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  • Analiza upoštevanja higiene rok na intenzivnem oddelku = Analysis of compliance of hand hygiene in an intensive care unit
    Grilc, Tjaša ...
    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).
    Vir: Obzornik zdravstvene nege : strokovno glasilo Zveze društev medicinskih sester in zdravstvenih tehnikov Slovenije = journal of the Nurses Association of Slovenia. - ISSN 1318-2951 (Letn. 36, št. 3, 2002, str. 153-159)
    Vrsta gradiva - članek, sestavni del
    Leto - 2002
    Jezik - slovenski
    COBISS.SI-ID - 15652057

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    Digitalna knjižnica Slovenije - dLib.si

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