Regional differences in infection control conditions in a sample of primary health care services in Brazil

Detalhes bibliográficos
Autor(a) principal: Mauro Henrique Nogueira Guimarães de Abreu
Data de Publicação: 2017
Outros Autores: Vera Lúcia Silva Resende, Antônio Thomaz Gonzaga da Matta-Machado, Jacqueline Rose Starr
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6582
Resumo: International guidelines have pointed out the importance of the physical environment of health care facilities in preventing and controlling infection. We aimed to describe the physical environment of dental care facilities in Brazil in 2014, focusing on characteristics designed to control infections. Exactly 16,202 dental offices in the Brazilian Unified National Health System (SUS) participated in this survey. Trained researchers extracted information about the infection control characteristics of health facilities by using a structured instrument. We used data from 12 dichotomous questions that evaluated the wall, floor, sink and tap conditions, and the presence and condition of sterilization equipment. We calculated a score by summing the number of characteristics handled appropriately for infection control, which could range from 0 to 12. Hierarchical cluster analyses were developed. None of the 12 criteria were met by all the oral health teams. Only 208 (1.3%) dental offices correctly performed all 12-infection control practices. Two clusters, with different frequencies of structure for infection control in dental offices, were identified. South and Southeast regions had the highest frequencies for Cluster 1, with better structure of infection control in dental offices. Dental care facilities of oral health teams were not typically meeting the infection control guidelines regarding clinic design and equipment. Adherence to the guidelines varied among the Brazilian geographic regions.
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spelling Regional differences in infection control conditions in a sample of primary health care services in BrazilDelivery of Health CarePrimary Health CareInfection ControlInternational guidelines have pointed out the importance of the physical environment of health care facilities in preventing and controlling infection. We aimed to describe the physical environment of dental care facilities in Brazil in 2014, focusing on characteristics designed to control infections. Exactly 16,202 dental offices in the Brazilian Unified National Health System (SUS) participated in this survey. Trained researchers extracted information about the infection control characteristics of health facilities by using a structured instrument. We used data from 12 dichotomous questions that evaluated the wall, floor, sink and tap conditions, and the presence and condition of sterilization equipment. We calculated a score by summing the number of characteristics handled appropriately for infection control, which could range from 0 to 12. Hierarchical cluster analyses were developed. None of the 12 criteria were met by all the oral health teams. Only 208 (1.3%) dental offices correctly performed all 12-infection control practices. Two clusters, with different frequencies of structure for infection control in dental offices, were identified. South and Southeast regions had the highest frequencies for Cluster 1, with better structure of infection control in dental offices. Dental care facilities of oral health teams were not typically meeting the infection control guidelines regarding clinic design and equipment. Adherence to the guidelines varied among the Brazilian geographic regions.Las directrices internacionales destacan la importancia del ambiente físico de los servicios de salud para prevenir y controlar infecciones. Procuramos describir el ambiente físico en servicios de salud bucal en Brasil en 2014, centrándonos en las características programadas para controlar las infecciones. Precisamente 16.202 consultorios odontológicos del Sistema Único de Salud (SUS) participaron en la investigación. Investigadores entrenados recogieron información sobre las características del control de infecciones en esos servicios de salud, utilizando un instrumento estandarizado. Utilizamos los datos procedentes de 12 preguntas dicotómicas que evaluaban las condiciones de las paredes, suelo, fregadero y grifo, además de la existencia y condiciones del equipamiento de esterilización. Calculamos una puntuación para la suma del número de características administradas adecuadamente para el control de infecciones, variando de 0 a 12. Se desarrollaron análisis jerárquicos de clúster. Ninguno de los 12 criterios fue observado por todos los equipos de salud bucal. Solamente 208 (1,3%) de los consultorios odontológicos realizaban las 12 prácticas de control de infecciones al completo. Se identificaron dos clústeres con distintas frecuencias de estructuras para el control de infecciones en los consultorios odontológicos. Las regiones Sur y Sudeste mostraron las mayores frecuencias en el Clúster 1, con una mejor estructura de control de infecciones en los consultorios odontológicos. De manera general, los servicios de salud bucal no atendían a las directrices para el control de infecciones, referentes a las instalaciones físicas y equipamiento de los consultorios. La adherencia a las directrices variaba de acuerdo con la región del país.As diretrizes internacionais destacam a importância do ambiente físico dos serviços de saúde para prevenir e controlar as infecções. Procuramos descrever o ambiente físico em serviços de saúde bucal no Brasil em 2014, com enfoque nas características programadas para controlar as infecções. Precisamente 16.202 consultórios odontológicos no Sistema Único de Saúde (SUS) participaram na pesquisa. Pesquisadores treinados coletaram informações sobre as características do controle de