Indlela Yokuthuthukisa Ukuphepha Kwesiguli Ngamakhethini Esibhedlela Alahlwayo

Izindawo zasezibhedlela zivame ukuba namagciwane ayingozi, okwenza ukulawula ukutheleleka kube yinselele eqhubekayo. Izifundo zembula ukuthi ukutheleleka okuhlobene nokunakekelwa kwempilo (HCAIs) kuthinta iziguli ezifika ku-7.6% emazweni athuthukile kanye nezinga eliphezulu elifika ku-19.1% ezindaweni ezisathuthuka. Amakhethini endwangu yendabuko angaba namagciwane anjenge I-Acinetobacter baumannii izinyanga, okwandisa izingozi. Amakhethini alahlwayo ezibhedlela ukwenza lula imizamo yokuhlanzeka, okunikeza indlela ephephile nethembekile yokunciphisa ukungcola.

Izinto Ezibalulekile Okufanele Uzicabangele

• Amakhethini asesibhedlela alahlwayo nciphisa izingozi zokutheleleka ngokuba zihlanzekile kunezendwangu.
• Ukuqeqesha abasebenzi ukuthi bashintshe amakhethini ngendlela efanele kugcina iziguli ziphephile.
• Izinto ezikhethekile ezikulezi zikhethini zivimba amagciwane, zenze izibhedlela zihlanzeke futhi iziguli zikhululeke kakhudlwana.

Izingozi Ezivamile Zokutheleleka Ezibhedlela

Indima Yezindawo Ezingcolile Ekusabalaleni Kokutheleleka

Izindawo zasezibhedlela zigcwele izindawo ezithinta kakhulu ezingasebenza njengezindawo zokugcina amagciwane ayingozi. Lezi zindawo, kusukela ezindongeni zombhede kuya kumakhibhodi ekhompyutha, zivame ukuhlala zingcolile naphezu kokuhlanza okuvamile. Ucwaningo olushicilelwe ku- Ijenali YaseMelika Yokulawula Ukutheleleka bathole ukuthi amakoloni amabhaktheriya ayaqhubeka kulezi zindawo, okufaka isandla ekwenyukeni kwamazinga okutheleleka ahlobene nokunakekelwa kwempilo.

Izifo ezifana I-Clostridium difficile kanye negciwane le-Hepatitis B (HBV) kuyakhathaza kakhulu. C. kunzima ingaphila ezindaweni ezifika ezinyangeni ezinhlanu, kanti i-HBV ihlala iphila izinsuku eziyisikhombisa. Izinto ezivame ukuthinteka zifaka phakathi ama-commode, ama-bedpan, kanye nama-blood pressure cuffs. Ezindaweni eziseduze neziguli ezinegciwane, amazinga okungcoliswa kwamagciwane C. kunzima ingafinyelela ku-58%. Lokhu kuqhubeka kugcizelela ukubaluleka kwezinqubo zokubulala amagciwane ngokuphelele.

Izindawo ezithinta kakhulu, njengezinkinobho zephampu yokufaka kanye nezinsimbi zombhede, ziyinselele eyingqayizivele. Lezi zindawo zivame ukusetshenziswa yiziguli kanye nabasebenzi bezempilo, okwandisa ingozi yokungcoliswa yizifo. Ukuhlanza amagciwane nsuku zonke kunganciphisa ukutholakala kwamagciwane ezandleni zabasebenzi bezempilo, kodwa ubunzima bokugcina izindawo ezihlanzekile ezindaweni ezimatasa esibhedlela buhlala buyisithiyo esikhulu.

Icebiso: Amakamelo anombhede owodwa angasiza ekunciphiseni izingozi zokutheleleka ngokunciphisa inani lezindawo ezingcolisiwe ezabelwana phakathi kweziguli.

Kungani Amakhethini Endabuko Eyinkinga Yokuhlanzeka

Amakhethini endwangu endabuko, avame ukunganakwa ngesikhathi sokuhlanza, angaba namagciwane ayingozi. Ngisho noma ebonakala ehlanzekile, lawa makhethini angase aqukathe amagciwane amelana nemithi njenge-MRSA. I-Centers for Disease Control and Prevention (CDC) itusa ukuhlanza amakhethini lapho ebonakala engcolile, ngemva kokuchitheka, futhi njalo ngokusekelwe engcupheni yokungcola. Kodwa-ke, lezi ziqondiso azilandelwa njalo ngenxa yemingcele yesikhathi noma izinqubo zokuhlanza ezinganele.

