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Tio smutsiga fingrar: en observationsstudie om följsamheten till hygienrutiner på en infektionsavdelning som vårdar patienter med ESBL
University of Gävle, Department of Caring Sciences and Sociology.
University of Gävle, Department of Caring Sciences and Sociology.
2008 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
Abstract [sv]

Resistenta bakterier är ett växande problem inom den svenska sjukvården. Extended spectrum ß-lactamases (ESBL) är bakterier som kan bilda enzymer som bryter ned antibiotika så att den på så sätt blir resistent. En av de stora anledningarna till spridning av resistenta bakterier är personalens brist på korrekt utförande av basala hygienrutiner. Syftet med studien var att undersöka hur sjukvårdspersonal på en infektionsavdelning tillämpar de riktlinjer för basala hygienrutiner som finns fastställda för personal inom hälso- och sjukvården. Data samlades in genom observationer på en infektionsavdelning på ett sjukhus i Mellansverige. Resultatet visade att följsamheten till basala hygienrutiner var mindre än hälften bland de två jämförda personalgrupperna. Resultatet visade hög följsamhet till handskanvändning vid vård av patienter som inte var ESBL-bärare, medan följsamheten var sämre vid vård av patienter med ESBL. Detta resultat visade på en signifikant skillnad, dvs. att personalen var bättre på att använda handskar vid vård av patienter som inte var bärare av ESBL. Resultatet visade att nära hälften av de observerade inte spritar händerna innan patientkontakt, vare sig det rör sig om en patient som är bärare av ESBL-bakterier eller inte. Det tyder på stora brister i följsamheten till hygienrutiner på den observerade infektionsavdelningen.

Abstract [en]

Resistant bacteria are an increasingly large problem within the Swedish health care system. Extended spectrum ß-lactamases (ESBL) are bacteria that produce enzymes capable of breaking down antibiotics, a characteristic which renders them resistant to antibiotics. One of the main causes for the spreading of resistant bacteria is low compliance to hand hygiene procedures.

The aim of this study was to examine how the health care workers of an infectious disease ward apply the hygiene guidelines that have been established for health care staff. Data was collected through observations in an infectious disease ward in Central Sweden. The results showed that compliance towards hand hygiene procedures was less than 50% within the two staff groups compared. It also showed good compliance to the guidelines for glove use when caring for patients not carrying ESBL, but less compliance when caring for patients with the infection. The difference was statistically significant, i.e. health care staff used gloves more often when caring for patients not carrying ESBL than they did with patients who were carriers. The results showed that that almost 50% of the observed health care workers did not use hand disinfection before contact with patients, whether these were ESBL carriers or not. This indicates that compliance to hand hygiene procedures is not as good as one could hope for.

Place, publisher, year, edition, pages
2008. , p. 29
Keywords [en]
ESBL, hand hygiene procedures, observational study, nursing
Keywords [sv]
ESBL, hygienrutiner, handhygien, observationsstudie, omvårdnad
National Category
Nursing
Identifiers
URN: urn:nbn:se:hig:diva-774Archive number: SSKVk06/ht08nr21OAI: oai:DiVA.org:hig-774DiVA, id: diva2:120366
Uppsok
samhälle/juridik
Supervisors
Examiners
Available from: 2008-10-23 Created: 2008-10-23

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CiteExportLink to record
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Citation style
  • apa
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  • ieee
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More styles
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  • nn-NB
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Output format
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  • asciidoc
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