Perfil microbiológico da cavidade nasal de trabalhadores dos setores de emergência e atendimento móvel de urgência do município de Jataí-GO
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tede/3545 |
Resumo: | Introduction: Interest in the subject worker safety emergency room (IF) and Mobile Emergency Service (SAMU), focused on the eventual colonization and infection related to health care (IRAs), came to fruition during the academic. Acting as nurse of those services, I had the opportunity to observe workers acting in an unsafe manner during work activities, contributing to occupational exposure to biological agents. These observations, coupled with experience in this area, led the study. Despite this problem to be elucidated in the hospital, the same does not occur in the services of SE / SAMU, pay special attention to the safety of workers reason that sparked interest in the subject. This concern is due, among others, to alert the World Health Organization, with the launch of the World Alliance for Patient Safety and greatly not forget the workers. This assumption, some concerns emerged regarding the colonization of workers SE / SAMU, to unveil indicators within the colonization of these micro-organisms resistant to antibiotics which could compromise patient safety and worker himself. Workers SE / SAMU / SMS / Jatai-Goiás are carriers of micro-organisms resistant to antimicrobials in the nasal cavity? Faced with this question outlined the following Objectives: to analyze the microbiological profile of the nasal cavity sector workers and emergency mobile service emergency department Jataí - Goiás; isolate multiresistant micro-organisms in the nasal cavity of these workers; determine the profile Antimicrobial susceptibility of the isolates; estimate the prevalence of workers colonized with resistant microorganisms; verify the compliance of workers with hand hygiene during labor; raise the predictors related to colonization of these workers by resistant microorganisms; draft a care about the safety of the worker of Emergency Services and the Mobile Emergency Care Health System in Goiás, aiming at the prevention of occupational hazards in the workplace. Methods: Cross-sectional study of epidemiological, developed in the emergency services and Mobile Emergency Care Service Jataí-Goiás. We applied an interview form to collect demographic data, knowledge and attitude of the worker in relation to aspects of colonization by multiresistant microorganisms. Then, we collected a sample specimen of the nasal cavity through swab of 51 employees, including 12 doctors, 08 nurses, 01 pharmacists / biochemists, 20 nursing staff, 01 technical radiologist, 01 biomedical, 01 biotechnologist, 01 social workers and 06 firefighters / drivers / paramedics. The tubes of BHI broth containing the swabs were incubated at 35 ° C for 18/24 hours and then the samples were plated on selective culture media and processed by automation. The colonies that developed in any of the culture media were previously identified by their macroscopic characteristics and morphological / staining and subjected to screening for the selection of the identification evidence. Results: It was found that 38 (55.9%) of workers were carriers of S. epidermidis, followed by S. aureus, S. hyicus and Proteus mirabilis, 14 (20.6%) 2 (3.0%) and 3 (4.4%) respectively. As for the resistance profile of 38 isolates, 89.4% of S. epidermidis showed ampicillin resistance, 76.3% clindamycin, erythromycin 86.8%, 86.8% and 2.6% penicillin vancomycin. Proteus Mirabilis had resistance profile of 100% to sulfametazol / trimethoprim, tetracycline 66.6% and 33.3% to ampicillin, piperacillin and gentamicin. Conclusion: The colonization by resistant antimicrobial agents in the nasal cavity of 51 (100%) workers is reality. These results indicate challenges for municipal management, to point out flaws and loopholes in the context of patient safety and worker inherent in the working environment. Therefore, the evidence presented by this research will impact the operation of a project host aimed at quality of life and safety of the worker within the service and emergency. |
