\u00daspe\u0161ne s\u00fa zapojen\u00ed do syst\u00e9mu externej kontroly kvality.<\/strong> Ako uviedla ved\u00faca lek\u00e1rka pracoviska klinickej mikrobiol\u00f3gie Zuzana K\u00f3nyov\u00e1, na jednotliv\u00fdch pracovisk\u00e1ch oddelen\u00ed klinick\u00fdch laborat\u00f3ri\u00ed pracuj\u00fa v\u00fdlu\u010dne zamestnanci, ktor\u00ed sp\u013a\u0148aj\u00fa po\u017eadovan\u00e9 kvalifika\u010dn\u00e9 predpoklady. Lek\u00e1ri, laborat\u00f3rni diagnostici, zdravotn\u00e9 laborantky i sanit\u00e1ri musia ma\u0165 ukon\u010den\u00e9 po\u017eadovan\u00e9 vzdelanie vo svojom odbore a n\u00e1sledne sa v r\u00e1mci s\u00fastavn\u00e9ho vzdel\u00e1vania kontinu\u00e1lne vzdel\u00e1vaj\u00fa v 5-ro\u010dn\u00fdch intervaloch zbieran\u00edm kreditov akt\u00edvnou, alebo pas\u00edvnou \u00fa\u010das\u0165ou na odborn\u00fdch semin\u00e1roch, kongresoch, workshopoch\u2026 \u201eSamozrejme, aj u n\u00e1s doch\u00e1dza k fluktu\u00e1cii hlavne u mlad\u00fdch \u013eud\u00ed a tie\u017e postupne ku genera\u010dnej v\u00fdmene zamestnancov na v\u0161etk\u00fdch poz\u00edci\u00e1ch, ale m\u00f4\u017eeme kon\u0161tatova\u0165, \u017ee t. \u010d. nem\u00e1me z\u00e1sadn\u00fd probl\u00e9m s person\u00e1lom a vieme zabezpe\u010di\u0165 poskytovanie kvalitnej zdravotnej starostlivosti aj na oddeleniach s nepretr\u017eitou prev\u00e1dzkou.\u201c<\/p>\n\n\n\n Denne urobia 200 a\u017e 250 vy\u0161etren\u00ed<\/strong>. Pracovisko klinickej mikrobiol\u00f3gie pod veden\u00edm doktorky Zuzany K\u00f3nyovej sa zaober\u00e1 komplexnou priamou a nepriamou diagnostikou infek\u010dn\u00fdch ochoren\u00ed \u2013 ur\u010den\u00edm etiol\u00f3gie a vy\u0161etrovan\u00edm citlivosti na antibiotik\u00e1. Prev\u00e1dzkov\u00e1 doba laborat\u00f3ria je po\u010das pracovn\u00fdch dn\u00ed denne od 7.00 do 15.00, po\u010das v\u00edkendu je zabezpe\u010den\u00e1 slu\u017eba v sobotu od 7.00 do 12.00. Be\u017en\u00e9 kultiva\u010dn\u00e9 vy\u0161etrenia trvaj\u00fa 24 \u2013 72 hod\u00edn<\/strong>. Pracovisko je vybaven\u00e9 modernou pr\u00edstrojovou technol\u00f3giou (analyz\u00e1tory na s\u00e9rologick\u00e9 vy\u0161etrenia, automatick\u00fd hemokultiva\u010dn\u00fd syst\u00e9m, mikroskopick\u00e1 technika, komorov\u00fd termostat), v\u010faka ktorej sa n\u00e1m za posledn\u00e9 roky podarilo ur\u00fdchli\u0165 a roz\u0161\u00edri\u0165 mikrobiologick\u00fa diagnostiku. \u201eNapr. len po\u010das tohto roka sme roz\u0161\u00edrili diagnostiku o vy\u0161etrenia klie\u0161\u0165ovej encefalit\u00eddy \u010di \u010dierneho ka\u0161\u013ea. Na\u0161\u00edm cie\u013eom je v\u010dasn\u00e9 ur\u010denie p\u00f4vodcov vyvol\u00e1vaj\u00facich infek\u010dn\u00e9 ochorenia a vy\u0161etrenie ich citlivosti na antibiotik\u00e1, \u010do je z\u00e1kladn\u00fdm predpokladom nasadenia \u00fa\u010dinnej antibiotickej lie\u010dby a z\u00e1chrany pacienta s infek\u010dn\u00fdm ochoren\u00edm.\u201c D\u013a\u017eka vy\u0161etren\u00ed je r\u00f4zna. Pod\u013ea slov Zuzany K\u00f3nyovej, be\u017en\u00e9 kultiva\u010dn\u00e9 vy\u0161etrenia trvaj\u00fa 24 \u2013 72 hod\u00edn v z\u00e1vislosti od n\u00e1lezu a typu vy\u0161etrenia. \u201eV\u00e4\u010d\u0161ina negat\u00edvnych v\u00fdsledkov je u\u017e na druh\u00fd de\u0148, ale ukon\u010denie pozit\u00edvneho v\u00fdsledku trv\u00e1 dlh\u0161\u00ed \u010das (napr. vy\u0161etrenie citlivosti na antibiotik\u00e1 predl\u017euje vy\u0161etrenie o 1 de\u0148). S\u00e9rologick\u00e9 vy\u0161etrenia s\u00fa v\u00e4\u010d\u0161inou k dispoz\u00edcii e\u0161te v de\u0148 pr\u00edjmu vzorky, in\u00e9 o 2 \u2013 3 dni. V posledn\u00fdch rokoch pon\u00fakame aj r\u00fdchle vy\u0161etrenia antig\u00e9nov priamo v biologickom materi\u00e1li, s v\u00fdsledkom do 2 hod\u00edn od doru\u010denia do laborat\u00f3ria.