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Friday, 25 July 2008
Neonatal Infections Directly Connected with Hospital Conditions: Doctors Print E-mail
By G. Odgarav   
Monday, 27 November 2006
An outbreak of neonatal infection in maternity hospital # 2 was nosocomial, caused by a breach in routine checks against infection, said M. Tsolmon, doctor and head of the reconnaissance and prevention group of the Center for nosocomial infections, according to tests run by the inspectors.

According to her statement, after the infection, Maternal and Neonatal research center immediately took analysis from the wounds, umbilical cords, eyes, and the spinal fluids of the 5 infected babies. They found out that the compound generators including bacteria such as staphilococcus aureus, enterbacter, psevdomanos aurganosae, klebsiella pneumoniae for the neonatal infection.

The National Center for Infectious Disease Research (NCIDR) took analysis from the nose and pharynx of 45 doctors who were working at the infection emerged area and nine were determined as carriers, thus, they will have second analysis. If the second analysis proves the result, they will be forced to have, “employment adjustment,” hospital officials said.  

Therefore, officials from the City Professional Inspections Agency found 15 percent of the 20 issues tested, including air and sanitary issues of the infected area pathogen, as they took analysis to determine the resource of the infection and the transmitter.

“Babies who were born from sick mothers or weak babies are easily infected. Thus, 90 percent of the nosocomial infection is transmitted by dirty hands. Our employees are not used to washing their hands properly. WHO has set a special hand washing recommendation for hospital employees. The case above is directly connected with dirty hands,” said Tsolmon.

Yet one inspector blamed the larger issues of developing health in Mongolia and the lack of emphasis on health safety.

“The reason for the neonatal infection is related to the over-function of maternity hospitals. And also the maternal health condition is very bad. If you say that the neonatal infection was only because of the hospital, 300 babies born monthly would all be infected. We will have disinfection and sterilization in our hospital which hasn’t had any repairs, is broken and is affected by fungus until December 4. Because of our economic condition we are not able to have repairs,” says N. Bolormaa, reproduction and obstetrician inspector at City Health Office.

The infection is not a serious thing which is transmitted by respiratory tract and the maternity hospitals need to have complete disinfections once a year because it needs to keep the sanitary standards high. However the hospital didn’t have disinfection procedures for the last 2 years because of its over-function, according to the doctors.

“In 1996, 12,000 babies were born. But this year, 16,200 mothers gave birth in the first 10 months. Last year this number was 1500 less. That is why we face troubles such as hospital crowding increasing, the domicile is insufficient and we are not able to have disinfections,” said Bolormaa.

Doctor Tsolmon said that in 2005, only 2 cases of neonatal infection were recorded.