Sterilization as quality element in prevention of nosocomial infections in the Health centre of dr. Adolf Drolc Maribor

Sterilizacija je odstranitev in uničenje vseh oblik mikroorganizmov, tudi bakterijskih spor in virusov, ki so na določenem predmetu oziroma na določenem izdelku. Teoretični del diplomskega dela podrobneje obravnava pomembnost sterilizacije pri preprečevanju okužb v Zdravstvenem domu dr.Adolfa Drolca Maribor in zagotavljanje kakovosti sterilizacije, ki predstavlja: spremljanje in dokumentiranje celotnega sterilizacijskega procesa od sprejema in izdaje materiala, čiščenja in dezinfekcije, nadzora opreme, polnitve košar, vključno z nadzorom postopkov sterilizacije po predpisanih standardih, pravilnikih in zakonodaji. Opisani so tudi postopki in zaščitni pripomočki za preprečevanje bolnišničnih okužb ter moteči dejavniki v Centralni sterilizaciji. V empiričnem delu so predstavljeni rezultati raziskave, ki smo jo izvedli s pomočjo anketnih vprašalnikov med medicinskimi sestrami in zdravstvenimi tehniki, ki delujejo v osmih organizacijskih enotah Zdravstvenega doma Maribor. Namen raziskave je bil ugotoviti pomen sterilizacije kot elementa kakovosti v smislu preprečevanja bolnišničnih okužb in ugotoviti, kakšna je kakovost sterilizacijskega procesa. Rezultati kažejo, da se uporabniki zavedajo pomena sterilnosti v preprečevanju okužb in delajo v skladu s standardi. Ugotovili smo tudi, da je sterilizacija kot element kakovosti v smislu preprečevanja okužb pomembna in da so uporabniki z izdelki in storitvami Centralne sterilizacije zadovoljni. Iz kritik in predlogov pa smo dobili informacije za izboljšanje kakovosti dela v Centralni sterilizaciji.The main goal of sterilization process is elimination of microorganisms including bacterial spores and viruses, which can be found on the surface of particular object or inside of it. The theoretical part of diploma gives a detail discussion, emphasizing the importance of sterilization in order to prevent infections in the Health centre dr. Adolf Drolc of Maribor city and represents the following procedures: the admission and documentation of complete sterilization process from accepting to hand out the materials as well as cleaning, disinfection, the control of equipment, loading the baskets including the supervision of sterilization process according to safety regulations, standards and principles of labor legislation of this field. In the thesis are also described safety procedures for prevention of hospitality infections and other interference factors. In the empiric part of diploma assignment are represented the results of research study. Questionnaire was sent to nurses and medical technicians which are working in eight divisions of the medical health centre in our city. The key issue of research was to find out the importance of sterilization process as quality element. The results show that medical staff is aware of importance of sterilization process in order to prevent hospital infections and that they work and act by recommended standards. The research has also shown that the users of our services are content with the service of Central sterilization office. From given critics and recommendations we got useful information for improving quality of our work