{"id":1923,"date":"2019-05-21T11:25:32","date_gmt":"2019-05-21T11:25:32","guid":{"rendered":"https:\/\/nzjz.wpengine.com\/2019\/05\/21\/mikrobioloska-kontrola-sterilnosti\/"},"modified":"2021-05-21T11:37:08","modified_gmt":"2021-05-21T11:37:08","slug":"mikrobioloska-kontrola-sterilnosti","status":"publish","type":"post","link":"https:\/\/nzjz-split.hr\/en\/mikrobioloska-kontrola-sterilnosti\/","title":{"rendered":"Mikrobiolo\u0161ka kontrola sterilnosti i sterilizacije"},"content":{"rendered":"

UPUTE ZA UPORABU BIOLO\u0160KIH INDIKATORA \u2013 DUO SPORE<\/strong><\/p>\n

\n

\u2022\u00a0\u00a0 \u00a0Iz omotnice izvaditi test trake\/ prozirno plave stripove i postaviti u ure\u0111aju na najmanje dostupna mjesta procesu sterilizacije
\n\u2022\u00a0\u00a0 \u00a0NIKADA NE otvarati\u00a0 (PLAVI STRIP) PAPIR<\/strong> \u2013 primarno pakiranje u kojem se nalaze\u00a0 indikatori\u00a0 na nosa\u010dima
\n\u2022\u00a0\u00a0 \u00a0Sterilizirati uobi\u010dajenom procedurom
\n\u2022\u00a0\u00a0 \u00a0Nakon zavr\u0161etka ciklusa sterilizacije i hla\u0111enja izvaditi test trakice
\n\u2022\u00a0\u00a0 \u00a0vratiti u omotnicu obilje\u017eene brojevima 1, 2…shodno tekstu na zapisu o uzorku
\n\u2022\u00a0\u00a0 \u00a0Dostaviti u laboratorij na inkubaciju u \u0161to kra\u0107em vremenskom periodu nakon procesa sterilizacije<\/p>\n

\n

\n

KOJE PODATKE MORA SADR\u017dAVATI ZAPIS O UZORKU?<\/strong><\/p>\n

\u2022\u00a0\u00a0 \u00a0Podatke o naru\u010ditelju ;
\n\u2022\u00a0\u00a0 \u00a0Naziv tvrtke, Vlasnik\/odgovorna osoba
\n\u2022\u00a0\u00a0 \u00a0Sjedi\u0161te,
\n\u2022\u00a0\u00a0 \u00a0Objekt u kojem se provodi kontrola sterilizacije\/podru\u017enica
\n\u2022\u00a0\u00a0 \u00a0Adresa
\n\u2022\u00a0\u00a0 \u00a0Kontakt osoba\/e \u2013 mail\/mob.<\/p>\n

Podatke o aparatu:
\n\u2022\u00a0\u00a0 \u00a0Suhi sterilizator \u2013 naziv aparata i ser.broj
\n\u2022\u00a0\u00a0 \u00a0Autoklav \u2013 naziv aparata i ser.broj
\n\u2022\u00a0\u00a0 \u00a0DATUM PROVEDENE STERILIZACIJE
\n\u2022\u00a0\u00a0 \u00a0VRIJEME TRAJANJA STERILIZACIJE ( h \/min)
\n\u2022\u00a0\u00a0 \u00a0Temperatura sterilizacije\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ( \u00ba C )
\n\u2022\u00a0\u00a0 \u00a0Tlak pod kojim je provedena sterilizacija (autoklav)\u00a0\u00a0 (bar\/kPa)
\n\u2022\u00a0\u00a0 \u00a0Redni broj ciklusa sterilizacije
\n\u2022\u00a0\u00a0 \u00a0Broj kontroliranih kriti\u010dnih to\u010daka
\n\u2022\u00a0\u00a0 \u00a0Polo\u017eaj indikatora tijekom ciklusa sterilizacije
\n\u2022\u00a0\u00a0 \u00a0POTPIS IZVR\u0160ITELJA STERILIZACIJE, TE POTPIS I PE\u010cAT USTANOVE KOJA VR\u0160I KONTROLU STERILIZACIJE<\/p>\n

Odsjek za kontrolu sterilizacije\u00a0 koristi i Biolo\u0161ke indikatore
\nPOJEDINA\u010cNO PAKIRANE INDIKATORE ZA VLA\u017dNU STERILIZACIJU.<\/p>\n

Preporu\u010duju se za monitoring efikasnosti vla\u017ene sterilizacije.
\nMikroorganizam : Geobacillus sterothermophilus<\/em><\/strong><\/p>\n

