{"?xml":{"@version":"1.0"},"edm:RDF":{"@xmlns:dc":"http://purl.org/dc/elements/1.1/","@xmlns:edm":"http://www.europeana.eu/schemas/edm/","@xmlns:wgs84_pos":"http://www.w3.org/2003/01/geo/wgs84_pos","@xmlns:foaf":"http://xmlns.com/foaf/0.1/","@xmlns:rdaGr2":"http://rdvocab.info/ElementsGr2","@xmlns:oai":"http://www.openarchives.org/OAI/2.0/","@xmlns:owl":"http://www.w3.org/2002/07/owl#","@xmlns:rdf":"http://www.w3.org/1999/02/22-rdf-syntax-ns#","@xmlns:ore":"http://www.openarchives.org/ore/terms/","@xmlns:skos":"http://www.w3.org/2004/02/skos/core#","@xmlns:dcterms":"http://purl.org/dc/terms/","edm:WebResource":[{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:DOC-GVC1SRMG/0a03e1d4-7dbc-4fb6-9586-6988bea3da40/HTML","dcterms:extent":"33 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:DOC-GVC1SRMG/139d63fd-5ab4-4945-90d8-7d2da80fb193/PDF","dcterms:extent":"126 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:DOC-GVC1SRMG/de9294a3-eb4d-4bf6-9819-6a4670f8ea8d/TEXT","dcterms:extent":"33 KB"}],"edm:TimeSpan":{"@rdf:about":"1994-2025","edm:begin":{"@xml:lang":"en","#text":"1994"},"edm:end":{"@xml:lang":"en","#text":"2025"}},"edm:ProvidedCHO":{"@rdf:about":"URN:NBN:SI:DOC-GVC1SRMG","dcterms:isPartOf":[{"@rdf:resource":"https://www.dlib.si/details/URN:NBN:SI:spr-H53UG7JV"},{"@xml:lang":"sl","#text":"Obzornik zdravstvene nege"}],"dcterms:issued":"2002","dc:creator":["Jereb, Matjaž","Miklavčič, Vesna","Muzlovič, Igor","Slemenjak, Janja","Trampuž, Andrej"],"dc:format":[{"@xml:lang":"sl","#text":"številka:1"},{"@xml:lang":"sl","#text":"letnik:36"},{"@xml:lang":"sl","#text":"7 strani"},{"@xml:lang":"sl","#text":"str. 7-13"}],"dc:identifier":["ISSN:1318-2951","COBISSID:14873561","URN:URN:NBN:SI:doc-GVC1SRMG"],"dc:language":"sl","dc:publisher":{"@xml:lang":"sl","#text":"Zbornica zdravstvene nege"},"dc:subject":[{"@xml:lang":"sl","#text":"bolnišnične infekcije"},{"@xml:lang":"en","#text":"Cross infection"},{"@xml:lang":"en","#text":"Drug therapy"},{"@xml:lang":"sl","#text":"Enote za intenzivno medicino"},{"@xml:lang":"sl","#text":"Infekcija navzkrižna"},{"@xml:lang":"sl","#text":"infekcije"},{"@xml:lang":"en","#text":"Intensive care units"},{"@xml:lang":"en","#text":"Methicillin resistance"},{"@xml:lang":"sl","#text":"Meticilinska rezistenca"},{"@xml:lang":"en","#text":"microbiology"},{"@xml:lang":"sl","#text":"mikrobiologija"},{"@xml:lang":"en","#text":"Prevention and control"},{"@xml:lang":"sl","#text":"preventivna medicina"},{"@xml:lang":"sl","#text":"Stafilokokne infekcije"},{"@xml:lang":"en","#text":"Staphylococcal infections"},{"@xml:lang":"en","#text":"Staphylococcus aureus"}],"dcterms:temporal":{"@rdf:resource":"1994-2025"},"dc:title":{"@xml:lang":"sl","#text":"Uspešna zajezitev epidemije MRSA na intenzivnem oddelku| Effective control of MRSA epidemic at the intensive care unit|"},"dc:description":[{"@xml:lang":"sl","#text":"We evaluated the efficacy of hygienic measures at our intensive care unit (ICU) with 10 medical beds and a high prevalence of MRSA. Preventive strategies of western European countries with low MRSA prevalence or eradicated MRSA were used. We compared the number of transmitted MRSA cases inour ICU between a 10-month period before and after implementation of intensified hygienic measures against MRSA. These measures included strict hand disifection (handwashing was allowed only when hands were visible