Infecções Relacionadas À Assistência À Saúde No Brasil: Prevalência Multicêntrica E Estudo Caso-Controle Pareado

Machado, Luiz Gustavo; Resende, Daiane Silva; Campos, Paola Amaral de; Ferreira, Melina Lorraine; Braga, Iolanda Alves; Aires, Caio Augusto Martins; Boschiroli, Alexandre Marcio; Tenório, Maria Tereza Freitas; Francisco, Maria Maryllya Ferreira; Lima, Raniella Ramos de; Filho, Paulo Pinto Gontijo; Ribas, Rosineide Marques

doi:10.1016/j.bjid.2021.102252

Cited by 4 publications

(5 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…An annual report from the European Center for Disease Prevention and Control (ECDC) stated that about 8% of patients hospitalized in an Intensive Care Unit (ICU) for more than 2 days acquired at least one HAI [ 10 ]. In contrast, Machado et al [ 20 ] recently identified 136 infected patients hospitalized in intensive care units (ICUs) in 15 Brazilian public hospitals of whom 106 (77.94%) contracted at least one HAI in the ICU.…”

Section: Backgoundmentioning

confidence: 99%

Hand hygiene compliance in a Brazilian COVID-19 unit: the impact of moments and contact precautions

Valim,

Rossetto,

Bortolini

et al. 2024

Antimicrob Resist Infect Control

View full text Add to dashboard Cite

Background Healthcare-associated infections are among the most common complications during hospitalization. These infections increase morbidity and mortality and they increase length of hospital stay and the cost of healthcare. The aims of our study were to monitor hand hygiene (HH) compliance, HH technique quality and factors related to HH practice among health professionals in a COVID-19 Intensive Care Unit (ICU). Methods An observational, prospective study. Between September and December 2021, we observed 69 healthcare professionals in an eight-bed ICU for patients with COVID-19 in midwestern Brazil. We used the WHO observation form to collect data. The dependent variable was HH compliance and independent variables were professional category, sex, HH quality (3-step technique for at least 15 s), number of HH opportunities observed, observation shift and inappropriate glove use. Results We observed 1185 HH opportunities. The overall compliance rate was 26.4%, but only 6.5% were performed with the correct 3-step technique for the minimum time. HH compliance was considerably lower for moments “before” tasks (6.7%; 95% CI 4.8%, 9.2%) compared with moments “after” tasks (43.8%; 95% CI 39.9%, 47.8%). The logistic model found that inappropriate glove use, night shift and physicians (p < 0.001) were associated with low HH compliance. The infrastructure analysis found that the unit had an insufficient number of alcohol-based handrub (ABHR) dispensers at the point of care and that the mechanism for activating them was poorly designed. Conclusions HH compliance was very low. Inappropriate glove use was associated with low compliance and the unit’s infrastructure did not support good HH practice. The fact that healthcare professionals were more likely to do HH after tasks, suggests that they use HH to protect themselves rather than the patients. Adequate infrastructure and ongoing health education with a focus on HH while caring for patients in contact precautions are essential for improving HH compliance and patient safety.

show abstract

Section: Backgoundmentioning

confidence: 99%

Hand hygiene compliance in a Brazilian COVID-19 unit: the impact of moments and contact precautions

Valim,

Rossetto,

Bortolini

et al. 2024

Antimicrob Resist Infect Control

View full text Add to dashboard Cite

show abstract

“…As IRAS têm impacto direto no atendimento ao paciente e no ambiente hospitalar, principalmente, para o sistema de saúde brasileiro. As IRAS, classificadas como eventos adversos, são infecções adquiridas durante a assistência à saúde e representam um dos maiores problemas de saúde pública, com elevada morbidade e mortalidade (MACHADO et al, 2022).…”

Section: As Infecções Relacionadas Ao Atendimento Em Saúde (Iras)unclassified

A Influência Da Infraestrutura Hospitalar Na Prevenção Da Infecção Relacionadas À Assistência De Enfermagem

