Prijenos patogena putem površina na bolničkim odjelima i njegova prevencija

master's thesis

• Title (english): Transmission of pathogens via surfaces in hospital wards and it's prevention
• Author: Ljiljana Pilipović
• Mentor: Ana Budimir (mentor)
• Committee member: Zrinka Bošnjak (predsjednik povjerenstva)
• Committee member: Goran Tešović (član povjerenstva)
• Committee member: Ana Budimir (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Medical Microbiology and Parasitology); Zagreb
• Defense date and country: 2016-09-29, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Medical Microbiology

Abstract

Prema istraživanjima zadnjih desetljeća, površine i predmeti koji okružuju pacijente na bolničkim odjelima imaju značajnu ulogu u prijenosu patogena i u infekcijama povezanim sa zdravstvenom skrbi - bolničkim infekcijama. Kako se posljednjih godina na našim bolničkim odjelima sve više suočavamo s problemom smanjivanja higijene površina, cilj ovog Rada je da se ukaže na što treba usmjeriti napore za osiguravanje zadovoljavajuće higijene u prostoru bolničkih odjela, prvenstveno u zoni pacijenta. Počevši od teorijske osnove bolničkih infekcija i patogena, preko površina u okruženju pacijenta, i s tim u vezi uloge osoblja na bolničkim odjelima, do mjera prevencije prijenosa patogena putem površina kroz uspostavljanje kvalitetnog čišćenja i dezinfekcije površina i predmeta koji okružuju pacijenta na bolničkim odjelima, a u svrhu prevencije bolničkih infekcija. Na kraju je prikazana posebno sastavljena anonimna Anketa o higijeni površina u bolničkom prostoru provedena sa 160 medicinskih sestara iz 11 zdravstvenih ustanova bolničkog tipa. U analizi se koriste metode deskriptivne statistike i X2 test, uz razinu značajnosti svih P vrijednosti manjih od 0,05. Rezultati analize Ankete potvrđuju pretpostavke da su znanje o opasnosti od bolničkih infekcija i o mjerama za prevenciju širenja istih, kao i zadovoljavajuće praćenje kvalitete higijene bolničkog prostora u interakciji s prevencijom prijenosa patogena putem površina na bolničkim odjelima. Zaključak: Čišćenje i dezinfekcija površina najznačajniji je čimbenik u prevenciji prijenosa patogena putem površina na bolničkim odjelima. Za kvalitetu čišćenja i dezinfekcije površina i predmeta u bolničkom prostoru najodgovorniji su kadrovi koji moraju biti dostupni i odgovarajuće osposobljeni, koji će postupati prema preciznim uputama za sve tipove površina uz kontinuirano vrednovanje provedenog.

Abstract (english)

According to research in the past decades, patient’s environmental surfaces and objects in hospital wards play a significant role in transmitting pathogens and causing healthcareassociated infections. Since in the past years we have been facing the problem of decreasing surface hygiene, the purpose of this paper is to show where our efforts should be directed to insure satisfactory hygiene in hospital wards, primarily in the patient zone. Starting with the theoretical basis of healthcare-associated infections and pathogens, via patient’s environmental surfaces and the related role of hospital staff, this paper presents preventive measures of transmission of pathogens via surfaces through introducing quality cleaning and disinfection of patient’s environmental surfaces and objects in hospital wards, for the purpose of preventing healthcare-associated infections. At the end an anonymous, specially designed questionnaire on the hygiene of hospital surfaces, including 160 nurses from 11 healthcare, hospital-type institutions is presented. In the analysis methods of descriptive statistics and the X2 test with a significance level of all P-values of less than 0.05 are used. The analysis of the questionnaire results verifies the presumption that the knowledge about the danger of healthcare-associated infections and the measures of their prevention, as well as a satisfactory supervision of the quality of hygiene in hospitals is in close correlation with the prevention of the transmission of pathogens via environmental surfaces in hospital wards. Conclusion: Cleaning and disinfecting environmental surfaces is the most important factor in preventing the transmission of pathogens via environmental surfaces in hospital wards.The most responsible participants in cleaning and disinfecting environmental surfaces in hospital wards are the staff, who need to be available, adequately trained and prepared to follow precise directions for cleaning all types of environmental surfaces, including the continuous evaluation of their performance.

• Keywords: bolničke infekcije; prijenos patogena putem površina; higijena bolničkih odjela; čišćenje i dezinfekcija površina oko pacijenta
• Keywords (english): Healthcare-associated infection; transmission of pathogens via environmental surfaces; hygiene in hospital wards; cleaning and disinfecting of patient’s environmental surfaces
• Language: croatian
• URN:NBN: urn:nbn:hr:105:466434
• Study programme: Title: Studies in Nursing; Study programme type: university; Study level: graduate; Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2017-03-03 13:03:17