Izifo ezihambisana nesibhedlela (HAIs) ziya ngokuya zihlotshaniswa nezindwangu zokunakekelwa kwempilo, okuhlanganisa namakhethini obumfihlo. Izifundo zibonisa ukuthi ngisho amakhethini alwa namagciwane ingangcoliswa ngokuhamba kwesikhathi. Izinto ezingcolisayo ezingabonakali, ngezinye izikhathi ezibizwa ngokuthi "i-fecal patina," zingaholela ekunganele kwemikhuba yokuhlanza. Lokhu kwenza amakhethini endabuko abe umthombo ongaba khona wokutheleleka, ikakhulukazi ezindaweni ezinobungozi obukhulu njengezikhungo zokunakekelwa okujulile kanye namagumbi okuhlinzwa.

Amakhethini alahlwayo ezibhedlelainikeza ikhambi elisebenzayo kule nkinga. Ngokungafani namakhethini endwangu, aklanyelwe ukushintshwa kalula, okuqinisekisa indawo ehlanzekile nehlanzekile. Ngokuhlanganisa Ikhethini elilahlwayoUma kubhekwa izinqubo zokuhlanzeka esibhedlela, izikhungo zokunakekelwa kwempilo zinganciphisa kakhulu izingozi zokutheleleka ngenkathi zithuthukisa ukuphepha kwesiguli.

Izinzuzo Zamakhethini Alahlwayo Ezibhedlela

Ukushintshwa Nokunakekelwa Okulula

Amakhethini alahlwayo enza kube lula ukugcina indawo ehlanzekile esibhedlela. Ngokungafani namakhethini endwangu endabuko, adinga ukuwashwa kanye nezikhathi ezinde zokomisa, amakhethini alahlwayo angashintshwa ngemizuzu embalwa. Lokhu kushintsha okusheshayo kuzuzisa kakhulu ezindaweni ezifunwa kakhulu njengezigumbi zezimo eziphuthumayo kanye namakamelo okuhlukaniswa.

Izibhedlela zamukele izinqubo zempilo zangemva kobhubhane eziphoqelela ukushintshwa kwamakhethini njalo, ngokuvamile njalo emavikini ayi-6-12. Amakhethini alahlwayo ahlangabezana nalezi zidingo kalula, okuqinisekisa ukulandelwa kwemiyalelo yokuvimbela ukutheleleka. Ukwakheka kwawo okulula kuwenza kube lula ukuwaphatha, okunciphisa ukucindezeleka ngokomzimba kwabasebenzi ngesikhathi sokushintshana.

Icebiso: Izinhlelo ze-pulley ezizenzakalelayo zingenza kube lula kakhulu ukushintsha amakhethini, zonge isikhathi kanye nezindleko zabasebenzi.

Ukuhlanganiswa Kwezinqubo Zokuhlanzeka Kwezibhedlela

Amakhethini alahlwayo ahlanganiswa kalula nezinqubo zokuhlanzeka esibhedlela, okuthuthukisa izinyathelo zokulawula ukuthelelekaIzifundo zibonisa ukuthi amakhethini angasetshenziswa kabusha angama-92% angcoliswa amagciwane phakathi nesonto, okubeka izingozi ezinkulu. Ngokuphambene nalokho, amakhethini alahlwayo alwa namagciwane agcina izinga lokungcola eliphansi kakhulu, ane-0.56 CFU kuphela uma kuqhathaniswa ne-32.6 CFU kumakhethini ajwayelekile.

Izibhedlela ezishintshele kumakhethini alahlwayo zibika ukwehla okungu-30% kwamazinga okutheleleka. Lokhu kuthuthuka kugqamisa ukusebenza kwazo ekunciphiseni ukungcoliswa okuxubile. Ngokufaka amakhethini alahlwayo ezinhlelweni zokuhlanza ezivamile, izikhungo zezempilo zingadala izindawo eziphephile zeziguli nabasebenzi.

Ubumfihlo kanye Nenduduzo Yesiguli Ethuthukisiwe

Ubumfihlo buyisisekelo sokunakekelwa kweziguli, futhi amakhethini alahlwayo angcono kakhulu ekuhlinzekeni ngakho. Ucwaningo lwango-2022 lwembula ukuthi ama-89% eziguli abheka amakhethini obumfihlo njengezinto ezibalulekile ukuze aduduzeke futhi abe nesithunzi. Emakamelweni ahlanganyelwa kanye neminyango yezimo eziphuthumayo, la makhethini adala izikhala zomuntu siqu ngesikhathi sokuhlolwa noma ukwelashwa, okuqinisekisa ukuthi iziguli zizizwa ziphephile.

