Desinfecção de incubadoras usadas em Unidades de Cuidados Intensivos Neonatais: revisão integrativa

Abstract

Métodos: Revisão integrativa de literatura, realizada de junho a julho de 2020, nas bases de dados: LILACS, SciELO, CINAHL, SCOPUS, Web of Science e MEDLINE. Os achados foram organizados conforme o fluxograma PRISMA e discutidos de acordo com a literatura pertinente.Resultados: Dos 780 artigos encontrados, apenas cinco contemplaram os critérios de inclusão. Os saneantes utilizados foram: cloreto de didecildimetilamônio, polihexametilenobiguanida e Peróxido de Hidrogênio (VHP); cloreto de didecildimetilamônio; N-(3-aminopropyl)-N-dodécylpropane-1,3-diamine; cloreto de didecildimetilamônio e limpeza a vapor; água com detergente para limpeza no balde e água sanitária (200mg/L) e desinfectante Umonium38® a 2,5%. Há diversidade de opções para desinfecção das incubadoras, com variação de métodos e frequência de limpeza. Os saneantes utilizados foram eficazes, apontando para redução da carga microbiana.Conclusão: Observou-se uma variedade de procedimentos e produtos que podem ser utilizados para limpeza e desinfecção das incubadoras. Os procedimentos de desinfecção favoreceram a redução da contaminação da superfície. No entanto, a presença de micro-organismos, mesmo que reduzida, alerta sobre o risco à segurança do paciente.

Who cares for the carer? Codesigning a carer health and wellbeing clinic for older care partners of older people in Australia

“…49 A recently published integrative review of health promoting behaviours developed by informal caregivers of older adults reinforces the codesign panel findings regarding the broad range of resources needed for the maintenance of their overall health, well-being, the improvement of quality of life and personal satisfaction. 49 Among the needs carers identified that they wished to access, the search for information, family counselling, social, emotional and spiritual support stood out. Also, engagement with community programmes aimed at psychoeducation and physical activities, as well as the use of communication technologies and the enhancement of self-care were described as strategies associated with coping with the potential negative repercussions resulting from caring.…”

“…This would address the dual goals of supporting care partners' long‐term health and well‐being, as well as sustaining the caring role. These principles are echoed in recent work directly with older care partners 49 . A recently published integrative review of health promoting behaviours developed by informal caregivers of older adults reinforces the codesign panel findings regarding the broad range of resources needed for the maintenance of their overall health, well‐being, the improvement of quality of life and personal satisfaction 49 .…”

“…These principles are echoed in recent work directly with older care partners 49 . A recently published integrative review of health promoting behaviours developed by informal caregivers of older adults reinforces the codesign panel findings regarding the broad range of resources needed for the maintenance of their overall health, well‐being, the improvement of quality of life and personal satisfaction 49 . Among the needs carers identified that they wished to access, the search for information, family counselling, social, emotional and spiritual support stood out.…”

“…The panels brought together key stakeholders, including older care partners of older people, representatives from carers' organisations and other relevant consumer organisations (e.g., state‐based care‐partner and dementia organisations), health service administrators, health professionals, government policy personnel and researchers. The panel meetings were facilitated to ensure all participant voices were heard and an iterative process occurred across the three panel meetings to develop a preferred model for an innovative new service to address gaps identified by our previous research 45 and that of others 8,49 …”

“…The panel meetings were facilitated to ensure all participant voices were heard and an iterative process occurred across the three panel meetings to develop a preferred model for an innovative new service to address gaps identified by our previous research 45 and that of others. 8,49 There was general consensus across the panel participants for the preferred structure and function of the proposed Carer Clinic. Australian care partners.…”