Indlela Yokuphucula Ukhuseleko Lwesigulana Ngeekhethini Zesibhedlele Ezilahlwayo

Iindawo zesibhedlele zihlala zigcina iintsholongwane eziyingozi, nto leyo eyenza ulawulo losulelo lube ngumceli mngeni oqhubekayo. Izifundo zibonisa ukuba usulelo olunxulumene nokhathalelo lwempilo (ii-HCAI) luchaphazela ukuya kuthi ga kwi-7.6% yezigulana kumazwe aphuhlileyo kwaye lufikelela kwi-19.1% kwimimandla ephuhlileyo. Amakhethini elaphu lendabuko anokuba neentsholongwane ezifana I-Acinetobacter baumannii kangangeenyanga, nto leyo ebangela ukuba kubekho iingozi ezininzi. Amakhethini alahlwayo ezibhedlele yenza kube lula ukucoca, nto leyo enika indlela ekhuselekileyo nethembekileyo yokunciphisa ungcoliseko.

Izinto ezibalulekileyo ekufuneka ziqwalaselwe

• Amakhethini esibhedlele alahlwayo nciphisa iingozi zosulelo ngokuba zicocekile kunezelaphu.
• Uqeqesho lwabasebenzi lokutshintsha amakhethini ngokuchanekileyo lugcina izigulane zikhuselekile.
• Izixhobo ezikhethekileyo ezikule khethini zithintela iintsholongwane, nto leyo eyenza izibhedlele zicoceke kwaye izigulane zikhululeke ngakumbi.

Iingozi Eziqhelekileyo Zokosuleleka Kwizibhedlele

Indima Yeendawo Ezingcolisiweyo Ekusasazekeni Kosulelo

Iindawo ezikwizibhedlele zizaliswe ziindawo ezichukumisa kakhulu ezinokusebenza njengeendawo zokugcina iintsholongwane eziyingozi. Ezi ndawo, ukusuka kwiireyili zebhedi ukuya kwiikhibhodi zekhompyutha, zihlala zingcolile nangona zicocwa rhoqo. Uphando olupapashwe kwi- Ijenali yaseMelika yoLawulo loSulelo ifumanise ukuba iikholoni zeebhaktheriya zihlala kwezi ndawo, nto leyo enegalelo ekwandeni kwamazinga osulelo anxulumene nezempilo.

Iintsholongwane ezifana I-Clostridium difficile kunye ne-Hepatitis B virus (HBV) zibangela ingxaki ngokukodwa. C. kunzima ingaphila phezu komhlaba ukuya kuthi ga kwiinyanga ezintlanu, ngelixa i-HBV ihlala iphila iintsuku ezisixhenxe. Izinto ezichaphazeleka kakhulu ziquka iicommodes, iipani zokulala, kunye nee-blood pressure cuffs. Kwiindawo ezikufutshane nezigulana ezinesi sifo, amazinga okungcoliseka C. kunzima inokufikelela kwi-58%. Oku kuqhubeka kugxininisa ukubaluleka kweenkqubo zokubulala iintsholongwane ngokupheleleyo.

Iindawo ezichukumisa kakhulu, ezinje ngamaqhosha okumpompa amanzi kunye neereyile ezisecaleni kwebhedi, zingumngeni okhethekileyo. Ezi ndawo zihlala zisetyenziswa zizigulana kunye nabasebenzi bezempilo, nto leyo eyonyusa umngcipheko wokungcola okusasazekayo. Ukubulala iintsholongwane imihla ngemihla kunokunciphisa ukufumaneka kwezifo ezandleni zabasebenzi bezempilo, kodwa ubunzima bokugcina iindawo ezicocekileyo kwiindawo ezixakekileyo zesibhedlele buhlala bungumqobo omkhulu.

Ingcebiso: Amagumbi aneebhedi enye anokunceda ukunciphisa iingozi zosulelo ngokunciphisa inani leendawo ezingcolisiweyo ezabelwana phakathi kwezigulana.

Kutheni Amakhethini Emveli Engumbandela Wococeko

Amakhethini elaphu emveli, adla ngokungahoywa ngexesha lokucoca, anokuba neentsholongwane eziyingozi. Nokuba abonakala ecocekile, la makhethini anokuba neentsholongwane ezinganyangekiyo ngamayeza ezifana ne-MRSA. IZiko loLawulo nokuThintela izifo (i-CDC) licebisa ukuba amakhethini acocwe xa ebonakala engcolile, emva kokuchitheka, kwaye rhoqo ngokusekelwe kumngcipheko wongcoliseko. Nangona kunjalo, le migaqo ayilandelwa rhoqo ngenxa yexesha okanye imigaqo yokucoca enganeleyo.

