Isifundo Sithola Odokotela Abaningana Odokotela Abafake Izitshalo Ze-Stethoscopes Ngaphambi Kokuhlolwa
Ama-stethoscopes asetshenziswa yizo zonke izidakamizwa zokunakekelwa okuyinhloko, futhi iyithuluzi elivamile lokuhweba. Noma kunjalo, bambalwa odokotela abacabangisisa kakhulu ekuhloliseni kwabo.
Nakuba ukukhathazeka mayelana nokuhlanzeka kwe-stethoscope kuye kwavezwa amashumi eminyaka, kuye kwaba nokulalela okuncane ukukhokhelwa ukuhlanzeka kwe-stethoscope. Ucwaningo lwamuva lubonisa ukuthi odokotela abambalwa noma abangenalo abenza izinambuzane zabo ngaphambi kokuhlola iziguli.
Ukubheka ngokucophelela ama-stethoscopes angcolile
Kuzo zonke izifundo ezingu-28, izinga lokushiswa kwe-stethoscope ne-bacteria lalingamaphesenti angu-85, futhi lalinganiselwa ku-47 kuya ku-100%. Ngamanye amazwi, iningi lama-stethoscopes athatha amabhaktheriya.
Nakuba iningi lama-bacterium atholakalayo kuma-stethoscopes ayilona i-pathologic, noma angabangeli ukugula, kukhona ukukhathazeka ngokuthi ama-Stethylococcus aureus angama-Stethylococcus aureus angenawo ama-stethoscopes, i- Pseudomonas aeruginosa , i-enterococci engamelana ne-vancomycin, ne- Clostridium difficile , okubangelwa yizifo.
Ngaphezu kwalokho, ucwaningo luye lwabonisa ukuthi lezi zingqikithi zingadluliselwa kusuka ku-stethoscope esikhumbeni. Ucwaningo oluthile lwamuva lubonise ukuthi ngesikhathi sokuhlolwa komzimba, i-stethoscope ibonakala ingcolisiwe namabhaktheriya njengoba kwenza isandla esiphezulu sodokotela esetshenziswa ngesikhathi sokuhlolwa. Ngamanye amazwi, uma udokotela wakho esebenzisa isandla sokunene ukuze akuhlole, lesi sandla sithintekile nje nama-bacteria njenge-stethoscope.
Kuze kube manje, akukho zifundo ezihlolisise ubudlelwane phakathi kwe-stethoscopes engaqinisekisiwe nokutheleleka kwezempilo okuhambisana.
Kakhulu kangakanani ama-stethoscopes ahlanzwa ahlasela amazinga abo okungcola nama-bacteria. Ukucwaninga kubonisa ukuthi ukushiswa kwe-disinfection njalo kwehlisa izinga lokungcoliswa kwamaphesenti angu-84 kuya kuma-33%.
Okubaluleke nakakhulu, ukuhlanza izinga lokungcola kakhulu nge- MRSA , imithi elwa namagciwane.
Ngokuphawulekayo, amaphesenti angu-100 e-stethoscopes e-decontaminated aphindaphinda ahlaselwe amabhaktheriya ngemva kokutholakala neziguli ezinhlanu noma ngaphezulu.
Ucwaningo lubonisa ukuthi abahlinzeki bezempilo abageza njalo izandla phakathi kokubona iziguli banamaphesenti aphansi e-stethoscope.
I-Stethoscope Hygiene
Kunconywa ukuthi amadivayisi wezokwelapha angabalulekile, njengama-stethoscopes, ahlanzwa nge-ethyl noma i-isopropyl alcohol. I-sanitizer esetshenziselwa ukuphuza utshwala ukuthi odokotela basebenzise ukugeza izandla bangasetshenziselwa ukukhipha amagciwane ngama-stethoscopes.
Ukuze uthole imiphumela emihle, ukuhlanzeka kwesimo nokuhlanzeka kwe-stethoscope kufanele kuhlangane. Indlela eyodwa ekhethiwe yokunqunywa kwe-stethoscope ihlanganisa okokuqala ukufaka isikhalazo se-stethoscope ngophuzo olusekelwe utshwala, bese uhlanza isandla ngenkathi i-stethoscope isomile.
Ngaphandle kwalokho, ukuhlanza izandla e-ethanol, ukuphuza utshwala, noma isiphuzo sokwephuza utshwala kungasetshenziselwa ukuhlanza ama-stethoscopes.
