{"id":28,"date":"2012-06-18T12:44:15","date_gmt":"2012-06-18T12:44:15","guid":{"rendered":"http:\/\/semmelweis-egyetem.hu\/korhazhigiene\/?page_id=28"},"modified":"2025-08-07T09:19:00","modified_gmt":"2025-08-07T07:19:00","slug":"nozokomialis-fertozesek","status":"publish","type":"page","link":"https:\/\/semmelweis.hu\/korhazhigiene\/nozokomialis-fertozesek\/","title":{"rendered":"Nozokomi\u00e1lis fert\u0151z\u00e9sek"},"content":{"rendered":"<p style=\"text-align: justify\">NOZOKOMI\u00c1LIS FERT\u0150Z\u00c9SEK&#8230; &#8230; (Healthcare-associated Infections &#8211; HAI napjainkban)\u00a0 olyan fert\u0151z\u00e9sek, amelyek az eg\u00e9szs\u00e9g\u00fcgyi ell\u00e1t\u00e1s k\u00f6vetkezt\u00e9ben alakulnak ki. Egy HAI lehet helyi vagy generaliz\u00e1lt fert\u0151z\u00e9s, amit egy k\u00f3rokoz\u00f3 vagy annak valamely term\u00e9ke v\u00e1ltott ki. Ha a k\u00f3rh\u00e1zi felv\u00e9telt k\u00f6vet\u0151 48 \u00f3r\u00e1n t\u00fal alakul ki a fert\u0151z\u00e9s, akkor nagy val\u00f3sz\u00edn\u0171s\u00e9ggel nozokomi\u00e1lis fert\u0151z\u00e9s.<\/p>\n<p style=\"text-align: justify\">Jelenleg Magyarorsz\u00e1gon a k\u00f6vetkez\u0151 eg\u00e9szs\u00e9g\u00fcgyi ell\u00e1t\u00e1ssal \u00f6sszef\u00fcgg\u0151 fert\u0151z\u00e9sek k\u00f6telez\u0151 jelleggel jelentend\u0151ek: &#8211; a nozokomi\u00e1lis j\u00e1rv\u00e1nyok (m\u00e1r kett\u0151 \u00f6sszef\u00fcgg\u0151 eset is j\u00e1rv\u00e1ny) &#8211; a nozokomi\u00e1lis v\u00e9r\u00e1ramfert\u0151z\u00e9sek &#8211; az al\u00e1bbi multirezisztens mikr\u00f3b\u00e1k \u00e1ltal okozott <strong><span style=\"text-decoration: underline\">b\u00e1rmilyen<\/span><\/strong> nozokomi\u00e1lis fert\u0151z\u00e9s<\/p>\n<p><!-- [if !ppt]--><!--[endif]--><\/p>\n<table dir=\"ltr\" width=\"507\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td width=\"53\" height=\"20\">\n<div><strong>k\u00f3d<\/strong><\/div>\n<\/td>\n<td width=\"171\" height=\"20\">\n<div><strong>bakt\u00e9rium<\/strong><\/div>\n<\/td>\n<td width=\"285\" height=\"20\">\n<div><strong>rezisztencia<\/strong><\/div>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"53\" height=\"20\">\n<div><strong>CDI<\/strong><\/div>\n<\/td>\n<td width=\"171\" height=\"20\">\n<div>Clostridium difficile<\/div>\n<\/td>\n<td width=\"285\" height=\"20\">\n<div>(A+B toxin+)<\/div>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"53\" height=\"24\">\n<div><strong>CRE<\/strong><\/div>\n<\/td>\n<td width=\"171\" height=\"24\">\n<div>Enterobacteriaceae<\/div>\n<\/td>\n<td width=\"285\" height=\"24\">\n<div>karbapenem\u00e1z +<\/div>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"53\" height=\"27\">\n<div><strong>CRKL<\/strong><\/div>\n<\/td>\n<td width=\"171\" height=\"27\">\n<div>Klebsiella pneumoniae<\/div>\n<\/td>\n<td width=\"285\" height=\"27\">\n<div>karbapenem\u00e1z +<\/div>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"53\" height=\"20\">\n<div><strong>MACI<\/strong><\/div>\n<\/td>\n<td width=\"171\" height=\"20\">\n<div>Acinetobacter baumanii<\/div>\n<\/td>\n<td width=\"285\" height=\"20\">\n<div>Imipenem \u00e9s\/vagy meropenem rezisztens<\/div>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"53\" height=\"23\">\n<div><strong>MECO<\/strong><\/div>\n<\/td>\n<td width=\"171\" height=\"23\">\n<div>E.coli<\/div>\n<\/td>\n<td width=\"285\" height=\"23\">\n<div>ESBL-termel\u0151 (3. gen Cephalospori)<\/div>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"53\" height=\"20\">\n<div><strong>MENB<\/strong><\/div>\n<\/td>\n<td width=\"171\" height=\"20\">\n<div>Enterobacter spp<\/div>\n<\/td>\n<td