Izifo ezinxulumene nesibhedlele (ii-HAI) zinxulunyaniswa kakhulu neempahla zokhathalelo lwempilo, kuquka namakhethini obumfihlo. Izifundo zibonisa ukuba kwanabo amakhethini alwa neentsholongwane inokungcola ngokuhamba kwexesha. Izinto ezingabonakaliyo ezingcolisayo, ngamanye amaxesha ezibizwa ngokuba yi-"fecal patina," zinokubangela ukuba iindlela zokucoca zinganeli. Oku kwenza amakhethini emveli abe ngumthombo wosulelo, ingakumbi kwiindawo ezinobungozi obukhulu ezifana neeyunithi zokhathalelo oluphezulu kunye neewadi zotyando.

Amakhethini alahlwayo ezibhedlelezibonelela ngesisombululo esisebenzayo kule ngxaki. Ngokungafaniyo namakhethini elaphu, zenzelwe ukuba kube lula ukuwatshintsha, ukuqinisekisa ukuba acocekile kwaye acocekile. Ngokudibanisa Ikhethini elilahlwayoNgokuphathelele imigaqo yococeko lwesibhedlele, amaziko ezempilo anokunciphisa kakhulu iingozi zokosuleleka ngelixa ephucula ukhuseleko lwezigulane.

Iingenelo zamakhethini alahlwayo kwizibhedlele

Ukutshintshwa okulula kunye nokugcinwa

Amakhethini alahlwayo enza kube lula ukugcina imeko-bume yesibhedlele icocekile. Ngokungafaniyo namakhethini elaphu emveli, afuna ukuhlanjwa impahla kunye nexesha elide lokomiswa, amakhethini alahlwayo anokutshintshwa ngemizuzu embalwa. Olu tshintsho lukhawulezileyo luluncedo ngakumbi kwiindawo ezifunwa kakhulu njengeewadi zongxamiseko kunye namagumbi okuzigcina eyedwa.

Izibhedlele zamkele imigaqo yezempilo emva kobhubhane eyalela ukuba kutshintshwe rhoqo amakhethini, rhoqo emva kweeveki ezi-6-12. Amakhethini alahlwayo ayahlangabezana nale mfuno ngokulula, eqinisekisa ukuthotyelwa kwemiyalelo yokuthintela usulelo. Uyilo lwazo olukhaphukhaphu lwenza kube lula ukuwaphatha, nto leyo enciphisa uxinzelelo lomzimba kubasebenzi ngexesha lokutshintshwa.

Ingcebiso: Iinkqubo ze-pulley ezizenzekelayo zinokwenza kube lula ngakumbi ukutshintsha amakhethini, zigcine ixesha kunye neendleko zabasebenzi.

Ukuhlanganiswa kwiMigaqo yoCoceko lweZibhedlele

Amakhethini alahlwayo adityaniswa kakuhle neenkqubo zococeko lwesibhedlele, nto leyo ephucula amanyathelo okulawula usuleloIzifundo zibonisa ukuba ama-92% amakhethini asetyenziswa kwakhona angcoliswa ziintsholongwane kwiveki, nto leyo ebeka iingozi ezinkulu. Ngokwahlukileyo koko, amakhethini asetyenziswa ngokulwa neentsholongwane agcina izinga lokungcoliswa liphantsi kakhulu, ane-0.56 CFU kuphela xa kuthelekiswa ne-32.6 CFU kumakhethini aqhelekileyo.

Izibhedlele ezitshintshele kwiikhethini ezilahlwayo zixela ukwehla ngama-30% kwamazinga osulelo. Olu phuculo lubonisa ukusebenza kwazo ekunciphiseni ungcoliseko oluhambelanayo. Ngokufaka iikhethini ezilahlwayo kwiishedyuli zokucoca rhoqo, amaziko ezempilo anokudala iindawo ezikhuselekileyo kwizigulana nakubasebenzi.

Ubumfihlo kunye neNtlalontle yesigulana ephuculweyo

Ubumfihlo bubaluleke kakhulu ekunyamekelweni kwezigulane, kwaye amakhethini alahlwayo ayazigqwesa ekunikezeni. Uphando lwango-2022 lubonise ukuba ama-89% ezigulana acinga ukuba amakhethini abucala abalulekile ukuze azive ekhululekile kwaye enesidima. Kumagumbi asetyenziswa kunye kunye namasebe ongxamiseko, la makhethini adala iindawo zobuqu ngexesha lovavanyo okanye unyango, ukuqinisekisa ukuba izigulana ziziva zikhuselekile.