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Palos, Marinésia Aparecida Pradohttp://lattes.cnpq.br/1151975582155991Palos, Marinésia Aparecida PradoBarreto, Regiane Aparecida Soares dos SantosBezerra, Ana Lúcia QueirozTipple, Anaclara Ferreira VeigaSousa, Adenícia Custódia Silva ehttp://lattes.cnpq.br/5492608330851198Paula, Cacia Regia de2014-11-06T10:45:49Z2013-02-28PAULA, Cacia Regia de. Perfil microbiológico da cavidade nasal de trabalhadores dos setores de emergência e atendimento móvel de urgência do município de Jataí-GO. 2013. 67 f. Dissertação (Mestrado em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2013.http://repositorio.bc.ufg.br/tede/handle/tede/3545ark:/38995/0013000009sg5Introduction: Interest in the subject worker safety emergency room (IF) and Mobile Emergency Service (SAMU), focused on the eventual colonization and infection related to health care (IRAs), came to fruition during the academic. Acting as nurse of those services, I had the opportunity to observe workers acting in an unsafe manner during work activities, contributing to occupational exposure to biological agents. These observations, coupled with experience in this area, led the study. Despite this problem to be elucidated in the hospital, the same does not occur in the services of SE / SAMU, pay special attention to the safety of workers reason that sparked interest in the subject. This concern is due, among others, to alert the World Health Organization, with the launch of the World Alliance for Patient Safety and greatly not forget the workers. This assumption, some concerns emerged regarding the colonization of workers SE / SAMU, to unveil indicators within the colonization of these micro-organisms resistant to antibiotics which could compromise patient safety and worker himself. Workers SE / SAMU / SMS / Jatai-Goiás are carriers of micro-organisms resistant to antimicrobials in the nasal cavity? Faced with this question outlined the following Objectives: to analyze the microbiological profile of the nasal cavity sector workers and emergency mobile service emergency department Jataí - Goiás; isolate multiresistant micro-organisms in the nasal cavity of these workers; determine the profile Antimicrobial susceptibility of the isolates; estimate the prevalence of workers colonized with resistant microorganisms; verify the compliance of workers with hand hygiene during labor; raise the predictors related to colonization of these workers by resistant microorganisms; draft a care about the safety of the worker of Emergency Services and the Mobile Emergency Care Health System in Goiás, aiming at the prevention of occupational hazards in the workplace. Methods: Cross-sectional study of epidemiological, developed in the emergency services and Mobile Emergency Care Service Jataí-Goiás. We applied an interview form to collect demographic data, knowledge and attitude of the worker in relation to aspects of colonization by multiresistant microorganisms. Then, we collected a sample specimen of the nasal cavity through swab of 51 employees, including 12 doctors, 08 nurses, 01 pharmacists / biochemists, 20 nursing staff, 01 technical radiologist, 01 biomedical, 01 biotechnologist, 01 social workers and 06 firefighters / drivers / paramedics. The tubes of BHI broth containing the swabs were incubated at 35 ° C for 18/24 hours and then the samples were plated on selective culture media and processed by automation. The colonies that developed in any of the culture media were previously identified by their macroscopic characteristics and morphological / staining and subjected to screening for the selection of the identification evidence. Results: It was found that 38 (55.9%) of workers were carriers of S. epidermidis, followed by S. aureus, S. hyicus and Proteus mirabilis, 14 (20.6%) 2 (3.0%) and 3 (4.4%) respectively. As for the resistance profile of 38 isolates, 89.4% of S. epidermidis showed ampicillin resistance, 76.3% clindamycin, erythromycin 86.8%, 86.8% and 2.6% penicillin vancomycin. Proteus Mirabilis had resistance profile of 100% to sulfametazol / trimethoprim, tetracycline 66.6% and 33.3% to ampicillin, piperacillin and gentamicin. Conclusion: The colonization by resistant antimicrobial agents in the nasal cavity of 51 (100%) workers is reality. These results indicate challenges for municipal management, to point out flaws and loopholes in the context of patient safety and worker inherent in the working environment. Therefore, the evidence presented by this research will impact the operation of a project host aimed at quality of life and safety of the worker within the service and emergency.Introdução: O interesse pelo tema segurança do trabalhador do setor de emergência (SE) e Atendimento Móvel de Urgência (SAMU), focado na colonização e eventual infecção relacionada à assistência em saúde (IrAS), aflorou