{"id":4076,"date":"2023-01-20T12:29:38","date_gmt":"2023-01-20T11:29:38","guid":{"rendered":"https:\/\/nudch.eu\/?p=4076"},"modified":"2023-02-01T14:34:01","modified_gmt":"2023-02-01T13:34:01","slug":"nemocnicne-prostredie-je-pre-mikroorganizmy-ako-hody","status":"publish","type":"post","link":"https:\/\/nudch.eu\/en\/nemocnicne-prostredie-je-pre-mikroorganizmy-ako-hody","title":{"rendered":"Nemocni\u010dn\u00e9 prostredie je pre mikroorganizmy ako hody"},"content":{"rendered":"

V Bratislave 20. 1. 2023<\/u><\/strong>\u00a0\u2013 Nemocnica je \u017eiv\u00fd organizmus, kde sa nach\u00e1dzaj\u00fa in\u00e9 mikroorganizmy ako vo vonkaj\u0161om prostred\u00ed. \u010castokr\u00e1t silnej\u0161ie a\u00a0z\u00e1va\u017enej\u0161ie. Preto hygienicko-epidemiologick\u00fd re\u017eim v\u00a0detskej nemocnici mus\u00ed by\u0165 spr\u00e1vne nastaven\u00fd. Za jeden z\u00a0indik\u00e1torov kvality sa pova\u017euje podiel \u00a0infekci\u00ed spojen\u00fdch s\u00a0poskytovan\u00edm zdravotnej starostlivosti. Pre\u010do je to tak a\u00a0pre\u010do je epidemiol\u00f3gia ako \u0161ach, hovor\u00ed Mgr. Michal Adami\u0161in, PhD., verejn\u00fd zdravotn\u00edk – hygienik N\u00e1rodn\u00e9ho \u00fastavu detsk\u00fdch chor\u00f4b (N\u00daDCH). <\/strong><\/p>\n

Pre\u010do si sa rozhodol sta\u0165 sa verejn\u00fdm zdravotn\u00edkom – hygienikom?<\/strong><\/p>\n

Chcel som sa sta\u0165\u00a0 lek\u00e1rom, ale toto \u017eelanie sa nepodarilo doviez\u0165 do v\u00ed\u0165azn\u00e9ho konca. Po strednej \u0161kole som ostal rok doma. V\u00a0tomto obdob\u00ed som sa \u00a0stretol so spolu\u017eiakom, ktor\u00fd \u0161tudoval verejn\u00e9 zdravotn\u00edctvo.\u00a0 Po rozhovore s\u00a0n\u00edm som si uvedomil, \u017ee verejn\u00e9 zdravotn\u00edctvo je tie\u017e zauj\u00edmav\u00fd odbor. Tak som sa prihl\u00e1sil a\u00a0na rozdiel od medic\u00edny, ma na \u0161t\u00fadium prijali. D\u00f4le\u017eitos\u0165 tohto odboru narast\u00e1, \u010do v\u00a0s\u00fa\u010dasnosti potvrdila\u00a0 aj pand\u00e9mia ochorenia COVID-19, kedy nielen verejn\u00ed zdravotn\u00edci, hygienici a\u00a0epidemiol\u00f3govia mali pln\u00e9 ruky pr\u00e1ce. \u00a0Svoju pr\u00e1cu m\u00e1m naozaj r\u00e1d a\u00a0som z\u00a0nej nad\u0161en\u00fd.<\/p>\n

\u010c\u00edm \u0165a tento odbor o\u010daril?<\/strong><\/p>\n

\u00daprimne, po\u010das \u0161t\u00fadia som e\u0161te \u00faplne nevedel, ako bude moja pr\u00e1ca vyzera\u0165 a kde budem pracova\u0165. Nakoniec som nast\u00fapil do nemocnice \u00a0a a\u017e v\u00a0nemocni\u010dnom prostred\u00ed som objavil \u010daro z\u00a0pr\u00e1ce, \u017ee je to z\u00a0ka\u017ed\u00e9ho ro\u017eka tro\u0161ka a \u00a0predov\u0161etk\u00fdm o\u00a0epidemiol\u00f3gii. Tie\u017e je to aj o\u00a0zdrav\u00ed pri pr\u00e1ci a zdrav\u00ed zdravotn\u00edckeho person\u00e1lu, o\u00a0hygiene det\u00ed a\u00a0ml\u00e1de\u017ee, hygiene \u017eivotn\u00e9ho prostredia a\u00a0v\u0161etk\u00fdch aspektoch v\u00a0r\u00e1mci nemocnice.\u00a0 Mojim snom bolo v\u017edy skon\u010di\u0165 v\u00a0nemocnici ako zdravotn\u00edcky pracovn\u00edk a\u00a0to sa mi splnilo, z\u00a0\u010doho sa ve\u013emi te\u0161\u00edm.<\/p>\n

