{"id":14555,"date":"2021-01-05T01:22:39","date_gmt":"2021-01-04T22:22:39","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/kesici-ve-delici-alet-yaralanmalari-tek-merkez-deneyimi\/"},"modified":"2021-01-05T01:22:39","modified_gmt":"2021-01-04T22:22:39","slug":"kesici-ve-delici-alet-yaralanmalari-tek-merkez-deneyimi","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/kesici-ve-delici-alet-yaralanmalari-tek-merkez-deneyimi\/","title":{"rendered":"Kesici ve Delici Alet Yaralanmalar\u0131: Tek Merkez Deneyimi"},"content":{"rendered":"<h1>\u00d6zet<\/h1>\n<p> <strong>Ama\u00e7<\/strong>: Bu \u00e7al\u0131\u015fmada, \u00f6zel bir hastanenin sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131nda meydana gelen kesici ve delici alet yaralanmas\u0131 (KDAY) olaylar\u0131 ve e\u011fitimin yaralanma oran\u0131na etkisi de\u011ferlendirildi.<\/p>\n<p> <strong>Y\u00f6ntemler<\/strong>: Ocak 2013-Aral\u0131k 2016 aras\u0131nda 103 sa\u011fl\u0131k \u00e7al\u0131\u015fan\u0131nda meydana gelen 112 yaralanma retrospektif olarak de\u011ferlendirildi. Yeni ba\u015flayan her personele i\u015fe giri\u015fte ve y\u0131lda bir defa KDAY e\u011fitimi verildi. E\u011fitimlere ra\u011fmen yaralanma oranlar\u0131nda art\u0131\u015f saptanmas\u0131 durumunda, \u0130nfeksiyon Kontrol Komitesi karar\u0131yla PUK\u00d6 (planla-uygula-kontrol et-\u00f6nlem al) \u00e7al\u0131\u015fmas\u0131 da uyguland\u0131. Tespit edilen aksamalara (injeksiyon ve pansuman odas\u0131nda kullan\u0131lan kesici ve delici aletlerin i\u015flem biter bitmez hasta odas\u0131nda \u00f6zel kutusuna at\u0131lmas\u0131, ameliyathanede kesici ve delici alet al\u0131\u015fveri\u015finde hekim ve hem\u015fire aras\u0131nda s\u00f6zel uyar\u0131 verilmesi vb.) y\u00f6nelik e\u011fitim verildi.<\/p>\n<p> <strong>Bulgular<\/strong>: D\u00f6rt y\u0131ll\u0131k takip s\u00fcresinde 1162 sa\u011fl\u0131k \u00e7al\u0131\u015fan\u0131na KDAY e\u011fitimi verildi ve hepatit B virusuna ba\u011f\u0131\u015f\u0131k olmayan \u00fc\u00e7 sa\u011fl\u0131k \u00e7al\u0131\u015fan\u0131na koruyucu imm\u00fcn globulin ve a\u015f\u0131 ve iki sa\u011fl\u0131k \u00e7al\u0131\u015fan\u0131na &#8220;human immunodeficiency virus&#8221; profilaksisi yap\u0131ld\u0131. Yaralanma sonras\u0131 takiplerinde hi\u00e7birinde kan yoluyla bula\u015fan hastal\u0131\u011fa rastlanmad\u0131. Y\u0131llara g\u00f6re KDAY oranlar\u0131 2013-2016 y\u0131llar\u0131 aras\u0131nda %4.3,%9.6,%4.4 ve %8.6 idi. Yaralananlar\u0131n meslek gruplar\u0131na g\u00f6re da\u011f\u0131l\u0131m\u0131 s\u0131ras\u0131yla %47.3 hem\u015fire, %20.5 yard\u0131mc\u0131 sa\u011fl\u0131k personeli, %17 temizlik personeli, %8.9 laboratuvar teknisyeni, %6.3 doktor idi. Yaralanmaya neden olan KDAY da\u011f\u0131l\u0131m\u0131nda %73 i\u011fne ucu oldu\u011fu saptand\u0131. Birimlere g\u00f6re da\u011f\u0131l\u0131m\u0131nda %43 s\u0131kl\u0131kla ameliyathane \u00e7al\u0131\u015fanlar\u0131n\u0131n birinci s\u0131ray\u0131 alm\u0131\u015f oldu\u011fu g\u00f6r\u00fcld\u00fc. 2014 y\u0131l\u0131nda mesleki yaralanma oran\u0131n\u0131n ilk alt\u0131 ayda y\u00fcksek saptanmas\u0131 nedeniyle y\u0131l\u0131n ikinci yar\u0131s\u0131nda PUK\u00d6 \u00e7al\u0131\u015fmas\u0131 ba\u015flat\u0131ld\u0131 ve verilen e\u011fitimlerle 2015 y\u0131l\u0131nda KDAY oran\u0131 %4.4 d\u00fc\u015f\u00fcr\u00fcld\u00fc. 2016 y\u0131l\u0131 i\u00e7inde tekrar art\u0131\u015f saptan\u0131nca y\u0131l\u0131n ikinci yar\u0131s\u0131nda tekrar PUK\u00d6 \u00e7al\u0131\u015fmas\u0131 ba\u015flat\u0131ld\u0131.<\/p>\n<p> <strong>Sonu\u00e7lar<\/strong>: Bu \u00e7al\u0131\u015fma, sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131nda tespit edilen neden ve eksikliklere y\u00f6nelik olarak verilen s\u00fcrekli e\u011fitimin KDAY oranlar\u0131n\u0131 d\u00fc\u015f\u00fcrd\u00fc\u011f\u00fcn\u00fc ortaya koymu\u015ftur. Klimik Dergisi 2018; 31(3): 181-4.<\/p>\n<p> <strong>Cite this article as<\/strong>: Karako\u00e7 Z\u00c7, Kocak Y, \u015eim\u015fek B. [Sharps injuries: a single-center experience]. Klimik Derg. 2018; 31(3): 181-4. Turkish.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zet Ama\u00e7: Bu \u00e7al\u0131\u015fmada, \u00f6zel bir hastanenin sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131nda meydana gelen kesici ve delici alet yaralanmas\u0131 (KDAY) olaylar\u0131 ve e\u011fitimin yaralanma oran\u0131na etkisi de\u011ferlendirildi. Y\u00f6ntemler: Ocak 2013-Aral\u0131k 2016 aras\u0131nda 103 sa\u011fl\u0131k \u00e7al\u0131\u015fan\u0131nda meydana gelen 112 yaralanma retrospektif olarak de\u011ferlendirildi. Yeni ba\u015flayan her personele i\u015fe giri\u015fte ve y\u0131lda bir defa KDAY e\u011fitimi verildi. E\u011fitimlere ra\u011fmen yaralanma [&hellip;]<\/p>\n","protected":false},"author":0,"featured_media":0,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5129],"tags":[4820,4262,4822],"class_list":["post-14555","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-egitim","tag-saglik-personeli","tag-yaralar-ve-yaralanmalar"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14555","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/types\/post"}],"replies":[{"embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/comments?post=14555"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14555\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=14555"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=14555"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=14555"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}