Structure for prevention of health care-associated infections in Brazilian hospitals: A countrywide study.

Autor: Padoveze MC; Department of Collective Health Nursing, School of Nursing of University of São Paulo, São Paulo, Brazil. Electronic address: padoveze@usp.br., Fortaleza CM; Department of Infectious Diseases, Botucatu School of Medicine, State University of São Paulo, Botucatu, Brazil., Kiffer C; Special Clinical Microbiology Laboratory, Infectious Diseases Discipline, Federal University of São Paulo, São Paulo, Brazil., Barth AL; Laboratory of Research in Bacterial Resistance, Center for Experimental Research, Clinical Hospital of Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, Brazil., Carneiro IC; Department of Infectious Diseases, Federal University of Pará, Belém do Pará, Brazil., Giamberardino HI; Epidemiology and Infection Control Department, Pequeno Principe Hospital, Curitiba, Brazil., Rodrigues JL; Department of Community Health, Faculty of Medicina, Federal University of Ceará, Ceará, Brazil., Santos Filho L; Clinical Microbiology Discipline, Federal University of Paraíba, João Pessoa, Brazil., de Mello MJ; Hospital Infection Control Committee, Instituto de Medicina Integral Prof. Fernando Figueira, Recife, Brazil., Pereira MS; Department of Nursing, Pontifical Catholic University, Goias, Brazil., Gontijo Filho P; Microbiology, Biomedical Sciences Institute, Uberlândia Federal University, Uberlândia, Brazil., Rocha M; Núcleo de Vigilância Hospitalar, Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil., de Medeiros EA; Division of Infectious Diseases, Federal University of São Paulo, São Paulo, Brazil., Pignatari AC; Division of Infectious Diseases, Federal University of São Paulo, São Paulo, Brazil.
Jazyk: angličtina
Zdroj: American journal of infection control [Am J Infect Control] 2016 Jan 01; Vol. 44 (1), pp. 74-9. Date of Electronic Publication: 2015 Sep 26.
DOI: 10.1016/j.ajic.2015.08.004
Abstrakt: Background: Minimal structure is required for effective prevention of health care-associated infection (HAI). The objective of this study was to evaluate the structure for prevention of HAI in a sample of Brazilian hospitals.
Methods: This was a cross-sectional study from hospitals in 5 Brazilian regions (n = 153; total beds: 13,983) classified according to the number of beds; 11 university hospitals were used as reference for comparison. Trained nurses carried out the evaluation by using structured forms previously validated. The evaluation of conformity index (CI) included elements of structure of the Health Care-Associated Prevention and Control Committee (HAIPCC), hand hygiene, sterilization, and laboratory of microbiology.
Results: The median CI for the HAIPCC varied from 0.55-0.94 among hospital categories. Hospitals with >200 beds had the worst ratio of beds to sinks (3.9; P < .001). Regarding alcoholic product for handrubbing, the worst ratio of beds to dispensers was found in hospitals with <50 beds (6.4) compared with reference hospitals (3.3; P < .001). The CI for sterilization services showed huge variation ranging from 0.0-1.00. Reference hospitals were more likely to have their own laboratory of microbiology than other hospitals.
Conclusion: This study highlights the need for public health strategies aiming to improve the structure for HAI prevention in Brazilian hospitals.
(Copyright © 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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