Reuse of hospital bedpans

Mineli, Tamires Alessandra; Andrade, Denise de; Godoy, Simone de; Mendes, Isabel Amélia Costa; Tognoli, Silvia Helena; Marchi-Alves, Leila Maria

doi:10.1590/0034-7167-2020-1040

Cited by 1 publication

(1 citation statement)

References 16 publications

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“…1,2 The spread of healthcareassociated infections (HAIs) is triggered by several aspects, among them are mainly failures in the aseptic techniques used by health workers. [3][4][5] Through hygiene management programs, it is possible to prevent from 20% to 30% of the HAIs. Even the health team's own movements influence the speed and concentration of particles close to the patient.…”

Section: Introductionmentioning

confidence: 99%

Monitoring of surface cleaning and disinfection in a Brazilian pediatric unit

Bernardes

Santos

Angeloni

et al. 2023

Therapeutic Advances in Infection

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Background: Understanding the correlation between the methods of monitoring surface cleaning and disinfection (SCD) is fundamental for better infection control. Purpose: This study aims to correlate the SCD monitoring methods in a Brazilian pediatric unit. This is an exploratory, longitudinal, and correlational study. Methods: The study was conducted in a pediatric hospitalization unit of a medium-sized hospital from December 2020 to March 2021. Four high-contact surfaces were analyzed before and after the cleaning and disinfection process by means of visual inspection, quantification of adenosine triphosphate (ATP), and colony-forming unit (CFU) count. The study consisted of three stages: stage I involving situational diagnosis of the SCD process; stage II referring to the implementation of the Surface Cleaning and Disinfection Standardization Program (SCDSP); and stage III involving long-term assessment after implementing the program. A total of 192 assessments were performed in each stage, totaling 576 in the three study stages. Conclusions: A significant correlation was found between the ATP quantification methods and microbial count in the bed railing ( p = 0.009) and companion’s armchair ( p = 0.018) surfaces. In both cases, Spearman’s correlation coefficients were positive, indicating a positive correlation between ATP and microbial count scores, that is, the higher the ATP values (in RLUs), the greater the microbial counts (in CFUs/cm2). The analysis of the ROC curves suggests that the surfaces presenting ATP below 108 RLUs can be considered approved. The ATP method yielded 78.6% sensitivity; in turn, microbial count presented a sensitivity of 85.7%. It is important to use different methods to monitor the cleaning and disinfection of surfaces, as each one has different sensitivity and specificity.

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