Naslov
VAŽNOST MULTIDISCIPLINARNOG PRISTUPA U BOLNIČKOM SUSTAVU: UTJECAJ MIKROKLIME I UVJETA RADA NA OSJETLJIVOST MIKROBNOG EKOSUSUSTAVA U BOLESNIKA NAKON OPSEŽNIH OPERATIVNIH ZAHVATA NA GLAVI I VRATU
(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)

Autori
Ferenčak, Blaženka ; Kukolj, Marina ; Boroša, Gordana

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Book of Abstracts 13th CROATIAN BIOLOGICAL CONGRESS with International Participatio / Kružić, Petar ; Caput Mihalić, Katarina ; Gottstein, Sanja ; Pavoković, Dubravko ; Kučinić, Mladen - Zagreb, 2018, 173-174

Skup
13. Hrvatski biološki kongres

Mjesto i datum
Poreč, Hrvatska, 19.09.2018. - 29.09.2018

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
mikroklima, mikrobni ekosustav, bolničke infekcije, otorinolaringologija
(microclimate, microbial ecosystem, hospital infections, otorhinolaryngology)

Sažetak
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.

Izvorni jezik
Engleski

Znanstvena područja
Javno zdravstvo i zdravstvena zaštita, Farmacija, Biotehnologija u biomedicini (prirodno područje, biomedicina i zdravstvo, biotehničko područje)

Napomena
Znanstveno/stručni

POVEZANOST RADA