Amakhethini alahlwayo nawo anegalelo endaweni ekhangayo. Ukubukeka kwawo okusha nokuhlanzekile kukhanyisa amakamelo ezibhedlela, okukhuthaza umuzwa wokuzola nokwaneliseka phakathi kweziguli. I-"Printed Colorful Hospital Disposable Curtain" ka-Esun ihlanganisa ukusebenza nobuhle, inikeza amaphrinti akhethekile agqamile athuthukisa isimo sezindawo zezokwelapha.

• Iziguli ziyawazisa amakhethini obumfihlo ukuze zigcine isithunzi ngesikhathi sokubonisana.
• Amakhethini alahlwayo aqinisekisa isimo esihlanzekile nesamukelekayo, okwandisa ukwaneliseka kwesiguli.
• Ezindaweni ezinabantu abaningi, banikeza izixazululo ezisheshayo nezisebenzayo zokugcina izindawo zomuntu siqu.

Qaphela: Amakhethini alahlwayo afaneleka kakhulu ukuhlala isikhathi esifushane, njengemitholampilo yeziguli ezingalaliswa esibhedlela, lapho kudingeka khona ukuhlanzwa njalo.

Izakhiwo Zokulwa Namagciwane Ezikhaphethini Ezilahlwayo

Ukuvimbela Ukukhula Kwamagciwane

Izibhedlela zihlala zilwa nokungcola kwamagciwane, ikakhulukazi ezindaweni ezithinta kakhulu. Amakhethini alahlwayo ezibhedlela ezine izakhiwo zokulwa namagciwane inikeza ikhambi elinamandla. La makhethini avame ukuqukatha ama-ammonium chloride esiliva noma e-quaternary (ama-QAC), alwa namagciwane ngenkuthalo. Ukuhlolwa kwelebhu, njenge-ISO 20743, kubonisa ukuthi la makhethini anganciphisa amagciwane ngamaphesenti afinyelela ku-99.9.

Izifundo zezokwelapha ziqokomisa ukusebenza kwazo ezindaweni zangempela. Amakhethini afakwe ama-QAC anciphisa kakhulu imithwalo yamagciwane uma kuqhathaniswa namakhethini ajwayelekile. Eqinisweni, izibhedlela ezisebenzisa la makhethini zibike ukwehla okungu-93% ekungcoleni okuphelele kwamagciwane. Lokhu kuvikelwa okunwetshiwe kusho ukuthi kuncane okushintshwayo kanye nendawo ephephile yeziguli nabasebenzi.

• Amakhethini alwa namagciwane aqukethe isiliva kanye nama-QAC okulwa namagciwane.
• Ukuhlolwa kwelebhu kuqinisekisa ukwehla okungu-99.9% kwamagciwane.
• Izindawo zomtholampilo zibonisa ukwehla okungu-93% kokungcoliswa kwamagciwane.

Icebiso: Ukukhetha amakhethini alahlwayo alwa namagciwane kungasiza izibhedlela ukuthi zigcine izindawo zihlanzekile ngomzamo omncane.

Ukusekela Izindlela Zokulawula Ukutheleleka

Amakhethini alwa namagciwane alahlwayo adlala indima ebalulekile ekulawuleni ukutheleleka. Izifundo eziqhathanisa ukukhula kwamagciwane kumakhethini endabuko kanye nalawo alwa namagciwane zembula umehluko omkhulu. Amakhethini anezakhiwo zokulwa namagciwane athatha isikhathi eside ukuba angcoliswe, okunciphisa ukuvama kokuwasha nokushintsha.

Ngokunciphisa imithwalo yamagciwane, la makhethini asekela izinqubo zokuhlanzeka esibhedlela futhi athuthukise ukuphepha kweziguli. Amandla azo okuhlala ehlanzekile isikhathi eside azenza zibe ukukhetha okungabizi kakhulu nokusebenzayo kwezikhungo zezempilo.

Amasu Okusebenzisana Ngokubambisana

Abasebenzi Bokuqeqesha Ngokushintshwa Kwamakhethini Afanele

Ukuqeqeshwa okufanele kuqinisekisa ukuthi abasebenzi basesibhedlela bangakwazi ukushintsha amakhethini alahlwayo ngendlela ephumelelayo nehlanzekile. Izisebenzi eziningi zezempilo aziqapheli ukuthi amakhethini kufanele ashintshwe kangaki noma izinqubo ezifanele zokwenza lokho. Izikhathi zokuqeqesha ezivamile zingavala leli gebe. Lezi zikhathi kufanele zigxile ekufundiseni abasebenzi ukuthi bangaphatha kanjani amakhethini ngaphandle kokusakaza ukungcola. Imiboniso ingabonisa indlela efanele yokususa amakhethini asetshenzisiwe nokufaka amasha ngaphandle kokuthinta izindawo ezihlanzekile.

