Author/Editor		Grmek-Košnik, Irena
Title		Možnosti okužbe s preiskavnimi inštrumenti v ginekoloških ordinacijah
Translated title		Transmission of infections by gynaecological instruments
Type		članek
Source		Zdrav Vars
Vol. and No.		Letnik 36, št. 11-12
Publication year		1997
Volume		str. 399-401
Language		slo
Abstract		Theoretically infection could be transmitted in any part of gynecological examination. Literature with accurate data on frequency of infections transmitted during gynaecological examination is virtually absent. A lot of attention is put on possibility of transmission of infection by vaginal ultrasound transducer. Vaginal ultrasound transducer and vaginal speculum are instruments with medium-risk for transmission of infection. The main difference between those two instruments is that only specula can be sterilized by autoclaving. Ultrasound transducer can be disinfected only with chemical disinfectants. To lower the risk for transmission of infection, transducers are additionally covered by probe covers. The probes are prone to mechanical damage and transducer could be contaminated during removal of the probe. The risk for transmission of infection is higher, when disinfecting of the probe is insufficient. Additionally, infection can be transmitted by contaminated coupling gel. Guidelines for cleaning and preparing endocavitary ultrasound transducers between patients are mentioned in the article.
Summary		Prenos okužbe je teoretično možen na vsaki stopnji ginekološkega pregleda. Pri iskanju literature nismo našli natančnih podatkov o pogostosti okužb pri ginekološkem pregledu. Najbolj so pozorni na možnost prenosa okužbe s sondo za vaginalni ultrazvok. Vaginalno ultrazvočno sondo in vaginalni spekulum uvrščamo med instrumente, s katerimi je tveganje okužbe zmerno. Razlika med njima pa je v tem, da se metalni spekuli lahko avtoklavirajo, ultrazvočna sonda pa ne. Vaginalno sondo smemo razkužiti le s kemijskimi razkužili, dodatno pa jo zaščitimo še s pokrivali. Sama pokrivala niso zadosti, da bi preprečila kontaminacijo sonde, ker se med preiskavo pogosto poškodujejo, poleg tega pa se sonda lahko kontaminira med odstranjevanjem pokrivala. Tveganje prenosa okužbe je veliko, če se sonda med pregledi zadostno ne razkuži. Med ultrazvočnim pregledom z vaginalno sondo se okužba lahko prenese tudi s kontaminiranim kontaktnim gelom. V članku so omenjene smernice za čiščenje vaginalne sonde.
Descriptors		GENITAL DISEASES, FEMALE CROSS INFECTION SURGICAL INSTRUMENTS