Title Hospitalne infekcije kod novorođenčadi
Title (english) Neonatal hospital-acquired infections
Author Josipa Mesarić
Mentor Tomislav Meštrović (mentor)
Committee member Sanja Zember (predsjednik povjerenstva)
Committee member Tomislav Meštrović (član povjerenstva)
Committee member Irena Canjuga (član povjerenstva)
Granter University North (University centre Varaždin) (Department of Nursing) Koprivnica
Defense date and country 2020-05-26, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Public Health and Health Care Epidemiology
Abstract Bolničke infekcije predstavljaju javno-zdravstveni problem od općeg interesa, a mogu se
definirati kao one koje se pojavljuju u roku od 48 sati od prijema u bolnicu, tri dana nakon
otpusta iz bolnice ili trideset dana od operativnog zahvata. Kod novorođenčadi infekcije
pokazuju osobitosti koje u velikoj mjeri otežavaju postavljanje kliničke dijagnoze i liječenje.
Između 20 i 70% obducirane novorođenčadi pokazuju znakove infekcije pa je tako infekcija
drugi po učestalosti uzrok smrtnosti novorođenčadi, a samim time i čest uzrok obolijevanja.
Simptomi infekcije su često slabo izraženi, nespecifični i mogu zahvatiti više organskih sustava
odjednom, a spektar uzročnika je vrlo širok. Kod novorođenčadi najčećšće infekcije su
novorođenačka sepsa, novorođenački meningitis i novorođenačka pneumonija. Put prijenosa
infekcije može biti bolničko osoblje i bolničko okruženje, a najčešći put prijenosa je rukama
bolničkog osoblja. Da bi se bolničke infekcije znatno smanjile potrebno je provoditi pravilne
mjere suzbijanja čimbenika rizika i mjere za suzbijanje infekcije. Medicinska sestra, odnosno
medicinski tehničar koji rade na mjestima gdje se liječe oni najmanji i najugroženiji moraju biti
posebno educirani te moraju razumjeti značaj sprječavanja nastanka i prenošenja bolničkih
infekcija. Nadalje, moraju imati stručno znanje o općoj i o specijaliziranoj sestrinskoj praksi te
razumjeti funkcioniranje kliničkih područja u bolnici, operacijskih područja i pomoćnih službi.
Osim osvrta na rezultate, zdravstveni tim se mora kritički odnositi prema svome radu, mijenjati
strategije koje su se pokazale nedjelotvornima, implementirati promjene u praksu, kontinuirano
evaluirati svoj rad te bilježiti stope novorođenačkih bolničkih infekcija.
Abstract (english) Hospital infections represent a wide-ranging public health issue and can be defined as
those that occur within 48 hours of admission in the hospital, three days after discharge, or thirty
days after surgery. In infants, infections exhibit features that greatly complicate clinical diagnosis
and treatment. Between 20% and 70% autopsied newborn children show signs of infection – thus
the infection can be considered the second most common cause of infant mortality, and therefore
a common cause of morbidity. Symptoms of infection are often scarce, non-specific, and can
affect multiple organ systems at once, with a plethora of potential causative agents. The most
common infections in infants are neonatal sepsis, neonatal meningitis, and neonatal pneumonia.
Both hospital staff and hospital environment are implicated in the infection transmission cycle;
however, the most common route of transmission are the hands of hospital staff. In order to
significantly reduce hospital infections, proper risk factor control and infection control measures
should be implemented. The nursing staff working in areas designated to treat the smallest and
most vulnerable patients must be specially trained and must comprehend the importance of
preventing the emergence and transmission of hospital infections. Moreover, they must have
specialist knowledge of general and specialized nursing practices, as well as an understanding of
the functioning of hospital clinical areas, operating areas and support services. In addition to
critically appraising the results of their work, the healthcare team must critically evaluate their
quotidian working habits, change strategies that have proven ineffective, implement changes to
practice, continually evaluate their work, as well as adequately record rates of newborn hospital
infections.
Keywords
bolničke infekcije
novorođenčad
novorođenačka sepsa
novorođenački meningitis
novorođenačka pneumonija
mjere sprječavanja infekcija
Keywords (english)
hospital infections
newborns
newborn sepsis
newborn meningitis
newborn pneumonia
infection prevention measures
Language croatian
URN:NBN urn:nbn:hr:122:179756
Study programme Title: Nursing Study programme type: professional Study level: undergraduate Academic / professional title: stručni/a prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva (stručni/a prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2020-09-07 09:33:46