Pregled bibliografske jedinice broj: 959700
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
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 // Book of Abstracts 13th CROATIAN BIOLOGICAL CONGRESS with International Participatio / Kružić, Petar ; Caput Mihalić, Katarina ; Gottstein, Sanja ; Pavoković, Dubravko ; Kučinić, Mladen (ur.).
Poreč, Hrvatska, 2018. str. 173-174 (poster, međunarodna recenzija, sažetak, znanstveni)
CROSBI ID: 959700 Za ispravke kontaktirajte CROSBI podršku putem web obrasca
Naslov
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 - , 2018, 173-174
Skup
13. Hrvatski biološki kongres
Mjesto i datum
Poreč, Hrvatska, 19.09.2018. - 29.09.2018
Vrsta sudjelovanja
Poster
Vrsta recenzije
Međunarodna recenzija
Ključne riječi
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 reviewed protocols for prevention of hospital infections, too 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
