Ukujula Kakhulu Endleleni Amakhethini Alahlwa Ngayo Ama-Antimicrobial Athuthukisa Ngayo Ukuphepha Kwesibhedlela

I-antimicrobial elahlwayo amakhethini esibhedlela ukulwa ngqo nokutheleleka okuhlobene nokunakekelwa kwempilo (ii-HAI) ngokuvimbela ukukhula kwamagciwane. Izibhedlela zibhekene nenselele enkulu, njengoba cishe isiguli esisodwa kwezingu-31 zasezibhedlela zase-US sasinayo okungenani i-HAI eyodwa ngosuku oluthile ngo-2015. Lawa makhethini asezibhedlela angasetshenziswa athuthukisa ukuphepha kwesiguli kanye nokuhlanzeka ngokudala indawo ehlanzekile nokunciphisa ukudluliswa kwegciwane. Le ndlela yokuqapha isiza ukuvikela iziguli ezisengozini.

Izinto Ezibalulekile Okufanele Uzicabangele

• I-antimicrobial Ikhethini elilahlwayoukuvimbela amagciwane ukuthi angakhuli ezindaweni zawo. Lokhu kusiza ukugcina izibhedlela zihlanzekile futhi ziphephile ezigulini.
• La makhethini kulula ukuwashintsha njalo. Lokhu kunciphisa ukusabalala kwezifo futhi kwenza ukulawula ukutheleleka kube lula.
• Ukusebenzisa amakhethini alahlwayo konga imali nesikhathi sezibhedlela. Akudingi ukuwashwa, okusiza abasebenzi ukuthi bagxile ekunakekelweni kweziguli.

Izindlela Eziqondile Zokuvimbela Ukutheleleka Ngamakhethini Ezibhedlela Alahlwayo Alwa Namagciwane

Ukuvimbela Ukukhula Kwamagciwane Ezindaweni Ezingaphezulu

Amakhethini asesibhedlela alahlwayo alwa namagciwane avimbela ukwanda kwamagciwane ayingozi ngqo ezindaweni zawo. Lawa makhethini akhethekile aqukethe izinto eziphazamisa ukusebenza kwamaseli ebhaktheriya, okuyekisa ukukhula kwawo ngempumelelo. Le ndlela inciphisa kakhulu umthwalo wamagciwane ezindaweni zeziguli. Isibonelo, izifundo zibonisa ukwehla okukhulu kokungcoliswa kwamagciwane ezindaweni zamakhethini ngemva kokufaka izinhlobo zokulwa namagciwane.

Le datha ikhombisa ngokusobala ukusebenza kahle kwala makhethini. Inani elimaphakathi lamabhaktheriya emakhethini lalingaphansi kwe-1 CFU, okubonisa amandla amakhulu okuvimbela amakhethini obumfihlo ukuthi asebenze njengezinto ezibangela ukutheleleka okuhlobene nokunakekelwa kwempilo. La makhethini anciphisa ukuba khona kwamagciwane, ngaleyo ndlela anciphise ukungcola kwendawo futhi asize ekugcineni amazinga okuhlanzeka. Ngokunciphisa ukukhula kwamagciwane ezindaweni zamakhethini, le mikhiqizo ivimbela ukungcoliswa okuhlukahlukene phakathi kweziguli nabasebenzi bezempilo.

Ukunciphisa Izingozi Zokungcoliswa Okuhlukahlukene

Amakhethini asesibhedlela alwa namagciwane aklanyelwe ngqo ukunciphisa ukudluliselwa kwamagciwane kusuka ebusweni bekhethini kuya ezigulini noma kubasebenzi. Le ndlela yokuvimbela ngokomzimba incike ezimpahleni zekhethini ezingokwemvelo ukuvimbela noma ukubulala amagciwane ahlangana nalo, ngaleyo ndlela ephula uchungechunge lokudluliselwa. Amakhethini e-biocidal alahlwayo avimbela ngokomzimba ukudluliselwa kwamagciwane ngokusebenzisa izembozo zawo zokulwa namagciwane. Lezi zembozo ziqukethe ama-biostatic agents, njenge-didecyl dimethyl ammoniumchloride noma i-polysiloxane. Lawa ma-agent aqeda noma anciphisa kakhulu amagciwane angenayo i-Gram, njenge I-Escherichia coli futhi I-Pseudomonas aeruginosakanye namagciwane ane-Gram-positive, njenge I-Staphylococcus aureus futhi I-Enterococcus faecalis, ezindaweni zazo. Lokhu kunciphisa amagciwane asebenzayo ebusweni bekhethini kunciphisa ngqo ingozi yokutheleleka okudluliselwe ngesandla ezigulini nakubasebenzi bezempilo. Izinhlobo ezintsha nazo zenzelwe ukubulala izinambuzane, okuthuthukisa umsebenzi wazo wokuvimbela umzimba ngokumelene nohlu olubanzi lwamagciwane, kufaka phakathi ama-spores aqhubekayo njenge I-Clostridium difficile.

