Ukuqonda Ngokunzulu Indlela Amakhethini Alwa Neentsholongwane Aphucula Ngayo Ukhuseleko Lwesibhedlele

I-antimicrobial elahlwayo amakhethini esibhedlele ukulwa ngokuthe ngqo nosulelo olunxulumene nokhathalelo lwempilo (ii-HAI) ngokuthintela ukukhula kweentsholongwane. Izibhedlele zijongene nomceli mngeni omkhulu, njengoko malunga nesigulane esinye kwizigulane ezingama-31 zasezibhedlele zase-US sasinayo ubuncinane i-HAI enye nangayiphi na imini ngo-2015. Ezi khethini zesibhedlele ezilahlwayo ziphucula ukhuseleko kunye nococeko lwezigulane ngokudala indawo ecocekileyo kunye nokunciphisa ukudluliselwa kwezifo. Le ndlela yokuzikhusela inceda ukukhusela izigulana ezisengozini.

Izinto ezibalulekileyo ekufuneka ziqwalaselwe

• I-Antimicrobial Ikhethini elilahlwayoOku kuthintela iintsholongwane ekukhuleni kwazo. Oku kunceda ukugcina izibhedlele zicocekile kwaye zikhuselekile kwizigulana.
• Ezi khethini kulula ukuzitshintsha rhoqo. Oku kunciphisa ukusasazeka kwezifo kwaye kwenza ulawulo losulelo lube lula.
• Ukusebenzisa amakhethini alahlwayo konga imali nexesha kwizibhedlele. Akufuneki ukuba ahlanjwe, nto leyo enceda abasebenzi bagxile ekunyamekeleni izigulana.

Iindlela Ezithe Ngqo Zokuthintela Usulelo NgeeKheteni Zesibhedlele Ezilahlwayo Ezilwa Neentsholongwane

Ukuthintela Ukukhula Kweentsholongwane Kwiindawo Eziphezulu

Amakhethini esibhedlele asetyenziswa njenge-antimicrobial athintela ukwanda kwee-microorganisms eziyingozi ngqo kwiindawo zazo. La makhethini akhethekileyo aqulethe izinto eziphazamisa ukusebenza kweeseli zebhaktiriya, nto leyo ethintela ukukhula kwazo ngempumelelo. Le ndlela inciphisa kakhulu umthwalo weebhaktiriya kwiindawo zezigulana. Umzekelo, izifundo zibonisa ukwehla okukhulu kongcoliseko lweebhaktiriya kwiindawo zekhethini emva kokufaka iinguqulelo ze-antimicrobial.

Olu lwazi lubonisa ngokucacileyo ukusebenza kakuhle kwezi khethini. Inani eliphakathi leebhaktheriya kwikhethini lalingaphantsi kwe-1 CFU, nto leyo ebonisa ukuba kunokwenzeka kakhulu ukuthintela iikhethini zobumfihlo ukuba zisebenze njengeevektha zezifo ezinxulumene nokhathalelo lwempilo. Ezi khethini zinciphisa ubukho bebhaktheriya, ngaloo ndlela zinciphisa ungcoliseko lomphezulu kwaye zinceda ekugcineni imigangatho yococeko. Ngokunciphisa ukukhula kweebhaktheriya kwimiphezulu yekhethini, ezi mveliso zithintela ungcoliseko oludibanisa izigulana kunye nabasebenzi bezempilo.

Ukunciphisa iingozi zokungcoliswa kwezinto ezidityanisiweyo

Amakhethini esibhedlele alwa neentsholongwane enzelwe ngokukodwa ukunciphisa ukudluliselwa kweentsholongwane ukusuka kumphezulu wekhethini ukuya kwizigulana okanye kubasebenzi. Le ndlela yokuthintela ngokwasemzimbeni ixhomekeke kwiimpawu zekhethini ukuthintela okanye ukubulala iintsholongwane ezidibana nayo, ngaloo ndlela iphula uthotho lokudluliselwa. Amakhethini e-biocidal alahlwayo athintela ukudluliselwa kwezifo ngokusebenzisa iingubo zawo ezilwa neentsholongwane. Ezi ngubo ziqulethe iiarhente ze-biostatic, ezifana ne-didecyl dimethyl ammoniumchloride okanye i-polysiloxane. Ezi arhente zisusa okanye zinciphisa kakhulu iintsholongwane ze-Gram-negative, ezifana I-Escherichia coli kwaye I-Pseudomonas aeruginosakunye neentsholongwane ezineGram-positive, ezifana I-Staphylococcus aureus kwaye I-Enterococcus faecalis, kwiindawo zazo. Oku kunciphisa iintsholongwane ezisebenzayo kumphezulu wekhethini kunciphisa ngokuthe ngqo umngcipheko wongcoliseko oludluliselwa ngesandla kwizigulana nakubasebenzi bezempilo. Iifomyula ezintsha nazo zenzelwe ukuba zibulale izigulane nge-sporicidal, ziphucula ngakumbi umsebenzi wazo wokuthintela izifo ezahlukeneyo, kuquka ii-spore ezihlala zikhona ezifana I-Clostridium difficile.