Maciel,

Cruz,

Silva

et al. 2024

REASE

View full text Add to dashboard Cite

As IRAS são causadas por bactérias multirresistentes encontrados em diferentes ambientes, como os ambientes hospitalares. Os hospitais, é reservatório de micro-organismos nos serviços de saúde capaz de contaminar inúmeras pessoas. Diante do contexto apresenta, o objetivo geral da pesquisa consiste em analisar a influência da infraestrutura hospitalar na prevenção da infecção relacionadas à assistência de enfermagem. Essa pesquisa trata-se de uma revisão integrativa, e foi realizada por meio de uma busca bibliográfica. Os critérios de inclusão foram artigo publicados que analisar a influência da estrutura hospitalar na prevenção de infecções relacionadas a saúde em estudos em inglês ou português no período de janeiro de 2019 a julho de 2024; e estar relacionado ao tema do presente estudo. O processo de busca e seleção dos estudos foi realizada a leitura do título e do resumo e, em seguida, o artigo selecionado foi lido na íntegra. As seguintes variáveis foram obtidas de cada estudo: (1) autor, (2) ano de publicação, (4) objetivo do estudo, (5) metodologia usadas (6) resultados e (7) conclusão. A principal causa da IRAS estão relacionadas ao doente predisposto à infecção e com os procedimentos diagnósticos e terapêuticos utilizados, porém, como explicado ao longo do estudo, o espaço estrutural das unidades saúde, assim como os critérios de limpeza e desinfecção do ambiente, bem como os hábitos de higiene dos enfermeiros e profissionais de saúde constituem os fatores preponderantes quando se considera a possibilidade de influência ambiental na disseminação e transmissão de patógenos. Diante dos perigos da contaminação de doenças mais graves e até mesmo o desenvolvimento para morte é essencial manter as superfícies ambientais e condições sanitárias suficientes para impedir a manutenção de patógenos nos ambientes hospitalares. Além disso, é essencial hábitos de higienes entre todos os profissionais que atuam em unidades hospitalares. Essas são as principais estratégias para superar esse desafio.

show abstract

“…These additional costs are related to the complexity of the treatment and consequently to the additional days of hospitalization. In this way, HAIS have a direct impact on both patient care and increase hospital costs, since they will use many drugs that can be expensive, need a specialized team and a greater number in relation to the number of beds, requires more frequent requests for tests and will consequently result in substantial economic impacts, particularly in ICUs (CAVALCANTE EFO, et al, 2019; MACHADO LG, et al, 2022;OSME SF, et al, 2022). In this sense, for the analysis of costs related to HAI, cohort studies are necessary, or even the use of a database, considering that these involve health institutions, patients and governments.…”

Section: Introductionmentioning

confidence: 99%

The economic impact of healthcare-associated infections in hospitalization in intensive care units

Barroso¹,

Martins²,

Lima³

et al. 2023

Acervo Saúde

View full text Add to dashboard Cite

Objective: To evaluate the economic impact caused by the occurrence of healthcare-associated infections (HAIS) in patients in the Intensive Care Unit (ICU). Methods: Integrative literature review, which adopted the PICO strategies – Population: ICU patients, Interest: HAIS, and Outcome: economic impact, Extraction, Conversion, Combination, Construction, and Use (ECUs) and Preferred Reporting Items for Systematic Reviews and Meta- Analyses (PRISMA) for searching and sampling in the databases that are part of the CAPES Periodicals Portal. Results: Twenty-one studies were included, categorized according to author, year, title, location, journal, type of study, and average cost of HAI during ICU admission. In the meantime, the cost of hospitalization of patients with HAI in the ICU is up to four times higher, associated with longer stays, use of antimicrobials and laboratory investigations, especially exacerbated in the detection of multidrug-resistant microorganisms. Final considerations: The most common HAI described were respiratory infections, especially Ventilator-Associated Pneumonia and Hospital-Acquired Pneumonia, bloodstream infections, distributed in sepsis, surgical site infection, central venous catheter-associated infection, and urinary tract infection associated with a bladder catheter.

show abstract

Infecções Relacionadas À Assistência À Saúde No Brasil: Prevalência Multicêntrica E Estudo Caso-Controle Pareado

Cited by 4 publications

References 0 publications

Hand hygiene compliance in a Brazilian COVID-19 unit: the impact of moments and contact precautions

Hand hygiene compliance in a Brazilian COVID-19 unit: the impact of moments and contact precautions

A Influência Da Infraestrutura Hospitalar Na Prevenção Da Infecção Relacionadas À Assistência De Enfermagem

The economic impact of healthcare-associated infections in hospitalization in intensive care units

Contact Info

Product

Resources

About