Multidrug-resistant microorganisms in Intensive Care Units hands of health care workers

• Autor(a) principal: Soares, Marina Aparecida
• Data de Publicação: 2019
• Outros Autores: Rodrigues, Nayara de Moura, Menezes, Marcela Ramos de Oliveira, Gerace, Daniela Neves, Duarte, Cristiana Martins, Brandão, Priscila Martins, Borges, Lizandra Ferreira de Almeida
• 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/12674
• topic: Infecção hospitalar. Higiene das mãos. Resistência microbiana a antibióticos.; Cross infection. Hand hygiene. Antimicrobial drug resistance.; Infección hospitalaria. Higiene de las manos. Resistencia microbiana a antibióticos.

Background and Objectives: The relation of multidrug-resistant organisms with nosocomial infections leave few expectations for the future, so this study aimed to identify the microorganisms present in the hands of professionals in intensive care units (ICU) and their role in hospital infections. Methods: Samples from the hands of adult and neonatal ICUs health professionals were collected using the method of sterile polyethylene bag followed by microbiological analyses. Results: A total of 51 samples were collected, 26 of the adult ICU and 25 of the neonatal ICU, of which 56.8% were nursing staff. Isolation of bacteria was carried out, in which approximately 60% of the volunteers presented contamination of the hands by microorganisms of the transient microbiota, and most of them resistant to β-lactams, including ESBL (54.5%), mainly Enterobacter spp., Klebsiella pneumoniae and Pseudomonas aeruginosa. Conclusion: These results demonstrate that microorganisms associated with nosocomial infections are present in the hands of health care professionals, and that hence, the hands hygiene is being deficient or neglected. To the reduction of nosocomial infection rates are needed several factors such as continuing education, monitoring of adherence to the practice of hand hygiene, maintenance, equipment installation and rational use of antibiotics.