UPUTE ZA UPORABU :<\/strong><\/p>\n

\u2022\u00a0\u00a0 \u00a0Zabilje\u017eiti naziv i serijski broj autoklava, broj punjenja i datum obrade
\n\u2022\u00a0\u00a0 \u00a0Biolo\u0161ke indikatore staviti u unutra\u0161njost: vre\u0107ice, \u010dvrstog kontejnera ili ure\u0111aja za testiranje, ovisno o punjenju koje treba obraditi
\n\u2022\u00a0\u00a0 \u00a0Provjeriti najnepovoljnije pozicije sterilizacijske komore kako je navedeno u uputama za uporabu sterilizatora
\n\u2022\u00a0\u00a0 \u00a0Odraditi punjenje prema uputama proizvo\u0111a\u010da sterilizatora
\n\u2022\u00a0\u00a0 \u00a0Provjeriti kemijski indikator
\n\u2022\u00a0\u00a0 \u00a0BI dostaviti u laboratorij najkasnije u roku 8 sati nakon provedenog ciklusa
\n\u2022\u00a0\u00a0 \u00a0\u010cuvanje: \u010cuvati na kontroliranoj sobnoj temperaturi (definirano USP)
\n\u2022\u00a0\u00a0 \u00a0Za\u0161tititi od svjetla, kemikalija, sredstava za sterilizaciju npr.etilen oksida, velike vru\u0107ine i vlage.<\/p>\n

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ZAPRIMANJE MATERIJALA \/ UZORAKA \u2013\u0160alter Slu\u017ebe za mikrobiologiju: 08:00 – 14.00 h svakog radnog dana.<\/strong><\/p>\n

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BIOLO\u0160KA KONTROLA STERILIZACIJE NAJPOUZDANIJA JE METODA KONTROLE STERILIZACIJSKOG PROCESA<\/strong><\/p>\n

Odsjek za kontrolu sterilnosti i sterilizacije NZJZ SD\u017d koristi biolo\u0161ke indikatore namjenjene kontroli parne sterilizacije i sterilizacije suhom toplinom.
\nStripovi su inokulirani bakterijskim sporama certificirane populacije, \u010disto\u0107e i rezistencije; spore Bacillus atropheus<\/em><\/strong> za suhu sterilizaciju i\u00a0 Geobacillus stearothermophilus<\/em><\/strong> za vla\u017enu sterilizaciju.
\nFIZIKALNI\u00a0 I KEMIJSKI MONITORNIG svakodnevno se\u00a0 obavljaju od strane korisnika sterilizatora.
\nFizikalni monitoring: vrijeme, temperatura, tlak.
\nKemijski monitoring ( VI tipova ) slu\u017ei kao dokaz izlo\u017eenosti odre\u0111enim uvjetima shodno vrsti sterilizacije, te nije pokazatelj u\u010dinkovitosti provedene sterilizacije.
\nKako briga za pacijenta zapo\u010dinje u sterilizacijskom odjeljenju\u00a0 kompletna\u00a0 dokumentacija mora biti uredno vo\u0111ena i \u010duvana i uvijek dostupna od strane provoditelja.<\/p>\n

STERILIZIRANO \u2260 STERILNO<\/strong><\/p>\n

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\u0160to je sterilizacija ?<\/strong><\/span>
\nPostupak kojim eliminiramo sve \u017eive oblike i sve vrste mikrorganizama koji mogu biti patogeni, apatogeni i njihove spore na predmetima izlo\u017eenim postupku sterilizacije.<\/p>\n

Cilj sterilizacije ?<\/span><\/strong>
\nEliminirati mikroorganizme bilo u vegetativnoj formi ili formi spora, sve u CILJU ZA\u0160TITE PU\u010cANSTVA od zaraznih bolesti.<\/p>\n

Tko podlije\u017ee zakonskoj regulativi mikrobiolo\u0161koe kontrole ciklusa sterilizacije?<\/strong><\/span>
\n\u2022\u00a0\u00a0 \u00a0poliklinike,
\n\u2022\u00a0\u00a0 \u00a0klinike,
\n\u2022\u00a0\u00a0 \u00a0op\u0107e bolnice,
\n\u2022\u00a0\u00a0 \u00a0ordinacije op\u0107e medicine,
\n\u2022\u00a0\u00a0 \u00a0stomatolo\u0161ke ordinacije
\n\u2022\u00a0\u00a0 \u00a0ginekolo\u0161ke ordinacije,
\n\u2022\u00a0\u00a0 \u00a0pedijatrijske ordinacije,
\n\u2022\u00a0\u00a0 \u00a0ustanove za njegu,
\n\u2022\u00a0\u00a0 \u00a0ustanove za smje\u0161taj starijih i nemo\u0107nih osoba,
\n\u2022\u00a0\u00a0 \u00a0saloni za tetova\u017eu,
\n\u2022\u00a0\u00a0 \u00a0saloni za pedikuru i sli\u010dno
\n\u2022\u00a0\u00a0 \u00a0veterinarske ambulante \u2026
\nSvi\u00a0 pru\u017eatelji usluga koji u svom radu koriste suhe ili vla\u017ene sterilizatore.<\/p>\n