\u201c<\/p>\n\n\n\n Antibiotik\u00e1 nie s\u00fa ur\u010den\u00e9 na lie\u010dbu be\u017en\u00fdch v\u00edrusov\u00fdch infekci\u00ed. <\/strong>Antibiotik\u00e1 maj\u00fa unik\u00e1tne postavenie. Pod\u013ea ved\u00facej lek\u00e1rky pracoviska klinickej mikrobiol\u00f3gie, s\u00fa to kauz\u00e1lne lieky, ovplyv\u0148uj\u00face nielen pacienta, ktor\u00fd ich u\u017e\u00edva, ale zmenou mikrobi\u00e1lneho os\u00eddlenia a selekciou rezistentn\u00fdch kme\u0148ov aj okolit\u00fdch obyvate\u013eov. \u201eAntibiotik\u00e1 dok\u00e1\u017eu zachr\u00e1ni\u0165 pacienta, ale na druhej strane m\u00f4\u017eu vyvola\u0165 e\u0161te z\u00e1va\u017enej\u0161ie komplik\u00e1cie, napr. infekciu Clostridium difficile. Vo\u013eba antibiotika mus\u00ed by\u0165 v\u017edy v ruk\u00e1ch lek\u00e1ra, nie pacienta. Aby sme pre bud\u00face gener\u00e1cie zachovali \u00fa\u010dinnos\u0165 antibiot\u00edk, mus\u00edme sa k ich u\u017e\u00edvaniu stava\u0165 zodpovedne. Je potrebn\u00e9 si uvedomi\u0165, \u017ee antibiotik\u00e1 nie s\u00fa ur\u010den\u00e9 na lie\u010dbu be\u017en\u00fdch v\u00edrusov\u00fdch infekci\u00ed,\u201c vysvetlila Zuzana K\u00f3nyov\u00e1.<\/p>\n\n\n\n \u00daloha klinickej mikrobiol\u00f3gie je nezastupite\u013en\u00e1. <\/strong>\u00dalohou pracoviska klinickej mikrobiol\u00f3gie je aj sledovanie a anal\u00fdza v\u00fdskytu rezistencie na antibiotik\u00e1 a v\u010dasn\u00e9 zachytenie multirezistentn\u00fdch kme\u0148ov. \u201eV okrese Brezno situ\u00e1cia vo v\u00fdskyte rezistencie na antibiotik\u00e1 kop\u00edruje celoslovensk\u00fd v\u00fdvoj. Za posledn\u00fdch 10 rokov do\u0161lo k postupn\u00e9mu n\u00e1rastu rezistencie bakt\u00e9ri\u00ed vyvol\u00e1vaj\u00facich infek\u010dn\u00e9 ochorenia na v\u0161etky k\u013e\u00fa\u010dov\u00e9 antibiotik\u00e1. V boji s narastaj\u00facou antibiotickou rezistenciou je \u00faloha klinickej mikrobiol\u00f3gie nezastupite\u013en\u00e1. D\u00f4le\u017eitou s\u00fa\u010das\u0165ou pr\u00e1ce lek\u00e1ra klinick\u00e9ho mikrobiol\u00f3ga je okrem pr\u00e1ce v laborat\u00f3riu aj pr\u00e1ca v oblasti nemocni\u010dnej epidemiol\u00f3gie a riadenie lie\u010dby antibiotikami na l\u00f4\u017ekov\u00fdch oddeleniach NsP Brezno, n. o. (tzv. antibiotick\u00e1 politika).\u201c<\/p>\n\n\n\n Riadenie antibiotickej politiky v Brezne je na ve\u013emi dobrej \u00farovni<\/strong>. Klinick\u00fd mikrobiol\u00f3g pod\u013ea slov Zuzany K\u00f3nyovej denne poskytuje konzult\u00e1cie a konz\u00edli\u00e1 zameran\u00e9 najm\u00e4 na interpret\u00e1ciu v\u00fdsledkov, lie\u010dbu antibiotikami \u010di schva\u013eovanie tzv. rezervn\u00fdch antibiot\u00edk pre pacientov so z\u00e1va\u017en\u00fdmi infek\u010dn\u00fdmi ochoreniami. \u201ePravideln\u00e1 \u00fa\u010das\u0165 na vizit\u00e1ch oddelenia OAIM prispieva k lep\u0161ej aj efekt\u00edvnej\u0161ej starostlivosti o pacientov v z\u00e1va\u017enom klinickom stave. <\/p>\n\n\n\n Riadenie antibiotickej politiky v NsP Brezno, n. o. je na ve\u013emi dobrej \u00farovni, dlhodobo vykazujeme priazniv\u00e9 v\u00fdsledky. Ako jedna z m\u00e1la nemocn\u00edc na Slovensku m\u00e1me vypracovan\u00e9 z\u00e1sady racion\u00e1lnej antiinfek\u010dnej lie\u010dby, ktor\u00e9 boli \u00faspe\u0161ne odprezentovan\u00e9 na celoslovenskej \u00farovni. Do bud\u00facnosti o\u010dak\u00e1vam zav\u00e1dzanie \u010fal\u0161\u00edch nov\u00fdch modern\u00fdch vy\u0161etrovac\u00edch met\u00f3d, ktor\u00e9 e\u0161te ur\u00fdchlia mikrobiologick\u00fa diagnostiku. Na druhej strane n\u00e1s \u010dak\u00e1 e\u0161te ve\u013ea pr\u00e1ce v oblasti boja so \u0161\u00edren\u00edm multirezistentn\u00fdch bakt\u00e9ri\u00ed,\u201c uzavrela Zuzana K\u00f3nyov\u00e1.