Esifundweni sika-2017, uHolleck nabobhali bezobambiswano bahlola amanani okuhlanzeka kwe-stethoscope phakathi kwabasebenzi basekhaya, abafundi bezokwelapha, kanye nokuya odokotela. Phakathi nalolu hlelo lomshayeli, abahlanganyeli bafundiswa nge-stethoscope hygiene ngokusebenzisa iphrezentheshini ye-PowerPoint, amaflaya ahanjelwe ukukhumbuza wonke umuntu ukuba ahlanze ama-stethoscopes awo, futhi izinto zokuhlanza zenziwa kalula.
Abahlanganyeli bokufunda babonwa ngasese ngaphandle kwamakamelo ngenxa yokwenzeka kokuhlanzeka kwesandla nokuhlanzeka kwe-stethoscope. Ngemuva kokuqeqesha nokufundiswa, akekho owake wabona ukuthi i-disinfectcope yawo isilahlekile. Ngamanye amazwi, naphezu kokufundiswa ukuhlanza ama-stethoscopes awo, akekho owenzile.
Ukuze kube okulungile, lolu cwaningo lwaluhle. Ngemuva kokungenelela, abantu abangu-41 kuphela ababengabonwa ngezenzo zokuhlanzeka kwe-stethoscope. Noma kunjalo, lezi zithole zihambisana nalabo abahlolwayo ukuhlola amazinga okuhlanzeka kwe-stethoscope. Ngokuqondile, olunye ucwaningo lwathola ukuthi amaphesenti angu-4.6 kuphela abaqeqeshiwe abasebenza ezindaweni ezintathu zezifundo bachithelwa ama-stethoscopes awo ngesikhathi sezinyanga ezingu-11.
Ngokusho kukaHolleck nabalobi ababambisene nabo:
Naphezu kokulinganiselwa, sicabanga ukuthi lokhu kugcizelela inkinga ebalulekile, kodwa ngokuvamile engakhohlwa ukutheleleka kokutheleleka ngokuthola ukuthi kungavamile kanjani ukuhlanzeka kwe-stethoscope, futhi kuphakamisa ukuthi imfundo ejwayelekile ingase ingabi impendulo. Sikholelwa ukuthi ukuhlanzeka kwe-stethoscope kufanele kufakwe kuzo zonke izinhlelo zokwelapha zesibhedlela. Mhlawumbe ukuphendula kunganconywa ngokuqoka ilungu leqembu, njengodokotela ohlala phezulu, ukuba abe ngumholi weqembu kanye neqhawe ukukhumbuza nokuqinisekisa ukuthi i-stethoscope kanye nokuhlanzeka kwesandla kwenziwa.
Izwi elivela
Kubonakala ukuthi bambalwa kakhulu odokotela abahlanza ama-stethoscopes ngaphambi kokuba bahlole isiguli. Nakuba iningi lama-bacterium atholakala kuma-stethoscopes awabangeli ukugula, amabhaktheriya ayingozi (kanye namagciwane) nawo enza indlela yawo kuma-stethoscopes. Lezi zingqikithi zingadluliselwa ezigodini zesikhumba futhi zingasebenza njengomthombo wokutheleleka.
Uma uqaphela ukuthi udokotela wakho noma omunye umhlinzeki wezempilo uyehlulekile ukuhlanza izandla noma stethoscope, kufanele ucele ukuthi benze kanjalo. Odokotela bamatasa, futhi kungenzeka ukuthi bayakhohlwa ukuhlanza ama-stethoscopes abo njalo. Ngokukhumbuza udokotela noma omunye umhlinzeki wezempilo mayelana nokuhlanzeka okuhle, ungasiza ekuvimbeleni ukutheleleka.
Odokotela kanye nabanye ochwepheshe bezempilo kumele baqaphele ukuthi ama-stethoscopes angangcoliswa nje njengezandla futhi adinga ukuxilongwa nge-disinfected emva kokusetshenziswa ngalunye. Ukwenza kanjalo kungathuthukisa ukunakekelwa kwesineke futhi kunciphise ingozi yokusakaza ukutheleleka-ikakhulukazi ngama-antibiotic-resistant bacteria afana ne-MRSA.
> Imithombo:
> Bukharie, HA, et al. Ukungcoliswa kwamabhaktheriya ama-stethoscopes. J Family Community Med. 2004; 11: 31-33.
> O'Flaherty, N, Fenelon, L. I-stethoscope kanye nokutheleleka kwezempilo okuhambisanayo: inyoka enotshini noma umbheki ongenacala? I-Journal of Infection Hospital. 2015; 91: 1-7.
> Holleck, uJürgen L. et al. Ingabe imfundo ingathonya inhlanzeko ye-stethoscope? I-American Journal of Infection Control. 2017; 45: 811 - 812.
> Ukuqapha Ukuvimbela Ukusakazwa kwe-MRSA. I-CDC. www.cdc.gov.