Ameliyathane hemşirelerinde oje kullanımının cerrahi el yıkama sonrası bakteriyel kolonizasyona etkisi: bir ön çalışma

Amaç: Araştırma ameliyathane hemşirelerinde oje kullanımının cerrahi el yıkama sonrası bakteriyel kolonizasyona etkisini incelemek amacıyla yapıldı.Gereç ve Yöntem: Bu araştırma, kendi kendisinin kontrolü olan ve aynı grupta önceki ve sonraki değerlerin karşılaştırıldığı, deneysel çalışma olarak gerçekleştirildi. Araştırma 33 ameliyathane hemşiresi ile yapıldı. Araştırmada hemşirelerin el florası üzerindeki bakteri kolonizasyonunu ölçmek için eldiven sıvı yöntemi (glove juice methodu) kullanıldı. Verilerin değerlendirilmesinde; tanımlayıcı istatistiksel yöntemlerin yanı sıra Wilcoxon testi kullanıldı. Bulgular: Hemşirelerin %54.56’ sının lisans mezunu olduğu, %78.8’ inin 11 yıl ve üzerinde hemşirelik yaptığı, %63.7’ sinin de 11 yıl ve üzerinde ameliyathanede hemşire olarak çalıştığı bulundu. Cerrahi el yıkamayı etkileyen bireysel faktörler incelendiğinde ise; hemşirelerin %66.7’ sinin tırnak uzunluğunun 2 mm’ den kısa olduğu, %60.6’ sının bazen nemlendirici kullandığı, saptandı Araştırmada, hemşirelerin cerrahi el yıkama sonrası oje sürülen ve oje sürülmeyen ellerinden alınan örneklerdeki bakteri sayıları arasında istatistiksel olarak anlamlı bir farklılık bulunmadı.Sonuç: Araştırma bulguları, taze sürülmüş ojenin bakteriyel kolonizasyonda etkisi olmadığını gösterdi.

Effect of use of nail polish on bacterial colonization after surgical handwashing in operating room nurses: a preliminary study

Purpose: This study aims to analyze the effect of nail polish applied by operating room nurses on bacterial colonization after surgical hand washing. Materials and Methods: This is a self-controlled, experimental study in which the before and after values of the same group were analyzed. This study was conducted on 33 operating room nurses. The glove juice method was used to measure bacterial colonization on the nurses' hand flora. The data were collected using the Introductory Information Form for Nurses and the Data Recording Form. The data were analyzed using descriptive statistical methods along with the Wilcoxon test. Results: Of the nurses, 54.56% had a bachelor's degree, 78.8% had been working as a nurse for at least 11 years, and 63.7% had been working as an operating room nurse for at least 11 years. Of them, 66.7% had nails shorter than 2 mm. and 60.6% sometimes used moisturizer. No statistically significant difference was found between the amount  of bacteria in the samples obtained from the nurses' hands with and without nail polish after surgical hand washing.Conclusion: The findings showed that freshly applied nail polish has no effect on bacterial colonization.

