Kırıkkale Üniversitesi Tıp Fakültesi'nde sağlık çalışanlarının önlüklerindeki bakteriyolojik kontaminasyonların incelenmesi

Year 2020, Volume: 2 Issue: 1, 1 - 5, 15.01.2020

Ayşe Koç Sema Çetin Fatma Şener Birgül Kaçmaz

https://doi.org/10.38053/agtd.576836

Cited By: 2

Abstract

Amaç: Hastane ortamında beyaz önlükler
patojenik bakterilerin yayılmasında rol oynayabilirler. Bu çalışmada sağlık
personelinin kullandığı beyaz önlüklerin bakteriyel kontaminasyonu
araştırılmıştır. Aynı zamanda sağlık personeline önlüklerinin kullanımı
hakkında anket uygulanmıştır.

Gereç ve Yöntem: Beyaz önlüklerden steril salin
ile nemlendirilmiş eküvyonlar kullanılarak kültür alınmıştır. Alınan örnekler
kanlı ve endo metilen blue agara ekilmiş, 37°C’de 48 saat inkube edilmiştir.
Standart mikrobiyolojik metodlar kullanılarak bakteriler tanımlanmıştır. Beş
sorudan oluşan anket formu uygulanmıştır.   

Bulgular: Doksan altı sağlık sağlık
çalışanı çalışmaya alınmıştır. Önlüklerin %25’inde (24/96) bakteriyel
kontaminasyon saptanmıştır. Bakterilerin
çoğu %62.5 (15/24) koagulaz negatif stafilokoklardır. En yüksek bakteriyel
kontaminasyon oranı (%44) yoğun bakım ünitesinde çalışan sağlık personelinin
önlüklerinde saptanmıştır. Anket sonuçlarına göre personelin genellikle
önlüklerini kendileri yıkadıkları, dahili ve cerrahi birimlerdeki personelin
yemek yerken genellikle önlüklerini çıkarmadıkları saptanmıştır.    

Sonuç: Sonuç olarak beyaz önlüklerin
bakterilerle kontamine olabileceğinin bilinmesi, el hijyenine/yıkamasına önem
verilmesi ve mümkünse klinik dışı ortamlarda (yemekhane, kantin gibi)
önlüklerin giyilmemesi konularında sağlık personelinin bilgilendirilmesi uygun
olacaktır.   

Keywords

Sağlık çalışanları, beyaz önlük, bakteriyel kontaminasyon

Investigation of bacteriological contamination in white coats of health care workers in Kırıkkale University, Faculty of Medicine

Abstract

Objective: White coats may play a role in
transmitting pathogenic bacteria in a hospital environment. This study was
investigated bacterial contamination of the white coats used by healthcare
workers (HCW). At the same time, health care workers were questioned about the
use of their white coat.

Material and Method: Samples for culture were
collected from white coats using the sterile swabs moistened with sterile
normal saline. Collected samples were cultured on blood agar and Endo metilen
blue agar plates, which were incubated at 37°C for 48 hours. Bacteria were
identified using standard microbiological methods. A questionnaire consisting of
five questions was applied.

Results:  A
total of 96 HCW participated in this study. %25 (24/96) of the white coats had
bacterial contamination. Most % 62.5 (15/24) were coagulase negative
Staphylococci. The highest bacterial contamination rate (%44) was found in the
white coats of the health personnel working in the adult intensive care unit. According
to the results of the questionnaire, it was found that the HCW’s generally wash
their own white coats themselves and the personel working for the units internal and surgical do not take
their coats off when they eat.

Conclusion: As a result, it would be appropriate
to inform the health personnel about white coats may be contaminated with
bacteria, to give importance to hand hygiene / washing and, if possible, to not
wear gowns in non-clinical settings (such as cafeteria, canteen).

Keywords

Health care workers, white coat, bacterial contamination

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