[Relation between microbiological monitoring and the risk of hospital infection in obstetrical departments].
1. The increased microbiological control of the total work process at maternity wards enables the timely notice of the contamination location. 2. A direct result of such control is an improvement of hygienic-technological procedures, disinfection and sterilisation at maternity wards. 3. A favourable epidemiological situation was registered during a two-year period following the epidemic (1986-1987) caused by the Coxsackie B virus with respect to a two-year investigation period preceding the epidemic (1984-1985). 4. During the two-year investigation period preceding the epimic 1,942 microbiological controls were performed at the Ginealogical-Obstetrics Clinic in Sarajevo. During the same period following the epidemic 3.321 microbiological controls were performed which is an increase of 1.7 times. 5. Increased number of controls influenced the improvement of the hygienic regime, and the basic parameters were: decreased prevalence of dangerous bacteria species, increased number of sterile swabs and a decreased number of pathogenous isolates. 6. The evaluation of hygiene and epidemiological risk of the medical equipment based on isolated pathogenous carriers prior and after the epidemic shows a significant difference (P less than 0.01). 7. There is a significant statistical difference (P less than 0.01) concerning the hygienic conditions of working clothes with respect to isolated pathogenous carriers before and after the epidemic. 8. Increased microbiological supervision resulted in the elimination of risks associated with working and floor surfaces since findings during the 1986-1987. period in comparison with the 1984-1985. period show significant statistical results with respect to pathogenous isolates (P less than 0.01).(ABSTRACT TRUNCATED AT 250 WORDS)
Basić
F
F
Simić
S
S
Puvacić
Z
Z
Simić
E
E
Milisić
J
J
D001419:Bacteria / Q000302:isolation & purification*; D003428:Cross Infection / Q000382:microbiology / Q000517:prevention & control*; D004783:Environmental Microbiology; D005260:Female; D006225:Hand / Q000382:microbiology; D006748:Hospital Departments; D006801:Humans; D009775:Obstetrics and Gynecology Department, Hospital; D010564:Personnel, Hospital; D011247:Pregnancy; D012307:Risk Factors
Odnos izmedu ucestalosti mikrobioloskih kontrola i rizika hospitalnih infekcija na porodajnim odjeljenjima.