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Medicinski časopis
2017, vol. 51, br. 4, str. 126-130
jezik rada: engleski
vrsta rada: izvorni naučni članak
doi:10.5937/mckg51-16565


Stopa bolničkih infekcija i angažovanost zaposlenih na neonatološkom odeljenju
aClinical Centre Kragujevac, Department of Hospital Infections Control, Kragujevac
bClinical Centre Kragujevac, Pediatric Clinic, Neonatology Department, Kragujevac
cClinical Centre Kragujevac, Pediatric Clinic, Neonatology Department, Kragujevac + University of Kragujevac, Faculty of Medical Sciences, Kragujevac
dUniversity of Kragujevac, Faculty of Medical Sciences, Kragujevac + Clinical Centre Kragujevac, Clinical Pharmacology Department, Kragujevac

e-adresa: drzorana.25@gmail.com

Sažetak

Cilj. Cilj ovog istraživanja bio je da se uporede trendovi broja zaposlenih (lekara i medicinskih tehničara) i stope bolničkih infekcija (BI) na neonatološkom odeljenju zdravstvene ustanove tercijarne zdravstvene zaštite. Metode. Sprovedena je prospektivna kohortna studija u Centru za neonatologiju Kliničkog centra Kragujevac, Republika Srbija. Incidencije novorođenčadi sa BI izračunate su za svaki od kvartala tokom perioda od pet godina. Podaci o broju i organizacionoj strukturi osoblja za svaki kvartal istraživačkog perioda prikupljeni su na osnovu zvaničnih rasporeda rada zaposlenih u centru. Rezultati. U ovoj studiji registrovano je ukupno 272 BI kod 264 novorođenčeta. Stopa incidencije kod pacijenata sa BI iznosila je 13,36%, a gustina incidencije BI 5,85 na 1.000 pacijent-dana. U posmatranom periodu trend stope incidencije kod pacijenata sa BI bio je stabilan, ali je trend gustine incidencije BI bio u porastu, mada bez statističke značajnosti. Najveće stope incidencije kod pacijenata sa BI zabeležene su u trećem kvartalu svih posmatranih godina: 17,44% u 2012, 16,74% u 2013, 23,47% u 2014, 18,18% u 2015. i 22,74 u 2016. godini. Prosečan broj zaposlenih medicinskih sestara u prvoj smeni kretao se od 5,0 do 7,0, dok je u drugoj smeni iznosio od 3,0 do 4,0. Najmanje sestara je radilo u trećem kvartalu svake godine. Prosečan broj lekara u prvoj smeni kretao se od 2,33 do 4,47, a takođe najmanji broj radio je u trećem tromesečju. Uočena je snažna negativna korelaciju između prosečne stope incidencije kod pacijenata sa BI i prosečnog broja medicinskih sestara u prvoj smeni (r = -0,977, p = 0,023). Zaključak. Optimalan broj medicinskih sestara i lekara na neonatološkim odeljenjima u zemljama u razvoju, kao i izbegavanje međukvartalnih varijacija u broju zaposlenih može smanjiti incidenciju BI i potencijalno uticati na ukupnu uštedu u budžetu bolnice.

Ključne reči

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