Introduction and objective. Newborn babies staying on hospital wards are likely to be colonized by microorganisms, including potentially pathogenic fungi. The aim of the study was to assess the mycological purity of hospital wards and medical equipment utilized in the treatment and nursing of newborns. Materials and method. The study was conducted in Neonatal High Dependency Units (NHDU) and Neonatal Intensive Care Units (NICU). 539 samples were collected from 24 different sources, 130 from ward furnishings and 289 from medical equipment. The study was carried out following the microbiology research methods for sample collection. Subsequently, the samples (swabs, water from incubators, washings from respirator tubes and nasal cannulas (nCPAP)) were cultivated on Sabouraud agar plates. The stamps were collected with the application of Count-Tact method. The samples were incubated at the temperature of 25+/-2 o C and the number of fungi assessed (cfu/cm-2 of the surface area). The species were identified based on their morphological and biochemical features. Results. Fungal growth was observed on 60% of samples collected from ward furnishings and 7% of samples collected from medical equipment. The average number of cfu/cm-2 ranged between 0-8.84 in the case of ward furnishings and between 0-1.22 cfu/cm-2 in the case of medical equipment. In 180 samples collected from the material which had direct contact with newborns no fungal growth was observed. Conclusions. The furnishings of the wards on which newborns were treated and nursed were contaminated with fungi to an extent which did not pose a threat to the life and health of the newborns. Medical equipment (respirators, incubators, nCPAP cannulas and masks) which came into direct contact with newborns was free from fungi.
Introduction: The rate of caesarean sections in Poland is constantly increasing. In Poland, the selection of the mode of delivery does not depend on the woman's will; however, the preferences of childbearing women are shaped by their knowledge and beliefs related to the labour. The preferences of nurses and midwives may be shaped by the specificity of the work performed by them. Aim of the study: An analysis of the preferences related to the mode of delivery among occupational groups of nurses and midwives. Material and methods: The studies were carried out among 202 nurses and midwives using the diagnostic poll method and the survey questionnaire technique. Our own survey questionnaire and the Self-report Labour Anxiety Questionnaire (KLP II) were used.Results: The conducted studies demonstrated that 88.12% of midwives, compared to 75.25% nurses, prefer vaginal delivery. Midwives significantly more frequently (p = 0.005) than nurses indicated vaginal delivery as safer for the mother and for the child, and as allowing for faster recovery to normal physical fitness. For the nurses and midwives opting for the caesarean section, the most significant reasons were anxiety about perineal injuries and concern about the child's health. The midwives, more frequently than nurses, declared the selection of non-pharmacological methods of alleviating pain. Conclusions: The practiced profession influences the decisions related to the preferred mode of delivery and to the interventions applied during labour. Labour anxiety is a feature that is more frequent among nurses.
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