Summary
Samenvatting Gynaecologie: fertiliteit
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Een samenvatting over gynaecologie gericht op (sub)fertiliteit
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juliewei
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InfectiepreventieMRSA meer maatregelen dan BRMO op de OK
Hoofdbacterien
Spijsverterings bacterien: opname voedingsstoffen, intern vochtig, anaerobe bacterien (geen-weinig
O2 nodig)
Huid bacterien : huid soepel houden, extern, aerobe (zuurstof nodig)
Verschil in leef en groei omstandigheden
Resistente en transiente bacterien
Op ic kweek bijzonder resistente bacterien
Deel drager 30%, deel soms wel/soms niet en deel niet staph aureus. Zit op huid en neus, vooral in
lichaamsplooien, zijn vaak grote kolonisaties aanwezig
Onder zorggevers is dragerschap groter dan 30%
Verwerkt wondinfectie, sepsis ect
Opsporen dragers, behandelen, zodat kans op wondinfectie kleiner is, vooral bij chirurgie in de buurt
van de romp doordat ze de infectie niet krijgen door de neus van zichzelf, doel is zo laag mogelijke
kolonisatie van stap areus. Niet behandelen met antibiotica, geen nut. Op moment ingreep van
zichzelf beschermen
Bescherming medewerker, door goede basis hygiene
Doel handdesinfectie is nul bacterien op handen
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