Hansen D, Ross B, Hilgenhöner M, Loss R, Grandek M, Blättler T, Popp W
Krankenhaushygiene, Universitätsklinikum Essen, Hufelandstr. 55, 45122, Essen, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2011 Nov;54(11):1153-60. doi: 10.1007/s00103-011-1360-8.
Management of infectious diseases in nursing homes is as important as it is in hospitals. Therefore, a standardized questionnaire was used for the detailed assessment of the handling of laundry and garbage with a special focus on methicillin-resistant staphylococcus aureus (MRSA) in 22 nursing homes in Germany. The study focused on the prevention of occupational diseases in the nursing home staff. Despite a few isolated problems, the situation of MRSA-positive patients was not as alarming as expected: guidelines for MRSA as published by KRINKO were often followed by the healthcare workers. However, general problems with managing garbage and laundry were identified. Many nursing homes lacked protective clothing and a sufficient garbage management plan. In addition, the handling of laundry was a problem in that the clothing of the patients and the working clothes of the staff were often washed at home rather than in accredited laundries. Thus, the awareness for hygienic problems needs to be raised, e.g., by expanding hygienic control for the nursing homes.
养老院中传染病的管理与医院中一样重要。因此，在德国的22家养老院中，使用标准化问卷对洗衣和垃圾处理情况进行了详细评估，特别关注耐甲氧西林金黄色葡萄球菌（MRSA）。该研究聚焦于养老院工作人员职业病的预防。尽管存在一些个别问题，但MRSA阳性患者的情况并不像预期的那样令人担忧：医护人员经常遵循KRINKO发布的MRSA指南。然而，在垃圾和洗衣管理方面发现了一些普遍问题。许多养老院缺乏防护服和足够的垃圾管理计划。此外，洗衣处理也是一个问题，因为患者的衣物和工作人员的工作服经常在家中清洗，而不是在经认可的洗衣店清洗。因此，需要提高对卫生问题的认识，例如通过加强对养老院的卫生监管。
