Document Type : Original Article


1 Department of Pediatric Medicine, Pt. B. D. Sharma PGIMS, Rohtak, Haryana

2 Department of Nursing, College of Nursing, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India


BACKGROUND: Basic infection control measures are required in India’s health‑care setting in
Neonatal Intensive Care Units (NICUs) to lower the prevalence of hospital‑associated infections.
The aim of the present study was to assess practices followed by nurses of NICUs for nosocomial
infection prevention.
MATERIALS AND METHODS: From January to February 2020, a descriptive cross‑sectional study
was conducted. Participants in the study were chosen by total enumeration sampling technique,
i.e., 60 nurses were included in this study who working in tertiary care institutions, India. The study
respondents’ knowledge and practice for nosocomial infection control strategies were assessed by
using a 30‑item and 27‑item questionnaires, respectively. SPSS (version 23.0) was used to analyze
the data collected.
RESULTS: Results showed that all nurses (100%) were females, belongs to the age group of
26–35 years (82%), hold professional qualifications (34%) in GNM as well as post basic BSc nursing,
married (72%), had 1–5 years of professional experience (66%), and working in the NICUs for
1–3 years (74%). Most of nurses (55%) had never attended any session on nosocomial infection
prevention. Nurses of NICUs (70%) had just a moderate degree of understanding on nosocomial
infection prevention. Nurses’ practice showed good practise (60%) for nosocomial infection prevention
in NICUs.
CONCLUSIONS: The necessity to adopt health‑care policy about nosocomial infections and execution
of regular training program to upgrade and refresh nurses’ knowledge and practices regarding
for nosocomial infection control measures is indicated to fill gap among knowledge and practices
concerning nosocomial infection control and prevention.


