20.500.12556/DKUM-91449 Preprečevanje okužb pri nedonošenčkih v enoti intenzivne terapije Infection prevention in premature infants in the intensive care unit Uvod: Nedonošenčki predstavljajo ranljivo skupino, ki je dovzetna za okužbe v enoti intenzivne terapije, zato je zmanjšanje okužb ključnega pomena pri delu medicinskih sester. Namen zaključnega dela je s pregledom literature ugotoviti, katere strategije se izvajajo za preprečevanja okužb pri nedonošenčkih v enoti za intenzivno nego in terapijo. Metode: Pregledali, analizirali in sintetizirali smo znanstveno literaturo o preprečevanju okužb pri nedonošenčkih v enoti intenzivne nege in terapije. Iskali smo literaturo v strokovnih bazah Web of Science, PubMed in CINAHL Ultimate. Po PRISMA diagramu smo identificirali in pregledali pridobljene raziskave. Za sintezo ugotovitev vključenih raziskav smo uporabili vsebinsko analizo. Pridobljene raziskave smo razvrstili po ravneh, glede na hierarhijo dokazov in jim po ravneh določili moč, zanesljivost in relevantnost. Pri pisanju smo uporabili opisno oziroma deskriptivno metodo dela. Rezultati: V končno analizo smo tako vključili šest zadetkov. Ugotovili smo, da higiena rok pred aseptičnimi posegi in uporaba manjše dolžine centralnega venskega katetra vodi do zmanjšanja okužb. Največ okužb je bilo ugotovljenih v krvnem obtoku pri vstavitvi venskega katetra, temu je sledila mehanska ventilacija in neinvazivna ventilacija. Razprava in zaključek: Največ okužb je povzročenih v enoti pediatrične intenzivne nege in terapije, s strani zdravstvenih delavcev. Največ je prisotnih okužb krvnega sistema, za njimi pa sledijo okužbe, povzročene z mehansko ventilacijo - tako invazivno kot neinvazivno ter nazadnje bolnišnične okužbe, ko so prisotne bakterije odporne proti zdravilom. Medicinske sestre lahko s svojim znanjem o načinih preprečevanja dodatnih okužb pripomorejo, da obvarujejo nedonošene novorojenčke v intenzivni terapiji pred dodatnimi okužbami. Introduction: Premature babies are a vulnerable group susceptible to infections in the intensive care unit, so reducing infections is a crucial part of nurses' work. The aim of this thesis is to review the literature to determine which strategies are implemented to prevent infections in preterm infants in the intensive care unit (ICU). Methods: We reviewed, analysed and synthesised the scientific literature on infection prevention in preterm infants in the intensive care unit. We searched the literature in Web of Science, PubMed and CINAHL Ultimate. We identified all the hits and sorted them using the PRISMA system to obtain the final results. Content analysis was used to synthesise the findings of the included studies. We ranked the retrieved studies according to the hierarchy of evidence and assigned strength, reliability and relevance according to the levels of evidence. We used the descriptive or descriptive method of writing. Results: We have included 6 studies in the final analysis. We found that hand hygiene before aseptic procedures and the use of a smaller central venous catheter length lead to a reduction in infections. Most infections were found in the bloodstream during venous catheter insertion, followed by mechanical ventilation and non-invasive ventilation. Discussion and conclusion: Most infections in paediatric intensive care units are caused by healthcare workers. Bloodstream infections are the most common, followed by infections caused by mechanical ventilation, both invasive and non-invasive, and finally hospital-acquired infections caused by drug-resistant bacteria. Nurses can help to protect preterm neonates in intensive care from further infections by their knowledge of ways to prevent additional infections. preprečevanje okužb nedonošenčki enota intenzivne terapije infection prevention premature infants ICU true true false [L. Omerkadić] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2024-12-23 14:17:38 2025-01-17 16:20:58 2025-01-29 14:46:29 0000-00-00 00:00:00 2024 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-022-053.32-083(043.2) 222822659 VS_Omerkadic_Larisa_2024.pdf VS_Omerkadic_Larisa_2024.pdf 1 55D61DA4391EBAA0BB59A4522AF41E01 d6c301d6abe8eadcb1177670e1556386c825a734cf878c0946b6e11bda54e652 ddeaa0c8-c130-11ef-8f15-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=187552 Fakulteta za zdravstvene vede 0 0 0