Fisun ŞENUZUN, Tuna Nazan ORAN, Belgin DANIŞ

Ege Üniversitesi Tıp Fakültesi Hastanesinde antiseptik madde olarak alkolü saklama ve kullanma durumunun incelenmesi

Araştırma, Ege Üniversitesi Tıp Fakültesi Hastanesi'nde antiseptik madde olarak alkolün saklama ve kullanma durumunu saptamak ve kullanım, saklama ve standart bir uygulama protokolü belirlemek amacı ile planlanmıştır. Deneysel tipte planlanan araştırma, E.Ü. Tıp Fakültesi Hastanesi'nin tüm klinik, yoğun bakım, ameliyathaneler, laboratuar ve polikliniklerinde gerçekleştirilmiştir. Bu araştırmada, veri toplama aracı olarak 16 sorudan oluşan bir kayıt formu ve alkol yoğunluğunu ölçen alkolmetre kullanılmıştır. Depolarda alkol yoğunluğunun ortalamasının %98.5± 0.60 (min:%97, max:%99) ve kliniklerde %88.5±.17.53 (min:%3, max:%99) olarak belirlenmiştir. Sonuç olarak, klinik depolarında alkolü saklama koşullarının standartlara uygun olduğu saptanırken kliniklerde antiseptik madde olarak alkolü sulandırma, saklama ve kullanımının uygun standartlarda olmadığı saptanmıştır.

Anahtar Kelimeler:

Anti-enfektif ajanlar, lokal, Alkoller, Veri toplama

The evaluation of the use and conditions for preserving alcohol as an antiseptic agent in Ege University Faculty of Medicine

The aim of this study was to determine and assess the conditions for using and preserving alcohol as an antiseptic agent, and to develop a standard application protocol in the Hospital of Ege University Faculty of Medicine. The study was planned as an experimental study, and included all departments, clinics, intensive care units, laboratories and operating rooms. Data were collected by a questionnaire which included sixteen questions and alcoholmeter to measure the alcohol concentrations in the antiseptic solution. Mean scores for alcohol concentration were 98.5+ 0.60% (min:97%, max:99%) for general supplies and 88.5±.17.53% (min:3%, max: 99%) in the departments. The results of this study have shown that although the hospital has a standard condition for preserving alcohol in the general supplies, the same does not apply in terms of having a standard condition for preserving, dilution and using alcohol as an antiseptic agent in the departments.

Keywords:

Anti-Infective Agents, Local, Alcohols, Data Collection,

PDF

___

1. Boyce JM., Pittet D. (2002). Guideline for skin antisepsis in health care setting, Reccomendations of Health Infection Control Practice Advisory Commite HPAC/SHEA/APIC/IDSA/CDC, 25 (51-RR-16):1-45
2. Hibbard JS., Mulberry GK. (2002). A Clinical study comparing the skin antisepsis and safety of choraprep, %70 isoproply alcohol, and %2 aqueous chlorheidine, Journal of Infus. Nurs, 25 (4): 244-249.
3. Calfee DP., Farr DM. (2002), Comparison of four antiseptic preparations for skin in the prevention of contamination of precutaneously drown blood cultures: A randomized trial, Journal of Clin Microbiol, 40 (5): 1660-1665.
4. Trautrer BW., Clarridge JE., Drouiche RO. (2002), Skin antisepsis kits containing alcohol and chlorhexidine gluconate or tincture of iodine are associated with low rates of blood culture contamination. Infection Control and Hospital Epidemiology, 23(7): 397-340.
5. Vries JH., Van Drop WT., Braeveld PW. (1997), A randomize trial of alcohol 70% versus alcoholic iodine 2% in skin disinfection before insetion of peripheral infusion cathaters. Journal of Hosp.Infect. 36(4):317-320.
6. Pearson ML. (1996), Hospital infection control practice advisory committe. Guideline for prevention of intravascular device related infections, Control Hospital Epidemiol. 17, 438-473.
7. Weinstein SM (2001). Principle and practice of Intravenous Theraphy, Lippincot:Philadelphia: 169-170.
8. O'Grady NP., Alexander M., Dellinger PE. (2002). Guidelines for the Prevention of Intravascular Catheter-Related Infections, MMVR Recommendations and Reports. 51(RR10);1-26.
9. Özyurt M. (1999). Hastanelerde temizlik, dezenfeksiyon, sterilizasyon ve tıbbi atıkların yok edilmesi. Hastane İnfeksiyon Dergisi, 3: 175-183.
10. Bozok Jhonson C. (1996). İnfeksiyon hastalıklarında korunma ve control: Sterilizasyon ve dezenfeksiyon. İnfeksiyon Hastalıkları ( edt: Topçu AW., Söyletir G., Doğanay M.), Nobel Tıp Kitapevleri: İstanbul, 228-229.