Journal List > Korean J Nosocomial Infect Control > v.18(2) > 1098338

Jeong, Lee, Jeong, Yoon, Jeong, Ha, Song, and Lee: Development of Infection Control Guideline for Postpartum Care Centers

Abstract

Background

This study aimed to develop feasible and detailed infection control guidelines (ICG) and audit protocols for health care workers and auditors in postpartum care centers (PCC).

Methods

PCC ICG and audit protocols were developed in several steps: 1) review of previous ICG for PCCs; 2) establishment of frameworks for updating guidelines and audit protocols; 3) review of new ICG, regulations, etc.; 4) drafting of PCC ICG and audit protocols and revision based on feedback from the research committee; 5) Delphi survey to solicit opinions from infection control, infant care, and maternal care professionals as well as PCC health care workers; 6) re-revision after discussion with the research committee; and 7) finalization of PCC ICG and audit protocols.

Results

We developed ICG with 4 categories and 26 sub-categories, and internal and external audit protocols with 163 and 85 items, respectively.

Conclusion

The ICG and audit protocols are valid and feasible; we recommend their utilization as auditing tools, baseline data for the development of national infection control policies, and as educational materials for PCC healthcare workers.

References

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Table 1.
Composition of infection control guideline for postpartum care centers
Summary  
I. Infection control system SG1. Responsibilities of healthcare workers
  SG2. Training for healthcare workers
  SG3. Health care for healthcare workers
  SG4. Infection control audit
II. Infection control practice PG1. Infection assessment & monitoring
  PG2. Hand hygiene
  PG3. Coughing etiquette
  PG4. Facilities management
  PG5. Environment management
  PG6. Laundry & waste management
  PG7. Disinfection
  PG8. Visitors management
  PG9. Outbreak management
  PG10. Vaccination
III. Infection prevention and control for newborn babies BG1. Characteristics of infection for neonates
  BG2. Gastroenteral infectious diseases care
  BG3. Respiratory infectious diseases care
  BG4. Umbilical cord care
  BG5. Kerato-conjuntivitis care
  BG6. Feeding
  BG7. Bathing
IV. Infection prevention and control for mothers MG1. Characteristics of postpartum infection
  MG2. Education for mothers
  MG3. Food management
  MG4. Breast care
  MG5. Perineal care
V. Appendices  
Table 2.
Composition of infection control internal audit protocol
Category Sub-category No. of item
I. Infection control system SG1. Responsibilities of healthcare workers 21
  SG2. Training for healthcare workers 2
  SG3. Health care for healthcare workers 12
  SG4. Infection control audit 3
  Subtotal 38
II. Infection control practice PG1. Infection assessment & monitoring 3
  PG2. Hand hygiene 11
  PG3. Coughing etiquette 2
  PG4. Facilities management 14
  PG5. Environment management 6
  PG6. Laundry & waste management 16
  PG7. Disinfection 25
  PG8. Visitors management 4
  PG9. Outbreak management 3
  Subtotal 82
III. Infection prevention and BG4. Umbilical cord care 6
control for newborn babies BG5. Kerato-conjuntivitis care 6
  BG6. Feeding 8
  BG7. Bathing 4
  Subtotal 24
III. Infection prevention and MG2. Education for mothers 2
control for mothers MG3. Food management 13
  MG5. Perineal care 2
  Subtotal 17
Total   163
Table 3.
Composition of infection control external audit protocol
Category Sub-category No. of item Method Aspect
I. Infection control system 1.1 Manpower 2 DR S
  1.2 Training for healthcare workers 6 DR S
  1.3 Health care for healthcare workers 4 DR, OB S
  1.4 Infection control audit 3 DR S, P
  Subtotal 17    
II. Infection control practice 2.1 Infection assessment & monitoring 3 DR P
  2.2 Hand hygiene 15 OB S, P, O
  2.3 Environment management 7 OB S, P
  2.4 Laundry & waste management 9 OB S, P
  2.5 Disinfection 6 OB S, P
  2.6 Visitors management 2 OB P
  2.7 Feeding 10 OB S, P
  2.8 Bathing 6 OB S, P
  2.9 Food management 10 OB S, P
  Subtotal 68    
Total   85    

Abbreviations: No, number; DR, document review; OB, observation; S, structure; P, process; O, outcome.

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