8 results on '"Čulo, Marija"'
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2. Prediction of unfavorable outcomes in community-acquired bacteremia by SIRS, SOFA and qSOFA scores.
- Author
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KUSULJ, Marija, TRKULJA, Vladimir, SKOČIBUŠIĆ, Elizabeta, GRGIĆ, Borna, ČULO, Marija, TAMBIĆ ANDRAŠEVIĆ, Arjana, and SANTINI, Marija
- Published
- 2023
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3. Decline of Anti-SARS-CoV-2 IgG Antibody Levels 6 Months after Complete BNT162b2 Vaccination in Healthcare Workers to Levels Observed Following the First Vaccine Dose
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Đaković Rode, Oktavija, primary, Bodulić, Kristian, additional, Zember, Sanja, additional, Cetinić Balent, Nataša, additional, Novokmet, Anđa, additional, Čulo, Marija, additional, Rašić, Željka, additional, Mikulić, Radojka, additional, and Markotić, Alemka, additional
- Published
- 2022
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4. Control measures to prevent the spread of Klebsiella pneumoniae KPC in the hospital setting
- Author
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Čulo, Marija, Kutleša, Marko, Baršić, Bruno, and Tešović, Goran
- Subjects
screening ,hand hygiene ,personal protective equipment ,contact isolation ,KPC K. pneumoniae ,compliance ,carbapenem-resistant enterobacteriaceae - Abstract
Pojava i širenje karbapenem rezistentnih enterobakterija u svijetu predstavlja ozbiljnu prijetnju javnom zdravlju. Ovi mikroorganizmi su povezani s visokim stopama smrtnosti i imaju veliki potencijal širenja. Suzbijanje njihova širenja zahtijeva koordinirani napor svih sudionika koji pružaju zdravstvene usluge. KPC K. pneumoniae jedna je od značajnijih uzročnika iz grupe enterobakterija koja se pojavila u Hrvatskoj 2011. godine. U radu je opisano širenje ovog uzročnika među osam bolesnika liječenih u Jedinici intenzivnog liječenja (JIL) Klinike za infektivne bolesti “Dr. Fran Mihaljević”, Zagreb od listopada 2014. do veljače 2015. godine. Indeks bolesnica je bila nizozemska državljanka, kojoj je u Grčkoj izolirana KPC K. pneumoniae. Cilj niza provedenih mjera bilo je sprječavanje daljnjeg širenja među bolesnicima. Mjere su uključivale: kontaktnu izolaciju kliconoša ili inficiranih bolesnika, brzu mikrobiološku obradu, probir bolesnika i osoblja, edukaciju osoblja o higijeni ruku, nadzor suradljivosti u higijeni ruku pomoću alata Svjetske zdravstvene organizacije "5 momenata za higijenu ruku", promociju dezinfekcije ruku alkoholnim utrljavanjem, nabavu alkoholnih pripravaka i držača kako bi suradljivost higijene ruku bila još dostupnija, pravilno korištenje osobne zaštitne opreme te završnu dekontaminaciju površina dezinfekcijom vodikovim peroksidom. Provedena je i privremena mjera zatvaranja užeg dijela JIL-a za prijem novih bolesnika. Sve je to rezultiralo stavljanjem pod kontrolu širenja ovog rezistentnog uzročnika., The emergence and spread of carbapenem-resistant Enterobacteriaceae in the world poses a serious threat to public health. These microorganisms are associated with high mortality rates and have great potential for expansion. Suppressing their spread requires a coordinated effort involving all participants who provide health services. KPC K. pneumoniae is one of the major causes among the Enterobacteriaceae group which appeared in Croatia in 2011. This thesis describes its spread among eight patients treated at the Intensive Care Unit of the University Hospital for Infectious Diseases "Dr Fran Mihaljevic" from October 2014 to February 2015. The index patient was a Dutch woman, in whom KPC K. pneumonia was isolated during her stay in Greece. The aim of implemented set of measures was the prevention of further spread of infection among patients. These measures included: contact isolation of carriers or infected patients, rapid microbiological diagnostics, screening of patients and hospital staff, training staff on hand hygiene, monitoring hand hygiene compliance by using WHO tool "Five Moments for Hand Hygiene", promoting alcohol-based hand disinfection, installing alcohol-based hand rub dispensers to facilitate hand hygiene compliance, proper use of personal protective equipment and final decontamination of surfaces with hydrogen peroxide disinfection. Closure of the ICU to new patients was also carried out as a temporary measure. All these measures resulted in placing the spread of this resistant pathogen under control.
