Assessment of healthcare-associated infection control programs: a critical perspective of ANVISA's RDC Nº 48/2000
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2023 |
| Outros Autores: | , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | por eng |
| Título da fonte: | Revista Eletrônica de Enfermagem |
| Texto Completo: | https://revistas.ufg.br/fen/article/view/74024 |
Resumo: | Objective: to critically evaluate Healthcare-Associated Infection Control Programs (HAICP) in medium to extra-large hospitals, as to compliance with national health criteria. Methods: cross-sectional study conducted in 18 hospitals with Healthcare-Associated Infection Control Committees (HAICC) in the states of Goiás and São Paulo, Brazil. Data were collected using online form based on the evaluation items from Directors' Collegiate Resolution (RDC) Nº 48/2000 – ANVISA. For statistical analysis, frequency, and distribution of variables (mean; standard deviation - SD) were examined. Results: HAICC met 100% of the indispensable items, 93.0% (SD = 5.8) of the required, and 64.8% (SD = 32.5) of the recommended. Healthcare-Associated Infection Control Services complied with 90.2% (SD = 16.1) of the necessary items, and 77.8% (SD = 19.2) of those recommended. Conclusion: indispensable items were met, but the necessary and recommended ones present different degrees of noncompliance, which may compromise the prevention and control of healthcare-associated infections. The application of a script based on the RDC Nº 48/2000 contributes to identify the reality of the hospitals' HAICP, however, this normative does not establish a minimum percentage of compliance, making it difficult to interpret the results. It is necessary to update it in order to provide tools to surveillance agencies. |
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Assessment of healthcare-associated infection control programs: a critical perspective of ANVISA's RDC Nº 48/2000Evaluación de los programas de control de las infecciones asociadas a la atención de salud: perspectiva crítica del RDC Nº 48/2000 de la ANVISAAvaliação de programas de controle de infecções relacionadas à assistência à saúde: perspectiva crítica da RDC N°48/2000 da ANVISAHospital Infection Control ProgramCross InfectionEpidemiological MonitoringQuality of Health CarePrograma de Control de Infecciones HospitalariasInfección HospitalariaMonitoreo EpidemiológicoCalidad de la Atención de SaludPrograma de Controle de Infecção HospitalarInfecção HospitalarMonitoramento EpidemiológicoQualidade da Assistência à SaúdeObjective: to critically evaluate Healthcare-Associated Infection Control Programs (HAICP) in medium to extra-large hospitals, as to compliance with national health criteria. Methods: cross-sectional study conducted in 18 hospitals with Healthcare-Associated Infection Control Committees (HAICC) in the states of Goiás and São Paulo, Brazil. Data were collected using online form based on the evaluation items from Directors' Collegiate Resolution (RDC) Nº 48/2000 – ANVISA. For statistical analysis, frequency, and distribution of variables (mean; standard deviation - SD) were examined. Results: HAICC met 100% of the indispensable items, 93.0% (SD = 5.8) of the required, and 64.8% (SD = 32.5) of the recommended. Healthcare-Associated Infection Control Services complied with 90.2% (SD = 16.1) of the necessary items, and 77.8% (SD = 19.2) of those recommended. Conclusion: indispensable items were met, but the necessary and recommended ones present different degrees of noncompliance, which may compromise the prevention and control of healthcare-associated infections. The application of a script based on the RDC Nº 48/2000 contributes to identify the reality of the hospitals' HAICP, however, this normative does not establish a minimum percentage of compliance, making it difficult to interpret the results. It is necessary to update it in order to provide tools to surveillance agencies.desarrollado con base en los ítems de evaluación recomendados por la Resolución Directiva Colegiada (RDC) Nº 48/2000 de la ANVISA. Para el análisis estadístico, se utilizó el examen de la frecuencia y distribución de las variables (media y desvío estándar - DE). Resultados: las CCIAAS cumplieron en promedio el 100% de los ítems indispensables, el 93,0% (DE = 5,8) de los necesarios y el 64,8% (DE = 32,5) de los recomendados. Los Servicios de Control de las Infecciones Asociadas a la Atención de Salud cumplieron en promedio el 90,2% (DE = 16,1) de los ítems necesarios y el 77,8% (DE = 19,2) de los recomendados. Conclusión: se cumplieron los ítems imprescindibles, pero los necesarios y los recomendados presentan diferentes grados de disconformidad, que pueden comprometer la prevención y el control de las infecciones asociadas a la