ÖZET
Amaç:
Hasta güvenliği için önemli bir tehdit olan sağlık hizmeti ilişkili enfeksiyon oranları hastaneye yatan hastaların en sık karşı karşıya kaldığı komplikasyonlardan biridir. Sağlık hizmetlerinde sağlık hizmeti ilişkili enfeksiyonlar için artan kaygı, kanıta dayalı rehberlerin geliştirilmesinde uyarıcı etken olmuştur. Bu çalışma cerrahi yoğun bakım ünitelerinde santral venöz kateter (SVK) ilişkili kan dolaşımı enfeksiyonlarının önlenmesinde bakım paketi yaklaşımının etkisini belirlemek amacıyla gerçekleştirildi.
Gereç ve Yöntem:
Yarı deneysel kontrol gruplu bir çalışma olarak planlanan araştırma, Eylül 2017 ve Ekim 2018 tarihleri arasında cerrahi yoğun bakım ünitelerinde yatan, SVK’si bulunan ve örneklem özelliklerini karşılayan 163 hasta (83 deney, 80 kontrol) ile gerçekleştirildi. Deney grubuna SVK bakımında Hastalık Kontrol ve Önleme Merkezi tarafından önerilen bakım paketi uygulandı.
Bulgular:
Hastaların %23,3’ünde hastane enfeksiyonu belirti ve bulguları gözlendiği, kateter ucu kültürlerinin %25,2’sinde üreme olduğu, en fazla üreyen mikroorganizmanın Staphylococcus epidermidis (%58,5) olduğu, %4,9’unda SVK ilişkili kan dolaşımı enfeksiyonu geliştiği, enfeksiyon gelişen hastaların tamamının bakım paketi uygulanmayan hastalar olduğu belirlendi.
Sonuç:
Bakım paketi yaklaşımının SVK ilişkili kan dolaşımı enfeksiyonunu önlemede etkili olduğu bulundu.
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