durante a formação acadêmica. Atuando como enfermeira desses serviços, tive a oportunidade de observar trabalhadores atuando de forma insegura durante as atividades laborais, contribuindo para a exposição ocupacional por agentes biológicos. Tais observações, associadas à vivência nessa área, motivaram a realização do estudo. Apesar dessa problemática estar elucidada em nível hospitalar, o mesmo não ocorre nos serviços de SE/SAMU, em especial atenção à segurança dos trabalhadores, motivo que despertou o interesse pela temática. Tal preocupação se deve, entre outros, ao alerta da Organização Mundial da Saúde, com o lançamento da Aliança Mundial para a segurança do paciente e de sobremaneira não esquecer os trabalhadores. Desse pressuposto, emergiram algumas inquietações relativas à colonização dos trabalhadores do SE/SAMU, no sentido de desvelar indicadores no âmbito da colonização destes a micro-organismos resistentes aos antimicrobianos os quais poderiam comprometer a segurança do paciente e do próprio trabalhador. Os trabalhadores do SE/SAMU/SMS/Jatai-Goiás são portadores de micro-organismos resistentes aos antimicrobianos na cavidade nasal? Perante essa indagação delinearam-se os seguintes Objetivos: analisar o perfil microbiológico da cavidade nasal de trabalhadores do setor de emergência e atendimento móvel de urgência do município de Jataí – Goiás; isolar micro-organismos multirresistentes da cavidade nasal desses trabalhadores; determinar o perfil de suscetibilidade dos isolados aos antimicrobianos; estimar a prevalência de trabalhadores colonizados por micro-organismos resistentes; verificar a adesão dos trabalhadores à higienização das mãos durante o período laboral; levantar os preditores relacionados à colonização desses trabalhadores por micro-organismos resistentes; elaborar um projeto de acolhimento sobre a segurança do trabalhador dos Serviços de emergência e Atendimento Móvel de Urgência do Sistema Único de Saúde do interior de Goiás, visando à prevenção dos riscos ocupacionais no ambiente laboral. Material e Método: Estudo transversal de natureza epidemiológica, desenvolvido nos serviços de emergência e Atendimento Serviço Móvel de Urgência de Jataí-Goiás. Aplicou-se um formulário de entrevista para a coleta dos dados demográficos, conhecimento e atitude do trabalhador em relação aos aspectos da colonização por micro-organismos multirresistentes. Em seguida, coletou-se uma amostra de espécime da cavidade nasal, por meio de swab de 51 trabalhadores, sendo 12 médicos, 08 enfermeiros, 01 farmacêutico/bioquímico, 20 técnicos de enfermagem, 01 técnico em radiologista, 01 biomédico, 01 biotecnológo, 01 assistente social e 06 bombeiros/condutores/socorristas. Os tubos de caldo BHI contendo os swabs foram incubados a 35ºC por 18/24 horas e, em seguida, as amostras foram semeadas em meios de cultura seletivos e processados por automação. As colônias que se desenvolveram em qualquer um dos meios de cultura foram, previamente identificadas segundo as suas características macroscópicas e morfológicas/ tintoriais e submetidas à triagem para a seleção das provas de identificação. Resultados: Identificou-se que 38 (55,9%) dos trabalhadores eram portadores de S. epidermidis, seguido por S. aureus, S. hyicus e Proteus Mirabilis, com 14 (20,6%), 2 ( 3,0%) e 3 (4,4%) respectivamente. Quanto ao perfil de resistência de 38 isolados, 89,4% dos S. epidermidis demonstraram resistência à ampicilina, 76,3% à clindamicina, 86,8% à eritromicina, 86,8% à penicilina e 2,6% à vancomicina. O Proteus Mirabilis teve perfil de resistência de 100% ao sulfametazol/trimetropina, 66,6% a tetraciclina e 33,3% a ampicilina, piperaciclina e gentamicina. Conclusão: A colonização por agentes resistentes aos antimicrobianos na cavidade nasal dos 51 (100%) trabalhadores é realidade. Esses resultados sinalizam desafios para a gestão municipal, ao apontar falhas e lacunas no âmbito da segurança do paciente e do trabalhador inerentes ao ambiente laboral. Logo, as evidências apontadas por essa pesquisa impactarão na operacionalização de um projeto de acolhimento, visando à qualidade de vida e segurança do trabalhador no âmbito do serviço de urgência e emergência.Submitted by Cássia Santos (cassia.bcufg@gmail.com) on 2014-11-05T11:56:37Z No. of bitstreams: 2 Dissertacao Cacia Regia de Paula - 2013.pdf: 1265896 bytes, checksum: 08caf2c5f13a3184c14cad740a239082 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2014-11-06T10:45:49Z (GMT) No. of bitstreams: 2 Dissertacao Cacia Regia de Paula - 2013.pdf: 1265896 bytes, checksum: 08caf2c5f13a3184c14cad740a239082 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)Made available in DSpace on 2014-11-06T10:45:49Z (GMT). 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dc.title.por.fl_str_mv |