Amakhethini alahlwayo akwanegalelo kwimeko-bume ebukekayo. Inkangeleko yawo entsha necocekileyo ikhanyisa amagumbi esibhedlele, ikhuthaza umoya wokuzola nolwaneliseko phakathi kwezigulane. I-"Printed Colorful Hospital Disposable Curtain" ka-Esun idibanisa ukusebenza kunye nobuhle, inika iiprinti ezenziwe ngokwezifiso eziphucula imeko-bume yezonyango.

• Izigulana ziyawuxabisa ubumfihlo ukuze zigcine isidima ngexesha lokubonisana.
• Amakhethini alahlwayo aqinisekisa ukuba umoya ucocekile kwaye uyamkeleka, nto leyo ekhulisa ulwaneliseko lomguli.
• Kwiindawo ezinabantu abaninzi abaxineneyo, babonelela ngezisombululo ezikhawulezayo nezisebenzayo zokugcina iindawo zobuqu zicocekile.

Phawula: Amakhethini alahlwayo alungele ukuhlala ixesha elifutshane, njengeekliniki zangaphandle, apho kufuneka kucocwe rhoqo.

Iimpawu ze-Antimicrobial kwiKheteni eziLahlwayo

Ukuthintela Ukukhula Kweebhaktheriya

Izibhedlele zihlala zilwa nongcoliseko lweentsholongwane, ingakumbi kwiindawo ezichukunyiswa kakhulu. Amakhethini alahlwayo kwizibhedlele ezine iipropati zokulwa nentsholongwane zibonelela ngesisombululo esinamandla. Ezi khethini zihlala ziqulathe isilivere okanye i-quaternary ammonium chloride (ii-QAC), ezilwa neebhaktheriya ngokukhutheleyo. Uvavanyo lwelebhu, olufana ne-ISO 20743, lubonisa ukuba ezi khethini zinokunciphisa iintsholongwane ukuya kuthi ga kwi-99.9%.

Izifundo zeklinikhi zibonisa ukusebenza kwazo kwiimeko zokwenyani. Amakhethini afakwe kwi-QAC anciphisa kakhulu umthwalo weentsholongwane xa kuthelekiswa namakhethini aqhelekileyo. Enyanisweni, izibhedlele ezisebenzisa la makhethini zibike ukwehla kwama-93% kongcoliseko olupheleleyo lweentsholongwane. Olu khuselo lude luthetha ukuba akukho zitshintshi zininzi kwaye kukho indawo ekhuselekileyo kwizigulane kunye nabasebenzi.

• Amakhethini e-antimicrobial aqulethe isilivere kunye ne-QACs zokulwa neentsholongwane.
• Uvavanyo lwelebhu luqinisekisa ukwehla kwe-99.9% kwiintsholongwane.
• Iindawo zonyango zibonisa ukwehla kwe-93% kongcoliseko lweentsholongwane.

Ingcebiso: Ukukhetha amakhethini asetyenziswa ekulweni neentsholongwane angasetyenziswayo kunokunceda izibhedlele zigcine iindawo zicocekile ngaphandle komzamo omkhulu.

Ukuxhasa Amanyathelo Okulawula Usulelo

Amakhethini alwa neentsholongwane alahlwayo adlala indima ebalulekileyo ekulawuleni usulelo. Izifundo ezithelekisa ukukhula kweentsholongwane kumakhethini emveli kunye nalawo alwa neentsholongwane zibonisa umahluko omkhulu. Amakhethini aneempawu zokulwa neentsholongwane athatha ixesha elide ukuba angcoliswe, nto leyo enciphisa ukuhlanjwa nokutshintshwa rhoqo.

Ngokunciphisa umthwalo weentsholongwane, ezi khethini zixhasa imigaqo yococeko lwesibhedlele kwaye ziphucula ukhuseleko lwezigulane. Ukukwazi kwazo ukuhlala zicocekile ixesha elide kuzenza zibe lukhetho olungabizi kakhulu nolusebenzayo kwizibonelelo zempilo.

Amaqhinga okusebenzisana

Abasebenzi boQeqesho malunga nokutshintshwa kwamakhethini ngendlela efanelekileyo

Uqeqesho olufanelekileyo luqinisekisa ukuba abasebenzi basesibhedlele banokutshintsha amakhethini alahlwayo ngokufanelekileyo nangendlela ecocekileyo. Uninzi lwabasebenzi bezempilo abazi ukuba kufuneka kutshintshwe kangaphi amakhethini okanye iinkqubo ezifanelekileyo zokwenza oko. Iiseshoni zoqeqesho eziqhelekileyo zinokuwuvala lo msantsa. Ezi seshoni mazigxile ekufundiseni abasebenzi indlela yokuphatha amakhethini ngaphandle kokusasaza ukungcola. Imiboniso ingabonisa indlela echanekileyo yokususa amakhethini asetyenzisiweyo kunye nokufaka amatsha ngaphandle kokuchukumisa iindawo ezicocekileyo.