Ako vyzer\u00e1 tvoj de\u0148 v\u00a0pr\u00e1ci? <\/strong><\/p>\n

Pri tejto ot\u00e1zke si treba uvedomi\u0165, \u017ee nemocnica alebo ak\u00e9ko\u013evek in\u00e9 zdravotn\u00edcke zariadenie je \u017eiv\u00fd organizmus. S\u00fa tu lek\u00e1ri, sestry a ostatn\u00fd zdravotn\u00fd person\u00e1l potrebn\u00fd pre spr\u00e1vny chod nemocnice, nezdravotn\u00edcky person\u00e1l, pacienti, rodi\u010dia. Moja pr\u00e1ca spo\u010d\u00edva predov\u0161etk\u00fdm v\u00a0zabezpe\u010dovan\u00ed dodr\u017eiavania spr\u00e1vneho hygienicko-epidemiologick\u00e9ho re\u017eimu v\u00a0r\u00e1mci zdravotn\u00edckeho zariadenia. To znamen\u00e1 dohliada\u0165 na v\u0161etky postupy v\u00a0oblasti hygieny, aby boli nastaven\u00e9 tak, aby nevznikla \u017eiadna ne\u017eiaduca\u00a0 udalos\u0165. Predov\u0161etk\u00fdm nejak\u00e1 infekcia spojen\u00e1 s\u00a0poskytovan\u00edm zdravotnej starostlivosti – v\u00a0minulosti zn\u00e1my pojem nemocni\u010dn\u00e1 alebo nozokomi\u00e1lna n\u00e1kaza. \u010ealej zabr\u00e1ni\u0165 vzniku epidemick\u00fdch situ\u00e1ci\u00ed, ak\u00fdmi s\u00fa r\u00f4zne druhy gastroenterit\u00edd, rotav\u00edrusov\u00fdch \u010di adenov\u00edrusov\u00fdch infekci\u00ed, \u010di\u017ee zabezpe\u010di\u0165 aby tieto mimoriadne situ\u00e1cie nenastali.\u00a0 A ak sa s\u00a0nimi stretneme, mus\u00edme zabr\u00e1ni\u0165 ich \u010fal\u0161iemu \u0161\u00edreniu. Toto\u00a0 je tak\u00fd z\u00e1kladn\u00fd bod. Alfou a omegou v\u0161etkej pr\u00e1ce\u00a0 zdravotn\u00edckych pracovn\u00edkov\u00a0 s\u00fa ruky a na\u0161ou \u00falohou je zabezpe\u010di\u0165 a\u00a0dohliada\u0165 na spr\u00e1vne\u00a0 pou\u017e\u00edvanie techn\u00edk um\u00fdvania a\u00a0dezinfekcie\u00a0 r\u00fak a\u00a0rovnako na \u00a0pou\u017e\u00edvanie osobn\u00fdch ochrann\u00fdch pracovn\u00fdch prostriedkov. V\u00a0r\u00e1mci spr\u00e1vneho hygienicko-epidemiologick\u00e9ho re\u017eimu na konkr\u00e9tnych pracovisk\u00e1ch treba tie\u017e prija\u0165 r\u00f4zne technick\u00e9 opatrenia, aby sme zabr\u00e1nili kr\u00ed\u017eeniu epidemiologicky rizikov\u00fdch priestorov a pracov\u00edsk s\u00a0in\u00fdmi priestormi pracoviskami. Treba tie\u017e kontrolova\u0165, \u010di sa prijat\u00e9 opatrenia aj d\u00f4sledne dodr\u017eiavaj\u00fa. V\u00a0tejto s\u00favislosti chcem zd\u00f4razni\u0165, \u017ee na\u0161\u00edm cie\u013eom je snaha pom\u00f4c\u0165 a poradi\u0165 kolegom. Pand\u00e9mia ochorenia COVID-19 pouk\u00e1zala, \u017ee verejn\u00ed zdravotn\u00edci, pr\u00edpadne in\u00ed profesion\u00e1li v\u00a0oblasti prevencie infekci\u00ed spojen\u00fdch s\u00a0poskytovan\u00edm zdravotnej starostlivosti, s\u00fa v\u00a0nemocniciach nezastupite\u013en\u00ed. A\u00a0je pre m\u0148a zados\u0165u\u010dinen\u00edm, ke\u010f sa na n\u00e1s obracaj\u00fa ostatn\u00ed kolegovia, \u010di u\u017e zdravotn\u00edcki alebo nezdravotn\u00edcki, \u00a0radia sa s\u00a0nami a\u00a0probl\u00e9my rie\u0161ime spolo\u010dne.<\/p>\n

