Ivanka Matas - Academia.edu (original) (raw)
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Papers by Ivanka Matas
Hrvatski časopis za javno zdravstvo, Nov 17, 2016
Clostridium difficile je anaerobna, gram pozitivna bakterija, siroko rasprostranjena u prirodi i... more Clostridium difficile je anaerobna, gram pozitivna bakterija, siroko rasprostranjena u prirodi i u probavnom traktu brojnih životinja. Clostridium difficile infekcija je najcesci uzrok proljeva povezan sa zdravstvenom skrbi. Cilj rada je prikazati iznimno važan javno zdravstveni znacaj ove problematike. Također, cilj je i detaljno opisati mjere prevencije za suzbijanje sirenja navedenog mikororganizma u bolnickim uvjetima, a cija implementacija utjece na sigurnost bolesnika tijekom hospitalizacije i na ishod lijecenja. U Opcoj bolnici Zadar bilježi se znacajan porast broja proljeva povezanih s Clostridium difficile . U razdoblju 2012. - 2013. godine bilježimo svega 70-tak zahtjeva za pretragom na godisnjoj razini, da bi se taj broj u 2014. godini udvostrucio, te u 2015. bilježimo vise od 400 zahtjeva za pretragom. Izrađena i implementirana strategija za prevenciju Clostridium difficile infekcija temelji se na uvođenju postupnika "SNOP SKRBI" opisanog u ovom radu.
82. Znanstveno-stručni simpozij: Zoonoze, 2015
Infektološki glasnik
Background: The aim of this paper was to present the effectiveness of the mechanical removal of b... more Background: The aim of this paper was to present the effectiveness of the mechanical removal of blind ends and flushing of hot water systems at outlets as the only possible emergency measures to reduce the concentration of Legionella spp in hot water. Methods: Two measures have been undertaken: mechanical removal of blind ends and intensive hot water flushing when the water has not been used for more than 7 days. Results: We detected Legionella pneumophila serogroup 1 in concentration of 1.000- 55.000 CFU/L at all samples sites. In the control sampling, after three weeks, we found seven sampling sites negative for Legionella and only two sampling sites positive. All nine sampling sites were negative after ten weeks. Conclusion: Establishing good water flow throughout the hospital seems to be the most important measure, in order to make the multiplication of Legionella in the hot water distribution systems unlikely.
Anaerobe, 2016
While Clostridium difficile epidemiology is well documented in many European countries, data are ... more While Clostridium difficile epidemiology is well documented in many European countries, data are largely missing for South Eastern European region. Here we report the PCR ribotype distribution of 249 C. difficile isolates received for typing from six hospital settings from Croatia, Bosnia and Herzegovina, Republic of Macedonia and Serbia in time period from 2008 to 2015. Twenty-four PCR ribotypes were detected. The majority of strains from Bosnia and Herzegovina and Serbia belonged to PCR ribotype 027 (65.8%). Other three dominating PCR ribotypes were 176 (18 strains; Croatia), 001/072 (15 strains; all countries) and 014/020 (15 strains; all countries).
Hrvatski časopis za javno zdravstvo, Nov 17, 2016
Clostridium difficile je anaerobna, gram pozitivna bakterija, siroko rasprostranjena u prirodi i... more Clostridium difficile je anaerobna, gram pozitivna bakterija, siroko rasprostranjena u prirodi i u probavnom traktu brojnih životinja. Clostridium difficile infekcija je najcesci uzrok proljeva povezan sa zdravstvenom skrbi. Cilj rada je prikazati iznimno važan javno zdravstveni znacaj ove problematike. Također, cilj je i detaljno opisati mjere prevencije za suzbijanje sirenja navedenog mikororganizma u bolnickim uvjetima, a cija implementacija utjece na sigurnost bolesnika tijekom hospitalizacije i na ishod lijecenja. U Opcoj bolnici Zadar bilježi se znacajan porast broja proljeva povezanih s Clostridium difficile . U razdoblju 2012. - 2013. godine bilježimo svega 70-tak zahtjeva za pretragom na godisnjoj razini, da bi se taj broj u 2014. godini udvostrucio, te u 2015. bilježimo vise od 400 zahtjeva za pretragom. Izrađena i implementirana strategija za prevenciju Clostridium difficile infekcija temelji se na uvođenju postupnika "SNOP SKRBI" opisanog u ovom radu.
82. Znanstveno-stručni simpozij: Zoonoze, 2015
Infektološki glasnik
Background: The aim of this paper was to present the effectiveness of the mechanical removal of b... more Background: The aim of this paper was to present the effectiveness of the mechanical removal of blind ends and flushing of hot water systems at outlets as the only possible emergency measures to reduce the concentration of Legionella spp in hot water. Methods: Two measures have been undertaken: mechanical removal of blind ends and intensive hot water flushing when the water has not been used for more than 7 days. Results: We detected Legionella pneumophila serogroup 1 in concentration of 1.000- 55.000 CFU/L at all samples sites. In the control sampling, after three weeks, we found seven sampling sites negative for Legionella and only two sampling sites positive. All nine sampling sites were negative after ten weeks. Conclusion: Establishing good water flow throughout the hospital seems to be the most important measure, in order to make the multiplication of Legionella in the hot water distribution systems unlikely.
Anaerobe, 2016
While Clostridium difficile epidemiology is well documented in many European countries, data are ... more While Clostridium difficile epidemiology is well documented in many European countries, data are largely missing for South Eastern European region. Here we report the PCR ribotype distribution of 249 C. difficile isolates received for typing from six hospital settings from Croatia, Bosnia and Herzegovina, Republic of Macedonia and Serbia in time period from 2008 to 2015. Twenty-four PCR ribotypes were detected. The majority of strains from Bosnia and Herzegovina and Serbia belonged to PCR ribotype 027 (65.8%). Other three dominating PCR ribotypes were 176 (18 strains; Croatia), 001/072 (15 strains; all countries) and 014/020 (15 strains; all countries).