Structure for prevention of health care-associated infections in Brazilian hospitals: A countrywide study
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1016/j.ajic.2015.08.004 http://hdl.handle.net/11449/164702 |
Resumo: | Background: Minimal structure is required for effective prevention of health careeassociated infection (HAI). The objective of this study was to evaluate the structure for prevention of HAI in a sample of Brazilian hospitals. Methods: This was a cross-sectional study from hospitals in 5 Brazilian regions (n = 153; total beds: 13,983) classified according to the number of beds; 11 university hospitals were used as reference for comparison. Trained nurses carried out the evaluation by using structured forms previously validated. The evaluation of conformity index (CI) included elements of structure of the Health CareeAssociated Prevention and Control Committee (HAIPCC), hand hygiene, sterilization, and laboratory of microbiology. Results: The median CI for the HAIPCC varied from 0.55-0.94 among hospital categories. Hospitals with > 200 beds had the worst ratio of beds to sinks (3.9; P <. 001). Regarding alcoholic product for handrubbing, the worst ratio of beds to dispensers was found in hospitals with < 50 beds (6.4) compared with reference hospitals (3.3; P<.001). The CI for sterilization services showed huge variation ranging from 0.0-1.00. Reference hospitals were more likely to have their own laboratory of microbiology than other hospitals. Conclusion: This study highlights the need for public health strategies aiming to improve the structure for HAI prevention in Brazilian hospitals. Copyright (C) 2016 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved. |
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Structure for prevention of health care-associated infections in Brazilian hospitals: A countrywide studyHospital infectionsInfection controlPublic healthHand hygieneSterilizationHospital infection control programBackground: Minimal structure is required for effective prevention of health careeassociated infection (HAI). The objective of this study was to evaluate the structure for prevention of HAI in a sample of Brazilian hospitals. Methods: This was a cross-sectional study from hospitals in 5 Brazilian regions (n = 153; total beds: 13,983) classified according to the number of beds; 11 university hospitals were used as reference for comparison. Trained nurses carried out the evaluation by using structured forms previously validated. The evaluation of conformity index (CI) included elements of structure of the Health CareeAssociated Prevention and Control Committee (HAIPCC), hand hygiene, sterilization, and laboratory of microbiology. Results: The median CI for the HAIPCC varied from 0.55-0.94 among hospital categories. Hospitals with > 200 beds had the worst ratio of beds to sinks (3.9; P <. 001). Regarding alcoholic product for handrubbing, the worst ratio of beds to dispensers was found in hospitals with < 50 beds (6.4) compared with reference hospitals (3.3; P<.001). The CI for sterilization services showed huge variation ranging from 0.0-1.00. Reference hospitals were more likely to have their own laboratory of microbiology than other hospitals. Conclusion: This study highlights the need for public health strategies aiming to improve the structure for HAI prevention in Brazilian hospitals. Copyright (C) 2016 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Univ Sao Paulo, Sch Nursing, Dept Collect Hlth Nursing, BR-05403000 Sao Paulo, BrazilState Univ Sao Paulo, Botucatu Sch Med, Dept Infect Dis, Botucatu, SP, BrazilUniv Fed Sao Paulo, Special Clin Microbiol Lab, Infect Dis Discipline, Sao Paulo, BrazilUniv Fed Rio Grande do Sul, Clin Hosp Porto Alegre, Ctr Expt Res, Lab Res Bacterial Resistance, Porto Alegre, RS, BrazilFed Univ Para, Dept Infect Dis, BR-66059 Belem, Para, BrazilPequeno Principe Hosp, Epidemiol & Infect Control Dept, Curitiba, Parana, BrazilUniv Fed Ceara, Fac Med, Dept Community Hlth, Fortaleza, Ceara, BrazilUniv Fed Paraiba, Clin Microbiol Discipline, BR-58059900 Joao Pessoa, Paraiba, BrazilHosp Infect Control Comm, Inst Med Integral Prof Fernando Figueira, Recife, PE, BrazilPontifical Catholic Univ, Dept Nursing, Goiania, Go, BrazilUniv Fed Uberlandia, Inst Biomed Sci, Microbiol, BR-38400 Uberlandia, MG, BrazilFundacao Oswaldo Cruz, Nucleo Vigilancia Hosp, Inst Nacl Saude Mulher Crianca & Adolescente Fern, Rio De Janeiro, BrazilUniv Fed Sao Paulo, Div Infect Dis, Sao Paulo, BrazilState Univ Sao Paulo, Botucatu Sch Med, Dept Infect Dis, Botucatu, SP, BrazilCNPq: 563225/2010-6CNPq: 40/2010Elsevier B.V.Universidade de São Paulo (USP)Universidade Estadual Paulista (Unesp)Universidade Federal de São Paulo (UNIFESP)Univ Fed Rio Grande do SulFed Univ ParaPequeno Principe HospUniv Fed CearaUniv Fed ParaibaHosp Infect Control CommPontifical Catholic