Kam sa tento odbor pos\u00fava?<\/strong><\/p>\n

Pos\u00fava sa k\u00a0zabezpe\u010deniu zvy\u0161ovania kvality zdravotnej starostlivosti.\u00a0 Mus\u00edm uzna\u0165, \u017ee n\u00e1m st\u00fapol po\u010det hl\u00e1sen\u00ed nemocni\u010dn\u00fdch infekci\u00ed, \u010do ale nem\u00e1 u\u00a0\u013eud\u00ed evokova\u0165, \u017ee \u00a0nemocni\u010dn\u00e1 infekcia alebo infekcia\u00a0 spojen\u00e1 s\u00a0poskytovan\u00edm zdravotnej starostlivosti je indik\u00e1tor nekvality. Pr\u00e1ve naopak, je to indik\u00e1tor kvality. Ak si pozrieme, ak\u00e9 percent\u00e1\u00a0 nemocni\u010dn\u00fdch infekci\u00ed hl\u00e1sia\u00a0 seversk\u00e9 krajiny Eur\u00f3py alebo in\u00e9 vyspel\u00e9 krajiny sveta, je to v rozmedz\u00ed 5 a\u017e 10%. Hygienici, verejn\u00ed zdravotn\u00edci \u010di nemocni\u010dn\u00ed epidemiol\u00f3govia robia v\u0161etko preto, aby tieto n\u00e1kazy nevznikali, ale nie v\u017edy sa im d\u00e1 pred\u00eds\u0165. Nie v\u0161etky s\u00fa toti\u017e preventabiln\u00e9\u00a0(ned\u00e1 sa zabr\u00e1ni\u0165 ich vzniku nejakou formou prevencie). Napr\u00edklad n\u00e1kazy endog\u00e9nneho p\u00f4vodu, ktor\u00e9 m\u00e1 pacient v\u00a0sebe, \u010dasto nevieme ovplyvni\u0165. Ka\u017ed\u00fd pacient m\u00e1 svoje vlastn\u00e9 mikroorganizmy, ktor\u00e9 infekciu m\u00f4\u017eu sp\u00f4sobi\u0165. \u010co vieme ovplyvni\u0165, je napr\u00edklad dodr\u017eiavanie spr\u00e1vnej hygieny r\u00fak pri poskytovan\u00ed zdravotnej starostlivosti. Zvy\u0161ovanie kvality poskytovania zdravotnej\u00a0 starostlivosti je n\u00e1\u0161 najv\u00e4\u010d\u0161\u00ed cie\u013e.<\/p>\n

 <\/p>\n

Ako sa prejavuje vedeck\u00fd pokrok v\u00a0pr\u00e1ci verejn\u00fdch zdravotn\u00edkov?<\/strong><\/p>\n

