20.500.12556/ReVIS-12316 Okužba pacienta s Clostridium difficile Patient infection with clostridium difficile Izhodišča: Okužba s Clostridium difficile (C. difficile) predstavlja eno najpogostejših bolnišničnih okužb prebavil, povezanih z uporabo antibiotikov in dolgotrajnega bivanja v zdravstvenih ustanovah. Bolezen je povezana z visoko obolevnostjo, zato je poznavanje preventivnih ukrepov ter pravočasno ukrepanje ključnega pomena. Medicinske sestre imajo osrednjo vlogo pri preprečevanju in obvladovanju okužbe, saj s svojim znanjem, pravočasnim ukrepanjem ter izobraževanjem pacientov in svojcev pomembno prispevajo k zajezitvi širjenja bolezni. Namen raziskave je bil ugotoviti, kako medicinske sestre prepoznajo simptome okužbe, poznajo poti prenosa ter izvajajo preventivne ukrepe. Metode: Uporabljen je bil kvalitativni raziskovalni pristop z deskriptivno metodo dela. Podatki so bili zbrani s polstrukturiranimi intervjuji pri sedmih medicinskih sestrah, zaposlenih v bolnišnici in domu starejših občanov. Analiza je temeljila na tematskem razvrščanju odgovorov. Rezultati: Vse intervjuvanke so kot osrednji simptom izpostavile drisko, pogosta odvajanja in značilen vonj blata. Večina je poznala osnove poti prenosa (fekalno-oralna pot) in ukrepe preprečevanja (higiena rok, uporaba osebne varovalne opreme, kontaktna izolacija). Pomembno težavo predstavlja tudi pomanjkanje časa, kadrovske stiske in nezadostna izobraževanja kot glavne ovire pri izvajanju ukrepov. Razprava: Ugotovili smo, da medicinske sestre dobro poznajo simptome in ukrepe, vendar se pri praktičnem izvajanju pojavljajo omejitve zaradi organizacijskih dejavnikov. Za učinkovitejši nadzor nad okužbo so zato ključna dodatna usposabljanja ter večja podpora vodstva. Background: Clostridium difficile (C. difficile) infection is one of the most common hospital-acquired gastrointestinal infections, associated with antibiotic use and prolonged stays in healthcare facilities. The disease is linked to high morbidity; therefore, knowledge of preventive measures and timely intervention are of crucial importance. Nurses play a central role in preventing and controlling the infection, as their expertise, prompt action, and education of patients and their families significantly contribute to limiting the spread of the disease. The aim of this study was to determine how nurses recognize the symptoms of infection, understand the routes of transmission, and implement preventive measures. Methods: A qualitative approach with a descriptive method was used. Data were collected through semi-structured interviews with seven nurses employed in a hospital and a nursing home. The analysis was based on thematic categorization of responses. Results: All interviewees identified diarrhea, frequent bowel movements, and the characteristic odor of stool as key symptoms. Most were familiar with the basic route of transmission (fecal–oral route) and preventive measures (hand hygiene, use of personal protective equipment, contact isolation). However, they highlighted lack of time, staffing shortages, and insufficient training as the main barriers to implementing preventive measures. Discussion: The results indicate good knowledge of symptoms and preventive measures but also reveal limitations in practical implementation due to organizational factors. Additional training and management support are essential to improve infection control. Clostridium difficile bolnišnične okužbe preventiva higiena rok Clostridium difficile hospital-acquired infections prevention hand hygiene true false false Slovenski jezik Angleški jezik Diplomsko delo/naloga 2025-09-27 18:59:09 2025-09-27 18:59:09 2025-11-12 10:20:46 0000-00-00 00:00:00 2025 0 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 23542 255867907 DIP_Brkic_Sasa_2025.pdf DIP_Brkic_Sasa_2025.pdf 1 CA1C78FA2874CC09C5BD888CAF290E2B e80695bc410ffbc41458633f91646b6939ba85ef24c9ef07ec35523ebaef3b3d 4935a9d5-9bc3-11f0-9bb7-001a4af901a5 https://revis.openscience.si/Dokument.php?lang=slv&id=14413 Univerza v Novem mestu - Fakulteta za zdravstvene vede 0 0 0