Digital repository of Slovenian research organisations

Show document
A+ | A- | Help | SLO | ENG

Title:Analiza upoštevanja higiene rok na intenzivnem oddelku
Authors:ID Grilc, Tjaša (Author)
ID Miklavčič, Vesna (Author)
ID Slemenjak, Janja (Author)
ID Muzlovič, Igor (Author)
ID Jereb, Matjaž (Author)
ID Trampuž, Andrej (Author)
Files: This document has no files. This document may have a physical copy in the library of the organization, check the status via COBISS. Link is opened in a new window
Language:Slovenian
Typology:1.01 - Original Scientific Article
Organization:Logo ZZBNS - ZSDMSBZTS - Nurses and Midwives Association of Slovenia
Abstract:Higiena rok zdravstvenega osebja je najpomembnejši, najenostavnejši in najcenejši ukrep za preprečevanje bolnišničnih okužb. Razkuževanje rok je učinkovitejše, hitrejše in manj škodljivo za kožo kot vse druge tehnike higiene. Na intenzivnem oddelku Klinike za infekcijske bolezni in vročinska stanja Kliničnega centra v Ljubljani smo razkuževanju rok v zadnjih letih posvečali veliko pozornosti in danes predstavlja standardni način higiene rok,kadar te niso vidno onesnažene. Z raziskavo smo želeli oceniti upoštevanjehigiene rok. Predvsem so nas zanimali dejavniki, ki pozitivno ali negativno vplivajo na higieno rok. Na intenzivnem oddelku smo dva meseca opazovali zdravstveno osebje med rednimi opravili in na vizitah. Stopnjo upoštevanja higiene rok smo primerjali s številom prenosov na meticilin odporne bakterije Staphylococcus aureus (MRSA) med bolniki na oddelku. Indikacije za higieno rok smo definirali po smernicah ameriškega Centra za nadzor in preprečevanje bolezni (CDC) (1). Zabeležili smo 531 priložnosti za higieno rok. V 75% teh priložnosti je zdravstveno osebje izvedlo eno od oblik higiene rok: v 97% si je roke razkužilo s povprečnim trajanjem postopka 7 sekund, v 3% si je roke umilo s povprečnim trajanjem 11 sekund. Upoštevanje doktrine higiene rok je bilo boljše po odstranitvi rokavic (85%), po neposrednem stiku z bolnikom (89%) in po stiku z bolnikovimi telesnimi tekočinami (100%), kot med nego čistega in nečistega dela telesa (21%) ter pred ravnanjem na žilnih in urinskih katetrih (25%). Dodatni higienski ukrepi,ki smo jih uvedli zaradi povečanja števila bolnikov s prenešenim MRSA na oddelku, so pomembno izboljšali upoštevanje higiene rok od 72% na 82% (p < 0,05). (Izvleček skrajšan pri 2000 znakih).
Publication date:01.01.2002
Year of publishing:2002
Number of pages:str. 153-159
Numbering:Letn. 36, št. 3
PID:20.500.12556/DiRROS-26158 New window
UDC:616-083
ISSN on article:1318-2951
COBISS.SI-ID:15652057 New window
Note:BSDOCID92431;
Publication date in DiRROS:28.01.2026
Views:259
Downloads:0
Metadata:XML DC-XML DC-RDF
:
Copy citation
  
Share:Bookmark and Share


Hover the mouse pointer over a document title to show the abstract or click on the title to get all document metadata.

Record is a part of a journal

Title:Obzornik zdravstvene nege : strokovno glasilo Zveze društev medicinskih sester in zdravstvenih tehnikov Slovenije
Shortened title:Obzor. zdrav. neg.
Publisher:Zbornica zdravstvene nege
ISSN:1318-2951
COBISS.SI-ID:39433728 New window

Secondary language

Language:English
Title:Analysis of compliance of hand hygiene in an intensive care unit
Abstract:Hand hygiene of health care workers (HCW) is the most important, the easiest and the cheapest measure for prevention of nosocomial infections. Hand disinfection is more effective, faster and less harmful for the skin then all other techniques for hand hygiene. In the intensive care unit (ICU) at the Department of Infectious Diseases, University Hospital Ljubljana, in the last years alcoholic hand disinfection became a standard procedure when the hands are not visibly soiled. In the study we evaluated the compliance of hand hygiene, especially we were interested in factors positively or negatively influencing hand hygiene. We observed HCW in during routine care and rounds inthe ICU during 2 months. The compliance for hand hygiene was related to transmission of methicillin resistant Staphylococcus aureus (MRSA) between parients in the ICU. Opportunities for hand hygiene were defined according to the guidelines of the Center for Disease Control and Prevention (CDC) (1). 531opportunities for hand hygiene were documented. In 75% opportunities HCW performed a hand hygiene procedure: hand disinfection was used in 97% with a mean duration of 7 seconds; whereas hand washing was used in 3% and required amean of 11 seconds. Compliance was higher after removing gloves (85 %), afterdirect patient contact (89%) and after contact with patient body fluids (100%) than between care of clean and dirty body areas (21%) and before manipulating vascular and urinary catheters (25%) (p < 0.05). After implementing additional infection control measures, compliance significantly increased from 72% to 82% (p < 0.05). (Abstract truncated at 2000 characters).


Back