Avtor/Urednik		Kavčič, Martina; Pucer-Kruljac, Mirjana; Žugelj, Metka
Naslov		Problematika MRSA na Primorskem
Prevedeni naslov		MRSA - related problems in the Primorska region
Tip		članek
Vir		Med Razgl
Vol. in št.		Letnik 45, št. Suppl 2
Leto izdaje		2006
Obseg		str. 87-94
Jezik		slo
Abstrakt		Nowadays, methicillin-resistant Staphylococcus aureus (MRSA) is becoming an increasingly important indicator of the quality of medical care in hospitals around the world. Poor hand hygiene among health care workers is one of the most important causes of transmission of this bacterium among hospitalised patients. At the Izola General Hospital, systematic MRSA surveillance has been performed since the end of 2002 and at the Valdoltra Orthopedic Hospital since 2000. The strategy of preventing MRSA transmission, such as early detection of carriers and prevention of transmission of these bacteria among the patients, has yielded encouraging results. Since 2001, the incidence of MRSA infection per 100 admissions has decreased from 0.48 to 0.16 at the Izola General Hospital, while at the Valdoltra Orthopedic Hospital it has varied between 0.07 and 0.18. Since 2003, MRSA transmission in EIT units has been decreasing significantly and the continually decreasing proportion of MRSA in hemocultures to 4.8% in 2005 is particularly encouraging. In spite of this, the results of epidemiological surveillance have shown that a lot of work still needs to be done, especially in terms of education and training of health care workers and controlling of instituted measures in order to be able to achieve even better results in eradicating MRSA from hospitals.
Izvleček		Pojavljanje proti meticilinu odpornih izolatov bakterije Staphylococcus aureus (MRSA) pri bolnikih v bolnišnicah velja v svetu že nekaj let za pomemben kazalec kakovosti bolnišnične oskrbe. Pomanjkljiva higiena rok zdravstvenega osebja je namreč eden najpomembnejših vzrokov za prenos omenjene bakterije med temi bolniki. V Splošni bolnišnici Izola poteka sistematično sledenje bolnikov z MRSA od leta 2002, v Ortopedski bolnišnici Valdoltra pa od leta 2000. Strategija preprečevanja prenosa in širjenja MRSA, ki je usmerjena v zgodnje odkrivanje nosilstva in preprečevanje prenosa bakterije, daje vzpodbudne rezultate, saj smo v letih od 2002 znatno zmanjšali število novih primerov bolnikov z MRSA. Pojavnost (incidenca) MRSA na 100 sprejemov se je v Splošni bolnišnici Izola v obdobju od leta 2001 do 2005 znižala z 0,48 na 0,16, medtem ko se je v Ortopedski bolnišnici Valdoltra v obdobju od 2000 do 2005 gibala med 0,07 in 0,18. Od leta 2003 se je število prenosov MRSA v Enoti intenzivne terapije (EIT) pomembno znižalo. Zlasti je razveseljiv upad deleža MRSA med izolati iz hemokultur v letu 2005, in sicer na 4,8 %. Kljub temu rezultati epidemiološkega spremljanja kažejo, da bo za izkoreninjenje MRSA treba še veliko storiti na področju nenehnega izobraževanja zdravstvenega osebja ter nadzora nad izvajanjem ukrepov. 87
Deskriptorji		STAPHYLOCOCCAL INFECTIONS CROSS INFECTION STAPHYLOCOCCUS AUREUS METHICILLIN RESISTANCE