January 16, 2019

English: Due to current increase in the rate of nosocomial infections, our objective was to examine the frequency, risk factors, clinical presentation and etiology of. Request PDF on ResearchGate | PREVENCIJA INTRAHOSPITALNIH INFEKCIJA U ENDOSKOPSKOJ DIJAGNOSTICI PLUĆNIH OBOLJENJA. “Intrahospitalne infekcije – timski rad u prevenciji, lečenju i nezi”. Public. · Hosted by Podružnica Klinički centar Srbije. Interested.

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Type of infection and severity of the disease depends therefore on the patient and his primary disease pathogens, the conditions under which the infection occurred hospital environment and the effectiveness of control measures. The most frequent clinical intrahospotalne of nosocomial infections were: Infusion, transfusion of blood and its derivatives, and intravenous antibiotics increase the risk of bacteremia and sepsis.

Definitions of nosocomial infections.

At the Clinic for Gynaecology and obstetrics, surgical site infections SSI was mainly caused by Pseudomonas aeruginosa 6 timesthen Klebsiella pneumoniae and Staphylococcus aureus both 4 times, then Streptococcus species and Escherichia coli both one case. Other infections OI were caused by Streptococcus species and Escherichia coli 2 times, and Pseudomonas aeruginosa both once.

Open in a separate window. Their appearance complicates the course and outcome of the underlying disease, prolonge the treatment time and significantly increase material costs. Wearing gloves is recommended when working with all patients with contact mode of transmission of infection, in intraohspitalne contact with mucous membranes, non-intact skin, blood, body fluids and secretions.

Therefore it is necessary to be well organized and team work on the prevention and control of nosocomial infections, including continuing education of staff of all profiles expertise, to know risk factors of occurrence and spread of these infections and prevention and improving the safety of their own work.

Determining the degree of antibiotic resistance provides an insight into the danger of infections being caused by multi-resistant etiological agents. In infkcije quality and safe health services hospital infections are an important risk, it is necessary in any medical institution to implement a strategy for managing risk for nosocomial infections based on the basic principles of quality assurance and risk prevention, such are:.

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It is expected that the continuous surveillance of IHI will improve the quality of work at the UCC-Tuzla, which lead to the improvement of patients treatment and decrease of material costs. So in diagnosis and treatment of nosocomial infections must constantly reflect on the special condition hospitalized patient, hospital environment, and a thorough understanding of the causes of these infections and their antimicrobial susceptibility.

The epidemiology of intrahospital infections and practice of hospital infection control are dynamic disciplines, undergoing constant evolution. All inrekcije Es-cherichia coli bacterias were sensitive to imipenem.

Significantly higher frequency of death outcomes was registered in patients with nosocomial infections. Kada su u pitanju urinarni kateteri, infekcija je gotovo izvjesna kod svih bolesnika koji su kateterizirani 30 dana. Where resistance is encoded on transmissible plasmids, resistance can also spread between bacterial species. However, their clinical course and outcome does not depend on the place of acquiring the infection, and those are not different from diseases that occur in a patient outside hospital.

There are many risk factors for developing nosocomial sepsis, the most important being associated with the use of central venous catheters and other venous supplies. After registration, the commission must investigate the source and route of transmission, analyze the results of microbiological pathogens and antimicrobial susceptibility, issue instructions on the proper care and other procedures with patients, sterilization and disinfection and give instructions to intrahosiptalne any nosocomial infections.


According to the results of several surveys safe period the period in which infection does not develop is less than 3 days from the time of insertion of the catheter. Prevention and control of nosocomial infections is based on the fundamental principles of the fight against infection, transferred to particularly sensitive hospital environments, and is regulated by special regulations.


For the implementation of measures to prevent and fight against hospital infections, including staff training, the Commission is responsible for nosocomial infections, which exists in every hospital. According to the numerous clinical reports, these are the most common infekcine infections in all categories of patients.

In the prophylaxis of nosocomial pneumonia is the most important risk factors for elimination, then strict adherence to all preventive procedures, and regular and loving care of the airways.


The frequency and types of nosocomial infections undoubtedly depend on many factors: A study was implemented on all patients admitted to Clinic for Gynaecology and Obstetrics during the period of one year and who subsequently developed infection. It is recommended that a shorter grip urinary catheter, and the long-term administration changes every weeks.

Thus there is a link between antibiotic use or abuse and the emergence of antibiotic resistant bacteria causing IHI CDC definitions for nosocomial infections. The problem of hospital infections iscontinuously topical, because ofcontinuosappearance of new moments, and now they are a growing number of immunocompromised patients, more complex diagnostic and therapeutic procedures, antibiotic resistance and more frequent occurrence of opportunistic infections.

Intrahospitalne infekcije – Rauché

A preliminary report of the steering group of the second national prevalence study. Today, into nosocomial infections are considered infections of medical staff acquired in the process of care and treatment of patients. Basic clinical sign of nosocomial infections is emerging fever in hospitalized patients.