Ukuqinisekisa Ukungazali Okuhlala Njalo Ngokushintsha Okusheshayo

Amakhethini asesibhedlela alahlwayo anikeza ikhambi eliphumelelayo lokunciphisa izingozi zokungcoliswa okuxubile ngoba aklanyelwe ukushintshwa njalo. Lokhu kuqeda isidingo sokuwasha futhi kunciphisa umthwalo womsebenzi wabasebenzi. I-Centers for Disease Control and Prevention (CDC) itusa ukushintsha amakhethini asesibhedlela alahlwayo okungenani kanye ngenyanga njengendinganiso encane. Kodwa-ke, ukushintshwa okusheshayo kuyadingeka uma amakhethini ebonakala engcolile, engcolile, onakele, noma ethinta igazi, uketshezi lomzimba, noma izinto ezithathelwanayo. Ezindaweni ezinobungozi obukhulu njenge-Intensive Care Units (ICUs) kanye namakamelo okuhlukaniswa, izinguquko ezivame kakhulu, ngezinye izikhathi masonto onke, zibalulekile ngenxa yokwanda kobuthakathaka besiguli kanye namathuba okungcola. Izibhedlela zivame ukudala amashejuli okushintsha ngokwezifiso ngokusekelwe ezingozini zomnyango kanye nezibalo zeziguli, ukuqinisekisa ukungabi namagciwane okuqhubekayo kanye nendawo ephephile.

Ukusebenza Kahle Nokuhambisana Nemithetho Izinzuzo Zamakhethini Ezibhedlela Alahlwayo

Ukuthuthukisa Amaphrothokholi Okulawula Ukutheleleka

Amakhethini alahlwayo enza kube lula kakhulu ukulawula ukutheleleka. Inqubo "yokususa nokufaka esikhundleni" yala makhethini ilula. Le nqubo inciphisa amaphutha abantu futhi iqinisekisa ukuhambisana okuphezulu nezinqubomgomo zokulawula ukutheleleka. Lokhu kuhambisana kusiza ukugcina izinga eliphezulu lokuhlanzeka kuzo zonke izindawo zeziguli. Kwenza ukubonisa ukunamathela ezindinganisweni zokuhlanzeka ngesikhathi sokuhlolwa kube lula kakhulu.

Ukwenza kube lula ukunamathela emithethweni

Izikhungo zokunakekelwa kwempilo zithola kulula ukuhlangabezana nezidingo zomthetho ngamakhethini alahlwayo. Ukufakwa ngakunye kunikeza indawo entsha sha, ehlanzekile. Lokhu kuqinisekisa ukuhlanzeka okuqhubekayo futhi kususa ukuqagela ngesimo sokuhlanzeka kwekhethini. Lokhu kusiza kakhulu ekuqinisekisweni kokuthobela imithetho. Inqubo elula isiza izibhedlela ukuthi zigcine amazinga okuhlanzeka aqinile, okubalulekile ezinhlanganweni ezilawulayo.

Ukwenza Kangcono Ukwabiwa Nokugcinwa Kwezinsiza

Amakhethini asesibhedlela alahlwayo anikeza ukonga okukhulu kwezindleko. Asusa izindleko ezihambisana nokugcinwa kwamakhethini endabuko, njengokuwasha nokulungisa. Ukuwasha amakhethini endabuko kungase kuphelelwe yisikhathi ngenxa yezindleko ezihambisana nawo. Lezi zindleko zicindezela isabelomali, ikakhulukazi ngezindinganiso zokuhlanza imvelo ezikhuphukile. Iphepha elimhlophe liqokomisa ukuthi izindleko zokuqala ngombhede ngamunye zamakhethini asesibhedlela alahlwayo ziphansi kakhulu kunezamakhethini endwangu. Lokhu kuvumela izikhungo zezempilo ukuthi zizuze ukonga okukhulu. Zingadlulisela imali kwezinye izindawo ezibalulekile. Ngaphezu kwalokho, imodeli "yokususa nokufaka esikhundleni" inciphisa umthwalo womsebenzi wabasebenzi. Lokhu kukhulula abasebenzi kweminye imisebenzi ebalulekile yokunakekelwa kweziguli. Lokhu kusebenza kahle kunegalelo ekuphathweni okungcono kwezinsizakusebenza ngaphakathi esibhedlela.

