Environmental contamination of pediatric ICU: risk factor for opportunistic infection occur?

Detalhes bibliográficos
Autor(a) principal: Brixner, Betina
Data de Publicação: 2016
Outros Autores: Renner, Jane Dagmar Pollo, Krummenauer, Eliane Carlosso
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista de Epidemiologia e Controle de Infecção
Texto Completo: https://online.unisc.br/seer/index.php/epidemiologia/article/view/6819
Resumo: Background and Objectives:Nosocomial infections in pediatrics have shown high levels due to the susceptibility of newborns in acquiring diseases and the emergence of resistant bacteria.These factors, added to the risk of contamination of the hospital environment by epidemiological importance of microorganisms can cause a cross-contamination process.The objective of this study was to evaluate the environmental contamination of the Intensive Care Unit of a Pediatric Hospital in Rio Grande do Sul - Brazil.Methods:Cross-sectional study conducted during the month of March 2011. The researchers used 20sterile swabs, moistened in sterile saline solution, robbed on the surfaces of stethoscopes, monitors, respirators, incubators, tables and supporting electrical outlet. For identification of microorganisms biochemical tests were used. The antimicrobial susceptibility test was performed using Etest method for vancomycin and Kirby Bauer to other antibiotics.Results: Was identified 27 microorganisms: Staphylococcus aureus (51.9%), Streptococcus spp. (18.5%), Staphylococcus spp. (14.8%), Escherichia coli (3.7%), Klebsiellaoxytoca (3.7%), Acinetobacter lwoffii (3.7%) and Enterococcus spp. (3.7%). Of these, 78.6% of isolates of S. aureus were resistant to oxacillin and 100% of Staphylococcus spp. were resistant to this antibiotic. Multidrug resistance was found to isolate A. lowffii.Conclusion:The microorganisms isolated in this study present risks for the patient's health as the health care provider. Interventions for prevention and hygiene are needed, aimed at re-education of the professional team. Only through awareness of all professionals to be able to reduce the spread of microorganisms through cross-contamination. KEYWORDS:Cross Infection. Intensive Care Units.Contamination.Equipment Contamination.Drug Resistance, Microbial.
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spelling Environmental contamination of pediatric ICU: risk factor for opportunistic infection occur?Contaminação Ambiental da UTI Pediátrica: Fator de Risco para a ocorrência de infecções oportunistas?Background and Objectives:Nosocomial infections in pediatrics have shown high levels due to the susceptibility of newborns in acquiring diseases and the emergence of resistant bacteria.These factors, added to the risk of contamination of the hospital environment by epidemiological importance of microorganisms can cause a cross-contamination process.The objective of this study was to evaluate the environmental contamination of the Intensive Care Unit of a Pediatric Hospital in Rio Grande do Sul - Brazil.Methods:Cross-sectional study conducted during the month of March 2011. The researchers used 20sterile swabs, moistened in sterile saline solution, robbed on the surfaces of stethoscopes, monitors, respirators, incubators, tables and supporting electrical outlet. For identification of microorganisms biochemical tests were used. The antimicrobial susceptibility test was performed using Etest method for vancomycin and Kirby Bauer to other antibiotics.Results: Was identified 27 microorganisms: Staphylococcus aureus (51.9%), Streptococcus spp. (18.5%), Staphylococcus spp. (14.8%), Escherichia coli (3.7%), Klebsiellaoxytoca (3.7%), Acinetobacter lwoffii (3.7%) and Enterococcus spp. (3.7%). Of these, 78.6% of isolates of S. aureus were resistant to oxacillin and 100% of Staphylococcus spp. were resistant to this antibiotic. Multidrug resistance was found to isolate A. lowffii.Conclusion:The microorganisms isolated in this study present risks for the patient's health as the health care provider. Interventions for prevention and hygiene are needed, aimed at re-education of the professional team. Only through awareness of all professionals to be able to reduce the spread of microorganisms through cross-contamination. KEYWORDS:Cross Infection. Intensive Care Units.Contamination.Equipment Contamination.Drug Resistance, Microbial.Justificativa e Objetivos:As infecções hospitalares em pediatria vêm apresentando índices elevados, devido à susceptibilidade dos recém nascidos em adquirir doenças e ao aparecimento de bactérias resistentes. Estes fatores, somados ao risco da contaminação do ambiente hospitalar por microrganismos de importância epidemiológica, podem ocasionar um processo de contaminação cruzada.O objetivo deste trabalho foi avaliar a contaminação ambiental da Unidade de Terapia Intensiva Pediátrica de um Hospital no Rio Grande do Sul - Brasil. Métodos: Estudo transversal, realizado durante o mês de março de 2011. Foram utilizados 20 swabs estéreis umedecidos com solução fisiológica,friccionados nas superfícies de estetoscópios, monitores, respiradores, incubadoras, mesas e suporte de tomada elétrica. Para identificação dos microrganismos foram utilizados testes bioquímicos. O teste de susceptibilidade aos antimicrobianos foi realizado utilizando o método de Etest para vancomicina e de Kirby Bauer para os demais antibióticos. Resultados: Foram identificados 27 microrganismos: Staphylococcus aureus (51,9%), Streptococcus spp. (18,5%), Staphylococcus spp. (14,8%), Escherichia coli (3,7%), Klebsiella oxytoca (3,7%), Acinetobacter lwoffii (3,7%) e Enterococcus spp. (3,7%). Destes, 78,6% dos isolados de S. aureus foram resistentes a oxacilina e,100% dos Staphylococcus spp. foram resistentes ao mesmo antibiótico. Foi encontrado multirresistência para o isolado de A. lowffii. Conclusão:Os microrganismos isolados apresentam riscos tanto para saúde do paciente quanto do profissional de saúde. Intervenções de prevenção e higienização são necessárias, visando reeducação da equipe profissional. Somente através da conscientização de todos os profissionais se conseguirá reduzir a disseminação de microrganismos através de contaminação cruzada.Unisc2016-01-04info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/681910.17058/reci.v6i1.6819Revista de Epidemiologia e Controle de Infecção; Vol. 6 No. 1 (2016); 24-28Revista de Epidemiologia e Controle de Infecção; v. 6 n. 1 (2016); 24-282238-3360reponame:Revista de Epidemiologia e Controle de Infecçãoinstname:Universidade de Santa Cruz do Sul (UNISC)instacron:UNISCporhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/6819/5055Copyright (c) 2016 Revista de Epidemiologia e Controle de Infecçãoinfo:eu-repo/semantics/openAccessBrixner, BetinaRenner, Jane Dagmar PolloKrummenauer, Eliane Carlosso2019-01-21T12:54:22Zoai:ojs.online.unisc.br:article/6819Revistahttps://online.unisc.br/seer/index.php/epidemiologia/indexONGhttp://online.unisc.br/seer/index.php/epidemiologia/oai||liapossuelo@unisc.br|| julia.kern@hotmail.com||reci.unisc@gmail.com2238-33602238-3360opendoar:2019-01-21T12:54:22Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC)false
dc.title.none.fl_str_mv Environmental contamination of pediatric ICU: risk factor for opportunistic infection occur?