Tak ako v\u0161etci zdravotn\u00edcki pracovn\u00edci, aj my sa mus\u00edme kontinu\u00e1lne vzdel\u00e1va\u0165 \u010di u\u017e na dom\u00e1cich alebo medzin\u00e1rodn\u00fdch f\u00f3rach. V\u00a0r\u00e1mci Slovenskej lek\u00e1rskej spolo\u010dnosti, ktor\u00e1 zdru\u017euje aj Slovensk\u00fa epidemiologick\u00fa a\u00a0vakcinologick\u00fa spolo\u010dnos\u0165, vznikla v\u00a0r\u00e1mci nej tie\u017e Sekcia nemocni\u010dnej epidemiol\u00f3gie a\u00a0hygieny. V\u010faka nej m\u00f4\u017eeme a chceme realizova\u0165 a\u00a0vytv\u00e1ra\u0165 rozli\u010dn\u00e9\u00a0 \u0161tandardn\u00e9 opera\u010dn\u00e9 postupy na z\u00e1klade hygienick\u00fdch \u0161tandardov v\u00a0r\u00e1mci svetov\u00fdch poznatkov. Ak hovor\u00edme\u00a0 o \u00a0medic\u00edne zalo\u017eenej na d\u00f4kazoch, hovor\u00edme aj o\u00a0verejnom zdravotn\u00edctve zalo\u017eenom na vedeck\u00fdch d\u00f4kazoch. S\u00fa to poznatky z\u00a0\u010dasopisov, pr\u00edpadne \u0161t\u00fadii v\u00a0r\u00e1mci\u00a0 nemocn\u00edc a\u00a0in\u00fdch zdravotn\u00edckych zariaden\u00ed z\u00a0cel\u00e9ho sveta, ktor\u00e9 vieme pretransformova\u0165 aj do na\u0161ich nemocn\u00edc. Rovnako aj u\u00a0n\u00e1s v\u00a0nemocnici vytv\u00e1rame vlastn\u00e9\u00a0 \u0161t\u00fadie a\u00a0sledovania.\u00a0 \u00a0H\u013ead\u00e1me v\u0161etky mo\u017enosti zlep\u0161enia hygienicko-epidemiologick\u00e9ho re\u017eimu v\u00a0nemocnici nielen v\u010faka poznatkom zo svetov\u00fdch vedeck\u00fdch in\u0161tit\u00facii, ale aj na\u0161ich vlastn\u00fdch s\u00a0d\u00f4razom na technick\u00fd dlh na\u0161ich zdravotn\u00edckych zariaden\u00ed<\/p>\n

Venuje\u0161 sa aj pedagogickej \u010dinnosti, ak\u00ed s\u00fa mlad\u00ed \u0161tudenti\u00a0 na \u0161kol\u00e1ch?<\/strong><\/p>\n

To je ve\u013emi n\u00e1ro\u010dn\u00e1 ot\u00e1zka, ale mus\u00edm uzna\u0165, \u017ee aj v\u00a0s\u00favislosti s ochoren\u00edm COVID-19 sa verejn\u00e9 zdravotn\u00edctvo zv\u00fd\u0161ilo v\u00a0povedom\u00ed \u013eud\u00ed. Ver\u00edm, \u017ee v\u00a0drvivej v\u00e4\u010d\u0161ine je to pozit\u00edvne zm\u00fd\u0161\u013eanie v\u00a0zmysle, \u017ee hygienici a epidemiol\u00f3govia s\u00fa potrebn\u00ed, lebo sa naozaj uk\u00e1zalo, \u017ee ich potrebujeme. V\u00a0minulosti to mo\u017eno nebol tak\u00fd atrakt\u00edvny odbor, ale dnes sa to u\u017e poveda\u0165 ned\u00e1. Oproti minulosti m\u00e1me aj viac \u0161tudentov a\u00a0ur\u010dite sa tento odbor zatrakt\u00edvnil. Aj nemocnice si uvedomili, \u017ee poz\u00edcia nemocni\u010dn\u00e9ho hygienika a epidemiol\u00f3ga je ve\u013emi d\u00f4le\u017eit\u00e1\u00a0 a\u00a0podstatn\u00e1 v\u00a0zdravotn\u00edckom zariaden\u00ed, \u010doho d\u00f4kazom je aj nav\u00fd\u0161enie po\u010dtu telefon\u00e1tov v\u00a0priebehu jednej hodiny od za\u010diatku pand\u00e9mie ochorenia COVID-19.<\/p>\n

M\u00e1\u0161 nejak\u00fd odkaz pre \u0161tudentov verejn\u00e9ho zdravotn\u00edctva v \u00a0odbore hygiena?<\/strong><\/p>\n

