Hastane genel tuvaletlerinin karbapenem dirençli gram negatif mikroorganizmaların bulaşında katkısı olabilir mi? Sosyal el yıkama gözlemleri ile birlikte değerlendirme

Year 2020, , 338 - 342, 03.12.2020

Sibel Altunışık Toplu , Yücel Duman , Yasemin Ersoy Emine Parmaksiz

https://doi.org/10.30569/adiyamansaglik.813329

Abstract

Amaç: Çalışmamızda birçok insanın ortak kullanım alanı olan hastane genel tuvaletlerinin epidemiyolojik açıdan önemli karbapenem dirençli Gram negatif mikroorganizmaların bulaşında, yayılmasında rollerinin araştırılması ve saptanması halinde yoğun bakımlarımızda etken olan izolatlar ile benzerliklerinin incelenmesi amaçlanmıştır.
Gereç ve Yöntem: Çalışmamızda, hastanemizde aktif kullanımda olan ve daha çok hasta yakınlarının kullandığı tuvaletlerden el hijyeni öğrenci grubu ile örnekler alındı. Ayrıca belirlenen tuvaletlerden sosyal el yıkama uyumu ve uygunluğu gözlemleri yapıldı.
Bulgular: On dört tuvaletten alınan 85 örnekte, 115 bakteri üremesi gözlendi. İzole edilen bakterilerden %26’sı gram negatifti. Ancak epidemiyolojik olarak önemli olduğu düşünülen karbapenem direnci varlığına Gram negatif izolatlarda rastlanmadı.
Sonuç: Hastaların ve hasta yakınlarının elleri ve çevresel yüzeyler yoluyla bu alanlardan karbapenem dirençli Gram negatif mikroorganizma bulaşının önemli bir sorun olmadığı kanaatine varıldı.

Keywords

Karbapenem, Direnç, Sosyal El Yıkama, Hastane Tuvaletleri

Supporting Institution

yoktur

Project Number

yoktur

Can public toilets in hospitals contribute to the spread of carbapenem resistant gram-negative microorganisms? Assessment with social handwashing observations

Abstract

Aim: The goal of our study is to investigate the role that public toilets in hospitals have in spreading and transmitting significant carbapenem resistant Gram negative microorganisms, and potentially compare them to the isolates present in our intensive care units.
Materials and Methods: In our study, student groups took samples from the toilets that were actively used, mostly by patient companions, in our hospital. In addition, social hand washing compliance and reliability was observed from the specified toilets.
Results: In 85 samples taken from fourteen toilets, Gram negative bacteria accounted for 26% of 115 bacterial growths. However, carbapenem-resistance, which is thought to have epidemiological significance, was not present in Gram negative isolates.
Conclusion: It was concluded that no major problem was associated with the transmission of Carbapenem-resistant Gram negative microorganisms from these areas through the hands and peripheral surfaces of patients and their companions.

Keywords

Carbapenem, Resistance, Social handwashing, Hospital toilets

Project Number

yoktur

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