Impacto de la mejora de la higiene de las manos sobre las infecciones hospitalarias

Molina‐Cabrillana, Jesús; Álvarez-León, Eva E.; Quori, A.; Carlos, Paloma García-de; López-Carrió, I.; Bolaños-Rivero, Margarita; Hernández-Vera, J.R.; Ojeda-García, I.; Córdoba-Tasi, E.; Ramírez-Rodríguez, A.; Henríquez-Ojeda, A.

doi:10.1016/j.cali.2010.02.002

Cited by 14 publications

(7 citation statements)

References 21 publications

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“…Adicionam-se queixas de problemas dermatológicos, como a irritação, o ressecamento ou outras lesões da pele do profissional; esquecimento; falta de conhecimento de diretrizes; falta de consciência do risco de adquirir infecção; tempo insuficiente para higiene das mãos; carga de trabalho; falta de pessoal; uso de luvas; falha na formação, como crença de que o uso de luvas dispensa a higiene das mãos; falta de estímulo institucional; falta de participação ativa institucional; ausência de -modelos‖ de colegas ou superiores; descaso e pouca motivação (BOYCE, 1999;PITTET, 2001;PITTET et al, 2004;LARSON et al, 2006;AKYOL, 2007;WHO, 2009a;MOLINA-CABRILLANA et al, 2010;ABOUMATAR et al, 2012;COSTA;AMBROSANO;PINELLI, 2016).…”

Section: Introductionunclassified

Higiene das mãos e uso de luvas: mensuração integrada da autoeficácia

Pereira¹

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Introduction: Hand hygiene, integrated with the proper use of gloves, represents a fundamental activity for the prevention and control of the risk of infection. Despite the advances, adherence to good practices is a challenge, as it is a complex issue, influenced by institutional, cultural and personal factors. Self-efficacy, a belief that an individual has about his or her ability to successfully perform a given activity, is a strong predictor of health behavior. In Brazil, there is still no evidence of validated instruments that involve the determinants of behavior for hand hygiene practices and the use of gloves concomitantly. Objective: To build and validate an instrument for measuring the self-efficacy of health professionals for the practice of hand hygiene and the use of gloves. Method: Methodological study, which proposed to build and validate the Self-efficacy instrument of health professionals for hand hygiene and the use of gloves (AEPS-HML). After the construction of the instrument, the validation process started through face and content validation (Committee of Judges), pre-test and psychometric validation. The evaluation of the metric properties was carried out through validity (face and content and dimensional construct validities, by known and convergent groups) and reliability (test-retest and internal consistency). The significance level of 0.05 was adopted. Results: Version 1 of the AEPS-HML instrument, containing 28 items, was submitted to face and content validation, with five items being excluded. In the pre-test stage, ten nursing professionals responded to version 2 of the AEPS-HML. In the evaluation of the metric properties of version 3 of the AEPS-HML, 362 nursing professionals participated, working in a university hospital, general, large and public. Most participants were female (293 / 80.9%), with a predominant age range of 30 to 59 years (319 / 88.1%) and mean age of 41.6 years (SD = 7.29). As for professional characterization, 151 (41.7%) participants had specialization and 203 (56.1%) worked as a Nursing Technician. The construct validity by known groups was confirmed by comparing the AEPS-HML self-efficacy averages with the variables sex and unit of action variables. The convergent construct validity showed a weak correlation (r = 0.228) between the scores of the AEPS-HML instrument and the Perceived General Self-Efficacy Scale (EAGP). The reliability of the final version (version 4) of the AEPS-HML was adequate (α = 0.77) and the test-retest reproducibility confirmed the instrument's temporal stability. Conclusions: With this instrument, it will be possible to measure the self-efficacy of health professionals for hand care, with a view to minimizing the risk of microbial transmission due to inadequate hand hygiene practices and the use of gloves. The instrument proved to be valid and reliable to evaluate what is proposed and can be used as a tool in the planning of actions for the prevention and control of infections related to health care.