Odbory verejn\u00e9 zdravotn\u00edctvo a\u00a0epidemiol\u00f3gia, \u010di u\u017e pre verejn\u00fdch zdravotn\u00edkov alebo pre lek\u00e1rov, \u00a0lebo aj lek\u00e1ri m\u00f4\u017eu ma\u0165\u00a0 vlastn\u00fd odbor epidemiol\u00f3gia a verejn\u00e9 zdravotn\u00edctvo, je atrakt\u00edvny a\u00a0pekn\u00fd. \u00a0D\u00e1 sa poveda\u0165, \u017ee predov\u0161etk\u00fdm pri epidemiol\u00f3gii a\u00a0hygiene plat\u00ed, \u017ee ka\u017ed\u00e1 akcia vyvol\u00e1 rovnako ve\u013ek\u00fa reakciu. Epidemiol\u00f3gia je ako \u0161ach, kde mus\u00edme pozna\u0165 5 aj 10 krokov dopredu, preto\u017ee ke\u010f urob\u00edme jeden krok, \u00a0vyvol\u00e1 to mno\u017estvo \u010fal\u0161\u00edch krokov. Ve\u013emi pekn\u00e9 na na\u0161ej pr\u00e1ci je, \u017ee mus\u00edme pou\u017e\u00edva\u0165 zdrav\u00fd sedliacky rozum. Samozrejme,\u00a0 popri tom sa mus\u00edme riadi\u0165\u00a0 v\u0161etk\u00fdmi legislat\u00edvnymi\u00a0 predpismi . Ak m\u00e1 niekto r\u00e1d analytick\u00fd postup, je t\u00e1to pr\u00e1ca pre neho ako stvoren\u00e1. \u00a0V\u00a0z\u00e1sade ka\u017ed\u00e1 \u00a0hygienick\u00e1 ot\u00e1zka\u00a0 v\u00a0r\u00e1mci dodr\u017eiavania hygienicko-epidemiologick\u00e9ho re\u017eimu\u00a0 a\u00a0bari\u00e9rovej o\u0161etrovacej\u00a0 techniky v\u00a0r\u00e1mci pracoviska, mus\u00ed by\u0165 d\u00f4sledne vyrie\u0161en\u00e1, preto\u017ee na tom stoj\u00ed a\u00a0pad\u00e1 \u010fal\u0161\u00ed krok a\u00a0\u010fal\u0161ie zabezpe\u010denie spr\u00e1vneho poskytovania zdravotnej starostlivosti u\u00a0pacienta. Zvl\u00e1\u0161\u0165 d\u00f4le\u017eit\u00e9 je to pri detskom pacientovi, kde musia by\u0165 v\u0161etky procesy spr\u00e1vne nastaven\u00e9, lebo pri poskytovan\u00ed zdravotnej starostlivosti pracujeme s\u00a0obzvl\u00e1\u0161\u0165 vn\u00edmav\u00fdmi novorodencami a\u017e po takmer dospel\u00fdch t\u00edned\u017eerov. \u00a0A\u00a0k\u00fdm najmen\u0161ie deti n\u00e1m nevedia poveda\u0165, \u010do im je,\u00a0 star\u0161ie deti maj\u00fa v\u00a0hlave neraz in\u00e9 probl\u00e9my, ale my mus\u00edme za ka\u017ed\u00fdch okolnost\u00ed nastavi\u0165 a\u00a0komunikova\u0165 v\u0161etky procesy spr\u00e1vne. Napr\u00edklad z\u00e1kaz n\u00e1v\u0161tev je ve\u013emi d\u00f4le\u017eit\u00e9 opatrenie z\u00a0hygienick\u00e9ho h\u013eadiska, aby sa nejak\u00e9 ochorenie neroz\u0161irovalo, preto je \u010dasto implementovan\u00e9 ako prv\u00e9 a\u00a0z\u00e1kladn\u00e9 opatrenie pri zabr\u00e1nen\u00ed \u0161\u00edrenia infek\u010dn\u00fdch ochoren\u00ed<\/p>\n