___

  • 1. Centers for Disease Control and Prevention. 2014 National and State Healthcare-Associated Infections Progress Report. Washington DC, CDC, 2016.
  • 2. Centers for Disease Control and Prevention. Procedure-associated Module. Surgical Site Infection (SSI) Event. Available from: http://www.cdc.gov/nhsn/PDFs/pscManual/9pscSSIcurrent.pdf. [Accessed 15th February 2016].
  • 3. Diaz V, Newman J. Surgical site infection and prevention guidelines: a primer for certified registered nurse anesthetists. AANA J. 2015;83:63-68.
  • 4. European Centre for Disease Prevention and Control. Surveillance of Surgical Site Infections in European Hospitals – HAISSI protocol Version 1.02. Stockholm, ECDC, 2012.
  • 5. Erdem HA, Sipahi OR, Kepeli N, Dikiş D, Küçükler ND, Ulusoy B et al. Ege Üniversitesi Hastanesi’nde hastane infeksiyonları nokta prevalansı. Mediterranean Journal of Infection Microbes Antimicrobials. 2015;4:12-24.
  • 6. Provincial Infectious Diseases Advisory Committee on Infection Prevention and Control. Best practices for surveillance of health care - associated infections in patient and resident populations. Available from: http://www.publichealthontario.ca/en/eRepository/Surveillance_33_ENGLISH_2011-10-28% 20FINAL .pdf. [Accessed 27th March 2016].
  • 7. Vincent HSU. Prevention of health care–associated infections. Am Fam Physician. 2014;90:377-82.
  • 8. Andersson AE, Bergh I, Karlsson J, Eriksson BI, Nilsson K. The application of evidence-based measures to reduce surgical site infections during orthopedic surgery-report of a single-center experience in Sweden. Patient Saf Surg. 2012;6:1-8.
  • 9. Assadian O, Kramer A, Ouriel K, Suchomel M, McLaws ML, Rottman M et al. Suppression of surgeons’ bacterial hand flora during surgical procedures with a new antimicrobial surgical glove. Surg Infect (Larchmt). 2014;15:43-9.
  • 10. Chauveaux D. Preventing surgical site infections: measures other than antibiotics. Orthop Traumatol Surg Res. 2015;101:77-83.
  • 11. Danzman L, Gastmeier P, Schwab F, Vonberg RP. Healthcare workers causing large nosocomial outbreaks: a systematic review. BMC Infect Dis. 2013;13:98.
  • 12. Harnoss JC, Brune L, Ansorg J, Heidecke CD, Assadian O, Kramer A. Practice of skin protection and skin care among German surgeon and influence on the efficacy of surgical hand disinfection and surgical glove performing. BMC Infect Dis. 2014;14:1-7.
  • 13. Philips J, O' Grady H, Baker E. Prevention of surgical site infections. Surgery 2014;32:468-71.
  • 14. Sadrizadeh S, Tammelin A, Ekolind P, Holmberg S. Influence of staff number and international constellation on surgical site infection in an operating room. Particuology. 2014;13:42-51.
  • 15. Tanner J, Dumville JC, Norman G, Fortnam M. Surgical hand antisepsis to reduce surgical site infection. Cochrane Database Syst Rev. 2016;1:CD004288.
  • 16. Thiele RH, Huffmyer JL, Nemergut EC. The “six sigma approach” to the operating room environment and infection. Best Pract Res Clin Anaesthesiol. 2008;22:537-52.
  • 17. Àngeles-Garay U, Morales-Màrquez L, Sandoval-Balanzarios MA, Velàzquez-Garcia JA, Maldonado-Torres L et al. Risk factors related to surgical site infection in elective surgery. Cir Cir. 2014;82:44-56.
  • 18. Meeks DW, Lally P, Carrick MM, Lew DF, Thomas EJ, Doyle PD et al. Compliance with guidelines to prevent surgical site infections: as simple as 1-2-3?. Am J Surg. 2011;201:76-83.
  • 19. Spruce L. Back to basics: Preventing surgical site infections. AORN J. 2014;99:600-11.
  • 20. Baumgardner CA, Maragos CS, Walz J, Larson E. Effects of nail polish on microbial growth of fingernails. dispelling sacred cows. AORN J. 1993;58:84-8.
  • 21. Edel E, Houston S, Kennedy V, Larocca M. Impact of a 5 minute scrub on the microbial flora found on artificial, polished or natural fingernails or operating room personnel. Nurs Res. 1998;47:54-9.
  • 22. Wynd CA, Samstag DE, Lapp AM. Bacterial carriage on the fingernails of OR nurses. AORN J. 1994;60:799-805.
  • 23. National Collaborating Centre for Women's and Children's Health. Surgical Site Infection: Prevention and Treatment of Surgical Site Infection. London (UK), National Institute for Health and Clinical Excellence (NICE), 2008.
  • 24. Meara G, Reive R. Aseptic Technique and Sterile Field Guideline for Asepsis for Invasive Surgical Procedures Conducted in Community-Based Health Care Settings. Alberta, CA, Alberta Health Services, 2013.
  • 25. Association of Surgical Technologists. AST Standards of Practice for Surgical Attire, Surgical Scrub, Hand Hygiene and Hand Washing. Littleton, CO, Association of Surgical Technologists, 2008.
  • 26. Garbutt MS. Infection control: Hand hygiene in the OR: Using evidence-based practices. OR Nurse Journal. 2011;5:10-2.
  • 27. National Institute for Health and Care Excellence. Surgical Site Infection Evidence Update (2013). London (UK), National Institute for Health and Clinical Excellence (NICE), 2013.
  • 28. Patrick M, Van Wicklin SA. Implementing AORN recommended practices for hand hygiene. AORN J. 2012;95:492–507.
  • 29. World Health Organization. WHO Guidelines on Hand Hygiene in Health Care. First Global Patient Safety Challenge Clean CareiIs Safer Care. Geneva, WHO, 2009.
  • 30. ASTM. E1115-02 Standart test method for evaluation of surgical hand scrub formulation. Annual book of ASTM standards. Philadelphia, American Society for Testing and Materials; 2002.
  • 31. Fagernes M, Lingaas E. Factors interfering with the microflora on hands: A regression analysis of samples from 465 healthcare workers. J Adv Nurs. 2011;67:297-307.
  • 32. White J. Jewelry and artificial fingernails in the healthcare environment: Infection risk or urban legend?. Clin Microbiol Newsl. 2013;35:61-7.
  • 33. Arrowsmith VA, Maunder JA, Taylor R. Removal of nail polish and finger rings to prevent surgical infection. Cochrane Database Syst Rev. 2014:CD003325.
  • 34. Karahocagil MK, Yaman G, Göktaş U, Sünnetçioğlu M, Çıkman A, Bilici A et al. Hastane enfeksiyon etkenlerinin ve direnç profillerinin belirlenmesi. Van Tıp Dergisi. 2011;18:27-32.
Cukurova Medical Journal-Cover
  • ISSN: 2602-3032
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1976
  • Yayıncı: Çukurova Üniversitesi Tıp Fakültesi
Sayıdaki Diğer Makaleler

