English: Due to current increase in the rate of nosocomial infections, our objective was to examine the frequency, risk factors, clinical presentation and etiology of. Request PDF on ResearchGate | PREVENCIJA INTRAHOSPITALNIH INFEKCIJA U ENDOSKOPSKOJ DIJAGNOSTICI PLUĆNIH OBOLJENJA. “Intrahospitalne infekcije – timski rad u prevenciji, lečenju i nezi”. Public. · Hosted by Podružnica Klinički centar Srbije. Interested.
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Users should refer to the original published version of the material for the full abstract. Intrahospitalne infekcije kao globalni javnozdravstveni problem i pokazatelj kvaliteta rada bolnica. Ceftazidime resistance among selected nosocomial gram negative bacilli in the United States. The greatest risk for acquiring nosocomial infections is intubation and mechanical respiration, then aspiration in patients with impaired consciousness, a frequent complication after surgery and after organ ingrahospitalne.
“Intrahospitalne infekcije – timski rad u prevenciji, lečenju i nezi”
In the period before the use of antibiotics, nosocomial infections were most often caused by bacteria, and then did not diverge from infections and diseases that have occurred in patients outside the hospital. Compulsory composition of hospital committee is prescribed by ordinance which includes: In providing quality and safe health services hospital infections are an important risk, it is necessary in any medical institution to implement a strategy for managing risk for nosocomial infections based on the basic principles of quality assurance and risk prevention, such are: Urinary tract infections UTI at the Clinic for Gynaecology and obstetrics inwere mainly caused by Escherichia coli and Klebsiella pneumoniae 5 times, then Proteus mirabilis 2 times, Streptococcus species and Pseudomonas aeruginosa both once.
Significantly higher frequency of death outcomes was registered in patients with nosocomial intrxhospitalne. These infections are recognized as a intrahosppitalne public-health problem in the industrial developed countries, as well as in countries in developing. Author information Copyright and License information Disclaimer. Their appearance complicates the course and outcome of the underlying disease, prolonge the treatment time and significantly increase material costs.
Within hospitals, the unnecessary use or overuse of antibiotics encourages the selection and proliferation of resistant and multiply resistant strains of bacteria. The transmission of infectious agens can be as intrahozpitalne as withnon-hospitalized patients: Identify the risk of nosocomial infections Evaluate it inntrahospitalne analyze it Implement the changes and continue with continuous improvement. National prevalence survey of hospital acquired infection: Endogenous infections are caused by the microflora of the patients, while exogenous infections are caused by microorganisms of the hospital environment: We have also proved certain distribution differences of IHI related to anatomic localisation.
Those infections are common, but not dangerous and generally do not cause death. This is due to non-resistance of the patients, mainly due to the underlying disease, as well as specific pathogens commonly resistant to multiple antibiotics.
The prevention is usually the most important, with great care needs to be handled urinary bag and catheter patency control, because obstruction markedly increases the risk of infection. Generally accepted and in practices proven attitude is that runtime of stay the catheter into the blood vessel is directly proportional to the development of infection.
Thus there is a link between antibiotic use or abuse and the emergence of antibiotic resistant bacteria causing IHI The incidence of primary sepsis, associated with intravenous catheters, can be reduced by proper installation and maintenance procedures, careful application and infusion of drugs through the catheter and the short use.
The main aim of the present research is establishing of epidemiological surveillance over occurrence of IHI at the Clinic for Gynaecology and Obstetrics at the University Clinical Center Tuzla and thus identifies: The epidemiology of intrahospital infections and practice of hospital infection control are dynamic disciplines, undergoing constant evolution. Hand washing is the most important measure in preventing hospital-acquired infections, and it must constantly stand.
The both urinary tract infections and surgical site infections are the most frequent IHI. Blood infections BI were caused by coagulase negative staphylococci in 2 cases, and Streptococcus species and Staphylococcus aureus both one case. Other infections OI were caused by Streptococcus species and Escherichia coli 2 times, and Pseudomonas aeruginosa both once. The most important prophylactic measures are the application of antibiotic prophylaxis at the start of the procedure with a high risk, strict adherence to aseptic procedures in the operating room and regularly wound in the postoperative period.
It is expected that the continuous surveillance of IHI will improve the quality of work at the UCC-Tuzla, which lead to the improvement of patients treatment and decrease of material costs. Support Center Support Center. A study was implemented on all patients admitted to Clinic for Gynaecology and Obstetrics during the period of one year and who subsequently developed infection.
This abstract may be abridged. Nosocomial infections are an important part of assessing the quality of health services. Secondary sepsis comes from a famous bacterial foci, mainly as a result of urinary tract infections and digestive organs. The significance and size of intrahospital infections problem is determined by series of consequences such as, medical, legal, ethical and economic 1.
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SURVEILLANCE OF INTRAHOSPITAL INFECTIONS AT THE CLINIC FOR GYNAECOLOGY AND OBSTETRICS
Clinical treatment of hospitalized patients with fever should include a thorough medical history and evaluation of clinical status, as well as data on the length of hospitalization, underlying disease, diagnostic and therapeutic procedures, intravenous catheters, urinary catheters, previous ibfekcije use, as well as knowledge of the most common causes of infection of the respective department. Intrahospital infections IHI and antibiotics resistance are the problems which exist in virtually all hospitals in the world.
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Increase morbidity and mortality, particularly in patients treated in intensive care units, related to mechanical ventilation, central venous catheter and urinary catheter.
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SURVEILLANCE OF INTRAHOSPITAL INFECTIONS AT THE CLINIC FOR GYNAECOLOGY AND OBSTETRICS
They also can come from contact with staff cross-contaminationcontaminated instruments and needles, and the environment exogenous flora 2. The disease is usually accompanied by high fever and other general symptoms and pathological findings in urine.
Therefore, careful hand washing with soap and water for at least 30 seconds is necessary after each contact with the patient or their secretions and contaminated objects and iintrahospitalne the care of another patient. All infections that are acquired in the hospital ambience, after 48 hours of hospitalization or outpatient treatment are referred to the hospital or nosocomialinfections. Infecije marcescens, Enterococcus, Legionella, Clostridium difficile Virusi: The imtrahospitalne common causes of nosocomial infections are: The possibility of contracting nosocomial infections exist for all hospitalized patients, and the risk is especially great for those who are being treated in intensive care units and surgical wards.
Infusion, transfusion of blood and its intraospitalne, and intravenous antibiotics increase the risk of bacteremia and sepsis. Gram-negative infections may also occur in this setting A prospective study was implemented for all patients admitted to Clinic for Gynaecology and Obstetrician UCC Tuzla during the period January 1, to December 31, and who subsequently developed infection.
Their real incidence is very difficult to determine, especially when hospitalization was short or surgery is done outpatient.