width=\"285\" height=\"20\">\n<div>Imipenem \u00e9s\/vagy meropenem\u00a0 rezisztens<\/div>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"53\" height=\"23\">\n<div><strong>MKLE<\/strong><\/div>\n<\/td>\n<td width=\"171\" height=\"23\">\n<div>K.pneumoniae spp<\/div>\n<\/td>\n<td width=\"285\" height=\"23\">\n<div>ESBL-termel\u0151 (3. gen Cephalosporin)<\/div>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"53\" height=\"40\">\n<div><strong>MPAE<\/strong><\/div>\n<\/td>\n<td width=\"171\" height=\"40\">\n<div>P.aeruginosa<\/div>\n<\/td>\n<td width=\"285\" height=\"40\">\n<div>legfeljebb 2-re \u00e9rz\u00e9keny a pseudomonas ellenes szerek k\u00f6z\u00fcl<\/div>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"53\" height=\"20\">\n<div><strong>MRSA<\/strong><\/div>\n<\/td>\n<td width=\"171\" height=\"20\">\n<div>S.aureus<\/div>\n<\/td>\n<td width=\"285\" height=\"20\">\n<div>Methicillin\/Oxacillin rezisztens<\/div>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"53\" height=\"20\">\n<div><strong>MSTM<\/strong><\/div>\n<\/td>\n<td width=\"171\" height=\"20\">\n<div>S.maltophilia<\/div>\n<\/td>\n<td width=\"285\" height=\"20\">\n<div>Cotrimoxazol (Sumetrolim) rezisztens<\/div>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"53\" height=\"39\">\n<div><strong>VISA<\/strong><\/div>\n<\/td>\n<td width=\"171\" height=\"39\">\n<div>Staphylococcus aureus<\/div>\n<\/td>\n<td width=\"285\" height=\"39\">\n<div>vancomycinnel szembeni m\u00e9rs\u00e9kelt szint\u0171<\/div>\n<div>heterorezisztencia<\/div>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"53\" height=\"20\">\n<div><strong>VRE<\/strong><\/div>\n<\/td>\n<td width=\"171\" height=\"20\">\n<div>Enterococcus faecium<\/div>\n<\/td>\n<td width=\"285\" height=\"20\">\n<div>Vancomycin rezistens<\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>\u00a0Nozokomi\u00e1lis \u00e9s fert\u0151z\u0151 betegs\u00e9gek bejelent\u00e9si rendje az Egyetemen<\/strong><\/p>\n<p style=\"text-align: justify\"><strong>1.<\/strong>\u00a0 Minden, a klinik\u00e1ra behurcolt, jelentend\u0151 fert\u0151z\u0151 betegs\u00e9g eset\u00e9ben k\u00e9rj\u00fck a K\u00f3rh\u00e1zhigi\u00e9n\u00e9s oszt\u00e1ly \u00e9rtes\u00edt\u00e9s\u00e9t a jelent\u00e9s megt\u00e9tele \u00e9rek\u00e9ben \u00e9rtes\u00edteni.<\/p>\n<p style=\"text-align: justify\"><strong>2<\/strong>. Minden, a klinik\u00e1n kialakult nozokomi\u00e1lis fert\u0151z\u00e9s vagy j\u00e1rv\u00e1ny eset\u00e9n k\u00e9rj\u00fck, hogy a K\u00f3rh\u00e1zhigi\u00e9n\u00e9s oszt\u00e1lyt \u00e9rtes\u00edts\u00e9k.<\/p>\n<p style=\"text-align: justify\">Az eg\u00e9szs\u00e9g\u00fcgyi hat\u00f3s\u00e1g fel\u00e9 k\u00f6telez\u0151en jelentend\u0151 nozokomi\u00e1lis fert\u0151z\u00e9sek eset\u00e9ben klinikai szakember hi\u00e1ny\u00e1ban az Oszt\u00e1ly \u00e1tv\u00e1llalja az eg\u00e9szs\u00e9g\u00fcgyi hat\u00f3s\u00e1g fel\u00e9 t\u00f6rt\u00e9n\u0151 k\u00f6telez\u0151 bejelent\u00e9st, \u00e9s ezt megteszi a rendelkez\u00e9s\u00fcnkre \u00e1ll\u00f3 online jelent\u00e9si \u00faton. Ha a Klinika sz\u00edvesen megtanulja az online jelent\u00e9st, \u00f6r\u00f6mmel vessz\u00fck \u00e9s seg\u00edt\u00fcnk megismerkedni a rendszerrel. Hogy az eg\u00e9szs\u00e9g\u00fcgyi hat\u00f3s\u00e1g fel\u00e9 a bejelent\u00e9st megtehess\u00fck, k\u00e9rj\u00fck a sz\u00fcks\u00e9ges adatlapokat kit\u00f6ltve fel\u00e9nk eljuttatni.