Medidas de biossegurança em audiologia

Abstract

TEMA: Biossegurança na atuação audiológica. OBJETIVO: rever as medidas de precaução-padrão na literatura para o controle de infecção na audiologia. As medidas de biossegurança sugeridas para diversos profissionais de saúde foram adaptadas para as atividades inerentes à prática audiológica no Serviço de Audiologia do Hospital das Clínicas da UFMG. CONCLUSÃO: as medidas de precaução-padrão apresentadas podem ser consideradas e viabilizadas nas diversas instituições, hospitais ou clínicas, nas quais a atuação fonoaudiológica é cada vez mais presente e, por conseguinte, impele medidas de precauções específicas à natureza dos exames audiológicos.

Medidas de biossegurança adotadas por profissionais atuantes em audiologia

“…Thus, lab coat must be changed from time to time or daily and/or whenever dirty 6 and taken off every time the professional get out of the workplace 7,9 . Furthermore, in this research 52 (74%) of the professionals informed the use of lab coat with long sleeve and 64 (91%) of buttoned lab coat, which corroborates with the literature health service 2,[8][9][10][11] , since the hands are considered the main tools of the health professionals, which can be colonized by pathogenic microorganisms 2 . It was observed in this study that 50 professionals (71%) stated that they wash their hands before start service.…”

“…It is known that this action is basic for prevention and control of infection inside and outside the material for the correct procedure of hand hygiene [7][8][9]11 . The non-compliance of these orientations, as the lack of equipment or not accessible localization items for hand hygiene and no provision of supplies like soaps and paper tower is appointed in the literature as a factor for no adherence to the correct practices of hand hygiene 2,3 .…”

“…According to the literature, the performance of washing with water and soap is indicate when hands are clearly dirty or contaminated with blood, secretions and/or others body fluids, in initiating and finishing work shift, before and after contact with patient 13 , between different procedures with the same patient, after any contact with contaminated item or equipment, before putting on gloves and immediately after withdrawal 2,[6][7][8]10 or as often as required during patient service 11 . When the speech therapists were questioned about removing rings, bracelets and watches for hand hygiene, 46 (66%) reported that they do it against 24 (24%) that say they do not do it.…”

“…50 (71%) of the 70 professionals, who have participated in this research, reported to work in audiological clinics in which the sink follow the standardization described above. Others manuals and literatures articles also state the importance of an exclusive sink, with a facilitate access to professionals and appropriate microorganism present, especially, on hearing mucosa 8 . 30 (43%) professionals reported that the material that covered the audiometric booth does not favor the hygiene of it.…”

“…The Decree 485 of the Ministry of Labour and Employment, of 11 November 2005, approving the Regulatory Norm 32 (NR32), is responsible for implementing the basic protections measures to the worker's safety and health 7 . As the speech therapist works autonomously and independently and exercises its activities in different environments of health care, they should know about biosafety and its importance, in order to apply them in the daily practice 6,8 . In this professional clinical activity, the direct contact with possibly infected patients is a potential risk for health, which demands the adoption of procedures of infection's control in the various fields of work and workplace, especially hand hygiene.…”