Perfil microbiológico da cavidade nasal de trabalhadores dos setores de emergência e atendimento móvel de urgência do município de Jataí-GO |
dc.title.alternative.por.fl_str_mv |
Microbiological profile of nasal cavity workers emergency |
title |
Perfil microbiológico da cavidade nasal de trabalhadores dos setores de emergência e atendimento móvel de urgência do município de Jataí-GO |
spellingShingle |
Perfil microbiológico da cavidade nasal de trabalhadores dos setores de emergência e atendimento móvel de urgência do município de Jataí-GO Paula, Cacia Regia de Infecção hospitalar Resistência microbiana a medicamentos Segurança do paciente Cross infection Drug resistance microbial Patient safety CIENCIAS DA SAUDE::SAUDE COLETIVA |
title_short |
Perfil microbiológico da cavidade nasal de trabalhadores dos setores de emergência e atendimento móvel de urgência do município de Jataí-GO |
title_full |
Perfil microbiológico da cavidade nasal de trabalhadores dos setores de emergência e atendimento móvel de urgência do município de Jataí-GO |
title_fullStr |
Perfil microbiológico da cavidade nasal de trabalhadores dos setores de emergência e atendimento móvel de urgência do município de Jataí-GO |
title_full_unstemmed |
Perfil microbiológico da cavidade nasal de trabalhadores dos setores de emergência e atendimento móvel de urgência do município de Jataí-GO |
title_sort |
Perfil microbiológico da cavidade nasal de trabalhadores dos setores de emergência e atendimento móvel de urgência do município de Jataí-GO |
author |
Paula, Cacia Regia de |
author_facet |
Paula, Cacia Regia de |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Palos, Marinésia Aparecida Prado |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/1151975582155991 |
dc.contributor.referee1.fl_str_mv |
Palos, Marinésia Aparecida Prado |
dc.contributor.referee2.fl_str_mv |
Barreto, Regiane Aparecida Soares dos Santos |
dc.contributor.referee3.fl_str_mv |
Bezerra, Ana Lúcia Queiroz |
dc.contributor.referee4.fl_str_mv |
Tipple, Anaclara Ferreira Veiga |
dc.contributor.referee5.fl_str_mv |
Sousa, Adenícia Custódia Silva e |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/5492608330851198 |
dc.contributor.author.fl_str_mv |
Paula, Cacia Regia de |
contributor_str_mv |
Palos, Marinésia Aparecida Prado Palos, Marinésia Aparecida Prado Barreto, Regiane Aparecida Soares dos Santos Bezerra, Ana Lúcia Queiroz Tipple, Anaclara Ferreira Veiga Sousa, Adenícia Custódia Silva e |
dc.subject.por.fl_str_mv |
Infecção hospitalar Resistência microbiana a medicamentos Segurança do paciente |
topic |
Infecção hospitalar Resistência microbiana a medicamentos Segurança do paciente Cross infection Drug resistance microbial Patient safety CIENCIAS DA SAUDE::SAUDE COLETIVA |
dc.subject.eng.fl_str_mv |
Cross infection Drug resistance microbial Patient safety |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::SAUDE COLETIVA |
description |
Introduction: Interest in the subject worker safety emergency room (IF) and Mobile Emergency Service (SAMU), focused on the eventual colonization and infection related to health care (IRAs), came to fruition during the academic. Acting as nurse of those services, I had the opportunity to observe workers acting in an unsafe manner during work activities, contributing to occupational exposure to biological agents. These observations, coupled with experience in this area, led the study. Despite this problem to be elucidated in the hospital, the same does not occur in the services of SE / SAMU, pay special attention to the safety of workers reason that sparked interest in the subject. This concern is due, among others, to alert the World Health Organization, with the launch of the World Alliance for Patient Safety and greatly not forget the workers. This assumption, some concerns emerged regarding the colonization of workers SE / SAMU, to unveil indicators within the colonization of these micro-organisms resistant to antibiotics which could compromise patient safety and worker himself. Workers SE / SAMU / SMS / Jatai-Goiás are carriers of micro-organisms resistant to antimicrobials in the nasal cavity? Faced with this question outlined the following Objectives: to analyze the microbiological profile of the