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Higiensko-tehnična ustreznost delovnega procesa v vzgojno varstveni ustanovi Lendava, s poudarkom na higienski ustreznosti oblačil vzgojiteljic in pomočnic vzgojiteljic : magistrsko delo
ID Kikec, Lea (Author), ID Jevšnik, Mojca (Mentor) More about this mentor... This link opens in a new window, ID Godič Torkar, Karmen (Co-mentor), ID Oder, Martina (Reviewer)

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Abstract
Uvod: Zaradi tesnih medsebojnih stikov se lahko med otroci v vrtčevskem okolju patogeni mikroorganizmi hitro širijo, zaradi nepopolno razvitega imunskega sistema. Zato je zelo pomembno, da strokovni delavci in otroci dosledno upoštevajo higienske ukrepe. Namen: Analizirati izbrane higiensko-tehnične kriterije v obravnavanem vrtcu Lendava, s poudarkom na ustreznosti uporabe civilne obleke, ki jo strokovni delavci uporabljajo v vzgojno varstvenem procesu. Metode dela: Uporabili smo kombinirani metodološki pristop. V prvi fazi raziskave smo s pomočjo opazovalne liste v dveh starostnih obdobjih obravnavanega vzgojno varstvenega zavoda analizirali higiensko-tehnično ustreznost delovnega procesa, s poudarkom na higienski ustreznosti oblačil strokovnih delavcev. Drugo fazo raziskave predstavlja kvalitativna vsebinska analiza strukturiranih intervjujev, ki smo jih s strokovnimi delavci izvedli v času opazovanja, z namenom pridobiti poglobljene informacije o pomembnosti nošenja in vzdrževanja oblačil, ki jih uporabljajo pri delu. Nato smo odvzeli vzorce in z metodo mokrega brisa z gobicami iz vnaprej določenih vzorčnih mest ugotavljali, katera mesta na civilni obleki strokovnih delavcev so najbolj izpostavljena ter mikrobiološko onesnažena, in bi lahko predstavljala tveganje za prenos okužb na varovance. Rezultati: Vzdrževanju splošnega zdravstveno-higienskega režima je potrebno nameniti večji poudarek. Le tako prekinemo verigo prenosa okužb. Pri tem je zelo pomembna ustrezna komunikacija med vodstvom in strokovnimi delavci. Iz rezultatov brisov oblačil strokovnih delavcev je razvidno, da je najbolj izpostavljeno in mikrobiološko onesnaženo mesto na oblačilih predel okoli pasu. Na površini civilnih oblek in predpasnikov za hranjenje smo ugotovili potencialno patogene predstavnike enterobakterij in stafilokokov. Povprečno skupno število aerobnih mezofilnih mikroorganizmov je bilo najvišje na predelu pasu (3,2 × 102 CFU/100 cm2 ), na predelu ramen 2,5 × 102 CFU/100 cm2 in le 56 CFU/100 cm2 na predpasniku za hranjenje. Escherichia coli je bila prisotna v 8,8 % in plesni v kar 62,5 % vseh odvzetih vzorcev. Razlike v številu mikroorganizmov v vzorcih, odvzetih na začetku in ob koncu tedna, niso bile statistično značilne. Razprava in zaključek: Za obvladovanje nalezljivih bolezni v vrtčevskem okolju je treba izvajati strožji higienski režim. Najpomembnejši ukrep za izboljšanje ugotovljenega stanja je poleg izobraževanja in ozaveščanja strokovnih delavcev tudi dosledno upoštevanje in izvajanje vseh higienskih ukrepov. Vzpostaviti je treba boljšo komunikacijo med vodstvom in strokovnimi delavci.

Language:Slovenian
Keywords:magistrska dela, sanitarno inženirstvo, oblačila, vrtec, delovna obleka, higiena, Escherichia coli, stafilokoki, glive, patogene bakterije
Work type:Master's thesis/paper
Typology:2.09 - Master's Thesis
Organization:ZF - Faculty of Health Sciences
Place of publishing:Ljubljana
Publisher:[L. Kikec]
Year:2021
Number of pages:80 str., [24] str. pril.
PID:20.500.12556/RUL-125354 This link opens in a new window
UDC:614
COBISS.SI-ID:54873091 This link opens in a new window
Publication date in RUL:12.03.2021
Views:946
Downloads:155
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Secondary language

Language:English
Title:Hygiene-technical suitability of work process in the children day care centre Lendava, focussing on the hygiene suitability of nursery school teachers and assistants’ clothing : master thesis
Abstract:
Introduction: Because of close contacts, pathogen microorganisms can spread easily among nursery school children, due to their not fully developed immune system. Therefore, it is very important to consistently follow hygiene measures among professional workers and children. Purpose: To analyse the chosen hygiene-technical criteria in the Children day care centre Lendava, focusing on the suitability of personal clothing which professional workers use in the day care process. Methods: A combined methodological approach was used. In the first phase of research we analysed the hygiene-technical suitability of the work process focusing on the suitability of professional workers’ clothing by means of an observation list in two age groups of the discussed children day care centre. The second phase of the research consists of a qualitative content analysis of structured interviews that were carried out with professional workers during the observation period with the goal of gathering information about the importance of wearing and maintaining the clothing used at work. Then we took samples using the method of wet sponge swab on specified areas and determined which areas of personal clothing of professional workers are most exposed and microbiologically contaminated and could present a risk of infecting the children. Results: It is important to acknowledge and to pay more attention to maintaining a general health-hygiene regime, as the chain of transmitting infections can be broken this way. Good communication between the head of institution and employees is essential in completing this goal. The results of the employee clothing swab test show that the most exposed and microbiologically contaminated area on the clothing of professional workers is the waist area. On the surface of the personal clothing and the apron for feeding, potential pathogenic representatives of enterobacteria and staphylococci were found. The average total number of anaerobic mesophilic microorganisms was the highest in the waist area (3,2 × 102 CFU/100 cm2 ), we measured the number 2,5 × 102 CFU/100 cm2 in the shoulder area, and only 56 CFU/100 cm2 on the feeding apron. Escherichia coli was present in 8,8% and fungi in 62,5% of all samples taken. The differences in the number of organisms in samples taken in the beginning and at the end of the week were not statistically significant. Discussion and conclusion: To contain contagious diseases in the environment of day care centres it is important to carry out a stricter hygiene regime. The most important measures to improve the current state include educating the employees, and addressing the importance of employees and children consistently following the hygiene measures. More efficient communication between the head of institution and professional workers needs to be established.

Keywords:master's theses, sanitary engineering, clothing, nursery school, workwear, hygiene, Escherichia coli, staphylococci, fungi, pathogenic bacteria

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