Omvårdnad av nyförlöst kvinna som har infektion av Streptococcus pyogenes : En litteraturstudie

Sammanfattning: Bakground: Puerperal fever caused by group A Streptococcus is in a global context seen as a common cause of death in childbirth. Aim: To examine the consequences of group A streptococcus infections in women postpartum and to see what a nurse can do to stop the infection with adequate nursing interventions. Method: This is a review built on 15 articles. These articles were read in full and audited with a suitable template. Result: Women postpartum has 20 times higher risk to get group A stretococcus infection as compared to non pregnant. The consequences of Group A Streptococcus infection can lead to high fever, abscesses around the uterus, sepsis, acute respiratory distress syndrome (ARDS), hysterectomy and death. Patients who share room with infected patients carries an increased risk to be infected. Curtains between patient beds can be colonized by Group A Streptococcus. Nursing interventions such as good hand hygiene and sanitized equipment in the patient room are important since Group A Streptococcus can survive for a long time on different surfaces. A woman who recently gave birth should have her body temperature monitored. In an outbreak of Group A Streptococcus, healthcare workers can be carriers. It is therefore important for a nurse to educate other healthcare workers about the importance of good hand hygiene. Conclusion: A woman infected by Group A Streptococcus can in several cases suffer serious consequences. In the worst case, death can occur as a cause of non adequate treatment. A nurse should work preventively to limit spreading of the infection. Nurses need knowledge in this area to prevent propagation of the infection and to reduce suffering. A nurse is responsible for establishing a work environment where patient safety comes first.