as a study group. The data was collected using the following tools : structured interview questionnaire, mother's knowledge and practices assessment questionnaire (pre/posttest), recording cast complications sheet and selected cast outcomes assessment sheet. The results revealed that, there were statistically significant differences between total mean score of mother's knowledge and practices in the study group after receiving the nursing instructions than mothers in the control group. Infants in the study group exposed to less cast complications and better outcomes than infants in the control group. The result concluded that, the mothers in the study group who received nursing instructions had a higher overall mean score of clubfoot knowledge and practices rather than a control group. As well as the infants of the mothers who received the nursing instructions there were fewer complications of casting and better outcomes.