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Hospital Pharmacology - International Multidisciplinary Journal
2015, vol. 2, br. 1, str. 199-209
jezik rada: engleski
vrsta rada: članak
objavljeno: 01/12/2016
doi: 10.5937/hpimj1501199G
Primena EN-14065 u novom menadžmentu bolničkog rublja u cilju smanjenja bolničkih infekcija upotrebe antibiotika i razvoja supermikroba
Klinički centar Srbije, Beograd

e-adresa: magrub@ptt.rs

Sažetak

Uvod Uprkos preduzetim koracima da se smanji nastanak bolničkih infekcija, one i dalje ostaju vodeći svetski najskuplji zdravstveni izazovi. Većina se može sprečiti. Sve su infekcije izuzetno skupe i odnose veliki broj ljudskih života. Cilj rada je, da sumira podatke o perzistenciji različitih bolničkih patogena na bolničkom rublju, kako bih se smanjile bolničke infekcije i upotreba antibiotika, uvođenjem novog upravljanja bolničkim rubljem primenom EN-14065 i PVA-kesa, i usporio razvoj rezistentnih bakterija i sprečilo širenja infekcija. Metodologija Pregledom citiranih artikala, i testiranjem ekoloških PVA-kesa potvrditi mogućnosti redukcije da bolničko rublje predstavlja izvor bolničkih infekcija. Edukativna tema Pregledom navedenih artikala potvrđena je perzistencija bolničkih patogena na bolničkom rublju. Efikasnost korišćenja PVA-kesa u smanjenju prenosa patogena potvrđena je u Kliničkom centru Srbije. EN - 14065 je stupio na snagu u Srbiji 2012. godine, a zahteva kontrolni biološki sistem pranja i određuje prihvatljiv nivo mikrobiološke kvaliteta opranog bolničkog rublja (12 CFU/25 cm2 tekstila). Zaključak Da bolničko rublje kontinuirano predstavlja izvor infekcija, a većina infekcija je preventabilna, potvrđuje potrebu izrade novog menadžmenta upravljanja bolničkim rubljem kroz primenu EN 14065 I PVA-kesa, u cilju efikasne kontrole infekcija. Novi menadžment mora biti uključen u Zdravstveni sistem Srbije, kako bi usporili razvoj supermikroba (VRS, MRS), redukovali infekcije, upotrebu antibiotika, oboljevanje i smrtnost. Razvoj supermikroba preti da nas vrati u vreme, kada nam je najlakša infekcija bila fatalna. Novi propisi zdravstvenog osiguranja u Srbiji, treba da eliminišu naknade za sve bolničke infekcije za koje se mogu sprečiti. To je najbolje rešenje za ovaj rastući problem.

Ključne reči

novi menadžment; Bolničke infekcije; kontaminirano bolničko rublje; Evropski standard (EN 14065); PVA-vodorastvorljive kese za bolničko rublje

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