nasal cavity sector workers and emergency mobile service emergency department Jataí - Goiás; isolate multiresistant micro-organisms in the nasal cavity of these workers; determine the profile Antimicrobial susceptibility of the isolates; estimate the prevalence of workers colonized with resistant microorganisms; verify the compliance of workers with hand hygiene during labor; raise the predictors related to colonization of these workers by resistant microorganisms; draft a care about the safety of the worker of Emergency Services and the Mobile Emergency Care Health System in Goiás, aiming at the prevention of occupational hazards in the workplace. Methods: Cross-sectional study of epidemiological, developed in the emergency services and Mobile Emergency Care Service Jataí-Goiás. We applied an interview form to collect demographic data, knowledge and attitude of the worker in relation to aspects of colonization by multiresistant microorganisms. Then, we collected a sample specimen of the nasal cavity through swab of 51 employees, including 12 doctors, 08 nurses, 01 pharmacists / biochemists, 20 nursing staff, 01 technical radiologist, 01 biomedical, 01 biotechnologist, 01 social workers and 06 firefighters / drivers / paramedics. The tubes of BHI broth containing the swabs were incubated at 35 ° C for 18/24 hours and then the samples were plated on selective culture media and processed by automation. The colonies that developed in any of the culture media were previously identified by their macroscopic characteristics and morphological / staining and subjected to screening for the selection of the identification evidence. Results: It was found that 38 (55.9%) of workers were carriers of S. epidermidis, followed by S. aureus, S. hyicus and Proteus mirabilis, 14 (20.6%) 2 (3.0%) and 3 (4.4%) respectively. As for the resistance profile of 38 isolates, 89.4% of S. epidermidis showed ampicillin resistance, 76.3% clindamycin, erythromycin 86.8%, 86.8% and 2.6% penicillin vancomycin. Proteus Mirabilis had resistance profile of 100% to sulfametazol / trimethoprim, tetracycline 66.6% and 33.3% to ampicillin, piperacillin and gentamicin. Conclusion: The colonization by resistant antimicrobial agents in the nasal cavity of 51 (100%) workers is reality. These results indicate challenges for municipal management, to point out flaws and loopholes in the context of patient safety and worker inherent in the working environment. Therefore, the evidence presented by this research will impact the operation of a project host aimed at quality of life and safety of the worker within the service and emergency. |
publishDate |
2013 |
dc.date.issued.fl_str_mv |
2013-02-28 |
dc.date.accessioned.fl_str_mv |
2014-11-06T10:45:49Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
PAULA, Cacia Regia de. Perfil microbiológico da cavidade nasal de trabalhadores dos setores de emergência e atendimento móvel de urgência do município de Jataí-GO. 2013. 67 f. Dissertação (Mestrado em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2013. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/3545 |
dc.identifier.dark.fl_str_mv |
ark:/38995/0013000009sg5 |
identifier_str_mv |
PAULA, Cacia Regia de. Perfil microbiológico da cavidade nasal de trabalhadores dos setores de emergência e atendimento móvel de urgência do município de Jataí-GO. 2013. 67 f. Dissertação (Mestrado em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2013. ark:/38995/0013000009sg5 |
url |
http://repositorio.bc.ufg.br/tede/handle/tede/3545 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.program.fl_str_mv |
-5225680170177467598 |
dc.relation.confidence.fl_str_mv |
600 600 600 |
dc.relation.department.fl_str_mv |
-264539188392646063 |
dc.relation.cnpq.fl_str_mv |
-6173167103754495199 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.publisher.program.fl_str_mv |
Programa de Pós-graduação em Saúde Coletiva (PRPG) |
dc.publisher.initials.fl_str_mv |
UFG |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Pró-Reitoria de Pós-graduação (PRPG) |
publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFG instname:Universidade Federal de Goiás (UFG) instacron:UFG |
instname_str |
Universidade Federal de Goiás (UFG) |
instacron_str |
UFG |
institution |
UFG |
reponame_str |
Repositório Institucional da UFG |
collection |
Repositório Institucional da UFG |
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tasesdissertacoes.bc@ufg.br |
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1811721473545469952 |