title: Nosocomial infection in a Nigerian rural maternity centre: a series of nine cases.
abstract: BACKGROUND
  An outbreak of urinary tract infection in a rural maternity hospital near Enugu, Nigeria led to bacteriological assessment which identified Serratia marcescens as the causative organism. An epidemiological investigation was done to trace the source of this organism.
  
  
  OBJECTIVE
  To investigate an outbreak of urinary tract infection in a rural maternity centre.
  
  
  METHODS
  A descriptive study.
  
  
  METHODS
  Maternity centre in a rural community near Enugu run by local midwives assisted by auxiliary nurses trained by the midwives.
  
  
  METHODS
  Nine patients at term with symptoms of urinary tract infection.
  
  
  RESULTS
  In all nine cases, the pigmented form of Serratia marcescens was found to be the cause of the urinary tract infection and the source of this organism was traced to the auxillary nurse who shaved the patients and the instrument she used.
  
  
  CONCLUSIONS
  Since the causative organism of the outbreak of urinary infection in these women was traced to the shaving instruments used and the fingers of the auxillary nurse who shaved them, there is the need for better hygiene practices in the health centre and the use of properly trained staff to attend to pregnant and parturient women. It is recommended that the practice of shaving parturient women should be discarded.
authors.affiliation: Department of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital, Enugu, Nigeria.
authors.forename: O A
authors.initials: OA
authors.lastname: Okezie
authors.forename: N F
authors.initials: NF
authors.lastname: Onyemelukwe
mesh_terms: D000328:Adult; D003428:Cross Infection / Q000453:epidemiology* / Q000382:microbiology / Q000517:prevention & control; D004196:Disease Outbreaks / Q000517:prevention & control; D004866:Equipment Contamination; D017743:Equipment Reuse; D005260:Female; D006204:Hair Removal / Q000009:adverse effects / Q000295:instrumentation; D006771:Hospitals, Maternity; D006780:Hospitals, Rural; D006801:Humans; D017053:Infection Control; D009549:Nigeria / Q000453:epidemiology; D011247:Pregnancy; D012307:Risk Factors; D012706:Serratia marcescens / Q000302:isolation & purification* / Q000472:pathogenicity; D014552:Urinary Tract Infections / Q000453:epidemiology* / Q000382:microbiology / Q000517:prevention & control