infecções nesses serviços de saúde, utilizando um instrumento padronizado. Utilizamos dados de 12 perguntas dicotômicas que avaliavam as condições das paredes, piso, pia e torneira e a presença e as condições do equipamento de esterilização. Calculamos um escore pela soma do número de características administradas adequadamente para o controle de infecções, variando de 0 a 12. Foram desenvolvidas análises hierárquicas de clusters. Nenhum dos 12 critérios foi atendido por todas as equipes de saúde bucal. Apenas 208 (1,3%) dos consultórios odontológicos realizavam todas as 12 práticas de controle de infecções. Foram identificados dois clusters com distintas frequências de estruturas para controle de infecções nos consultórios odontológicos. As regiões Sul e Sudeste mostraram as maiores frequências no Cluster 1, com melhor estrutura de controle de infecções nos consultórios odontológicos. De maneira geral os serviços de saúde bucal não atendiam as diretrizes para o controle de infecções, referentes à planta física e equipamento dos consultórios. A aderência às diretrizes variava de acordo com a região do país.Reports in Public HealthCadernos de Saúde Pública2017-11-21info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6582Reports in Public Health; Vol. 33 No. 11 (2017): NovemberCadernos de Saúde Pública; v. 33 n. 11 (2017): Novembro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6582/14152https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6582/14153Mauro Henrique Nogueira Guimarães de AbreuVera Lúcia Silva ResendeAntônio Thomaz Gonzaga da Matta-MachadoJacqueline Rose Starrinfo:eu-repo/semantics/openAccess2024-03-06T15:29:23Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/6582Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:07:32.758896Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Regional differences in infection control conditions in a sample of primary health care services in Brazil
title Regional differences in infection control conditions in a sample of primary health care services in Brazil
spellingShingle Regional differences in infection control conditions in a sample of primary health care services in Brazil
Mauro Henrique Nogueira Guimarães de Abreu
Delivery of Health Care
Primary Health Care
Infection Control
title_short Regional differences in infection control conditions in a sample of primary health care services in Brazil
title_full Regional differences in infection control conditions in a sample of primary health care services in Brazil
title_fullStr Regional differences in infection control conditions in a sample of primary health care services in Brazil
title_full_unstemmed Regional differences in infection control conditions in a sample of primary health care services in Brazil
title_sort Regional differences in infection control conditions in a sample of primary health care services in Brazil
author Mauro Henrique Nogueira Guimarães de Abreu
author_facet Mauro Henrique Nogueira Guimarães de Abreu
Vera Lúcia Silva Resende
Antônio Thomaz Gonzaga da Matta-Machado
Jacqueline Rose Starr
author_role author
author2 Vera Lúcia Silva Resende
Antônio Thomaz Gonzaga da Matta-Machado
Jacqueline Rose Starr
author2_role author
author
author
dc.contributor.author.fl_str_mv Mauro Henrique Nogueira Guimarães de Abreu
Vera Lúcia Silva Resende
Antônio Thomaz Gonzaga da Matta-Machado
Jacqueline Rose Starr
dc.subject.por.fl_str_mv Delivery of Health Care
Primary Health Care
Infection Control
topic Delivery of Health Care
Primary Health Care
Infection Control
description International guidelines have pointed out the importance of the physical environment of health care facilities in preventing and controlling infection. We aimed to describe the physical environment of dental care facilities in Brazil in 2014, focusing on characteristics designed to control infections. Exactly 16,202 dental offices in the Brazilian Unified National Health System (SUS) participated in this survey. Trained researchers extracted information about the infection control characteristics of health facilities by using a structured instrument. We used data from 12 dichotomous questions that evaluated the wall, floor, sink and tap conditions, and the presence and condition of sterilization equipment. We calculated a score by summing the number of characteristics handled appropriately for infection control, which could range from 0 to 12. Hierarchical cluster analyses were developed. None of the 12 criteria were met by all the oral health teams. Only 208 (1.3%) dental offices correctly performed all 12-infection control practices. Two clusters, with different frequencies of structure for infection control in dental offices, were identified. South and Southeast regions had the highest frequencies for Cluster 1, with better structure of infection control in dental offices. Dental care facilities of oral health teams were not typically meeting the infection control guidelines regarding clinic design and equipment. Adherence to the guidelines varied among the Brazilian geographic regions.
publishDate 2017
dc.date.none.fl_str_mv 2017-11-21
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6582
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6582
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6582/14152
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6582/14153
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eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
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dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 33 No. 11 (2017): November
Cadernos de Saúde Pública; v. 33 n. 11 (2017): Novembro
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
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institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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