Umutekano wa ICU wongerewe hamwe n'amarido yo mu bitaro akoreshwa mu buryo butaziguye kugira ngo ugabanye ibyago byo kwandura

Ishobora gutabwa Amakarito yo mu cyumba byongera cyane umutekano wa ICU mu kugabanya ibyago byo kwandura. Ibiamarido yo kubaga bigira uruhare runini mu kugabanya ubwandu buterwa n'ubuvuzi (HAIs) mu barwayi batishoboye. Mu gushyira mu bikorwa amarido yo kwa muganga akoreshwa mu gihe cyo kuyakoresha, ibigo nderabuzima bifata ingamba zo kurinda ubuzima bw'abarwayi. Byongeye kandi, abakora amarido yo mu bitaro barimo kwibanda cyane ku guteza imbere amarido arwanya udukoko kugira ngo barusheho kunoza amahame y'isuku muri amarido yo mu cyumba cy'ibitaro.

Ibintu by'ingenzi byakunzwe

• Amarido yo kwa muganga ashobora gukoreshwa bigabanya cyane ibyago byo kwandura mu byumba by’indembe, bigafasha mu gukumira indwara ziterwa n’ubuvuzi (HAIs).
• Gukoresha Umwenda ukoreshwa mu kujugunyasbikuraho ikibazo cyo kumesa imyenda, kuzigama umwanya n'umutungo mu gihe hakirindwa ibidukikije bidafite umwanda kuri buri murwayi.
• Imiterere y’imiti irwanya udukoko mu mwenda ukoreshwa rimwe na rimwe yica udukoko, igatanga ahantu hatekanye ku barwayi batishoboye kandi ikanoza amahame y’isuku muri rusange.

Ikibazo cy’indwara ziterwa n’ubuvuzi gikomeje kwiyongera

Indwara ziterwa n’ubuvuzi (HAIs) zibangamira cyane umutekano w’abarwayi, cyane cyane mu byumba byita ku barwayi barembye cyane (ICU). Ubukana bw’izi ndwara buteye ubwoba, aho imibare ku isi yose igaragaza ko hafi 51.4% abarwayi ba ICU bandura indwara mu gihe bari muri iki kigo. Mu Burayi no muri Amerika, umubare w'abanduye uri hagati ya 9% kugeza kuri 37%Iyi mibare igaragaza ko hakenewe byihutirwa ingamba zinoze zo kurwanya ubwandu mu nzego z'ubuvuzi.

Igipimo cya HAIs gihagaze kuri 18.78 ku minsi 1.000 y'umurwayi, hamwe n'igipimo cyahinduwe cya 5.17 ku minsi 1.000 y'umurwayi hashingiwe ku buremere bw'uburwayi. Imibare nk'iyo igaragaza imiterere y'ingenzi y'ingamba zo kwirinda kwandura, cyane cyane mu duce aho abarwayi basanzwe bafite intege nke.

Imibare y'ingenzi kuri HAIs:

• Ubwinshi bw'ubwandu bwandujwe n'icyorezo cya ICU ku isi hose: 51.4%
• Ubwiyongere bw'abaturage mu Burayi no muri Amerika: 9% kugeza kuri 37%
• Igipimo cya HAIs: 18.78 ku minsi 1.000 y'umurwayi
• Igipimo cyahinduwe hashingiwe ku buremere bw'indwara: 5.17 ku minsi 1.000 y'umurwayi

Ingaruka ku musaruro w'umurwayi

Ingaruka za HAIs ntizigarukira gusa ku mibare; zigira ingaruka zikomeye ku murwayi. Kwandura indwara bishobora gutuma amara igihe kirekire mu bitaro, hamwe n’ubwiyongere bw’impuzandengo ya Iminsi 10.4 mu gihe umuntu amara (LOS) bitewe na HAI. Uku kwiyongera gutandukanye bitewe n'ubwoko bw'ubwandu, aho ubwandu mu maraso butuma umuntu agabanuka cyane Iminsi 12.8.

Byongeye kandi, HAI zifitanye isano no kwiyongera kw'impfu mu barwayi ba ICU. Ingorane ziterwa n'indwara zandura, nk'indwara zo mu maraso zifitanye isano n'imitsi yo mu bwoko bwa central line hamwe n'umusonga ufitanye isano n'umwuka, byongera ibyago byo gupfa. Ubudahangarwa bw'umubiri bw'abarwayi ba ICU butuma barushaho kwibasirwa n'indwara zikomeye.

1. Indwara za HAI zibangamira ubuzima bw'abarwayi, bigatuma umubare w'impfu wiyongera.
2. Ubudahangarwa bw'umubiri bw'abarwayi ba ICU butuma barushaho kwandura indwara zikomeye.
3. Kuvurwa vuba ni ingenzi cyane kugira ngo hirindwe ko indwara zandura ziyongera zikaba indwara zishobora gushyira ubuzima mu kaga.

