Avaliação das condições ambientais e de trabalho em salas cirúrgicas e de necropsia - estudos de casos em hospitais públicos e IMLs da região metropolitana do Rio de Janeiro

• Autor(a) principal: Franklin, Sheila de Lira
• Data de Publicação: 2011
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/14255
• topic: Indoor air quality; Surgical room; Autopsy room; Health worker; Biological exposure limit; Sala de cirurgia - Aspectos ambientais - Rio de Janeiro, Região Metropolitana do (RJ); Hospitais públicos - Rio de Janeiro, Região Metropolitana do (RJ); Qualidade do ar de interiores; Salas de necropsia; Saúde do trabalhador; Limites de exposição biológicos; Monitoramento ambiental; CNPQ::CIENCIAS BIOLOGICAS

The indoor air quality is an important environmental health indicator and yours continuous monitoring is necessary. It s depends on, among other factors, of the biological agents exposure limits fixing. Despite this topic relevance, in many countries, the biological exposure limits still don t exist or were inadequately defined. What can compromise the environmental quality. The hospital environments just as the necropsies rooms can have indoor air contamination problems caused by microbiological agents and needs to have continuous monitoring to avoid the occurrence of diseases in the workers and in the overall population. This study realized a microbiological indoor air assessment at surgical rooms of three public hospitals and autopsies rooms of two IML s located in the city of Rio de Janeiro. The study was descriptive and exploratory based on bibliographic review and camping research though study cases. Data were obtained from interviews with the health worker s and cleaning team and direct observation at the selected workplaces. The fungal and bacteria variation in surgical room and autopsy room were respectively of 14,99 88,29 ufc/m3 and 45,93 ufc/m3 742,09 ufc/m3. Were detected in the surgical rooms and necropsy rooms the fungal genera: Aspergillus sp., Neurospora sp., Penicillium sp., Fusarium sp., Cladosporium sp., Curvularia sp., e Trichoderma sp. and bacterial genera: Staphilococcus sp., Streptococcus sp. and Micrococcus sp. Were traced recommendations to improve environment and air quality. The results indicate that the limits can be considered exceed when compared with those proposed by the international organisms. Were identified some values lower than 50 ufc/m3 proposed by the CP n. 109 ANVISA. The presence of pathogenic microorganisms suggest the need of environmental control measures. That indicate the values actually used as reference in Brazil must been revised considering the environments specificities and the urge to create a specific legislation for hospital environments that guarantee security conditions and do not comes to compromise the health and well being of the patients and health professionals involved