<br \/>\n<strong>Az adatlapok let\u00f6lthet\u0151ek a Semmelweis Egyetem Min\u0151s\u00e9gir\u00e1ny\u00edt\u00e1si rendszer oldal\u00e1r\u00f3l az<\/strong> <a href=\"https:\/\/semmelweis.hu\/korhazhigiene\/altalanos\/minosegugyi-dokumentumok\/\">Infekci\u00f3kontroll elj\u00e1r\u00e1srend mell\u00e9kletei k\u00f6z\u00fcl &gt;&gt;<\/a><br \/>\nSE-ME-08-M03 J\u00e1rv\u00e1ny\u00f6sszes\u00edt\u0151 lap <br \/>\nSE-ME-08-M04 J\u00e1rv\u00e1ny Adatgy\u0171jt\u0151 Lap <br \/>\nSE-ME-08-M05 V\u00e9r\u00e1ramfert\u0151z\u00e9s Jelent\u0151 Lap <br \/>\nSE-ME-08-M06 MRK &#8211; Multirezisztens Fert\u0151z\u00e9st Jelent\u0151 Lap <br \/>\nSE-ME-08-M07 CDI &#8211; Clostridium Difficile Fert\u0151z\u00e9st Jelent Lap<\/p>\n<p><a href=\"https:\/\/semmelweis.hu\/korhazhigiene\/files\/2025\/04\/NNGYK_15457_1_2024-_jelentesiutmutato.pdf\" target=\"_blank\" rel=\"noopener\">Jelent\u00e9si \u00fatmutat\u00f3<\/a><\/p>\n<p>Nozokomi\u00e1lis fert\u0151z\u00e9sek\u00a0 2012 \u00f3ta haszn\u00e1latos egys\u00e9ges eur\u00f3pai esetdefin\u00edci\u00f3i <a href=\"https:\/\/semmelweis.hu\/korhazhigiene\/files\/2022\/03\/EU-PPV-KODSZOTAR_v6.0_2022-02-25.pdf\" target=\"_blank\" rel=\"attachment noopener wp-att-180\">&gt;&gt;<\/a><br \/>\nNozokomi\u00e1lis j\u00e1rv\u00e1ny bejelent\u00e9s <a href=\"https:\/\/semmelweis.hu\/korhazhigiene\/files\/2020\/12\/OSZIR_noso-COVID-19-j\u00e1rv\u00e1ny-karbantart\u00e1s_2020-12-04.pdf\" target=\"_blank\" rel=\"noopener\">&gt;&gt;<\/a> \u00e9s j\u00e1rv\u00e1ny karbantart\u00e1s<a href=\"https:\/\/semmelweis.hu\/korhazhigiene\/files\/2020\/12\/OSZIR_noso-COVID-19-j\u00e1rv\u00e1ny-karbantart\u00e1s_2020-12-04.pdf\" target=\"_blank\" rel=\"noopener\">&gt;&gt;<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>NOZOKOMI\u00c1LIS FERT\u0150Z\u00c9SEK&#8230; &#8230; (Healthcare-associated Infections &#8211; HAI napjainkban)\u00a0 olyan fert\u0151z\u00e9sek, amelyek az eg\u00e9szs\u00e9g\u00fcgyi ell\u00e1t\u00e1s k\u00f6vetkezt\u00e9ben alakulnak ki. Egy HAI lehet helyi vagy generaliz\u00e1lt fert\u0151z\u00e9s, amit egy k\u00f3rokoz\u00f3 vagy annak valamely term\u00e9ke v\u00e1ltott ki. Ha a k\u00f3rh\u00e1zi felv\u00e9telt k\u00f6vet\u0151 48 \u00f3r\u00e1n t\u00fal alakul ki a fert\u0151z\u00e9s, akkor nagy val\u00f3sz\u00edn\u0171s\u00e9ggel nozokomi\u00e1lis fert\u0151z\u00e9s. Jelenleg Magyarorsz\u00e1gon a k\u00f6vetkez\u0151 eg\u00e9szs\u00e9g\u00fcgyi &hellip;<\/p>\n","protected":false},"author":100,"featured_media":0,"parent":0,"menu_order":4,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"categories":[],"tags":[],"class_list":["post-28","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/semmelweis.hu\/korhazhigiene\/wp-json\/wp\/v2\/pages\/28","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/semmelweis.hu\/korhazhigiene\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/semmelweis.hu\/korhazhigiene\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/korhazhigiene\/wp-json\/wp\/v2\/users\/100"}],"replies":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/korhazhigiene\/wp-json\/wp\/v2\/comments?post=28"}],"version-history":[{"count":11,"href":"https:\/\/semmelweis.hu\/korhazhigiene\/wp-json\/wp\/v2\/pages\/28\/revisions"}],"predecessor-version":[{"id":1973,"href":"https:\/\/semmelweis.hu\/korhazhigiene\/wp-json\/wp\/v2\/pages\/28\/revisions\/1973"}],"wp:attachment":[{"href":"https:\/\/semmelweis.hu\/korhazhigiene\/wp-json\/wp\/v2\/media?parent=28"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/semmelweis.hu\/korhazhigiene\/wp-json\/wp\/v2\/categories?post=28"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/semmelweis.hu\/korhazhigiene\/wp-json\/wp\/v2\/tags?post=28"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}