1. Max Roser, Hannah Ritchie and Bernadeta Dadonaite (2013)‑“Child
and Infant Mortality”. Published online at OurWorldInData.
org. Retrieved from: ‘
‑mortality’ [Online Resource]
2. Moss W, Darmstadt GL, Marsh DR, Black RE, Santosham M.
Research priorities for the reduction of perinatal and neonatal
morbidity and mortality in developing country communities.
J Perinatol 2002;22:484‑95.
3. Muhe LM, McClure EM, Nigussie AK, Mekasha A, Worku B,
Worku A, et al. Major causes of death in preterm infants in
selected hospitals in Ethiopia (SIP): A prospective, cross‑sectional,
observational study. Lancet Glob Health 2019;7:e1130‑8.
4. Odabasi IO, Bulbul A. Neonatal sepsis. Sisli Etfal Hastan Tip Bul
5. Pal A, Manna S, Das B, Dhara PC. The risk of low birth weight
and associated factors in West Bengal, India: A community based
cross‑sectional study. Egypt Pediatr Assoc Gaz 2020;68:27.
6. Williams KG, Patel KT, Stausmire JM, Bridges C, Mathis MW,
Barkin JL. The neonatal intensive care unit: Environmental
stressors and supports. Int J Environ Res Public Health
7. Simonsen KA, Anderson‑Berry AL, Delair SF, Davies HD.
Early‑onset neonatal sepsis. Clin Microbiol Rev 2014;27:21‑47.
8. Tasew H, Zemicheal M, Teklay G, Mariye T, Ayele E. Risk
factors of birth asphyxia among newborns in public hospitals
of Central Zone, Tigray, Ethiopia 2018. BMC Res Notes
9. Haque M, Sartelli M, McKimm J, Abu Bakar M. Health
care‑associated infections – An overview. Infect Drug Resist
10. Ramasethu J. Prevention and treatment of neonatal nosocomial
infections. Matern Health Neonatol Perinatol 2017;3:5.
11. Kim CJ, Kim HB, Oh MD, Kim Y, Kim A, Oh SH, et al. The burden
of nosocomial Staphylococcus aureus bloodstream infection in
South Korea: A prospective hospital‑based nationwide study.
BMC Infect Dis 2014;14:590.
12. Wang L, Du KN, Zhao YL, Yu YJ, Sun L, Jiang HB. Risk factors
of nosocomial infection for infants in neonatal intensive care
units: A systematic review and meta‑analysis. Med Sci Monit
13. Murki S, Kadam S. Role of neonatal team including nurses in
prevention of ROP. Community Eye Health 2018;31:S11‑5.
14. Mathur P. Hand hygiene: Back to the basics of infection control.
Indian J Med Res 2011;134:611‑20.
15. Parveen S, Nasreen S, Allen JV, Kamm KB, Khan S, Akter S, et al.
Barriers to and motivators of handwashing behavior among
mothers of neonates in rural Bangladesh. BMC Public Health
16. Seema S, Rohilla KK, Kalyani VC, Babbar P. Prevalence and
contributing factors for adolescent obesity in present era:
Cross‑sectional Study. J Family Med Prim Care 2021;10:1890‑4.
17. Murphy GA, Gathara D, Mwaniki A, Nabea G, Mwachiro J,
Abuya N, et al. Nursing knowledge of essential maternal
and newborn care in a high‑mortality urban African setting:
A cross‑sectional study. J Clin Nurs 2019;28:882‑93.
18. Kalyani CV, Bisht M, Thapliyal S, Rohilla KK. Comparison
of practice and attitude of self‑treatment in rural and urban
population in Uttarakhand, India: A comparative study. Natl J
Physiol Pharm Pharmacol 2020;10:1052‑9.
19. Mehta A, Vasudevan S, Parkash A, Sharma A, Vashist T,
Krishna V. COVID‑19 mortality in cancer patients: A report from
a tertiary cancer centre in India. PeerJ 2021;9:e10599.
20. CarricoRM, Garrett H, Balcom D, Glowicz JB. Infection prevention
and control core practices: A roadmap for nursing practice.
Nursing 2018;48:28‑9.
21. Mahmoodi N, Arbabisarjou A, Rezaeipoor M, Pishkar Mofrad Z.
Nurses’ awareness of preterm neonates’ sleep in the NICU. Glob
J Health Sci 2015;8:226‑33.
22. Mansourian M, Ziapour A, Kazemian M, Damanabad ZH,
Rastegarimehr B, Mirzaei A, et al. Assessment of educational
performance of nurses in neonatal intensive care unit from
parents’ perspective. J Educ Health Promot 2020;9:8.
23. Polit DF, Beck CT. Is there still gender bias in nursing research?
An update. Res Nurs Health 2013;36:75‑83.
24. Lee H, Kim DJ, Han JW. Developing nursing standard guidelines
for nurses in a neonatal intensive care unit: A delphi study.
Healthcare (Basel) 2020;8:320.
25. Adegboye MB, Zakari S, Ahmed BA, Olufemi GH. Knowledge,
awareness and practice of infection control by health care workers
in the intensive care units of a tertiary hospital in Nigeria. Afr
Health Sci 2018;18:72‑8.
26. Alrubaiee G, Baharom A, Shahar HK, Daud SM, Basaleem HO. Knowledge and practices of nurses regarding nosocomial
infection control measures in private hospitals in Sana’a City,
Yemen. Saf Health 2017;3:16.
27. Yu M, Park CG. Factors associated with patient safety in neonatal
intensive care units: A multicenter study using ordinal logistic
regression. Jpn J Nurs Sci 2021;18:e12374.
28. Ebrah HA, Yousif KI. The effect of intervention on nurse’s
performance regarding feeding of premature baby in neonate care
unit at public hospitals in Hodeida city: Yemen. Open J Pediatr
29. Alhassan AR, Kuugbee ED, Der EM. Surgical healthcare workers
knowledge and attitude on infection prevention and control: A
case of tamale teaching hospital, Ghana. Can J Infect Dis Med
Microbiol 2021;2021:1-7.