{
    "abstract": "Delivering women and neonates are at a great risk of acquiring infections due to a lack of adherence to infection prevention and control (IPC), a low level of immunity and extended exposure to care procedures that can lead to infections. This prospective cohort study aims to assess the level of adherence to IPC among healthcare workers and its impact on puerperal and neonatal sepsis in the Dodoma region.\nThe level of adherence to IPC is examined cross-sectionally among healthcare workers (HCWs) in contact with delivering women and their neonates. A prospective cohort approach is used to assess the level of exposure of 294 delivering women and their neonates to poor hygienic practices of HCWs through an observation checklist. Outcomes, including the incidence of puerperal and neonatal sepsis, are evaluated clinically 2\u2009days later before discharge. Laboratory culture and sensitivity confirmatory tests of blood samples are done on positive cases. Data analysis for level of adherence to IPC practices, incidence of puerperal and neonatal sepsis, and relative risk among the exposed women and neonates will be performed.\nThe University of Dodoma Research Ethics Committee approved this study (ref no. MA.84/261/'A'/25). Findings of this study will be published in international peer-reviewed journals and disseminated at international conferences to the participating hospitals, the University of Dodoma and the Tanzanian Ministry of Health for informing practice and policy.",
    "authors": [
        {
            "affiliation": "Department of Clinical Nursing, The University of Dodoma, Dodoma, Tanzania, United Republic of.\nDepartment of Health Quality Assurance, Ministry of Health, Dodoma, Tanzania, United Republic of.",
            "firstname": "Laura Edward",
            "initials": "LE",
            "lastname": "Marandu"
        },
        {
            "affiliation": "Department of Clinical Nursing, School of Nursing and Public Health, The University of Dodoma, Dodoma, Tanzania, United Republic of gmwakibo@yahoo.co.uk.",
            "firstname": "Golden Mwakibo",
            "initials": "GM",
            "lastname": "Masika"
        }
    ],
    "conclusions": null,
    "copyrights": "\u00a9 Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.",
    "doi": "10.1136/bmjopen-2022-066701\n10.1186/s13756-021-00962-3\n10.1136/postgradmedj-2015-133475\n10.1186/s13756-020-0688-y\n10.1093/intqhc/mzs057\n10.1186/s12884-018-1891-1\n10.24248/eahrj.v4i2.639\n10.12669/pjms.294.3389\n10.1186/s12884-019-2230-x\n10.11648/j.cajph.20190501.15\n10.1002/9781119194521.ch1\n10.37506/ijfmt.v14i4.12923\n10.1111/j.1600-0897.2010.00836.x\n10.1586/1744666X.2014.942288\n10.1016/j.infpip.2020.100071\n10.1097/PRS.0b013e3181f44abc\n10.1136/emj.20.1.54\n10.2471/BLT.20.258145",
    "journal": "BMJ open",
    "keywords": [
        "Health & safety",
        "Infection control",
        "Quality in health care"
    ],
    "methods": null,
    "publication_date": "2023-03-15",
    "pubmed_id": "36918240\n34332622\n26598777\n26310266\n32033592\n23081908\n29954356\n34308233\n24353670\n30885159\n20367629\n25088080\n34316561\n20697313\n12533370\n33293745",
    "results": null,
    "title": "Healthcare workers' level of adherence to infection prevention and control and its impact on puerperal and neonatal sepsis among delivering women and neonates in Central Tanzania: a protocol for a prospective cohort study.",
    "xml": "<Element 'PubmedArticle' at 0x788505027c90>"
}