Ukuqinisekisa Ukungabi Nazintsholongwane Ngokutshintsha Ngokukhawulezileyo

Amakhethini esibhedlele alahlwayo anika isisombululo esisebenzayo sokunciphisa iingozi zokungcoliswa okusasazekayo kuba enzelwe ukutshintshwa rhoqo. Oku kususa isidingo sokuhlamba impahla kwaye kunciphisa umthwalo womsebenzi wabasebenzi. IZiko loLawulo lweZifo kunye nokuThintela (i-CDC) licebisa ukuba kutshintshwe amakhethini esibhedlele alahlwayo ubuncinane kanye ngenyanga njengomgangatho ophantsi. Nangona kunjalo, ukutshintshwa kwangoko kuyimfuneko ukuba amakhethini abonakale engcolile, engcolisiwe, yonakele, okanye adibana negazi, ulwelo lomzimba, okanye izinto ezisulelayo. Kwiindawo ezinobungozi obukhulu ezifana neeYunithi zoKhathalelo oluPhezulu (ii-ICU) kunye namagumbi okuzahlula, utshintsho oluqhubekayo, ngamanye amaxesha ngeveki, lubalulekile ngenxa yokwanda kobuthathaka besigulana kunye nokwenzeka kongcoliseko. Izibhedlele zihlala zenza iishedyuli zokutshintshwa ezenzelwe wena ngokusekelwe kwiingozi zesebe kunye noluntu lwezigulane, ukuqinisekisa ukuba intsholongwane ihlala ikhona kwaye ikhuselekile.

Ukusebenza kakuhle kunye nokuthotyelwa kwemithetho Iingenelo zamakhethini esibhedlele alahlwayo

Ukulungelelanisa iiProtocols zoLawulo loSulelo

Amakhethini alahlwayo ayenza lula kakhulu imigaqo yolawulo losulelo. Imigaqo "yokususa nokutshintsha" yala makhethini ilula. Le nkqubo inciphisa iimpazamo zabantu kwaye iqinisekisa ukuthotyelwa okuphezulu kwemigaqo-nkqubo yolawulo losulelo. Oku kuhambelana kunceda ukugcina umgangatho ophezulu wococeko kuzo zonke iindawo zezigulana. Kwenza ukubonisa ukunamathela kwimigangatho yococeko ngexesha lokuhlolwa kube lula kakhulu.

Ukuququzelela ukuThotyelwa kweMithetho

Izibonelelo zonyango zifumana kulula ukuhlangabezana neemfuno zomthetho ngeekhethini ezilahlwayo. Ukutshintshwa ngakunye kubonelela ngomphezulu omtsha, ongcolileyo. Oku kuqinisekisa ucoceko oluqhubekayo kwaye kususa uqikelelo malunga nemeko yococeko lwekhethini. Oku kunceda ngakumbi ekuqinisekisweni kokuthobela imithetho. Inkqubo elula inceda izibhedlele ukuba zigcine imigangatho yococeko engqongqo, ebalulekileyo kwimibutho elawulayo.

Ukuphucula ulwabiwo kunye nokugcinwa kwezixhobo

Amakhethini esibhedlele alahlwayo abonelela ngokonga okukhulu kweendleko. Asusa iindleko ezinxulumene nokugcinwa kwamakhethini emveli, njengokuhlamba impahla kunye nokulungisa. Ukuhlamba impahla amakhethini emveli kunokuphelelwa lixesha ngenxa yeendleko ezinxulumene noko. Ezi ndleko zinciphisa uhlahlo lwabiwo-mali, ngakumbi xa kuthelekiswa nemigangatho yokucoca okusingqongileyo. Iphepha elimhlophe ligxininisa ukuba iindleko zokuqala zebhedi nganye yamakhethini esibhedlele alahlwayo ziphantsi kakhulu kunezo zamakhethini zelaphu. Oku kuvumela amaziko ezempilo ukuba afumane ukonga okukhulu. Angasasaza imali kwezinye iindawo ezibalulekileyo. Ngaphezu koko, imodeli "yokususa nokutshintsha" inciphisa umthwalo womsebenzi wabasebenzi. Oku kukhulula abasebenzi kweminye imisebenzi ebalulekileyo yokhathalelo lwezigulane. Oku kusebenza kakuhle kuncedisa kulawulo olungcono lwezixhobo ngaphakathi esibhedlele.

