Oje kullanımının eldeki bakteriyel üreme üzerine etkisi
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Dosyalar
Tarih
2021
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Bilimsel Tıp Yayınevi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Giriş: İnfeksiyonların önlenmesinde ameliyathane ve yoğun bakım gibi özellikli birimlerde çalışanların el hijyeninin sağlanması oldukça
önemli, en etkili ve en ucuz yöntemdir. Bu çalışma; ameliyathane ve yoğun bakımlarda hemşirelerin oje kullanımının ellerdeki bakteriyel
üreme üzerine etkisini belirlemek amacıyla planlandı.
Materyal ve Metod: Çalışmanın evrenini bir ilde bulunan eğitim araştırma ve devlet hastanesinin yoğun bakım ünitelerinde ve ameliyathanelerinde çalışan hemşireler oluşturdu. Çalışma yoğun bakımlarda 43, ameliyathanelerde 29 olmak üzere çalışmaya katılmayı
kabul eden toplamda 72 hemşirede gerçekleştirildi. Araştırmaya katılanların el florası üzerindeki bakteri kolonizasyonunu ölçmek için
hemşirelerinden önce ojesiz hijyenik el yıkama sonrası ilk örnek, oje sürüldükten 24 saat sonra hijyenik el yıkama sonrası ikinci örnek ve
oje sürüldükten 72 saat sonra hijyenik el yıkama sonrası üçüncü örnek alındı. Hemşirelerin tırnak ve ellerinden alınan örnekler kanlı agar
besiyerlerine ekilerek sonuçlar değerlendirildi.
Bulgular: Hemşirelerden üç aşamada alınan örneklerde, toplam üreyen koloni sayısı açısından bakıldığında gruplar arası hem sağ
ve sol el, hem de sağ ve sol tırnaklarda, istatistiksel olarak anlamlı bir fark olmadığı görüldü (p≥ 0.05). Alınan örneklerde koagülaz
negatif stafilokok (KNS), Staphylococcus aureus, Bacillus spp., Enterococcus spp., Streptococcus pyogenes, Acinetobacter spp., Klebsiella
spp., Candida spp. ve Non-candida mantar türlerinin ürediği tespit edildi. Bu türler arasında en sık üreyen mikroorganizmanın KNS
olduğu görüldü. Ayrıca üreyen toplam koloni sayıları açısından yoğun bakım ve ameliyathaneler karşılaştırıldığında sağ el, sağ ve sol
tırnaklarda fark görülmezken, sol elde üreyen toplam koloni sayısı ameliyathanede çalışan hemşirelerde anlamlı şekilde daha yüksek
bulundu (p≤ 0.05).
Sonuç: Ameliyathane ve yoğun bakım hemşirelerinde bütünlüğü bozulmamış oje kullanımının 72 saate kadar eldeki bakteriyel üreme
üzerine etkisinin olmadığı bulundu.
Introduction: In the prevention of infections, hand hygiene is a very important, the most effective and inexpensive method. In studies on the use of nail polish, its impact on hand hygiene is not clear. The aim of this study was to determine the effect of nail polish use of nurses in operating rooms and intensive care units on bacterial growth in hands. Materials and Methods: The universe of the study was the nurses working in intensive care units and operating theaters. The study was conducted with 72 nurses; 43 of the participants were in the intensive care and 29 were nurses working in operating rooms. The bacterial colonization of the hand flora was measured. The samples were taken from the hands in three stages: after hand washing without nail polish; after social hand washing in 24 hour after nail polish and after social hand washing in 72 hours after nail polish. The samples were then inoculated in blood agar. Results: When the samples were taken in three stages, there was no statistically significant difference between the groups in both right and left hand and right and left nails (p≥ 0.05). In the samples, Coagulase negative staphylococci (CNS), S. aureus, Bacillus spp., Enterococcus spp., Streptococcus pyogenes, Acinetobacter spp., Klebsiella spp., Candida spp. and Non-candida yeast species were detected. CNS was the most common microorganism among these species. In addition, no difference was observed in the right hand, right and left nails compared to the intensive care and operating rooms in terms of total number of colonies. The total number of colonies in the left hand was significantly higher in the operating room nurses (p≤ 0.05). Conclusion: When these findings were examined, there was no difference in the operating room and intensive care nurses. The use of nail polish did not appear to affect the bacterial growth in the hand.
Introduction: In the prevention of infections, hand hygiene is a very important, the most effective and inexpensive method. In studies on the use of nail polish, its impact on hand hygiene is not clear. The aim of this study was to determine the effect of nail polish use of nurses in operating rooms and intensive care units on bacterial growth in hands. Materials and Methods: The universe of the study was the nurses working in intensive care units and operating theaters. The study was conducted with 72 nurses; 43 of the participants were in the intensive care and 29 were nurses working in operating rooms. The bacterial colonization of the hand flora was measured. The samples were taken from the hands in three stages: after hand washing without nail polish; after social hand washing in 24 hour after nail polish and after social hand washing in 72 hours after nail polish. The samples were then inoculated in blood agar. Results: When the samples were taken in three stages, there was no statistically significant difference between the groups in both right and left hand and right and left nails (p≥ 0.05). In the samples, Coagulase negative staphylococci (CNS), S. aureus, Bacillus spp., Enterococcus spp., Streptococcus pyogenes, Acinetobacter spp., Klebsiella spp., Candida spp. and Non-candida yeast species were detected. CNS was the most common microorganism among these species. In addition, no difference was observed in the right hand, right and left nails compared to the intensive care and operating rooms in terms of total number of colonies. The total number of colonies in the left hand was significantly higher in the operating room nurses (p≤ 0.05). Conclusion: When these findings were examined, there was no difference in the operating room and intensive care nurses. The use of nail polish did not appear to affect the bacterial growth in the hand.
Açıklama
Anahtar Kelimeler
El Hijyeni, Ameliyathane, Yoğun Bakım, Hemşire, Sağlık Bakım İlişkili İnfeksiyonlar, Hand Hygiene, Operating Room, Intensive Care Unit; Nurse, Healthcare-Associated Infections
Kaynak
Flora İnfeksiyon Hastaliklari Ve Klinik Mikrobiyoloji Dergisi
WoS Q Değeri
N/A
Scopus Q Değeri
Cilt
26
Sayı
3
Künye
YİĞİT Ü, SOYSAL G, ÖZARSLAN T, İLÇE A, SIRMATEL F, AKDENİZ H (2021). Oje Kullanımının Eldeki Bakteriyel Üreme Üzerine Etkisi. Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi, 26(3), 528 - 536. 10.5578/flora.20219721
