Author/Editor		Blatnik, Janja; Lešničar, Gorazd
Title		Povezanost bolnišničnih okužb, ki jih je povzročil proti meticilinu odporni Staphylococcus aureus, z delovno obremenitvijo medicinskih sester na Oddelku za intenzivno terapijo kirurških strok celjske bolnišnice
Translated title		Incidence of nosocomial infections with MRSA in correlation with the workload of medical nurses at the Surgical intensive care unit of the General hospital Celje
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 74, št. 5
Publication year		2005
Volume		str. 299-305
Language		slo
Abstract		Background. Everywhere in the world, morbidity and mortality due to nosocomial infections are on increase. The effectiveness of nosocomial infection control has become an important indicator of the quality of hospital work as well as a considerable contribution towards cost reduction. Methods. Our three-year prospective study was aimed to investigate the daily workload of medical nurses in correlation with the incidence of nosocomial infections caused by methicillin-resistant Staphylococcus aureus at the surgical intensive care unit of the General Hospital Celje, using a Therapeutic Intervention Scoring System. Although in our hospital the Surgical Intensive Care Unit meets the highest hygienic standards, the incidence of methicillin-resistant Staphylococcus aureus, despite its decreasing trend, is still high. results. Infections with methicillin-resistant Staphylococcus aureus occurred in the periods when the nurses were overloaded by more than 25% on average. Conclusions. The excessive work overload of medical nurses is one of the key risk factors for spread of nosocomial infections.
Summary		Izhodišča. Povsod po svetu so bolnišnične okužbe vzrok naraščanja obolevnosti in umrljivosti bolnikov. Uspešnost obvladovanja bolnišničnih okužb je pomemben kazalec kakovosti dela v bolnišnici in pomembno prispeva k zmanjševanju stroškov zdravljenja. Metode. S triletno prospektivno raziskavo smo z uporabo točkovnega sistema (Therapeutic Intervention Scoring System) preučevali vsakodnevne obremenitve medicinskih sester in od tega odvisno pojavljanje bolnišničnih okužb, ki jih je povzročil proti meticilinu odporni Staphylococcus aureus na Oddelku za intenzivno terapijo kirurških strok Splošne bolnišnice Celje. Na proučevanem oddelku upoštevajo higienska načela v največji možni meri, vendra je pojavljanje bolnišničnih okužb kljub trendom zmanjševanja še vedno preveliko. Rezultati. Raziskava je dokazala, da so se bolnišnične okužbe, ki jih je povzročil proti meticilinu odporni Staphylococcus aureus, pojavljale v obdobjih, ko so bile medicinske sestre v povprečju preobremenjene za 25% in več. Zaključki. Preobremenjenost medicinskih sester je pomemben dejavnihk tveganja bolnišničnih okužb.
Descriptors		INTENSIVE CARE UNITS CROSS INFECTION STAPHYLOCOCCAL INFECTIONS STAPHYLOCOCCUS AUREUS METHICILLIN RESISTANCE NURSING CARE WORKLOAD