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Section: Introductionunclassified

Higiene das mãos e uso de luvas: mensuração integrada da autoeficácia

Pereira¹

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“…Desde el Servicio de Medicina Preventiva del Hospital Universitario Insular de Gran Canaria (HUIGC) llevamos a cabo un programa para la vigilancia y el control de las IRAS en el que se incluyen actividades relacionadas con la promoción de la HM entre el personal sanitario desde el año 2007 [8,9]. Es nuestro objetivo determinar si ha habido diferencias en el grado de adherencia a las prácticas de HM en el periodo pandémico del año 2020 en los profesionales sanitarios del HUIGC con respecto a los años anteriores 2018 y 2019.…”

Section: Introductionunclassified

Evolution of adherence to hand hygiene in health care professionals in a third level hospital in relation to the SARS-CoV-2 pandemic

Fernández

Molina-Cabrillana²,

Majem³

2021

Rev Esp Quimioter

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Introduction. Proper hand hygiene is the main measure in the prevention and control of infection associated with healthcare. It describes how the pandemic period of 2020 has influenced the evolution of the degree of compliance with hand hygiene practices in health professionals at the Hospital Universitario Insular de Gran Canaria with respect to previous years. Methods. Descriptive cross-sectional study of direct observation on compliance with the five moments of hand hygiene in the 2018-2020 period. Adherence is described with the frequency distribution of the different moments in which it was indicated. Results. Total adherence has increased from 42.5% in 2018, to 47.6% in 2019, and 59.2% in 2020 (p <0.05). Total adherence was greater in the moments after contact with the patient (67%) than in the moments before contact (48%). The area with the highest adherence was dialysis (83%). There is a greater adherence in open areas than in hospitalization areas (65% vs 56%). Higher adherence was determined in physicians (73%) and nurses (74%), than in nursing assistants (50%) (p<0.05). Conclusions. In 2020 there was an increase in adherence to hand hygiene compared to previous years. A higher percentage of adherence was determined in physicians and nurses than in nursing assistants. We consider that the current SARS-CoV-2 pandemic has played a relevant role in this increase in adherence.

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“…En este marco, en nuestro centro se está trabajando de forma activa en la mejora de la HM, siguiendo las directrices de organismos internacionales (1,11) . Desde el Servicio de Medicina Preventiva del Complejo Hospitalario Universitario Insular Materno Infantil (CHUIMI) llevamos a cabo un programa para la vigilancia y el control de las IRAS en el que se incluyen actividades relacionadas con la promoción de la HM entre el personal sanitario desde el año 2012 (6,12) . El principal objetivo de esta estrategia fue fomentar y promocionar el cumplimiento de la HM entre los profesionales sanitarios, voluntarios y familiares de los pacientes ingresados en el CHUIMI de forma mantenida en el tiempo y mejorar la seguridad de los pacientes utilizando para ello la estrategia multimodal de la OMS.…”

Section: Introductionunclassified

Aplicación del cuestionario de autoevaluación de la estrategia multimodal de la OMS para mejorar la práctica de higiene de manos en un hospital de tercer nivel

Fernández

Molina‐Cabrillana

Serra‐Majem

2021

Arch Prev Riesgos Labor

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Objetivo. El objetivo de este trabajo es evaluar la implementación de la aplicación de una estrategia multimodal para impulsar la promoción de la Higiene de Manos (HM). Métodos. Se utilizó la «Guía de aplicación de la estrategia multimodal de la Organización Mundial de la Salud para la mejora de la higiene de manos». La estrategia se planteó como un estudio de intervención para promover la HM en el Complejo Hospitalario Universitario Insular Materno Infantil en el período 2012-2020. Resultados. El cumplimiento global de las indicaciones de HM al final del periodo de estudio fue del 59,2%. El consumo de productos de base alcohólica aumentó con respecto a los años anteriores (p<0,05), siendo en el último año de 70 litros por cada 1000 estancias. La encuesta reveló que la formación y la existencia de preparado de base alcohólica en cada punto de atención eran percibidas por parte de los profesionales sanitarios como los principales aspectos facilitadores de la práctica de HM. Conclusiones. La implementación de una intervención multimodal mejoró significativamente la adhesión al lavado de manos y el uso de productos de base alcohólica entre los profesionales sanitarios. A pesar de tener formación previa sobre higiene de manos, los conocimientos de los profesionales son incompletos. La formación previa seguido del tiempo trabajado son los determinantes más importantes de las conocimientos y percepciones sobre higiene de manos.

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Impacto de la mejora de la higiene de las manos sobre las infecciones hospitalarias

Cited by 14 publications

References 21 publications

Higiene das mãos e uso de luvas: mensuração integrada da autoeficácia

Higiene das mãos e uso de luvas: mensuração integrada da autoeficácia

Evolution of adherence to hand hygiene in health care professionals in a third level hospital in relation to the SARS-CoV-2 pandemic

Aplicación del cuestionario de autoevaluación de la estrategia multimodal de la OMS para mejorar la práctica de higiene de manos en un hospital de tercer nivel

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