Author/Editor     Muzlovič, Igor; Grilc, Tjaša; Miklavčič, Vesna; Slemenjak, Janja; Jereb, Matjaž; Trampuž, Andrej
Title     Upoštevanje higiene rok na oddelku intenzivnega zdravljenja
Type     članek
Source     In: Musič D, editor. Zbornik predavanj 1. strokovni seminar Bolnišnične okužbe; 2003 mar 10-11; Novo mesto. Ljubljana: Slovensko društvo za bolnišnično higieno,
Publication year     2003
Volume     str. 67-73
Language     slo
Abstract     In the study conducted in the intensive care unit (ICU) at the Department of Infectious Diseases, University Hospital Ljubljana we evaluated the compliance of hand hygiene. We observed HCW in during routine care and rounds in the ICU during 2 months. The compliance for hand hygiene was related to transmission of methicillin-resistant Staphylococcus aureus (MRSA) between patients in the ICU. The overall compliance was 75% of all opportunities (531) Compliance was higher after removing gloves (85%), after direct patient contact (89%) and after contact with patient body fluids (100%) than between care of clean and dirty body areas (21%) and before manipulating vascular and urinary catheters (25%) (p < 0.05.) After implementing additional infection control measures, compliance significantly increased for 10% (p < 0.05) and the incidence of MRSA transmission decreased for 9% (p = 0.003). Hand hygiene correlated with number of nurses. It was better when 0.4 to 0.6 nurses per patient were present (69%) or more than 0.6 nurses per patient (73%), whereas less than 0.4 nurses per patient was associated with lower compliance (62%).
Descriptors     CROSS INFECTION
INTENSIVE CARE UNITS
HANDWASHING
STAPHYLOCOCCAL INFECTIONS
STAPHYLOCOCCUS AUREUS
METHICILLIN RESISTANCE
MEDICAL STAFF, HOSPITAL