- Published
- 2016
5. Left ventricular assist device
- Author
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Čulo, Marija, primary and Renić, Marija, additional
- Published
- 2016
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6. Utjecaj kampanje za pravilnu higijenu ruku na incidenciju bolničkih bakterijemija
- Author
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Butić, Iva, Čulo, Marija, Novokmet, Anđa, Baršić, Bruno, and Tambić Andrašević, Arjana
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higijena ruku ,kampanja ,edukacija ,suradljivost ,incidencija ,bolničke bakterijemije - Abstract
Svjetska zdravstvena organizacija (SZO) donijela je preporuke za provođenje kampanje za higijenu ruku. Cilj istraživanja je analizirati utjecaj kampanje na incidenciju nozokomijalnih bakterijemija u jedinici intenzivnog liječenja (JIL) Klinike za infektivne bolesti. JIL ima 18 kreveta. Edukacijom u malim grupama tijekom rujna i listopada 2010. g. te rujna 2011. g. obuhvaćeno je ukupno 77% osoblja. U studenom 2011. g. provedeno je praćenje provođenja pravilne higijene ruku. Incidencija nozokomijalnih bakterijemija u JIL-u pratila se u prvim tromjesečjima 2010., 2011. i 2012. g. Jednomjesečnim praćenjem zabilježeno je 435 prilika za higijenu ruku. Ukupna suradljivost za odjelne medicinske sestre je bila 80%, a za odjelne liječnike 87%. Broj nozokomijalnih infekcija na 1000 bolničkih dana u navedenim razdobljima iznosio je 11, 5, 15, 1 i 7, 3, a broj infekcija uzrokovanih Acinetobacter baumannii iznosio je 6, 3, 4, 1 i 2, 0. Nakon provedene edukacije i praćenja suradljivosti uočen je pad incidencije nozokomijalnih bakterijemija, poglavito onih uzrokovanih Acinetobacter baumannii, no razlika nije dostigla statističku značajnost.
- Published
- 2012
7. Smjernice za higijenu ruku u zdravstvenim ustanovama
- Author
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Kalenić, Smilja, Budimir, Ana, Bošnjak, Zrinka, Acketa, Lorena, Belina, Dražen, Benko, Ivan, Bošnjak, Danica, Čulo, Marija, Jajić, Ines, Kiš, Marina, Kos, Karmela, Koščak, Darko, Kuzman, Ilija, Lekić, Dušica, Prugovečki, Danijela, and Tomić Juraga, Ana
- Subjects
Higijena ruku - metode ,standardi ,Bolničke infekcije - mikrobiologija ,prevencija ,Dezinficijensi ,Zdravstveno osoblje ,Smjernice - Abstract
Infekcije povezane sa zdravstvenom skrbi veliki su problem u cijelome svijetu, čak 5-10% svih hospitaliziranih bolesnika dobije takvu infekciju tijekom liječenja. Svjetska zdravstvena organizacija (SZO) prepoznala je taj problem i izradila Smjernice za higijenu ruku u zdravstvenim ustanovama. Stoga se pristupilo izradi i ovih Smjernica, kojih je svrha smanjenje broja infekcija povezanih sa zdravstvenom skrbi koje se prenose rukama zdravstvenih radnika u Republici Hrvatskoj. Smjernice su namijenjene svim zdravstvanim i nezdravstvenim radnicima zdravstvenih ustanova koji dolaze u izravni dodir s bolesnicima. Nakon široke rasprave u stručnim društvima Smjernice su prihvaćene. Smjernice obuhvaćaju preporuke o indikacijama za higijenu ruku, tehniku higijene ruku, kiruršku pripremu ruku, odabir sredstava za higijenu ruku, njegu kože, nokata, upotrebu rukavica, higijenu ruku bolesnika i posjetitelja, ulogu edukacije, ulogu zdravstvene ustanove i državne uprave.
- Published
- 2011
8. Mehanička cirkulacijska potpora lijevoj klijetki.
- Author
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Čulo, Marija and Renić, Marija
- Abstract
Heart failure (HF) is a clinical state resulting in impaired cardiac function and structural changes of the heart muscle causing an insufficient oxygen-tissue supply and metabolically impairment. Our aim is to present and evaluate the implantation of left ventricular assist device (LVAD) from a nurse point of view. Congestive heart failure is one of the leading causes of morbidity and mortality in Europe. Left ventricular assist devices have revolutionized the treatment of end-stage heart failure. Its powerful therapeutic approach in acute and chronic heart failure is due to the fact that lowering of left ventricular volume by increasing left ventricular output increases organ perfusion, improves oxygen supply of organs by maintaining adequate minute volume.1 Every patient who is suffering from heart failure should be examined by a cardiologist to evaluate the stage of heart failure and decide about adequate treatment options. Treatment modalities as well as the prognosis depends on the stage of heart failure and clinical condition. Every patient goes through an extensive diagnostic process. The left ventricular assist device has two optional implant strategies, one considering LVAD as “bridge to transplant” or “bridge to recovery” and the second considering LVAD as long term therapy. When it is determined that the patient is suitable for LVAD implantation he and his family undergo a specific training for managing the implanted device. This training is consisted of education prior and after LVAD implantation. Prior implantation, education consists of informing the patient and his family about benefits and risks of cardiac device implantation as well as explaining what it means living with a heart pump, dependents on mechanical device, everyday issues and concerns, changes in the surface of the body, dealing with cables, portable pump-batteries, possible infections and alarms, changes in quality of life and self-responsibility. After surgery patients are transferred to intensive care unit where it is important to monitor hemodynamic and pump parameters as well as signs of skin infection at the cable surrounding. After implantation of LVAD, recovery seems to depend on patients acceptance of a new body device. For better outcomes, early self-care is being encouraged. The role of the nurse is to prepare the patient for discharge from the hospital by educating the patient about all consistent parts of the pump (control system, battery, battery charger, power supply module, driveline) and managing proper skin hygiene. Another unavoidable issue is the unceasing necessity of anticoagulant therapy (avoiding ischemic events) as well as regular coagulation and volume monitoring.2 Patients healthcare, after implantation of a cardiac assist device, is nowadays still a challenging venture. The advisory role of the nurse an individual approach and sensibility for noticing and preventing potential risks makes the nurse a link between the entire medical team, the patient and his family. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
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