Na z\u00e1ver by som chcel doda\u0165, \u017ee ka\u017ed\u00e9 zdravotn\u00edcke zariadenie je svoj\u00edm sp\u00f4sobom \u017eiv\u00fd organizmus, v\u00a0ktorom sa nach\u00e1dza mno\u017estvo mikroorganizmov\u00a0 – bakt\u00e9ri\u00ed, v\u00edrusov, ktor\u00e9 s\u00fa in\u00e9 ako tie, ktor\u00e9 sa nach\u00e1dzaj\u00fa be\u017ene vo vonkaj\u0161om prostred\u00ed. \u010casto ide o z\u00e1va\u017enej\u0161ie mikroorganizmy. Preto s\u00fa hygiena a nastavenie spr\u00e1vneho\u00a0 hygienicko-epidemiologick\u00e9ho re\u017eimu v\u00a0r\u00e1mci nemocnice tak\u00e9 d\u00f4le\u017eit\u00e9. Nemocnica je \u00faplne in\u00fd priestor ako v\u0161etky ostatn\u00e9 – napr\u00edklad obchodn\u00e9 centr\u00e1, priemyseln\u00e9 parky alebo in\u00e9 zariadenia. Pre mikroorganizmy predstavuje\u00a0 nemocni\u010dn\u00e9 prostredie hody. S\u00fa\u00a0 tu imunokompromitovan\u00ed pacienti v\u00a0detskom veku, deti so svoju z\u00e1kladnou diagn\u00f3zu, oslabenou imunitou, ranami, po \u00farazoch a\u00a0in\u00fdmi probl\u00e9mami a\u00a0mus\u00edme ich pred patog\u00e9nmi chr\u00e1ni\u0165 o\u00a0to viac, preto\u017ee v\u00a0dospelosti m\u00f4\u017eu pr\u00e1ve tieto mikroorganizmy predstavova\u0165 pre ich \u017eivot probl\u00e9m.<\/p>\n","protected":false},"excerpt":{"rendered":"

V Bratislave 20. 1. 2023\u00a0\u2013 Nemocnica je \u017eiv\u00fd organizmus, kde sa nach\u00e1dzaj\u00fa in\u00e9 mikroorganizmy ako vo vonkaj\u0161om prostred\u00ed. \u010castokr\u00e1t silnej\u0161ie a\u00a0z\u00e1va\u017enej\u0161ie. Preto hygienicko-epidemiologick\u00fd re\u017eim v\u00a0detskej nemocnici mus\u00ed by\u0165 spr\u00e1vne nastaven\u00fd. Za jeden z\u00a0indik\u00e1torov kvality sa pova\u017euje podiel \u00a0infekci\u00ed spojen\u00fdch s\u00a0poskytovan\u00edm zdravotnej starostlivosti. Pre\u010do je to tak a\u00a0pre\u010do je epidemiol\u00f3gia ako \u0161ach, hovor\u00ed Mgr. Michal Adami\u0161in, […]<\/p>\n","protected":false},"author":6,"featured_media":4152,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[78,185],"tags":[],"yoast_head":"\nNemocni\u010dn\u00e9 prostredie je pre mikroorganizmy ako hody | National Institute of Children\u2019s Diseases<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/nudch.eu\/en\/nemocnicne-prostredie-je-pre-mikroorganizmy-ako-hody\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Nemocni\u010dn\u00e9 prostredie je pre mikroorganizmy ako hody | National Institute of Children\u2019s Diseases\" \/>\n<meta property=\"og:description\" content=\"V Bratislave 20. 1. 2023\u00a0\u2013 Nemocnica je \u017eiv\u00fd organizmus, kde sa nach\u00e1dzaj\u00fa in\u00e9 mikroorganizmy ako vo vonkaj\u0161om prostred\u00ed. \u010castokr\u00e1t silnej\u0161ie a\u00a0z\u00e1va\u017enej\u0161ie. Preto hygienicko-epidemiologick\u00fd re\u017eim v\u00a0detskej nemocnici mus\u00ed by\u0165 spr\u00e1vne nastaven\u00fd. Za jeden z\u00a0indik\u00e1torov kvality sa pova\u017euje podiel \u00a0infekci\u00ed spojen\u00fdch s\u00a0poskytovan\u00edm zdravotnej starostlivosti. Pre\u010do je to tak a\u00a0pre\u010do je epidemiol\u00f3gia ako \u0161ach, hovor\u00ed Mgr. 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Preto hygienicko-epidemiologick\u00fd re\u017eim v\u00a0detskej nemocnici mus\u00ed by\u0165 spr\u00e1vne nastaven\u00fd. Za jeden z\u00a0indik\u00e1torov kvality sa pova\u017euje podiel \u00a0infekci\u00ed spojen\u00fdch s\u00a0poskytovan\u00edm zdravotnej starostlivosti. Pre\u010do je to tak a\u00a0pre\u010do je epidemiol\u00f3gia ako \u0161ach, hovor\u00ed Mgr. 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