Adler A C, Spegel H, Kolb S, Hierl W, Müller C, Höller C, Liebl B, Rudolph P, Herr C
Landratsamt Berchtesgadener Land - Gesundheitsamt, Salzburger Str. 64, 83435, Bad Reichenhall, Deutschland,
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2014 Dec;57(12):1424-31. doi: 10.1007/s00103-014-2064-7.
Hygiene is becoming more and more important in long-term care facilities. Long-term care facilities are subject to monitoring by the Public Health Service (PHS) and other authorities. For the PHS in Bavaria the Bavarian Health and Food Safety Authority (Landesamt für Gesundheit und Lebensmittelsicherheit, LGL) published a hygiene monitoring concept and there exists an inspection guide developed by a specialist department for nursing homes and institutions for the handicapped (Fachstelle für Pflege und Behinderteneinrichtungen, FQA). Because inspections are performed in multiprofessional teams, it makes sense to use a coordinated inspection catalog. The aim was to integrate hygienic requirements specified in the Bavarian guidelines for hygiene by the LGL into the inspection guide published by the FQA to obtain a quality assured surveillance. The involved parties were questioned about the inspection guide and their hygiene management and then the hygiene criteria of the LGL were implemented into the inspection guide. Questions dealing with hygiene requirements concerning intensive care, management of multidrug resistant bacteria and interviews with the person responsible for infection control in the facility itself were developed for the first time and were integrated into the inspection guide. The revised inspection guide was tested for its applicability. With the revised inspection guide there now exists a tool which allows not only comprehensive inspections of the facilities including hygiene issues but also a good cooperation of the various parties involved. There are many actions which have to be conveyed into the future, especially programs to train staff to apply the inspection guide and to enhance the ability of all participants to act in cooperation. The guide will also allow the facilities to cooperate more easily and more closely, as the guide takes the respective problems and challenges of the different facilities into consideration. Additionally the development of legal guidelines regarding hygiene can support general healthcare of residents.
在长期护理机构中，卫生状况变得越来越重要。长期护理机构须接受公共卫生服务部门（PHS）和其他当局的监管。对于巴伐利亚州的公共卫生服务部门而言，巴伐利亚卫生与食品安全局（Landesamt für Gesundheit und Lebensmittelsicherheit, LGL）发布了一份卫生监测概念，并且存在一份由养老院和残疾人机构专业部门（Fachstelle für Pflege und Behinderteneinrichtungen, FQA）制定的检查指南。由于检查是由多专业团队进行的，因此使用协调一致的检查目录是有意义的。目的是将LGL在巴伐利亚卫生指南中规定的卫生要求纳入FQA发布的检查指南，以获得质量有保证的监督。对相关各方就检查指南及其卫生管理进行了询问，然后将LGL的卫生标准纳入检查指南。首次制定了有关重症监护卫生要求、多重耐药菌管理以及与设施内感染控制负责人访谈的问题，并将其纳入检查指南。对修订后的检查指南进行了适用性测试。有了修订后的检查指南，现在有了一种工具，它不仅可以对设施进行包括卫生问题在内的全面检查，还能使各相关方进行良好的合作。有许多行动必须在未来继续推进，特别是培训工作人员应用检查指南以及提高所有参与者合作能力的项目。该指南还将使各设施能够更轻松、更紧密地合作，因为该指南考虑到了不同设施各自的问题和挑战。此外，关于卫生的法律指南的制定可以支持居民的一般医疗保健。
