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Pacienti z znanimi okužbami v operacijski zdravstveni negi : pregled literature
Pestotnik, Vlasta (Author), Pajnič, Manca (Mentor) More about this mentor... This link opens in a new window, Trotovšek, Tatjana (Co-mentor)

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Abstract
Uvod: Bolnišnične okužbe nastanejo pri pacientih zaradi izpostavljenosti postopkom diagnostike, zdravljenja, zdravstvene nege in rehabilitacije v bolnišnicah. V času, ko ima pacient bolnišnično okužbo ali kakšno drugo okužbo z visokim tveganjem prenosa, veljajo posebni pogoji obravnave, ki se prilagajajo možnemu načinu prenosa. V operacijskih prostorih je potrebnih kar nekaj prilagoditev in preventivnih ukrepov, v kolikor je za operativni poseg predviden pacient z znano okužbo. Namen: Namen diplomskega dela je opredeliti problematiko bolnišničnih okužb s posebnim poudarkom na operacijski zdravstveni negi, prikazati možne prenose ter ustrezno obvladovanje in preprečevanje le-teh. Predstaviti želimo delovanje Nacionalne komisije za preprečevanje in obvladovanje bolnišničnih okužb ter Službo za preprečevanje in obvladovanje bolnišničnih okužb v Univerzitetnem kliničnem centru Ljubljana. Metode dela: V diplomskem delu je bila uporabljena deskriptivna metoda dela s pregledom znanstvene in strokovne literature, omejene na objave v slovenskem in angleškem jeziku. Pri iskanju smo si pomagali s podatkovnimi bazami Google Scholar iskalnikov, Medline-a, CINAHL-a, COCHRANE-a in Obzornikom zdravstvene nege. V Univerzitetnem kliničnem centru Ljublajana so nam omogočili tudi dostop do člankov Službe za preprečevanje in obvladovanje bolnišničnih okužb. Izbrane ključne besede so bile: infection/okužbe, the most common hospital infections/najpogostejše bolnišnične okužbe, control of hospital infections/obvladovanje bolnišničnih okužb, operating room/operacijska dvorana, prevention of nosocomial infections/preprečevanje bolnišničnih okužb, exposure/izpostavljenost. Izključeni so bili članki, ki obravnavajo teme sanitarne mikrobiologije. Rezultati: Bolnišnične okužbe so velik izziv v operacijski dvorani. Zmanjšanje števila le-teh se da doseči z izvajanjem preventivnih ukrepov za preprečevanje in obvladovanje bolnišničnih okužb tudi tedaj, ko ima pacient že znano bolnišnično okužbo, z rednim vzdrževanjem higienskega režima, z rednim izobraževanjem in izpopolnjevanjem zaposlenih v zdravstvu ter tudi z rednimi nadzori. Razprava in sklep: Eden najpomembnejših kazalcev kakovosti je incidenca bolnišničnih okužb, ki jo lahko obvladujemo s preprečevanjem in skrbjo za pacientovo varnost. Varnost pacientov zagotovljamo s tem, da ustrezno ravnamo v primerih, ko ima pacient znano bolnišnično okužbo, tako da le-te ne prenesemo na ostale paciente, ki bodo in so načrtovani za operativni poseg. Ukrepi za preprečevanje in zmanjševanje bolnišničnih okužb so dobro znani in preprosti za izvajanje. Doslednost izvajanja ukrepov velja zlasti za higieno rok, ki je preprost ukrep pri zmanjševanju možnosti prenosa bolnišničnih okužb.

Language:Slovenian
Keywords:prevetivni ukrepi, pet trenutkov za higieno rok, bolnišnične okužbe, perioperativna zdravstvena nega
Work type:Bachelor thesis/paper (mb11)
Organization:ZF - University College of Health Studies
Year:2017
COBISS.SI-ID:5345131 Link is opened in a new window
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Downloads:454
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Secondary language

Language:English
Title:Patients with known infections in the perioperative nursing : literature review
Abstract:
Introduction: Hospital-acquired infections or nosocomial infections can develop in patients who are exposed to diagnostic procedures, medical treatment, medical care and rehabilitation in hospital. During the time that a patient has a hospital-acquired infection or any other infection with a high risk of transmission, special treatment conditions apply. These conditions are adapted to possible routes of transmission. In the operating room, there are a number of adjustments and preventive measures needed when a surgical procedure is about to be done on a patient with a known infection. Purpose: The purpose of the thesis is to define the problem of hospital-acquired infections with a special emphasis on operative health care, to present possible transmissions and to present how to properly manage and prevent them. We wish to present the work of the National Commission for Prevention and Control of Hospital-Acquired Infections (Nacionalna komisija za preprečevanje in obvladovanje okužb) and the Service for Prevention and Control of Hospital-Acquired Infections (Služba za preprečevanje in obvladovanje bolnišničnih okužb) at the University Medical Centre of Ljubljana. Research methods: We used the descriptive method with a review of Slovene and English-language technical and scientific literature. We used the Google Scholar search engine, as well as the Medline, CINAHL and Cochrane databases and the Slovenia Nursing Review. The University Medical Centre of Ljubljana provided access to articles by the Service for Prevention and Control of Hospital-Acquired Infections. Some of the keywords used were: infections/okužbe, most common hospital-acquired infections/najpogostejše bolnišnične okužbe, management of hospital-acquired infections/obvladovanje bolnišničnih okužb, operating room/operacijska dvorana, prevention of hospital-acquired infections/preprečevanje bolnišničnih okužb, exposure/izpostavljenost. Results: Hospital-acquired infections are a significant challenge in operating rooms. A reduction in their number can be achieved through prevention and management, specifically by applying preventive measures also when patients have known hospital-acquired infections, by regular maintenance of the hygiene regime, through regular education and training of healthcare employees, as well as through regular controls. Discussion and conclusion: One of the most important indicators of quality is the incidence of hospital infections, which can be managed through prevention and care for patient safety. This is ensured by undertaking proper action in cases where a patient has a known hospital-acquired infection. This prevents the transmission of the infection to other patients who are undergoing or are about to undergo surgery. Measures for the prevention and reduction of hospital-acquired infections are well-known and generally easy to implement. The consistency of implementation measures is especially relevant for hand hygiene, which is a simple measure for reducing the transmission risk of hospital-acquired infections. The responsible behavior of all healthcare employees is especially important when a patient already has a known hospital-acquired infection.

Keywords:preventive measures, five moments for hand hygiene, hospital-acquired infections, perioperative care

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