Audit on the degree of application of universal precautions in a haemodialysis unit
| Autor: | F Rivera, C Gonzáles, A Antolin, D Arenas Jiménez, M D Arenas Jiménez, J Sánchez-Payá |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Hand washing
medicine.medical_specialty medicine.medical_treatment Audit Nursing Staff Hospital Occupational hygiene Renal Dialysis Health care medicine Blood-Borne Pathogens Humans Intensive care medicine Dialysis Transplantation business.industry Hepatitis C medicine.disease Universal Precautions Nephrology Universal precautions Hemodialysis Medical emergency business Gloves Protective Hand Disinfection |
| Zdroj: | Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association. 14(4) |
| ISSN: | 0931-0509 |
| Popis: | transmission is the most important mode of infection of this virus in dialysis units [5,6 ]. This raises the Background. The purpose of the study was to investigate the degree of compliance with standard precau- question of to what extent transmission by health care personnel plays a role. To avoid this type of transmistions (hand washing and wearing of gloves) by health workers in one haemodialysis unit. sion, the Centre of Disease Control (CDC ) recommends implementation of such simple measures as Methods. During 4 months, two observers monitored the activities of the health care staV in the dialysis hand washing and wearing of gloves. The question is: are these measures actually implemented in haemodiaunit. Thirty five randomly distributed observation periods of 60 min duration covered one haemodialysis lysis units? While investigating an episode of hepatitis C in a session. The observers evaluated (i) the total number of potential opportunities to implement standard pre- haemodialysis unit, we designed a study to investigate the degree to which standard precautions were applied cautions and (ii) the number of occasions when these were actually put into practice. by the health care personnel. Results. A total of 364 opportunities to wear gloves and to wash hands thereafter and 273 opportunities to Material and Methods wash hands before a patient-oriented activity were observed. The proportion of occasions when gloves Study population were actually used was 18.7%. Hand washing after a patient-oriented activity was performed only on 32.4% The study was carried out on health care personnel (15 male of occasions. Finally, only on 3% of such occasions and female nurses and 12 auxiliary staV ) of one haemodiawas hand washing before the activity. lysis unit during a 4 month period. A year previously the Conclusions. The degree of compliance with standard staV had received information concerning hepatitis B and C precautions by health care personnel is unsatisfactory and dialysis, as well as on possible routes of transmission and this favours nosocomial transmission in haemodia- and preventive strategies. lysis units. |
| Databáze: | OpenAIRE |
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