Izibhedlele zingasebenzisa izixhobo ezibonakalayo ezifana neepowusta okanye izikhokelo zenyathelo ngenyathelo kwiindawo zokugcina izinto. Ezi zikhumbuzo zinceda ekuqiniseni iindlela ezilungileyo zokusebenza. Umzekelo, abasebenzi kufuneka bazi ukuba amakhethini angasetyenziswayo ezibhedlele enzelwe ukutshintshwa ngokukhawuleza nangokulula. Olu phawu lunciphisa ixesha lokungasebenzi kwaye luqinisekisa ukuba amagumbi ezigulana alungeleka ngokukhawuleza.

Ingcebiso: Ukwabela amalungu eqela athile ukuba ajonge ukutshintshwa kwamakhethini kunokuphucula uxanduva kunye nokuhambelana.

Inkxaso yoLawulo lweZisombululo zoLawulo loSulelo

Inkxaso enamandla yolawulo idlala indima ebalulekileyo ekugcineni amanyathelo okulawula usuleloAbaphathi bezibhedlele kufuneka babeke phambili izixhobo zokuthintela usulelo, kuquka ukusetyenziswa kweekhethini ezingasetyenziswayo. Ngokwabela uhlahlo-lwabiwo mali lweekhethini ezisemgangathweni ophezulu, banokunciphisa umngcipheko wosulelo olunxulumene nezempilo (ii-HAI).

Abalawuli banokusebenzisa imigaqo-nkqubo ekhuthaza utshintsho rhoqo lwekhethini. Umzekelo, ukusebenzisa i-hydrogen peroxide kwiikhethini ze-cubicle kubonisiwe ukuba kunciphisa iintsholongwane nge-98.5%. Iikhethini ezilahlwayo zenza kube lula le nkqubo kuba zinokutshintshwa ngoko nangoko emva kokusetyenziswa. Ukwandisa imizamo yokucoca nokutshintsha iikhethini rhoqo kunokunciphisa kakhulu umngcipheko wosulelo.

• Izibhedlele zibika ukuba ii-HAI zimbalwa emva kokusebenzisa iikhethini ezilahlwayo.
• Amakhethini alahlwayo afumana udumo ngenxa yokulula kwawo ukusetyenziswa nokusebenza kwawo.

Intsebenziswano phakathi kwabalawuli nabasebenzi iqinisekisa ukuba ezi zisombululo ziyasebenza kwaye zizinzile. Xa wonke umntu esebenzisana, izibhedlele zinokudala iindawo ezikhuselekileyo kwizigulane nakubasebenzi bezempilo ngokufanayo.

Amakhethini alahlwayo ezibhedlele atshintsha ulawulo losulelo kwinkonzo yezempilo. Iimpawu zawo zokulwa neentsholongwane kunye nenkqubo elula yokutshintsha izenza zibe yinto engabalulekanga. Izibhedlele ezisebenzisa la makhethini zenza iindawo ezicocekileyo kwizigulana nakubasebenzi. Ngokubeka phambili ucoceko, zinciphisa iingozi kwaye ziphucula ukhuseleko kubo bonke abantu abangena kwiingcango zabo.

FAQ

Yintoni eyenza amakhethini esibhedlele angasetyenziswayo abe ngcono kuneekhethini zelaphu zesintu?

Amakhethini alahlwayo kulula ukuwatshintsha, acocekile ngakumbi, kwaye adla ngokuba neempawu zokulwa neentsholongwane. Anciphisa iingozi zosulelo kwaye ongela abasebenzi basesibhedlele ixesha.

Kufuneka kutshintshwe kangaphi amakhethini esibhedlele alahlwayo?

Izibhedlele zihlala zizitshintsha rhoqo emva kweeveki ezi-6-12 okanye ngaphambi koko kwiindawo ezinobungozi obukhulu. Ukutshintshwa rhoqo kuqinisekisa ukuba indawo ecocekileyo nekhuselekileyo kwizigulane nakubasebenzi icocekile.

Ngaba iikhethini zika-Esun zingasetyenziswa ngendlela enokulungiselelwa?

Ewe! I-Esun inikezela ngoyilo oluqaqambileyo noluprintiweyo olukhanyisa iindawo zesibhedlele. Ezi khethini zidibanisa ukusebenza kakuhle kunye nobuhle, zidala umoya owamkelekileyo nowonwabisayo kwizigulane.

Ingcebiso: Khetha iindlela zokukhusela iintsholongwane ukuze ufumane ukhuseleko olongezelelekileyo kwiibhaktheriya nezinye izifo.