Contaminação Ambiental da UTI Pediátrica: Fator de Risco para a ocorrência de infecções oportunistas?
title Environmental contamination of pediatric ICU: risk factor for opportunistic infection occur?
spellingShingle Environmental contamination of pediatric ICU: risk factor for opportunistic infection occur?
Brixner, Betina
title_short Environmental contamination of pediatric ICU: risk factor for opportunistic infection occur?
title_full Environmental contamination of pediatric ICU: risk factor for opportunistic infection occur?
title_fullStr Environmental contamination of pediatric ICU: risk factor for opportunistic infection occur?
title_full_unstemmed Environmental contamination of pediatric ICU: risk factor for opportunistic infection occur?
title_sort Environmental contamination of pediatric ICU: risk factor for opportunistic infection occur?
author Brixner, Betina
author_facet Brixner, Betina
Renner, Jane Dagmar Pollo
Krummenauer, Eliane Carlosso
author_role author
author2 Renner, Jane Dagmar Pollo
Krummenauer, Eliane Carlosso
author2_role author
author
dc.contributor.author.fl_str_mv Brixner, Betina
Renner, Jane Dagmar Pollo
Krummenauer, Eliane Carlosso
description Background and Objectives:Nosocomial infections in pediatrics have shown high levels due to the susceptibility of newborns in acquiring diseases and the emergence of resistant bacteria.These factors, added to the risk of contamination of the hospital environment by epidemiological importance of microorganisms can cause a cross-contamination process.The objective of this study was to evaluate the environmental contamination of the Intensive Care Unit of a Pediatric Hospital in Rio Grande do Sul - Brazil.Methods:Cross-sectional study conducted during the month of March 2011. The researchers used 20sterile swabs, moistened in sterile saline solution, robbed on the surfaces of stethoscopes, monitors, respirators, incubators, tables and supporting electrical outlet. For identification of microorganisms biochemical tests were used. The antimicrobial susceptibility test was performed using Etest method for vancomycin and Kirby Bauer to other antibiotics.Results: Was identified 27 microorganisms: Staphylococcus aureus (51.9%), Streptococcus spp. (18.5%), Staphylococcus spp. (14.8%), Escherichia coli (3.7%), Klebsiellaoxytoca (3.7%), Acinetobacter lwoffii (3.7%) and Enterococcus spp. (3.7%). Of these, 78.6% of isolates of S. aureus were resistant to oxacillin and 100% of Staphylococcus spp. were resistant to this antibiotic. Multidrug resistance was found to isolate A. lowffii.Conclusion:The microorganisms isolated in this study present risks for the patient's health as the health care provider. Interventions for prevention and hygiene are needed, aimed at re-education of the professional team. Only through awareness of all professionals to be able to reduce the spread of microorganisms through cross-contamination. KEYWORDS:Cross Infection. Intensive Care Units.Contamination.Equipment Contamination.Drug Resistance, Microbial.
publishDate 2016
dc.date.none.fl_str_mv 2016-01-04
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dc.identifier.uri.fl_str_mv https://online.unisc.br/seer/index.php/epidemiologia/article/view/6819
10.17058/reci.v6i1.6819
url https://online.unisc.br/seer/index.php/epidemiologia/article/view/6819
identifier_str_mv 10.17058/reci.v6i1.6819
dc.language.iso.fl_str_mv por
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dc.relation.none.fl_str_mv https://online.unisc.br/seer/index.php/epidemiologia/article/view/6819/5055
dc.rights.driver.fl_str_mv Copyright (c) 2016 Revista de Epidemiologia e Controle de Infecção
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2016 Revista de Epidemiologia e Controle de Infecção
eu_rights_str_mv openAccess
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dc.publisher.none.fl_str_mv Unisc
publisher.none.fl_str_mv Unisc
dc.source.none.fl_str_mv Revista de Epidemiologia e Controle de Infecção; Vol. 6 No. 1 (2016); 24-28
Revista de Epidemiologia e Controle de Infecção; v. 6 n. 1 (2016); 24-28
2238-3360
reponame:Revista de Epidemiologia e Controle de Infecção
instname:Universidade de Santa Cruz do Sul (UNISC)
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reponame_str Revista de Epidemiologia e Controle de Infecção
collection Revista de Epidemiologia e Controle de Infecção
repository.name.fl_str_mv Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC)
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