Ingaruka za HAI ku gukira kw'abarwayi ni nini cyane. Ntabwo ziyongera igihe cyo kumara mu bitaro gusa, ahubwo zinagora gahunda zo kuvura no kongera ikiguzi cy'ubuvuzi. Gushyira mu bikorwa ingamba zinoze zo kurwanya ubwandu, nko gukoresha amarido yo mu bwoko bwa cubicle akoreshwa mu gusana, bishobora kugabanya cyane ibyago byo kwandura indwara za HAI no kunoza umusaruro w'abarwayi.

Gusobanukirwa amarido y'ibitaro ashobora gukoreshwa

Amarido yo mu bitaro ashobora gukoreshwa rimwe gusa ni ingenzi cyane mu kubungabunga isuku mu bitaro. Aya marido yagenewe gukoreshwa rimwe gusa, bigabanya cyane ibyago byo kwanduzwa n'andi marido. Bitandukanye n'amarido asanzwe ashobora gukoreshwa rimwe gusa, amarido yo mu cyumba cyo kuraramo ntasaba kumesa, bigatuma aba amahitamo meza yo kurwanya ubwandu.

Ibisobanuro n'Ibiranga

Amashuka yo mu bitaro akoreshwa mu kuvura aroroshye, yoroshye kuyashyiraho, kandi yagenewe gusimburwa vuba. Ikintu cy'ingenzi kiyiranga ni ubushobozi bwo gutanga uruzitiro rwiza hagati y'abarwayi, ibyo bikaba ari ingenzi mu gukumira ikwirakwira ry'indwara. Aya mashuka akenshi akorwa mu bikoresho birwanya ubushuhe kandi avurwa n'imiti irwanya udukoko. Ubu buryo bwo kuvura bubuza cyane gukura kwa bagiteri na virusi, butuma abarwayi n'abakozi bo mu rwego rw'ubuzima bagira umutekano.

Ibintu by'ingenzi bigize amarido yo mu bitaro ashobora gukoreshwa:

• Igishushanyo gikoreshwa rimwe gusa: Bigabanya ibyago byo kwandura.
• Imiterere y'imiti irwanya udukoko: Yica udukoko twanduza indwara.
• Byoroshye kandi byoroshye gushyiramo: Bifasha impinduka zihuse.
• Ibikoresho birwanya ubushuhe: Bifasha kubungabunga isuku.

Mu buryo bunyuranye, imyenda ishobora kongera gukoreshwa ishobora kugira udukoko twinshi na virusi, bigasaba impinduka nyinshi kugira ngo hakomeze kubaho kurwanya ubwandu. Nubwo mu ntangiriro bishobora kugaragara nk'aho bihendutse, ikiguzi cy'igihe kirekire kijyanye no kumesa imyenda gishobora kuba kinini, cyane cyane ukurikije igihe kirambye kugeza ku myaka icumi.

Ibikoresho byakoreshejwe

Ibikoresho bikoreshwa mu myenda yo mu bitaro ikoreshwa rimwe bikagira uruhare runini mu mikorere yayo. Imyenda myinshi ikoreshwa rimwe ikoresha ikoranabuhanga rigezweho ryo kurwanya udukoko. Urugero, imyenda ya Endurocide® yagenewe kwica udukoko twandura duhura na two mu gihe cy'imyaka ibiri. Iyi miterere igabanya cyane ibyago byo kwandura ugereranije n'imyenda gakondo.

Ubwoko butandukanye bw'ibikoresho birwanya udukoko bukunze gukoreshwa mu myenda yo mu bitaro ikoreshwa rimwe:

• Amakarito ya Endurocide®: Yica udukoko twanduza indwara, bigira ingaruka nziza mu gihe cy'imyaka ibiri.
• Amadirishya ya EcoMed: Ivuwe n'uburinzi bwa 3rd Generation Ultra-Fresh, ikanatuma imiti irwanya udukoko ikwirakwira neza.
• Amadirishya yo mu bwoko bwa MARLUX: Koresha ikoranabuhanga rya Microban® silver kugira ngo urinde antibiyotike neza.

Gushyira ibi bikoresho mu gishushanyo cy'amarido yo mu cyumba cyo kuraramo bikoresha imiti ikoreshwa mu gihe runaka byongera ubushobozi bwabyo bwo gutanga ahantu hatekanye kandi hasukuye. Gukoresha imiti irwanya udukoko bituma buri murwayi agira umwanya mushya kandi udafite umwanda, ibyo bikaba ari ingenzi cyane ku mutekano w'umurwayi.

