THE IMPORTANCE OF MULTIDISCIPLINARY APPROACH IN THE HOSPITAL SYSTEM: INFLUENCE OF MICROCLIMATE AND WORKING CONDITIONS ON THE SENSITIVITY OF THE MICROBIAL ECOSYSTEM IN PATIENTS WHO HAD EXTENSIVE SURGERY ON THE HEAD AND NECK (CROSBI ID 666189)
Prilog sa skupa u zborniku | sažetak izlaganja sa skupa | međunarodna recenzija
Podaci o odgovornosti
Ferenčak, Blaženka ; Kukolj, Marina ; Boroša, Gordana
engleski
THE IMPORTANCE OF MULTIDISCIPLINARY APPROACH IN THE HOSPITAL SYSTEM: INFLUENCE OF MICROCLIMATE AND WORKING CONDITIONS ON THE SENSITIVITY OF THE MICROBIAL ECOSYSTEM IN PATIENTS WHO HAD EXTENSIVE SURGERY ON THE HEAD AND NECK
Most of the operations in otorhinolaryngology belong to the category of clean-contaminated operations. The frequency of infections in these operations is 8-11%, and in large, extensive interventions on the head and neck 28-87%. Therefore, is indicated routine antimicrobial prophylaxis (AP: metronidazole and cefazolin/clindamycin). The aim of this study was to assess the influence of microclimate changes and working conditions on microbial ecosystem sensitivity (ME) in patients after relocation from location Šalata to Rebro site. This study used database of 89 patients who had surgery at Department of Otorhinolaryngology. In the postoperative period (after 24/72/102 hours), inflammatory parameters (local, CRP, WBC) and microbiological (MB) analysis (smear of tracheostomy, wounds and mouth cavities) were observed. In the first 2 months after changing the location: (a) WBC and CRP indicate a significant increase (p <0.0001) ; (b) MB indicate changes in bacterial sensitivity: G (-) 93% on gentamicin and 18% on cefazolin ; G (+) 19% on cefazolin and clindamycin. We have revised protocols for prevention of hospital infections, also AP in gentamicin and clindamycin. During the 7 months of systematic monitoring, there was a significant decrease of WBC and CRP compared to the previous period (p<0.00001). The change of location has significantly disrupted microclimate and ME of stationary and consequently the sensitivity of the ME patients to the AP used at location Šalata.
microclimate, microbial ecosystem, hospital infections, otorhinolaryngology
znanstveno/stručni
nije evidentirano
nije evidentirano
nije evidentirano
nije evidentirano
nije evidentirano
Podaci o prilogu
173-174.
2018.
nije evidentirano
objavljeno
Podaci o matičnoj publikaciji
Book of Abstracts 13th CROATIAN BIOLOGICAL CONGRESS with International Participatio
Kružić, Petar ; Caput Mihalić, Katarina ; Gottstein, Sanja ; Pavoković, Dubravko ; Kučinić, Mladen
Zagreb:
Podaci o skupu
13. Hrvatski biološki kongres
predavanje
19.09.2018-29.09.2018
Poreč, Hrvatska
Povezanost rada
Javno zdravstvo i zdravstvena zaštita, Farmacija, Biotehnologija u biomedicini (prirodno područje, biomedicina i zdravstvo, biotehničko područje)