Preprečevanje okužb pri nedonošenčkih v enoti intenzivne terapije

Omerkadić, Larisa

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Title:	Preprečevanje okužb pri nedonošenčkih v enoti intenzivne terapije
Authors:	ID Omerkadić, Larisa (Author) ID Stričević, Jadranka (Mentor) More about this mentor... ID Klanjšek, Petra (Comentor)
Files:	VS_Omerkadic_Larisa_2024.pdf (937,69 KB) MD5: 55D61DA4391EBAA0BB59A4522AF41E01
Language:	Slovenian
Work type:	Bachelor thesis/paper
Typology:	2.11 - Undergraduate Thesis
Organization:	FZV - Faculty of Health Sciences
Abstract:	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.
Keywords:	preprečevanje okužb, nedonošenčki, enota intenzivne terapije
Place of publishing:	Maribor
Publisher:	[L. Omerkadić]
Year of publishing:	2024
PID:	20.500.12556/DKUM-91449
UDC:	616-022-053.32-083(043.2)
COBISS.SI-ID:	222822659
Publication date in DKUM:	17.01.2025
Views:	165
Downloads:	91
Metadata:
Categories:	FZV
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Licences

License:	CC BY ND NC 1.0, Creative Commons Attribution-NoDerivs-NonCommercial 1.0 Generic
Link:	https://creativecommons.org/licenses/by-nd-nc/1.0
Description:	You are free to reproduce and redistribute the material in any medium or format. You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes. If you remix, transform, or build upon the material, you may not distribute the modified material. You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

Secondary language

Language:	English
Title:	Infection prevention in premature infants in the intensive care unit
Abstract:	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.
Keywords:	infection prevention, premature infants, ICU

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