Ibyiza byo gukoresha amashuka mu kurwanya ubwandu

Kugabanya kwanduzwa n'ibindi

Amarido yo mu cyumba cyo kwiyuhagira ashobora gukoreshwa bigabanya cyane ibyago byo kwanduzwa mu mavuriro. Bitandukanye n'amarido asanzwe, ashobora kubamo bagiteri iyo adakaraba kenshi, amarido akoreshwa rimwe na rimwe asimburwa burundu nyuma yo kuyakoresha. Ubu buryo bukuraho amahirwe yo kwanduzwa n'udukoko ku mwenda. Gusimbuza amarido akoreshwa rimwe buri gihe bigabanya ibyago byo kwanduzwa mu mavuriro, bigatuma aba igisubizo gifatika cyo kurwanya ubwandu mu mavuriro.

Ingingo z'ingenzi ku kwanduzwa n'ibindi bintu:

• Amashuka akoreshwa mu kujugunyamo ibintu byose arasimburwa, bigatuma indwara ziterwa n’ibyorezo zikomeza kubaho.
• Amarido gakondo ashobora guteranya bagiteri uko igihe kigenda gihita iyo adakaraba buri gihe.
• Gusimbuza amarido kenshi bigabanya cyane ibyago byo kwanduzwa n'abandi.

Ubworoherane n'uburyo bworoshye bwo gukoresha

Uburyo bworoshye bwo gukoresha amashuka yo mu bitaro akoreshwa rimwe gusa ntibukwiye kurengerwa. Imiterere yayo ikoreshwa rimwe gusa ikuraho ikibazo cyo kumesa imyenda, bigatuma abakozi b'ubuvuzi batakaza umwanya n'ibikoresho. Gusimbuza vuba bituma buri murwayi abona ahantu heza kandi hadafite umwanda. Uburyo bworoshye bwo gusukura amashuka akoreshwa rimwe gusa bworoshya ingamba zo kurwanya ubwandu.

Ibigo nderabuzima bigira uruhare mu kunoza imikorere kuko gukuraho uburyo bwo kumesa imyenda butwara igihe kinini bituma abakozi bibanda ku mirimo y'ingenzi nko kwita ku barwayi. Sisitemu ya Rapid Refresh® curtain ituma habaho impinduka zihuse, kunoza imikorere no kugabanya igihe gikoreshwa mu kubungabunga.

Ibyiza byo koroshya ibintu:

• Amarido akoreshwa mu gihe cyo kuyamena agabanya igihe cyo kuyamesa.
• Gusimbuza vuba bituma abarwayi baba ahantu hadafite umwanda.
• Kunoza imikorere bituma abakozi bashyira imbere ubuvuzi bw'abarwayi.

Iyubahirizwa ry'Amahame Ngenderwaho y'Ubuzima

Kubahiriza amahame y’ubuzima ni ingenzi cyane mu nzego z’ubuvuzi, cyane cyane mu bijyanye no kurwanya ubwandu. Amashuka yo mu bitaro akoreshwa mu buryo bwa "metallic rids" afasha ibigo kubahiriza amahame y’isuku akomeye, bigatuma habaho uburyo bwo kwirinda ubwandu. Yujuje ibisabwa kugira ngo ibitaro bikomeze kwemererwa kandi birinde ibihano ku bantu batubahiriza amategeko.

Gukurikiza amabwiriza ni ingenzi ku bicuruzwa bishobora gukoreshwa nk'amarido yo mu bitaro. Amasambu yo mu nzu agomba gukurikiza amabwiriza yihariye ya CDC na OSHA kugira ngo imyenda yose isukurwe neza. Komisiyo Ihuriweho (TJC) ishimangira ubuzima bwite n'umutekano w'abarwayi, bigatuma hakenerwa inzitizi zihagije zo kureba no kumva amajwi zitangwa n'amarido.

Kugereranya amarido yo mu cyumba cy'inyuma n'amarido gakondo

Uburyo bwo Kurwanya Ubwandu

Uburyo bwo kurwanya ubwandu ni ikintu cy'ingenzi iyo ugereranije amarido yo mu bwoko bwa cubicle akoreshwa mu gihe runaka n'andi mahitamo gakondo. Ubushakashatsi bwerekana ko 92% by'amarido ashobora kongera gukoreshwa byanduzwa n’udukoko twinshi turwanya imiti, nka MRSA na VRE, mu cyumweru kimwe gusa. Ibi biteza ingaruka zikomeye ku mutekano w’umurwayi. Mu buryo bunyuranye, imyenda ikoreshwa mu kuvura udukoko igaragara nk’imiti igaragaza ko nta mwandu ugaragara nyuma y’ibyumweru 20. Imiterere yayo ituma ikoreshwa kenshi, ibyo bikaba ari ingenzi cyane mu kurwanya ubwandu neza.

