Abstract
Amaç: Bu çalışmada, Sağlık Bakanlığı Ankara Çocuk Sağlığı ve Hastalıkları Hematoloji Onkoloji Eğitim ve Araştırma Hastanesi Genel Pediatri Yoğun Bakım Ünitesi (YBÜ)’nde el hijyeni kurallarına uyumun değerlendirilmesi amaçlanmıştır.Gereç ve Yöntemler: Çalışmamızda 03 Eylül 2012- 28 Eylül 2012 tarihleri arasındaki süreçte, mesai saatleri içinde birer saatlik periyodlar halinde, YBÜ’ye ziyaretler yapılmıştır. Gözlenen temaslar; meslek gruplarına, cinsiyete, invaziv veya yüzeysel olmalarına göre sınıflandırılarak, hasta ile temas öncesi ve temas sonrası, hastadan hastaya geçiş sırasında, eldiven giymeden önce ve sonra el hijyeni kurallarına uyum açısından değerlendirilmiştir.Bulgular: Çalışma dönemi içinde toplam 1126 temas (863 yüzeysel, 263 invaziv) değerlendirildiğinde, el temizliği kurallarına uyum oranı %8.8 olarak saptanmıştır. Eldivenli temaslarda hastadan hastaya geçişte eldiven değiştirme oranının %44 olduğu bulunmuştur. Meslek gruplarına göre el temizliğine uyum değerlendirildiğinde, en iyi hemşirelerde (%75) saptanmış olup, bunu sırasıyla uzman doktorlar (%20) ve asistan doktorlar (%5) izlemiştir.Sonuç: Hastane şartlarının iyileştirilmesi, el hijyeni eğitimlerinin gerçekleştirilmesi, uyumun izlenmesi, konu ile ilgili broşür afiş gibi görsel hatırlatıcı eğitim gereçlerinin kullanılması ve geri bildirimin el hijyeni kurallarına uyumun artırılmasına önemli katkılar sağlayacağını düşünmekteyiz.
References
- Karabey S, Cetinkaya Şardan Y, Alp E, Ergonul O, Esen Ş, Kaymakçı H. El hijyeni klavuzu. Hastane İnfeksiyonları Dergisi 2008; 12: Ek 1
- Rotter ML. Hand washing and hand disinfection. In: Mayhall CG (ed). Hospital Epidemiology and Infection Control. 3rd ed. Philadelphia: Lippincott Williams and Wilkins, 2004:1727–46.
- Lucet JC, Rigaud MP, Mentre F, Kassis N, Deblangy C, Andremont A, et al. Hand contamination before and after different hand hygiene techniques: A randomized clinical trial. J Hosp Infect 2002;50: 276-80.
- Centers for Disease Control and Prevention: Guideline for hand hygiene in health-care setting: Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HISPAC/ SHEA/APIC/IDSA Hand Hygiene Task Force: MMWR 2002:51
- Karabay O, Sencan I, Sahin I, Alpteker H, Ozcan A, Oksuz S. Compliance and efficacy of hand rubbing during in-hospital practice. Med Princ Pract 2005;14:313-7.
- Güçlü E, Tuna N, Yahyaoğlu M, Çalıca Utku A, Özcan Ö, Ceylan S, et al. Efficacy of education and dissemination of alcohol- based hand antiseptics in the hospital in improving hand hygiene compliance. Flora 2012;17:118-25.
- Arman D. El yıkama ve el dezenfeksiyonu. Hastane İnfeksiyonları Dergisi 2003;7:76-82.
- Pittet D. Hand hygiene: Improved standards and practice for hospital care. Curr Opin Infect Dis 2003;16:327-35.
- Karabay O, Sencan I, Sahin I, Alpteker H, Ozcan A, Oksuz S. Compliance and efficacy of hand rubbing during in-hospital practice. Med Princ Pract 2005;14:313-7.
- Hugonnet S, Perneger TV, Pittet D. Alcohol-based handrub improves compliance with hand hygiene in intensive care units. Arch Intern Med 2002;162:1037-43. amaçlanmıştır.
Abstract
Objective: We aimed to assess the compliance with hand hygiene rules in the Pediatric Intensive Care Unit of the Ankara Hematology Oncology Pediatric Research and Education Hospital.Material and Methods: In this study 1-hour visits were made during working hours between September 03 and September 28, 2012. Observed contacts were categorized according to professions, gender, whether contacts were invasive or superficial, and assessed according to compliance with hand hygiene rules before and after patient contact, during patient to patient transfer, and before and after glove wearing.Results: During the study period, 1126 contacts (863 superficial, 263 invasive) were evaluated and a rate of 8.8% was noted for compliance with hand hygiene rules. The ratio of glove changing from patient to patient was found to be 44%. When compliance with hand hygiene rules was assessed according to professions, the highest compliance rate was found in nurses at 75%, followed by attending physicians at 20%, and residents at 5%. Conclusion: Compliance with hand hygiene rules was poor in our hospital. It is thought that improvements in hospital facilities and personnel education together with surveillance of hand hygiene compliance and feedback could be help increase hand hygiene practice rates
References
- Karabey S, Cetinkaya Şardan Y, Alp E, Ergonul O, Esen Ş, Kaymakçı H. El hijyeni klavuzu. Hastane İnfeksiyonları Dergisi 2008; 12: Ek 1
- Rotter ML. Hand washing and hand disinfection. In: Mayhall CG (ed). Hospital Epidemiology and Infection Control. 3rd ed. Philadelphia: Lippincott Williams and Wilkins, 2004:1727–46.
- Lucet JC, Rigaud MP, Mentre F, Kassis N, Deblangy C, Andremont A, et al. Hand contamination before and after different hand hygiene techniques: A randomized clinical trial. J Hosp Infect 2002;50: 276-80.
- Centers for Disease Control and Prevention: Guideline for hand hygiene in health-care setting: Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HISPAC/ SHEA/APIC/IDSA Hand Hygiene Task Force: MMWR 2002:51
- Karabay O, Sencan I, Sahin I, Alpteker H, Ozcan A, Oksuz S. Compliance and efficacy of hand rubbing during in-hospital practice. Med Princ Pract 2005;14:313-7.
- Güçlü E, Tuna N, Yahyaoğlu M, Çalıca Utku A, Özcan Ö, Ceylan S, et al. Efficacy of education and dissemination of alcohol- based hand antiseptics in the hospital in improving hand hygiene compliance. Flora 2012;17:118-25.
- Arman D. El yıkama ve el dezenfeksiyonu. Hastane İnfeksiyonları Dergisi 2003;7:76-82.
- Pittet D. Hand hygiene: Improved standards and practice for hospital care. Curr Opin Infect Dis 2003;16:327-35.
- Karabay O, Sencan I, Sahin I, Alpteker H, Ozcan A, Oksuz S. Compliance and efficacy of hand rubbing during in-hospital practice. Med Princ Pract 2005;14:313-7.
- Hugonnet S, Perneger TV, Pittet D. Alcohol-based handrub improves compliance with hand hygiene in intensive care units. Arch Intern Med 2002;162:1037-43. amaçlanmıştır.
Details
| Other ID | JA36ME78VP |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | August 1, 2014 |
| Submission Date | August 1, 2014 |
| Published in Issue | Year 2014 Volume: 8 Issue: 2 |
The publication language of Turkish Journal of Pediatric Disease is English.
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