Author/Editor		Kotnik-Kevorkijan, Božena; Lorenčič-Robnik, Slavica
Title		Ukrepi in obvladovanje MRSA v Splošni bolnišnici Maribor v letih 1999-2005
Translated title		MRSA control measures at the Maribor teaching hospital from 1999 to 2005
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 45, št. Suppl 2
Publication year		2006
Volume		str. 81-6
Language		slo
Abstract		The aim of this article is to assess the effectiveness of additional measures for preventing and controlling the spread of methicillin-resistant Staphylococcus aureus (MRSA). They were introduced after the first important MRSA outbreak occurred at the Maribor Teaching Hospital in 1999. MRSA was isolated from routine clinical material and from surveillance swabs. The most important control measures were: early reporting about each new patient with MRSA, performance of isolation measures, decolonisation of MRSA colonised patients, screening for MRSA upon admission to hospital, education of staff, strict supervision of consistent performance of the original instructions for preventing MRSA spread. The spread of MRSA thus slowed down, particularly that of MRSA infections. In 2002, the number of affected patients began rising again slightly because of new-found MRSA carriers discovered upon admission to hospital. In 2005, the Infection Control Unit was established with a full-time Infection Control Doctor (ICD) and Infection Control Nurse (ICN) in order to prevent all types of nosocomial infections, including MRSA.
Summary		V prispevku sva prikazali pomen ukrepov za preprečevanje in obvladovanje proti meticilinu odpornega Staphylococcus aureus (MRSA) v Splošni bolnišnici Maribor, ki smo jih uvedli po epidemiji MRSA leta 1999. MRSA smo osamili iz kliničnih vzorcev in nadzornih kužnin. Poudarek ukrepov je bil na sprotnem obveščanju o vsakem novem bolniku z MRSA, izvedbi izolacijskih ukrepov, dekolonizaciji nosilcev MRSA, presejalnem testiranju ob sprejemu v bolnišnico, izobraževanju osebja in rednem nadzoru nad izvajanjem teh ukrepov. Po uvedbi ukrepov za preprečevanje širjenja MRSA znotraj bolnišnice smo opažali upad števila novo odkritih bolnikov z MRSA, predvsem bolnikov z MRSA okužbo. Postopno je pričelo število novo odkritih bonikov spet naraščati, predvsem je naraslo število nosilcev MRSA, ki smo jih odkrili s presejalnimi testi ob sprejemu. Leta 2005 smo ustanovili Enoto za obvladovanjebolnišničnih okužb ter zaposlili zdravnika in medicinsko sestro za obvladovanje bolnišničnih okužb z namenom, da bi nadzorovali vse bolnišnične okužbe, tudi MRSA.
Descriptors		STAPHYLOCOCCAL INFECTIONS STAPHYLOCOCCUS AUREUS METHICILLIN RESISTANCE HOSPITALS, GENERAL