Uburyo bwo Kugabanya Ikiguzi

Kugabanya ikiguzi ni ikindi kintu cy'ingenzi cyo kwitaho. Amashuka ashobora gukoreshwa mu buryo busanzwe ashobora kugira ikiguzi gito cya mbere, ariko bigatuma amafaranga menshi akoreshwa mu gihe kirekire bitewe no gusimbuza kenshi. Amashuka ashobora gukoreshwa mu buryo busanzwe ashobora kumara imyaka irindwi, mu gihe amashuka ashobora gukoreshwa mu buryo busanzwe amara igihe kuva ku ikoreshwa rimwe kugeza ku mezi atatu. Igiciro cy'ubuzima bwose bw'amashuka ashobora gukoreshwa mu buryo busanzwe ni hafi $115,750 mu myaka irindwi ishize, ugereranije n'izigera kuri $224.000 ku mashuka akoreshwa mu gihe cyo kuyakoresha. Ibi bigaragaza ko hari amafaranga ashobora kuzigama $108,250 iyo uhisemo amarido ashobora kongera gukoreshwa.

• Amarido akoreshwa mu gihe cyo kuyakoresha atwara amafaranga menshi bitewe nuko akeneye gusimburwa kenshi.
• Amarido ashobora kongera gukoreshwa agabanya ikiguzi cyo kumesa no kubungabunga.
• Amafaranga yo kumesa imyenda gakondo yiyongera vuba, bigatuma ibigo nderabuzima bigira umutwaro ukomeye mu by’imari.

Ibitekerezo ku bidukikije

Ibitekerezo ku bidukikije nabyo bigira uruhare mu gufata ibyemezo. Isuzuma ryimbitse ry’ubuzima rigaragaza ko amarido ashobora kongera gukoreshwa, iyo ahujwe n’ibice bimwe na bimwe bikoreshwa rimwe, ashobora gukoresha ingufu zikubye kabiri zose kandi akabyara imyuka myinshi ya dioxyde de carbone ugereranije n’ibikoresho byose bikoreshwa mu gihe cyo kuyakoresha.

Nubwo amarido akoreshwa mu gihe cyo kuyakoresha akunze gufatwa nk'adakora neza, amwe mu mahitamo ashobora kongera gukoreshwa 100% kandi akozwe mu bikoresho bidafite imiti. Aya marido ashobora kongera gukoreshwa hamwe n'ibindi bikoresho bya #5 bya propylene, nk'imyenda y'ubururu n'amakanzu. Yujuje ibisabwa bidafite imiti byashyizweho n'umuryango wita ku bitaro byita ku bidukikije, bigatuma aba amahitamo meza ku bigo bishinzwe kwita ku bidukikije.

• Amarido akoreshwa mu gihe cyo kuyakoresha ashobora kongera gukoreshwa, bigagabanya imyanda.
• Zagenewe gukuraho no gusimbuza vuba, bigabanye kwangirika.
• Amashuka ashobora kongera gukoreshwa akenera amazi menshi n'ingufu nyinshi mu kumesa, bigira ingaruka ku bidukikije.

Amarido yo kwa muganga akoreshwa mu buryo bwa "metallic" ni ingenzi cyane ku kongera umutekano w'icumbi ry'abantu barwaye indwara ikomeye (ICU) no kugabanya ibyago byo kwandura. Ibyiza byabyo birimo kugabanya cyane kwanduzanya no kubahiriza amahame y’ubuzima. Mu guhitamo umutanga serivisi, tekereza ku bintu nko guhitamo ibikoresho, kwirinda inkongi, n’imiti yica udukoko. Guhitamo umutanga serivisi yizewe nka HAIGuard™ bitanga ibisubizo byiza kandi byiza byo kurwanya ubwandu.

Ibibazo Bikunze Kubazwa

Amarido yo mu bitaro akoreshwa mu gihe cyo kuyakoresha akozwe mu ki?

Amarido yo kwa muganga ashobora gukoreshwa ubusanzwe igizwe n'ibikoresho byoroshye kandi birwanya ubushuhe bivuwe n'imiti irwanya udukoko kugira ngo hirindwe gukura kwa virusi.

Amarido akoreshwa mu gihe cyo gukoresha rimwe agomba gusimbuzwa kangahe?

Ibigo by'ubuvuzi bigomba gusimbuza amarido akoreshwa mu gihe cyo kuyakoresha nyuma ya buri murwayi kuyikoresha cyangwa nibura buri mezi atatu kugira ngo agire isuku ihagije.

Ese amarido akoreshwa mu gihe cyo kuyakoresha ntangiza ibidukikije?

Amarido amwe ashobora kongera gukoreshwa kandi akozwe mu bikoresho bidafite imiti, bigatuma aba amahitamo arambye ugereranije n'amarido asanzwe. 🌱

Ikirego

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