Zusammenfassung
Von den 400 000 – 600 000 Patienten mit nosokomialen Infektionen pro Jahr in Deutschland
versterben ca. 10 000 – 15 000 an deren Folgen. Vermutlich 20 – 30% der nosokomialen
Infektionen wären durch gezielte Maßnahmen vermeidbar [1]. Dies zeigt, wie dringend erforderlich hygienisch einwandfreies Arbeiten auf der
Intensivstation ist. Dieser Beitrag zeigt die wichtigsten Maßnahmen zur Vermeidung
nosokomialer Infektionen auf.
Abstract
In German intensive care units, 10 000 to 15 000 patients die annually due to nosocomial
infections. Estimated 20 to 30% of these infections are preventable. Disinfecting
is one of the most effective measures to avoid these infections. Hand disinfection
in particular is one of the most important components to prevent infections. Another
tool is whole body bathing, but it is rarely used in intensive care units. Antiseptics-impregnated
dressings represent a further possibility for reducing device-associated infections.
However, recently there has been an increase in reports of resistance not only to
antibiotics but also to antiseptics. Proper hygienic work and the rational use of
antiseptics is a requirement for avoiding nosocomial infections and can reduce the
development of resistance.
Schlüsselwörter
nosokomiale Infektionen - katheterassoziierte Infektionen - Desinfektionsmaßnahmen
- Katheterverbände - Antiseptika
Key words
nosocomial infections - device-associated infections - disinfection - device dressing
- antiseptics
