<p>Objetivo: investigar os fatores associados ao manejo adequado de Resíduos de Serviços de Saúde (RSS) entre profissionais da Equipe de Enfermagem. Método: estudo analítico transversal com 461 profissionais, em hospital público estadual em São Luís. Maranhão, Brasil, entre junho 2014 e janeiro 2016. Resultados: 40,13% tinham de 30 a 39 anos, 92,84% eram mulheres, 63,99% tinham <12 anos de estudo, 50,3% com 1-5 anos de tempo de serviço, 63,99% realizavam o manejo dos RSS de maneira adequada, 27,99% faziam uso de todos os Equipamentos de Proteção Individual durante a segregação dos resíduos. Verificou-se associação do manejo não adequado de RSS com a idade de 30 a 39 anos (p=0,010), a categoria técnico de enfermagem (p=0,013) e definição inadequada dos RSS (p<0,001). Conclusão: os profissionais com idade de 30-39 anos, técnicos de enfermagem e aqueles que não souberam definir o que são os RSS apresentaram-se associados a um manejo não adequado dos RSS.</p><p>Descritores: Resíduos de serviços de saúde. Equipe de enfermagem. Manejo de resíduos.</p>
Resumo O objetivo deste estudo foi investigar a prevalência e os fatores associados aos acidentes de trabalho entre profissionais da limpeza hospitalar. Foram entrevistados 199 trabalhadores da limpeza de seis hospitais em São Luís, Maranhão, Brasil. Primeiramente, realizou-se análise univariada e, posteriormente, utilizaram-se as análises de regressão de Poisson com variância robusta, com modelagem hierarquizada dos dados a fim de estimar razões de prevalências (RP) entre as variáveis independentes e o desfecho (acidentes de trabalho). Houve prevalência de 13,57% de acidentes de trabalho, destes, 81,48% ocorridos com materiais perfurocortantes. Ao final da análise multivariada, identificaram-se fatores associados á ocorrência de acidentes de trabalho: idade de 18 a 30 anos, ter ensino médio incompleto, tempo de serviço de 2 a 5 anos, segregação inadequada dos resíduos de serviços de saúde (RSS), ter capacitação somente na admissão, não considerar os riscos dos resíduos à saúde e o não uso de equipamento de proteção individual (EPI). Os fatores avaliados apresentaram-se associados significativamente aos acidentes de trabalho e ressaltam a importância da educação permanente em saúde, com ênfase em capacitações periódicas e uso de EPI.
Objective
To describe the IMPACTO-MR, a Brazilian nationwide intensive care unit
platform study focused on the impact of health care-associated infections
due to multidrug-resistant bacteria.
Methods
We described the IMPACTO-MR platform, its development, criteria for intensive
care unit selection, characterization of core data collection, objectives,
and future research projects to be held within the platform.
Results
The core data were collected using the Epimed Monitor System® and
consisted of demographic data, comorbidity data, functional status, clinical
scores, admission diagnosis and secondary diagnoses, laboratory, clinical,
and microbiological data, and organ support during intensive care unit stay,
among others. From October 2019 to December 2020, 33,983 patients from 51
intensive care units were included in the core database.
Conclusion
The IMPACTO-MR platform is a nationwide Brazilian intensive care unit
clinical database focused on researching the impact of health
care-associated infections due to multidrug-resistant bacteria. This
platform provides data for individual intensive care unit development and
research and multicenter observational and prospective trials.
Objective:
Data are scarce regarding hospital infection control committees and compliance with infection prevention and control (IPC) recommendations in Brazil, a country of continental dimensions. We assessed the main characteristics of infection control committees (ICCs) on healthcare-associated infections (HAIs) in Brazilian hospitals.
Methods:
This cross-sectional study was conducted in ICCs of public and private hospitals distributed across all Brazilian regions. Data were collected directly from the ICC staff by completing an online questionnaire and during on-site visits through face-to-face interviews.
Results:
In total, 53 Brazilian hospitals were evaluated from October 2019 to December 2020. All hospitals had implemented the IPC core components in their programs. All centers had protocols for the prevention and control of ventilator-associated pneumonia as well as bloodstream, surgical site, and catheter-associated urinary tract infections. Most hospitals (80%) had no budget specifically allocated to the IPC program; 34% of the laundry staff had received specific IPC training; and only 7.5% of hospitals reported occupational infections in healthcare workers.
Conclusions:
In this sample, most ICCs complied with the minimum requirements for IPC programs. The main limitation regarding ICCs was the lack of financial support. The findings of this survey support the development of strategic plans to improve IPCs in Brazilian hospitals.
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