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Background. Everywhere in the world, morbidity and mortality due to nosocomialinfections are on increase. The effectiveness of nosocomial infection control has become an important indicator of the quality of hospitalwork as well as a considerable contribution towards cost reduction. Methods. Our three-year prospective study was aimed to investigate the daily workload of medical nurses in correlation with the incidence of nosocomial infections caused by methicillin-resistant Staphylococcus aureus at the surgical intensive care unit of the General Hospital Celje, using a Therapeutic Intervention Scoring System. Although in our hospital the SurgicalIntensive Care Unit meets the highest hygienic standards, the incidence of methicillin-resistant Staphylococcus aureus, despite its decreasing trend, is still high. results. Infections with methicillin-resistant Staphylococcus aureus occurred in the periods when the nurses were overloaded by more than 25% on average. Conclusions. The excessivework overload of medical nurses is one of the key risk factors for spread of nosocomial infections. Izhodišča. Povsod po svetu so bolnišnične okužbe vzrok naraščanja obolevnosti in umrljivosti bolnikov. Uspešnost obvladovanja bolnišničnih okužb je pomembenkazalec kakovosti dela v bolnišnici in pomembno prispeva k zmanjševanju stroškov zdravljenja. Metode. S triletno prospektivno raziskavo smo z uporabo točkovnega sistema (Therapeutic Intervention Scoring System) preučevali vsakodnevne obremenitve medicinskih sester in od tega odvisno pojavljanje bolnišničnih okužb, ki jih je povzročil proti meticilinu odporni Staphylococcus aureus na Oddelku za intenzivno terapijo kirurških strok Splošne bolnišnice Celje. Na proučevanem oddelku upoštevajo higienska načela vnajvečji možni meri, vendra je pojavljanje bolnišničnih okužb kljub trendom zmanjševanja še vedno preveliko. Rezultati. Raziskava je dokazala, da so se bolnišnične okužbe, ki jih je povzročil proti meticilinu odporni Staphylococcus aureus, pojavljale v obdobjih, ko so bile medicinske sestre v povprečju preobremenjene za 25% in več. Zaključki. Preobremenjenost medicinskih sester je pomemben dejavnihk tveganja bolnišničnih okužb. |