atención de salud. La aplicación de la rutina basada en la RDC Nº 48/2000 contribuyó a conocer la realidad de los PCIRAA en los hospitales, pero esta normativa no establece un porcentaje mínimo de conformidad, lo que dificulta la interpretación de los resultados. Se hace necesario actualizarla para dotar de herramientas a los organismos supervisores.Objetivo: avaliar criticamente Programas de Controle de Infecções Relacionadas à Assistência à Saúde (PCIRAS) em hospitais de médio-extra portes, quanto ao cumprimento dos critérios sanitários nacionais. Métodos: estudo transversal realizado em 18 hospitais com Comissões de Controle de Infecções Relacionadas à Assistência à Saúde (CCIRAS) dos estados de Goiás e São Paulo, Brasil. Para coleta de dados aplicou-se formulário online fundamentado nos itens de avaliação preconizados pela Resolução de Diretoria Colegiada (RDC) Nº 48/2000 - ANVISA. Para análise estatística utilizou-se exame da frequência e distribuição das variáveis (média e desvio padrão - DP). Resultados: as CCIRAS atenderam 100% dos itens imprescindíveis, 93,0% (DP = 5,8) dos necessários e 64,8% (DP = 32,5) dos recomendados. Os Serviços de Controle de IRAS atenderam 90,2% (DP = 16,1) dos itens necessários, e 77,8% (DP = 19,2) dos recomendáveis. Conclusão: itens imprescindíveis foram cumpridos, porém os necessários e recomendados apresentam diferentes graus de inconformidades, podendo comprometer a prevenção e controle de IRAS. A aplicação de roteiro baseado na RDC N° 48/2000 contribui para conhecer a realidade dos PCIRAS dos hospitais, contudo, essa normativa não estabelece percentual mínimo de conformidade, dificultando a interpretação dos resultados. Há necessidade de atualizá-la para instrumentalizar os órgãos fiscalizadores.Faculdade de Enfermagem da UFG2023-05-24info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://revistas.ufg.br/fen/article/view/7402410.5216/ree.v25.74024Revista Eletrônica de Enfermagem; Vol. 25 (2023); 74024Revista Eletrônica de Enfermagem; v. 25 (2023); 740241518-1944reponame:Revista Eletrônica de Enfermageminstname:Universidade Federal de Goiás (UFG)instacron:UFGporenghttps://revistas.ufg.br/fen/article/view/74024/39814https://revistas.ufg.br/fen/article/view/74024/39815Copyright (c) 2023 Revista Eletrônica de Enfermagemhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessPedroso, Charlise FortunatoGuimarães, Rafael AlvesBatista, Karla de AleluiaHermann, Paula Regina de SouzaAraújo, Lyriane Apolinário deGonçalves, Ingrid Aline de JesusMarinho, Thaís AugustoSouza Júnior, Hélio deCarvalho, Jeane Kelly Silva deOliveira, Geraldo Andrade dePinheiro, Raquel Silva2024-04-02T04:40:46Zoai:ojs.revistas.ufg.br:article/74024Revistahttps://revistas.ufg.br/fenPUBhttps://revistas.ufg.br/fen/oairee.fen@ufg.br1518-19441518-1944opendoar:2024-04-02T04:40:46Revista Eletrônica de Enfermagem - Universidade Federal de Goiás (UFG)false |
| dc.title.none.fl_str_mv |
Assessment of healthcare-associated infection control programs: a critical perspective of ANVISA's RDC Nº 48/2000 Evaluación de los programas de control de las infecciones asociadas a la atención de salud: perspectiva crítica del RDC Nº 48/2000 de la ANVISA Avaliação de programas de controle de infecções relacionadas à assistência à saúde: perspectiva crítica da RDC N°48/2000 da ANVISA |
| title |
Assessment of healthcare-associated infection control programs: a critical perspective of ANVISA's RDC Nº 48/2000 |
| spellingShingle |
Assessment of healthcare-associated infection control programs: a critical perspective of ANVISA's RDC Nº 48/2000 Pedroso, Charlise Fortunato Hospital Infection Control Program Cross Infection Epidemiological Monitoring Quality of Health Care Programa de Control de Infecciones Hospitalarias Infección Hospitalaria Monitoreo Epidemiológico Calidad de la Atención de Salud Programa de Controle de Infecção Hospitalar Infecção Hospitalar Monitoramento Epidemiológico Qualidade da Assistência à Saúde |
| title_short |
Assessment of healthcare-associated infection control programs: a critical perspective of ANVISA's RDC Nº 48/2000 |
| title_full |
Assessment of healthcare-associated infection control programs: a critical perspective of ANVISA's RDC Nº 48/2000 |
| title_fullStr |
Assessment of healthcare-associated infection control programs: a critical perspective of ANVISA's RDC Nº 48/2000 |
| title_full_unstemmed |
Assessment of healthcare-associated infection control programs: a critical perspective of ANVISA's RDC Nº 48/2000 |
| title_sort |
Assessment of healthcare-associated infection control programs: a critical perspective of ANVISA's RDC Nº 48/2000 |
| author |
Pedroso, Charlise Fortunato |
| author_facet |