Izibhedlela zingasebenzisa nezinsiza ezibonakalayo njengezingqwembe noma iziqondiso zesinyathelo ngesinyathelo ezindaweni zokugcina izinto. Lezi zikhumbuzo zisiza ekuqiniseni imikhuba emihle kakhulu. Isibonelo, abasebenzi kufanele bazi ukuthi amakhethini angasetshenziswa kabusha ezibhedlela aklanyelwe ukushintshwa ngokushesha nangokulula. Lesi sici sinciphisa isikhathi sokungasebenzi futhi siqinisekisa ukuthi amakamelo eziguli alungeleka ngokushesha.

Icebiso: Ukwabela amalungu eqembu athile ukuthi abhekele ukufakwa kwamakhethini esikhundleni kungathuthukisa ukuzibophezela kanye nokungaguquguquki.

Ukusekelwa Kokuphatha Kwezixazululo Zokulawula Ukutheleleka

Ukusekelwa okunamandla kokuphatha kudlala indima ebalulekile ekugcineni izinyathelo zokulawula ukuthelelekaAbaphathi bezibhedlela kufanele babeke phambili izinsiza zokuvimbela ukutheleleka, okuhlanganisa nokusetshenziswa kwamakhethini angasetshenziswa kabusha. Ngokwabela isabelomali samakhethini asezingeni eliphezulu, banganciphisa ingozi yokutheleleka okuhlobene nokunakekelwa kwempilo (ii-HAI).

Abaphathi bangasebenzisa nezinqubomgomo ezikhuthaza ukushintsha njalo kwamakhethini. Isibonelo, ukusebenzisa i-hydrogen peroxide kumakhethini e-cubicle kuye kwabonakala kunciphisa amagciwane ngo-98.5%. Amakhethini alahlwayo enza kube lula le nqubo ngoba angashintshwa ngokushesha ngemva kokusetshenziswa. Ukwandisa imizamo yokuhlanza nokushintsha amakhethini kaningi kunganciphisa kakhulu izingozi zokutheleleka.

• Izibhedlela zibika ukuthi ama-HAI ambalwa ngemva kokusebenzisa amakhethini angasetshenziswa kabusha.
• Amakhethini alahlwayo athola ukuthandwa ngenxa yokulula kwawo ukusetshenziswa kanye nokusebenza kahle.

Ukubambisana phakathi kwabaphathi nabasebenzi kuqinisekisa ukuthi lezi zixazululo ziyasebenza futhi ziyasimeme. Uma wonke umuntu esebenza ndawonye, ​​​​izibhedlela zingadala izindawo eziphephile zeziguli kanye nabasebenzi bezempilo ngokufanayo.

Amakhethini alahlwayo ezibhedlela aguqula ukulawulwa kokutheleleka ekunakekelweni kwezempilo. Izici zawo zokulwa namagciwane kanye nenqubo elula yokuwashintsha kuzenza zibe yinto ebaluleke kakhulu. Izibhedlela ezisebenzisa la makhethini zakha izindawo ezihlanzekile zeziguli nabasebenzi. Ngokubeka phambili inhlanzeko, zinciphisa izingozi futhi zithuthukise ukuphepha kwawo wonke umuntu ongena ngeminyango yazo.

Imibuzo Evame Ukubuzwa

Yini eyenza amakhethini asesibhedlela angasetshenziswa kabusha abe ngcono kunezindwangu zendabuko?

Amakhethini alahlwayo kulula ukuwashintsha, ahlanzekile kakhudlwana, futhi avame ukuba nezakhiwo zokulwa namagciwane. Anciphisa izingozi zokutheleleka futhi ongela isikhathi abasebenzi basesibhedlela.

Kufanele kushintshwe kangaki amakhethini asesibhedlela alahlwayo?

Izibhedlela zivame ukuzishintsha njalo emavikini ayi-6-12 noma ngaphezulu ezindaweni ezinobungozi obukhulu. Ukuzishintsha njalo kuqinisekisa indawo ehlanzekile nephephile yeziguli kanye nabasebenzi.

Ingabe amakhethini e-Esun angasetshenziswa ngendlela oyifisayo?

Yebo! I-Esun inikeza imiklamo egqamile nephrintiwe ekhanyisa izindawo zesibhedlela. Lawa makhethini ahlanganisa ukusebenza kahle nobuhle, adale isimo sokwamukela nesokujabula ezigulini.

Icebiso: Khetha izinketho zokulwa namagciwane ukuze uthole isivikelo esengeziwe kuma-bacteria kanye nezinye izifo ezibangelwa amagciwane.