| Abstract | Cilj rada: Ispitati prisutnost rizika u kontroli infekcija u stacionarnim ustrojstvenim jedinicama Opće bolnice Zadar, utvrditi razlike u procjeni rizika između konzervativne i operativne djelatnosti u stacionarnim ustrojstvenim jedinicama Opće bolnice Zadar, ispitati razlike u procjeni rizika obzirom na karakteristike ispitanika Materijali i metode: U istraživanju su sudjelovale glavne medicinske sestre/tehničari svih stacionarnih ustrojstvenih jedinica Opće bolnice Zadar (N-30), neovisno o dobi, spolu i duljini radnog staža. Instrument koji se koristio u ovom istraživanju je validirani upitnik za procjenu rizika od infekcija (engl. Year Infection Control Risk Assessement, APIC). Rezultati: Statističkom obradom je utvrđeno da su ispitanici kao najveći rizik (20-25) procijenili: nedostatnu higijenu ruku, nepravilnu uporabu rukavica, nemogućnost provedbe kontaktne izolacije, pojavnost višestrukootpornih mikroorganizama i nedostatno čišćenje i dezinfekciju bolesničkih prostora. Zaključak: Ispitanici su, u ovom istraživanju, visokim rizikom za stjecanje infekcije procijenili: nedostatnu higijenu ruku, nepravilno nošenje rukavica, nemogućnost provedbe kontaktne izolacije, pojavnost višestrukootpornih mikroorganizama MDR i nedostatno čišćenje i dezinfekciju bolesničke okoline. Obzirom na stacionarne ustrojstvene jedinice Opće bolnic Zadar, glavne sestre/tehničari kirurških odjela su procijenili posljedice za pojavnost višestrukootpornih mikroorganizama-MDR, vjerojatnost za nedostatnu prijavu ekspozicijskog incidenta, te za rizik kod nedostatnog čišćenja i dezinfekcije bolesničke okoline, većim rizikom za stjecanje infekcije vjerojatnost, posljedice i ukupan rizik za pojavnost višestrukootpornih mikroorganizama-MDR, vjerojatnost kod nemogućnosti provedbe kontaktne izolacije, te vjerojatnost za nedostatnu prijavu ekspozicijskog incidenta. Obzirom na dob, u dobnoj skupini 31-40 godina većim rizikom su procijenjene posljedice kod nepravilne upotrebe rukavica i posljedice kod nedostatne higijene ruku. |
| Abstract (english) | Aim: To examine presence of the risk in infection control in wards of the General hospital Zadar, to determine the differences in risk assessment between conservative and surgical wards in General hospital Zadar, to examine the differences in risk assessment regarding to the characteristics of the participants Materials and methods: Head nurses/technicians of all organizational units in General Hospital Zadar (N-30) participated in this research. The instrument used in this research is a validated questionaire for assessing infection risks (Year Infection Control Risk Assessment, APIC). Results: The statistical processing determined that the respondents assessed the greatest risk (20-25) as it follows: insufficient hand hygiene, improper use of gloves, impossibility of implementing contact isolation, the occurence of multidrug resistant microorganisms-MDR and insufficient cleaning and disinfection of patient environment. Conclusion: The respondents assessed insufficient hand hygiene, improper use of gloves, impossibility of implementing contact isolation, occurence of multidrug resistant microorganisms-MDR and insufficient cleaning and disinfection of patients enviroment as the highest risks (20-25). Considering the ward of the General hospital Zadar, the head nurses/technician of the surgical departments assessed the higher risk of acquiring an infection in relation to the head nurses/technicians of consesrvative departmens in the following risks: consequences for the occurence of multidrug resistant microorganisms-MDRO, the probability of insufficient reporting of the exposure incident and for the risk of insufficient cleaning and disinfection of the patient's environment. Taking into account characteristics of the subjects, nursing masters assessed the probabilty, consequences and total risk for the occurence of multidrug resistant microorganisms-MDR the probability of impossibility for contact isolation implementation, and probability of insufficient reporting of the exposure incident as a higher risk of acquiring an infection. Considering the age, in the age group 31-40, the consequences of incorrect use of gloves and the consenquences of insufficient reporting of the exposure incident are estimated to be higher risk. |
