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Title:PREVENTION AND MANAGEMENT OF LEGIONELLA SPP. SPREAD IN HOSPITAL WATER SYSTEM (ESTABLISHING AN EFFECTIVE SYSTEM WITHOUT USING CHEMICALS IN UNIVERSITY CLINIC OF RESPIRATORY AND ALLERGIC DISEASES GOLNIK)
Authors:ID Tomič, Viktorija (Mentor) More about this mentor... New window
ID Novak, Mojca (Author)
Files:.pdf Mojca_Novak.pdf (2,81 MB)
MD5: C7FF0B65B058FF18118AACA37FA18923
 
Language:English
Work type:Master's thesis
Typology:2.09 - Master's Thesis
Organization:FPŠ - Graduate School
Abstract:The hospital water system can be a causative agent for acquiring hospital-acquired infection. Many microorganisms can be detected in potable water and one of this is Legionella spp. These bacteria live also in nature, but are usually present in low numbers. When entering into the buildings and their water supply, Legionella finds ideal conditions to multiply, especially if this systems are extensive and old. To control the conditions in the levels that cannot harm humans, many procedures – physical and chemical – have been established. All of them have advantages as well as limitations. According to these facts, in University Clinic of Respiratory and Allergic Diseases Golnik we tried to reestablish the protocols that would keep us on the safe side and be environmentally and health friendly as well. We have been trying to use the protocol without added chemicals – just with maintaining proper temperatures, heat disinfection and flushing for many years now. With this study we wanted to extend our knowledge of our hospital water system, so we intensified the sampling and introduced extended measures. We found out that the presence of Legionella in water system is connected to moderate temperatures and it is present more frequently in high risk zones (inappropriate temperatures, dead legs, water stagnation). With constant measures, the Legionella can be controlled but not eradicated. To contain it on a safe level, the group of experts must work together and introduce procedures that will provide safe environment for the patients and employees.
Keywords:Legionella spp., hospital water system, prevention, temperature, flushing.
Place of publishing:Nova Gorica
Year of publishing:2016
PID:20.500.12556/RUNG-2614 New window
COBISS.SI-ID:4519675 New window
NUK URN:URN:SI:UNG:REP:ZJCAN4C0
Publication date in RUNG:30.09.2016
Views:7239
Downloads:288
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Secondary language

Language:Slovenian
Title:PREPREČEVANJE IN OBVLADOVANJE ŠIRJENJA LEGIONEL V BOLNIŠNIČNEM VODOVODNEM OMREŽJU (VZPOSTAVITEV UČINKOVITEGA SISTEMA BREZ UPORABE KEMIKALIJ V KLINIKI GOLNIK)
Abstract:Bolnišnični vodovodni sistem je lahko eden od vzrokov za pojav bolnišničnih okužb. V pitni vodi je lahko kar nekaj škodljivih mikroorganizmov in eden od teh je Legionella spp. Ta bakterija živi v naravi, vendar je tam prisotna v majhnem številu. Ob vstopu v vodovodne sisteme različnih zgradb pa zaradi razvejanosti vodovodnega omrežja in pogosto starih in nevzdrževanih napeljav najde idealne pogoje za razmnoževanje. Številni postopki, tako fizikalni kot kemični, so bili razviti z namenom vzdrževanja njihove koncentracije na neškodljivi ravni. Vsak od teh postopkov ima svoje prednosti in slabosti. V Univerzitetni kliniki za pljučne bolezni in alergijo Golnik (Kliniki Golnik) smo poskušali vzpostaviti okolju in zdravju neškodljiv sistem preprečevanja in obvladovanja teh bakterij v internem vodovodnem omrežju. Odločili smo se za vzdrževanje stanja brez dodajanja kemikalij: le na osnovi zagotavljanja ustreznih temperatur, izvajanja toplotnih šokov in stalnega spiranja vodovodnega sistema. Z raziskavo smo želeli pridobiti še več informacij o vodovodnem omrežju Klinike Golnik, zato smo izvedli številna vzorčenja ter poostrene ukrepe. S študijo smo potrdili, da je prisotnost bakterij vrst Legionella v veliki meri odvisna od neustreznih temperatur tako mrzle kot tople vode. Prav tako je večja možnost, da se bo bolj množično zadrževala na področjih zastajanja vode in mrtvih rokavov. S stalnim izvajanjem ukrepov bakterijo lahko obvladujemo, ne moremo pa je popolnoma uničiti. Z namenom zagotavljanja vrednosti v okviru priporočenih oziroma varnih za bolnike, mora ukrepe pripravljati in izvajati skupina različnih strokovnjakov - vse z namenom zagotavljanja varnega okolja bolnikom in zaposlenim.
Keywords:Legionella spp., bolnišnični vodovodni sistem, preprečevanje, temperatura, izpiranje.


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