Ukuthuthukisa Inhlalakahle Yesiguli Nabasebenzi Ngamakhethini Asezingeni Eliphezulu E-Cubicle

Ukunciphisa Ukuchayeka Kumagciwane

Amakhethini e-cubicle athuthukile anciphisa kakhulu ingozi yokudluliswa kwezifo. Izakhiwo zawo zokulwa namagciwane zibhubhisa noma zivimbela ukukhula kwamagciwane, amagciwane, kanye nesikhunta ebusweni bekhethini. Lesi senzo esiqondile sakha isithiyo esivikelayo phakathi kweziguli nezinto ezingaba khona ezingcolisayo. Iziguli, ezivame ukuba nesimiso sokuzivikela somzimba esibuthakathaka, zizuza kakhulu kulokhu kuvezwa okuncishisiwe. Amalungu abasebenzi nawo abhekene nezingozi ezimbalwa lapho ehamba ezindaweni zeziguli. Le ndlela yokuqapha isiza ukuvimbela ukusabalala kwezifo ngaphakathi kwendawo yesibhedlela.

Ukuthuthukisa Ukuhlanzeka Kwemvelo

Lawa makhethini anegalelo endaweni yesibhedlela ehlanzekile njalo. Amakhethini endwangu yendabuko angaba namagciwane, abe yimithombo yokungcola. Nokho, amakhethini asesibhedlela alahlwayo anikeza indawo entsha, engcolile ngokufakwa ngakunye. Lokhu kushintsha okuvamile kuvimbela ukunqwabelana kwamagciwane nothuli. Kuqinisekisa ukuthi indawo ezungezile yesiguli ihlala ihlanzekile. Indawo ehlanzekile ebonakalayo ifaka nokuzethemba ezigulini nasemindenini yazo mayelana nekhwalithi yokunakekelwa.

Ukusekela Indawo Ephephile Yokwelapha

Ekugcineni, amakhethini e-cubicle athuthukisiwe akhuthaza indawo yokuphulukisa ephephile. Ngokunciphisa ukuvezwa kwezifo ezibangelwa amagciwane kanye nokuthuthukisa ukuhlanzeka okuphelele, anciphisa ukwanda kwezifo ezihlobene nokunakekelwa kwempilo. Iziguli ziyalulama ngokushesha uma zingatholi ezinye izifo ngesikhathi sokuhlala kwazo. Amalungu abasebenzi azizwa ephephile kakhulu esebenza endaweni engcolisiwe kakhulu. Lokhu kuphepha okuthuthukisiwe kunegalelo emiphumeleni engcono yesiguli kanye nokuhlangenwe nakho okuhle kuwo wonke umuntu esikhungweni sezempilo.

Amakhethini asesibhedlela alahlwayo alwa namagciwane aguqula ngokuyisisekelo ukuphepha kwesibhedlela. Anciphisa kakhulu ukungcola, ahlala ehlanzekile isikhathi eside uma kuqhathaniswa namakhethini endabuko. Lokhu kunciphisa ngqo ukutheleleka okuhlobene nokunakekelwa kwempilo. Ukuhlanganisa la makhethini asesibhedlela alahlwayo emasu okulawula ukutheleleka kunikeza izinzuzo zesikhathi eside. Izibhedlela zithola ukuphepha kweziguli okuthuthukisiwe kanye nokusebenza kahle kwezindleko, okudala indawo yokuphulukisa ephephile njalo.

Imibuzo Evame Ukubuzwa

Amakhethini alahlwayo alwa namagciwane avimbela kanjani ukutheleleka?

La makhethini aqukethe izinto ezibangela ukuvuvukala. Lawa ma-ejenti avimbela ukukhula kwamagciwane ngqo ebusweni bawo. Lesi senzo sinciphisa umthwalo wamagciwane futhi sivimbele ukwanda kwamagciwane.

Izibhedlela kufanele zishintshe kangaki amakhethini alahlwayo?

Izibhedlela ziyazishintsha okungenani njalo ngenyanga. Ukushintshwa ngokushesha kuyadingeka uma amakhethini ebonakala engcolile. Izindawo ezinobungozi obukhulu zivame ukudinga ukushintshwa masonto onke.

Yiziphi izinzuzo zokusebenza ezinikezwa amakhethini alahlwayo?

Zenza kube lula izindlela zokulawula ukutheleleka. Ziphinde zenze kube lula ukunamathela emithethweni. La makhethini athuthukisa ukwabiwa kwezinsiza ngokuqeda izindleko zokuhlanza izingubo nokunciphisa umthwalo womsebenzi wabasebenzi.