{"id":5783,"date":"2017-03-02T21:45:29","date_gmt":"2017-03-02T21:45:29","guid":{"rendered":"http:\/\/doctorexpres.ro\/?p=5783"},"modified":"2017-03-02T23:44:14","modified_gmt":"2017-03-02T23:44:14","slug":"c-difficile-de-pe-podea-pe-manseta-tensiometrelor","status":"publish","type":"post","link":"https:\/\/doctorexpres.ro\/index.php\/2017\/03\/02\/c-difficile-de-pe-podea-pe-manseta-tensiometrelor\/","title":{"rendered":"C. difficile, de pe podea, pe man\u015feta tensiometrelor"},"content":{"rendered":"

Infec\u021biile asociate asisten\u021bei medicale (nosocomiale sau intraspitalice\u015fti) s\u00eent infec\u021bii dob\u00eendite \u00een spital sau \u00een timpul \u00eengrijirii medicale la domiciliu.<\/p>\n

S\u00eent cel mai adesea legate de utilizarea dispozitivelor invazive, cum ar fi perfuzii \u015fi catetere urinare<\/a>. Se pot dezvolta \u015fi ca urmare a unei interven\u021bii chirurgicale.<\/p>\n

Pacien\u021bii trata\u021bi \u00een unit\u0103\u021bi de terapie intensiv\u0103 prezint\u0103 un risc deosebit de infec\u0163ie<\/a> nosocomial\u0103, iar riscul cre\u015fte cu cantitatea de timp petrecut\u0103 aici.<\/p>\n

Conform Organiza\u021biei Mondiale a S\u0103n\u0103t\u0103\u021bii, infec\u021biile asociate asisten\u021bei medicale s\u00eent \u201ecel mai frecvent eveniment advers<\/a>\u201d al acord\u0103rii asisten\u021bei medicale la nivel mondial, afect\u00eend sute de milioane de pacien\u021bi \u00een fiecare an. S\u00eent legate de un num\u0103r semnificativ de decese \u0219i de costuri ridicate de tratament. Pierderile financiare anuale atribuite infec\u021biilor asociate asisten\u021bei medicale \u00een Statele Unite s\u00eent estimate la 6,5 miliarde dolari.\u00a0 Azi, 1 din 25 de pacien\u021bi spitaliza\u021bi contracteaz\u0103 cel pu\u021bin o infec\u021bie asociat\u0103 cu asisten\u021ba medical\u0103.<\/p>\n

Un nou studiu, realizat \u00een cinci spitale americane, sugereaz\u0103 c\u0103 podeaua poate fi o surs\u0103 de infec\u021bie intraspitaliceasc\u0103 trecut\u0103 cu vederea, care poate contribui la r\u0103sp\u00eendirea agen\u021bilor patogeni, cum ar fi Clostridium difficile<\/a> \u0219i MRSA (varietate de Stafilococus aureus rezistent la antibiotice<\/a>)<\/span><\/span>.<\/p>\n

Cercet\u0103torii s-au concentrat pe o zon\u0103 care pot fi trecut\u0103 cu vederea \u00een m\u0103surile de prevenire \u0219i control al infec\u021biilor asociate asisten\u021bei medicale.\u00a0 Ei au observat c\u0103: \u201eEforturile de \u00eembun\u0103t\u0103\u021bire a dezinfec\u021biei <\/a>\u00een mediul spitalicesc se concentreaz\u0103 de obicei pe suprafetele care s\u00eent frecvent atinse de m\u00eeinile personalului medical sau ale pacien\u0163ilor. Podelele nu s\u00eent clasificate ca suprafe\u0163e atinse frecvent \u015fi nu primesc aceea\u015fi aten\u021bie<\/em>\u201d.<\/p>\n

Pentru studiul lor, cercet\u0103torii au investigat cinci spitale din zona Cleveland. \u00cen total, au cultivat \u0219i au examinat mostre de la 318 zone de podea din 159 de saloane, inclusiv camere de izolare infectate sau noninfectate cu C. difficile.\u00a0 De asemenea, au luat probe de pe m\u00eeinile<\/a> goale \u0219i \u00eenm\u0103nu\u0219ate ale personalului medical, precum \u0219i de pe butoanele de apel, dispozitive medicale, lenjerie<\/a>, consumabile medicale \u0219i \u00eembr\u0103c\u0103minte<\/a>.<\/p>\n

Rezultatele au ar\u0103tat c\u0103 podelele din camerele pacien\u0163ilor au fost contaminate cu MRSA, enterococi rezisten\u021bi la vancomicin\u0103 \u0219i bacteria<\/a> C. difficile, C. difficile<\/a> fiind \u201ecel mai frecvent \u00eent\u00eelnit\u0103 \u00een camerele de izolare\u201d.<\/p>\n

Cercet\u0103torii au descoperit c\u0103 obiectele intens manipulate, de exemplu butoanele de apel \u0219i man\u015fetele tensiometrelor,<\/a> au venit frecvent \u00een contact cu podeaua, ceea ce a dus la transferul de agen\u021bi patogeni pe m\u00eeini.<\/p>\n

Linda Greene, pre\u015fedinte al Asocia\u0163iei pentru Profesioni\u015fti \u00een Controlul Infec\u0163iilor \u015fi Epidemiologie, spune: \u201eChiar dac\u0103 cele mai multe unit\u0103\u0163i medicale cred c\u0103 iau m\u0103surile de precau\u021bie adecvate, acest studiu subliniaz\u0103 importan\u021ba asigur\u0103rii cur\u0103\u021beniei mediului spitalicesc \u0219i nevoia de educa\u021bie a personalului \u0219i a pacien\u021bilor cu privire la aceast\u0103 problem\u0103<\/em>\u201d.<\/p>\n

Sursa: medicalnewstoday.com<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Infec\u021biile asociate asisten\u021bei medicale (nosocomiale sau intraspitalice\u015fti) s\u00eent infec\u021bii dob\u00eendite \u00een spital sau \u00een timpul \u00eengrijirii medicale la domiciliu.<\/p>\n","protected":false},"author":4,"featured_media":5784,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[1007,96,1356,91],"tags":[7905,7904,7900,7903,3717,7906,7898,7901,7902,3057,4586,7907,4587,7899],"class_list":["post-5783","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-aparatul-digestiv","category-boli","category-imunitate","category-stiri","tag-bacterii-spital","tag-bacterii-ucigase","tag-c-difficile","tag-cheltuieli-infectii-spitale","tag-clostridium-difficile","tag-decese-spitale-infectii","tag-enterococi","tag-infectie-intraspitaliceasca","tag-infectii-asociate-asistentei-medicale","tag-infectii-nosocomiale","tag-mrsa","tag-obiecte-infectate","tag-stafilococus-aureus","tag-vancomicina"],"yoast_head":"\nC. difficile, de pe podea, pe man\u015feta tensiometrelor - 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