soiled), use of liquid alcohol (not in gel form), use of powderless examination gloves, strict contact isolation and decolonisation of patients with MRSA. In the first 10-month period 250 patients were admitted to the ICU.MRSA was found in 37 patients, of which 21 patients (56.8 %) were transmitted at the ICU. In the second 10-month period 243 patients were admitted to the ICU. MRSA was found in 39 patients, of which 4 patients (10.2 %) were transmitted at the ICU. This was a statistically significant reductionin transmitted MRSA cases (p < 0.001). Decolonisation of patients didnot additionally reduce the MRSA transmission when hand"},{"@xml:lang":"sl","#text":"Na intenzivnem oddelku z 10 internističnimi posteljami in visokim deležem MRSAsmo želeli oceniti uspešnost ukrepov za zajezitev širjenja MRSA po vzoru zahodnoevropskih državah, ki imajo nizek delež MRSA ali so ga uspeli popolnomaizkoreniniti. Primerjali smo število prenesenih primerov MRSA na našem oddelku v desetmesečnem obdobju pred in desetmesečnem obdobju po uvedbi poostrenih higienskih ukrepov za preprečevanje prenosov MRSA. Ti ukrepi so vsebovali dosledno razkuževanje rok (umivanje je bilo dovoljeno le pri vidno onesnaženih rokah), uporabo razkužil v tekoči obliki (ne v gelu) in uporabo preiskovalnih rokavic brez smukca, dosledno kontaktno izolacijo ter dekolonizacijo bolnikov. V prvem desetmesečnem obdobju je bilo na intenzivni oddelek sprejetih 250 bolnikov. Pri 37 bolnikih smo ugotovili prisotnost MRSA,od tega je prišlo do prenosa MRSA na našem oddelku pri 21 bolnikih (56,8 %). V drugem desetmesečnem obdobju po uvedbi poostrenih ukrepov je bilo sprejetih 243 bolnikov. Prisotnost MRSA smo ugotovili pri 39 sprejetih bolnikih, od katerih so MRSA na našem oddelku dobili 4 bolniki (10,2 %). To predstavlja statistično značilno zmanjšanje števila prenesenih primerov MRSA (p < 0,001). Dekolonizacija bolnikov ob doslednem upoštevanju higiene rok in kontaktne izolacije ni dodatno zmanjšala prenos MRSA na našem oddelku. Raziskava je pokazala, da zgodnje odkrivanje bolnikov z MRSA in njihova dosledna kontaktna izolacija, uporaba rokavic brez smukca, nadomestitev umivanja rok z doslednim razkuževanjem rok lahko pomembno zmanjšajo število prenosov MRSA na intenzivnem oddelku, kljub pomanjkanju zdravstvenega osebja in velikem dotoku bolnikov z MRSA z drugih oddelkov"}],"edm:type":"TEXT","dc:type":[{"@xml:lang":"sl","#text":"znanstveno časopisje"},{"@xml:lang":"en","#text":"journals"},{"@rdf:resource":"http://www.wikidata.org/entity/Q361785"}]},"ore:Aggregation":{"@rdf:about":"http://www.dlib.si/?URN=URN:NBN:SI:DOC-GVC1SRMG","edm:aggregatedCHO":{"@rdf:resource":"URN:NBN:SI:DOC-GVC1SRMG"},"edm:isShownBy":{"@rdf:resource":"http://www.dlib.si/stream/URN:NBN:SI:DOC-GVC1SRMG/139d63fd-5ab4-4945-90d8-7d2da80fb193/PDF"},"edm:rights":{"@rdf:resource":"http://creativecommons.org/licenses/by/4.0/"},"edm:provider":"Slovenian National E-content Aggregator","edm:intermediateProvider":{"@xml:lang":"en","#text":"National and University Library of Slovenia"},"edm:dataProvider":{"@xml:lang":"sl","#text":"Zbornica zdravstvene in babiške nege Slovenije - Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije"},"edm:object":{"@rdf:resource":"http://www.dlib.si/streamdb/URN:NBN:SI:DOC-GVC1SRMG/maxi/edm"},"edm:isShownAt":{"@rdf:resource":"http://www.dlib.si/details/URN:NBN:SI:DOC-GVC1SRMG"}}}}