Kolika je u\u010destalost kontrola?<\/strong><\/span>
\n\u2022\u00a0\u00a0\u00a0 Biolo\u0161ka kontrola sterilizacije po preporukama CDC \u2013 Centers for Disaese Control and Prevention vr\u0161i se jedan puta tjedno
\n\u2022\u00a0\u00a0\u00a0 Nakon kvara i sumnji u kvar
\n\u2022\u00a0\u00a0\u00a0 Du\u017eeg stajanja sterilizatora
\n\u2022\u00a0\u00a0\u00a0 Nu\u017eno svaki puta kada se\u00a0 sterilizira materijal za impantaciju
\n\u2022\u00a0\u00a0\u00a0 Nu\u017eno nakon dobivenog rezultata koji ne zadovoljava uvjete za sterilizaciju materijala prema Pravilniku i na\u010dinu obavljanja mjera za sprije\u010davanje i suzbijanje bolni\u010dkih infekcija<\/p>\n

Za uspje\u0161an postupak sterilizacije potrebno je izvr\u0161iti<\/strong><\/span>; \u010di\u0161\u0107enje, pranje, dezinfekciju, su\u0161enje.
\n\u2022 \u00a0\u00a0 Neuspje\u0161tost ciklusa sterilizacije nu\u017eno ne znaci neispravnost ure\u0111aja koji koristimo u svrhu sterilizacije .
\n\u2022 \u00a0\u00a0 \u010cesto je za neuspje\u0161nost ciklusa klju\u010dan ljudski faktor
\n\u2022 \u00a0\u00a0 nepoznavanje teorije sterilizacije
\n\u2022 \u00a0\u00a0 nepoznavanje rada sterilizatora
\n\u2022 \u00a0\u00a0 prenatrpanost sterilizatora
\n\u2022 \u00a0\u00a0 nepravilno pripremljeni setovi
\n\u2022 \u00a0\u00a0 neodr\u017eavanje ure\u0111aja
\n\u2022 \u00a0\u00a0 PREKRATKO TRAJANJE STERILIZACIJE
\n\u2022 \u00a0\u00a0 POKU\u0160AJ UBRZAVANJA\u00a0 POSTUPKA
\n\u2022 \u00a0\u00a0 VA\u017dNO PRAVILO \u2013 NIKADA NE OTVARATI STERILIZATOR TIJEKOM\u00a0 PROCESA STERILIZACIJE\u00a0 !<\/p>\n

STERILIZIRANO NIJE NU\u017dNO STERILNO !<\/strong><\/span><\/p>\n

Shodno ugovornim obvezama indikatore zatra\u017eiti putem elektroni\u010dke po\u0161te ili osobno preuzeti uz narud\u017ebenicu.<\/strong><\/span><\/p>\n

Odsjek za kontrolu sterilnosti i sterilizacije :<\/strong><\/span><\/p>\n

Voditelj Odsjeka: Danica Tandara, dr. med., specijalist medicinske mikrobiologije s parasitologijom<\/strong><\/span><\/p>\n

Stru\u010dni suradnik: Sanja Pupi\u0107,\u00a0 magistra sanitarnog in\u017eenjerstva<\/strong><\/span><\/p>\n

Kontakt : sanja.pupic@nzjz-split.hr<\/a> , tel\/fax : 021 401 193<\/strong><\/span><\/p>\n

\n

\n

\n

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UPUTE ZA UPORABU BIOLO\u0160KIH INDIKATORA \u2013 DUO SPORE \u2022\u00a0\u00a0 \u00a0Iz omotnice izvaditi test trake\/ prozirno plave stripove i postaviti u ure\u0111aju na najmanje dostupna mjesta procesu sterilizacije \u2022\u00a0\u00a0 \u00a0NIKADA NE otvarati\u00a0 (PLAVI STRIP) PAPIR \u2013 primarno pakiranje u kojem se nalaze\u00a0 indikatori\u00a0 na nosa\u010dima \u2022\u00a0\u00a0 \u00a0Sterilizirati uobi\u010dajenom procedurom \u2022\u00a0\u00a0 \u00a0Nakon zavr\u0161etka ciklusa sterilizacije i hla\u0111enja […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[16],"tags":[],"class_list":["post-1923","post","type-post","status-publish","format-standard","hentry","category-nekategorizirano"],"yoast_head":"\nNZJZ SD\u017d - Mikrobiolo\u0161ka kontrola sterilnosti i sterilizacije<\/title>\n<meta name=\"description\" content=\"Slu\u017ebene internet stranice Nastavnog Zavoda za javno zdravstvo Splitsko-dalmatinske \u017eupanije.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/nzjz-split.hr\/en\/mikrobioloska-kontrola-sterilnosti\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NZJZ SD\u017d - 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