Ukuphucula impilo-ntle yesigulana kunye nabasebenzi ngamakhethini e-Advanced Cubicle

Ukunciphisa Ukubonakaliswa Kweentsholongwane

Amakhethini e-cubicle aphucukileyo anciphisa kakhulu umngcipheko wokudluliselwa kwezifo. Iimpawu zawo zokulwa ne-antimicrobial zitshabalalisa okanye zithintela ukukhula kweebhaktheriya, iintsholongwane kunye nefungi kumphezulu wekhethini. Le ntshukumo ngqo idala umqobo okhuselayo phakathi kwezigulane kunye nezinto ezinokuba zingcolisa. Izigulane, ezihlala zingenawo amasosha omzimba abuthathaka, zixhamla kakhulu kolu ngcipheko lunciphileyo. Abasebenzi nabo bajongene nemingcipheko embalwa xa behamba kwiindawo zezigulane. Le ndlela yokuzikhusela inceda ukuthintela ukusasazeka kwezifo ngaphakathi kwesibhedlele.

Ukuphucula ucoceko lwendalo esingqongileyo

Ezi khethini zinegalelo ekubeni imeko-bume yesibhedlele icoceke rhoqo. Iikhethini zelaphu zemveli zinokuba neentsholongwane, zibe yimithombo yongcoliseko. Nangona kunjalo, iikhethini zesibhedlele ezilahlwayo zibonelela ngomphezulu omtsha nongenazintsholongwane xa kutshintshwa. Olu tshintsho luqhelekileyo luthintela ukuqokelelana kweentsholongwane nothuli. Luqinisekisa ukuba indawo engqonge isigulana ihlala icocekile. Indawo ecocekileyo ebonakalayo ikwafaka ukuzithemba kwizigulana nakwiintsapho zazo malunga nomgangatho wokhathalelo.

Ukuxhasa Indawo Ekhuselekileyo Yokuphilisa

Ekugqibeleni, amakhethini e-cubicle aphucukileyo akhuthaza indawo ekhuselekileyo yokuphiliswa. Ngokunciphisa ukuvezwa kwezifo kunye nokuphucula ucoceko ngokubanzi, anciphisa ukwanda kwezifo ezinxulumene nokhathalelo lwempilo. Izigulana ziyaphola ngokukhawuleza xa zingafumani ezinye izifo ngexesha lokuhlala kwazo. Abasebenzi baziva bekhuselekile ngakumbi xa besebenza kwindawo engcolisekanga kangako. Olu khuseleko luphuculweyo lunegalelo kwiziphumo ezingcono zesigulana kunye namava amahle kubo bonke abakwiziko lezempilo.

Amakhethini esibhedlele asetyenziswa njenge-antimicrobial alahlwayo atshintsha ukhuseleko lwesibhedlele. Anciphisa kakhulu ungcoliseko, ahlala ecocekile ixesha elide xa kuthelekiswa namakhethini emveli. Oku kunciphisa ngokuthe ngqo usulelo olunxulumene nokhathalelo lwempilo. Ukudibanisa la makhethini esibhedlele alahlwayo kwiindlela zokulawula usulelo kunika iingenelo zexesha elide. Izibhedlele zifezekisa ukhuseleko oluphuculweyo lwezigulane kunye nokusebenza kakuhle kweendleko, okudala indawo yokuphilisa ekhuselekileyo rhoqo.

FAQ

Iikhethini ezisetyenziswa xa zilahlwa ezilwa neentsholongwane zithintela njani usulelo?

Ezi khethini ziqulathe izinto ezibangela iintsholongwane. Ezi zinto zithintela ukukhula kweentsholongwane ngqo kumphezulu wazo. Le ntshukumo inciphisa umthwalo weentsholongwane kwaye ithintela ukwanda kweentsholongwane.

Izibhedlele kufuneka zitshintshe kangaphi iikhethini ezilahlwayo?

Izibhedlele ziyazitshintsha ubuncinane inyanga nenyanga. Kufuneka zitshintshwe ngokukhawuleza ukuba amakhethini abonakala engcolile. Iindawo ezinobungozi obukhulu zihlala zifuna utshintsho rhoqo ngeveki.

Ziziphi iingenelo zokusebenza ezibonelelwa ngamakhethini alahlwayo?

Zenza kube lula iindlela zokulawula usulelo. Zikwanceda ukuthotyelwa kwemithetho. Ezi khethini ziphucula ukwabiwa kwezixhobo ngokunciphisa iindleko zokuhlamba impahla kunye nokunciphisa umthwalo womsebenzi wabasebenzi.