Üst gastrointestinal sistem endoskopisi yapılan hastalarda intestinal metaplazi ve Helikobakter pylori skorlarının karşılaştırılması

Uğur KESİCİ

Preoperatif kemoradyoterapi uygulanan lokal ileri rektum kanserli hastalarda tedavi öncesi hemoglobin düzeyinin prognostik rolü

Berna AKKUŞ YILDIRIM, Ahmet Taner SÜMBÜL, Ozan Cem GÜLER, Ali Murat SEDEF, Cem ÖNAL, Erkan TOPKAN

Kondroblastik osteosarkom: koyun görünümünde kurt

Manas Bajpai, Nilesh Pardhe

Çıkan kolon ve çekumun kistik lenfanjiomu

Elif KARADELİ, Gürcan ERBAY

Adölesanlarda süperior mezenterik arter ve aorta arasında mesafe ve açı ölçümü ve vücut kitle indeksi ile ilişkisi

Mehmet ÖZTÜRK, Emine ÇALIŞKAN

Nöroendokrin tümörlerin klinikohistopatolojik özellikleri ve tedavi sonuçları: tek merkez deneyimi

Ali Murat SEDEF, Fatih KÖSE, Ahmet Taner SÜMBÜL, Hüseyin MERTSOYLU, Ali Ayberk BESEN, Ahmet SEZER, Özgür ÖZYILKAN, Hüseyin ABALI

Kumar oynama bozukluğu tanısı olan hastalarda, anksiyete, depresyon, ruminasyon ve dürtüsellik

Merih ALTINTAŞ

Yüzün halo nevüsü/Lökoderma acquisitum centrifugum

Manas BAJPAİ, Nilesh PARDHE

Topikal mitomisin-C ile tedavi edilen korneal intraepitelyal neoplazi

Ayşe Sevgi KARADAĞ, Burak BİLGİN, Nusret ÖZDEMİR

İntraabdominal ekstragenital yerleşimli endometriozisler: tek merkez deneyimi

Ahmet Rencüzoğulları, Kıvılcım Eren Erdoğan, Ahmet Gökhan Sarıtaş, Uğur Topal, Atılgan Tolga Akçam, Abdullah Ülkü, Orçun Yalav, İsmail Cem Eray, Kubilay Dalcı, Figen Doran