<\/p>\n","protected":false},"excerpt":{"rendered":" Oddelenie klinick\u00fdch laborat\u00f3ri\u00ed poskytuje komplexn\u00e9 laborat\u00f3rne vy\u0161etrenia pre l\u00f4\u017ekov\u00e9 oddelenia NsP Brezno a ambulantn\u00e9 zariadenia okresu Brezno. Realiz\u00e1ciou potrebn\u00fdch vy\u0161etren\u00ed sa podie\u013ea na diagnostike, lie\u010dbe a monitorovan\u00ed r\u00f4znych ochoren\u00ed. Ro\u010dne sa vykon\u00e1 takmer 60 000 vy\u0161etren\u00ed. Po\u010das tohto roka roz\u0161\u00edrili diagnostiku o vy\u0161etrenia klie\u0161\u0165ovej encefalit\u00eddy. \u010cl\u00e1nok zverejnen\u00fd v novin\u00e1ch My Horehronie 18.6.2019. Autor: MONIKA DOL\u0147ANOV\u00c1. […]<\/p>\n","protected":false},"author":1,"featured_media":1977,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[7],"tags":[],"class_list":["post-2723","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-onas"],"_links":{"self":[{"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/posts\/2723","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/comments?post=2723"}],"version-history":[{"count":6,"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/posts\/2723\/revisions"}],"predecessor-version":[{"id":3582,"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/posts\/2723\/revisions\/3582"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/media\/1977"}],"wp:attachment":[{"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/media?parent=2723"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/categories?post=2723"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.nspbr.sk\/web\/wp-json\/wp\/v2\/tags?post=2723"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Oddelenie klinick\u00fdch laborat\u00f3ri\u00ed pozost\u00e1va z troch samostatn\u00fdch, funk\u010dne oddelen\u00fdch pracov\u00edsk: hematol\u00f3gie a transfuziol\u00f3gie, klinickej bioch\u00e9mie a samostatne umiestnen\u00e9ho pracoviska klinickej mikrobiol\u00f3gie. V\u0161etky oddelenia s\u00fa \u00faspe\u0161n\u00e9 zapojen\u00e9 do syst\u00e9mu externej kontroly kvality.<\/p>\n\n\n\n![\"\"](\"http:\/\/nspbr.sk\/web\/wp-content\/uploads\/2019\/03\/IMG_20190322_102321-1024x768.jpg\")
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\u201eKvalifikovan\u00fd person\u00e1l ro\u010dne vykon\u00e1 takmer 60 000 vy\u0161etren\u00ed (asi 200 \u2013 250 denne): 47 % predstavuj\u00fa kultiva\u010dn\u00e9 vy\u0161etrenia z r\u00f4znych biologick\u00fdch materi\u00e1lov (napr. v\u00fdtery z nosa, krku, r\u00e1n, mo\u010du, sp\u00fatum, hemokult\u00fary, mozgovomie\u0161ny mok, hnis a pod.), 45 % s\u00e9rologick\u00e9 vy\u0161etrenia (stanovenie protil\u00e1tok v krvi pacienta proti r\u00f4znym bakt\u00e9ri\u00e1m, v\u00edrusom a parazitom), 7 % priamy r\u00fdchly d\u00f4kaz antig\u00e9nov bakt\u00e9ri\u00ed a v\u00edrusov vyvol\u00e1vaj\u00facich hna\u010dkov\u00e9 ochorenia \u010di infekcie d\u00fdchac\u00edch ciest a 1 % mikroskopick\u00e9 parazitologick\u00e9 vy\u0161etrenia. <\/p>\n\n\n\n![\"\"](\"http:\/\/nspbr.sk\/web\/wp-content\/uploads\/2019\/03\/IMG_20190322_102334-1024x768.jpg\")
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