Pedroso, Charlise Fortunato Guimarães, Rafael Alves Batista, Karla de Aleluia Hermann, Paula Regina de Souza Araújo, Lyriane Apolinário de Gonçalves, Ingrid Aline de Jesus Marinho, Thaís Augusto Souza Júnior, Hélio de Carvalho, Jeane Kelly Silva de Oliveira, Geraldo Andrade de Pinheiro, Raquel Silva |
| author_role |
author |
| author2 |
Guimarães, Rafael Alves Batista, Karla de Aleluia Hermann, Paula Regina de Souza Araújo, Lyriane Apolinário de Gonçalves, Ingrid Aline de Jesus Marinho, Thaís Augusto Souza Júnior, Hélio de Carvalho, Jeane Kelly Silva de Oliveira, Geraldo Andrade de Pinheiro, Raquel Silva |
| author2_role |
author author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Pedroso, Charlise Fortunato Guimarães, Rafael Alves Batista, Karla de Aleluia Hermann, Paula Regina de Souza Araújo, Lyriane Apolinário de Gonçalves, Ingrid Aline de Jesus Marinho, Thaís Augusto Souza Júnior, Hélio de Carvalho, Jeane Kelly Silva de Oliveira, Geraldo Andrade de Pinheiro, Raquel Silva |
| dc.subject.por.fl_str_mv |
Hospital Infection Control Program Cross Infection Epidemiological Monitoring Quality of Health Care Programa de Control de Infecciones Hospitalarias Infección Hospitalaria Monitoreo Epidemiológico Calidad de la Atención de Salud Programa de Controle de Infecção Hospitalar Infecção Hospitalar Monitoramento Epidemiológico Qualidade da Assistência à Saúde |
| topic |
Hospital Infection Control Program Cross Infection Epidemiological Monitoring Quality of Health Care Programa de Control de Infecciones Hospitalarias Infección Hospitalaria Monitoreo Epidemiológico Calidad de la Atención de Salud Programa de Controle de Infecção Hospitalar Infecção Hospitalar Monitoramento Epidemiológico Qualidade da Assistência à Saúde |
| description |
Objective: to critically evaluate Healthcare-Associated Infection Control Programs (HAICP) in medium to extra-large hospitals, as to compliance with national health criteria. Methods: cross-sectional study conducted in 18 hospitals with Healthcare-Associated Infection Control Committees (HAICC) in the states of Goiás and São Paulo, Brazil. Data were collected using online form based on the evaluation items from Directors' Collegiate Resolution (RDC) Nº 48/2000 – ANVISA. For statistical analysis, frequency, and distribution of variables (mean; standard deviation - SD) were examined. Results: HAICC met 100% of the indispensable items, 93.0% (SD = 5.8) of the required, and 64.8% (SD = 32.5) of the recommended. Healthcare-Associated Infection Control Services complied with 90.2% (SD = 16.1) of the necessary items, and 77.8% (SD = 19.2) of those recommended. Conclusion: indispensable items were met, but the necessary and recommended ones present different degrees of noncompliance, which may compromise the prevention and control of healthcare-associated infections. The application of a script based on the RDC Nº 48/2000 contributes to identify the reality of the hospitals' HAICP, however, this normative does not establish a minimum percentage of compliance, making it difficult to interpret the results. It is necessary to update it in order to provide tools to surveillance agencies. |
| publishDate |
2023 |
| dc.date.none.fl_str_mv |
2023-05-24 |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
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https://revistas.ufg.br/fen/article/view/74024 10.5216/ree.v25.74024 |
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https://revistas.ufg.br/fen/article/view/74024 |
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10.5216/ree.v25.74024 |
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por eng |
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por eng |
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https://revistas.ufg.br/fen/article/view/74024/39814 https://revistas.ufg.br/fen/article/view/74024/39815 |
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Copyright (c) 2023 Revista Eletrônica de Enfermagem https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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Copyright (c) 2023 Revista Eletrônica de Enfermagem https://creativecommons.org/licenses/by/4.0 |
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openAccess |
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application/pdf application/pdf |
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Faculdade de Enfermagem da UFG |
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Faculdade de Enfermagem da UFG |
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Revista Eletrônica de Enfermagem; Vol. 25 (2023); 74024 Revista Eletrônica de Enfermagem; v. 25 (2023); 74024 1518-1944 reponame:Revista Eletrônica de Enfermagem instname:Universidade Federal de Goiás (UFG) instacron:UFG |
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Universidade Federal de Goiás (UFG) |
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