UnivUniversidade Federal de Uberlândia (UFU)Fundacao Oswaldo CruzPadoveze, Maria ClaraCastelo Branco Fortaleza, Carlos Magno [UNESP]Kiffer, CarlosBarth, Afonso LuisRosario Souza Carneiro, Irna Carla doGarcia Giamberardino, Heloisa IlheNobre Rodrigues, Jorge LuizSantos Filho, LauroGonalves de Mello, Maria JuliaPereira, Milca SeverinoGontijo Filho, PauloRocha, MirzaServolo de Medeiros, Eduardo AlexandrinoCampos Pignatari, Antonio Carlos2018-11-26T17:55:41Z2018-11-26T17:55:41Z2016-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article74-79application/pdfhttp://dx.doi.org/10.1016/j.ajic.2015.08.004American Journal Of Infection Control. New York: Mosby-elsevier, v. 44, n. 1, p. 74-79, 2016.0196-6553http://hdl.handle.net/11449/16470210.1016/j.ajic.2015.08.004WOS:000367787600025WOS000367787600025.pdfWeb of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengAmerican Journal Of Infection Control1,062info:eu-repo/semantics/openAccess2024-08-15T18:47:45Zoai:repositorio.unesp.br:11449/164702Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-15T18:47:45Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Structure for prevention of health care-associated infections in Brazilian hospitals: A countrywide study |
title |
Structure for prevention of health care-associated infections in Brazilian hospitals: A countrywide study |
spellingShingle |
Structure for prevention of health care-associated infections in Brazilian hospitals: A countrywide study Padoveze, Maria Clara Hospital infections Infection control Public health Hand hygiene Sterilization Hospital infection control program |
title_short |
Structure for prevention of health care-associated infections in Brazilian hospitals: A countrywide study |
title_full |
Structure for prevention of health care-associated infections in Brazilian hospitals: A countrywide study |
title_fullStr |
Structure for prevention of health care-associated infections in Brazilian hospitals: A countrywide study |
title_full_unstemmed |
Structure for prevention of health care-associated infections in Brazilian hospitals: A countrywide study |
title_sort |
Structure for prevention of health care-associated infections in Brazilian hospitals: A countrywide study |
author |
Padoveze, Maria Clara |
author_facet |
Padoveze, Maria Clara Castelo Branco Fortaleza, Carlos Magno [UNESP] Kiffer, Carlos Barth, Afonso Luis Rosario Souza Carneiro, Irna Carla do Garcia Giamberardino, Heloisa Ilhe Nobre Rodrigues, Jorge Luiz Santos Filho, Lauro Gonalves de Mello, Maria Julia Pereira, Milca Severino Gontijo Filho, Paulo Rocha, Mirza Servolo de Medeiros, Eduardo Alexandrino Campos Pignatari, Antonio Carlos |
author_role |
author |
author2 |
Castelo Branco Fortaleza, Carlos Magno [UNESP] Kiffer, Carlos Barth, Afonso Luis Rosario Souza Carneiro, Irna Carla do Garcia Giamberardino, Heloisa Ilhe Nobre Rodrigues, Jorge Luiz Santos Filho, Lauro Gonalves de Mello, Maria Julia Pereira, Milca Severino Gontijo Filho, Paulo Rocha, Mirza Servolo de Medeiros, Eduardo Alexandrino Campos Pignatari, Antonio Carlos |
author2_role |
author author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade de São Paulo (USP) Universidade Estadual Paulista (Unesp) Universidade Federal de São Paulo (UNIFESP) Univ Fed Rio Grande do Sul Fed Univ Para Pequeno Principe Hosp Univ Fed Ceara Univ Fed Paraiba Hosp Infect Control Comm Pontifical Catholic Univ Universidade Federal de Uberlândia (UFU) Fundacao Oswaldo Cruz |
dc.contributor.author.fl_str_mv |
Padoveze, Maria Clara Castelo Branco Fortaleza, Carlos Magno [UNESP] Kiffer, Carlos Barth, Afonso Luis Rosario Souza Carneiro, Irna Carla do Garcia Giamberardino, Heloisa Ilhe Nobre Rodrigues, Jorge Luiz Santos Filho, Lauro Gonalves de Mello, Maria Julia Pereira, Milca Severino Gontijo Filho, Paulo Rocha, Mirza Servolo de Medeiros, Eduardo Alexandrino Campos Pignatari, Antonio Carlos |
dc.subject.por.fl_str_mv |
Hospital infections Infection control Public health Hand hygiene Sterilization Hospital infection control program |
topic |
Hospital infections Infection control Public health Hand hygiene Sterilization Hospital infection control program |
description |
Background: Minimal structure is required for effective prevention of health careeassociated infection (HAI). The objective of this study was to evaluate the structure for prevention of HAI in a sample of Brazilian hospitals. Methods: This was a cross-sectional study from hospitals in 5 Brazilian regions (n = 153; total beds: 13,983) classified according to the number of beds; 11 university hospitals were used as reference for comparison. Trained nurses carried out the evaluation by using structured forms previously validated. The evaluation of conformity index (CI) included elements of structure of the Health CareeAssociated Prevention and Control Committee (HAIPCC), hand hygiene, sterilization, and laboratory of microbiology. Results: The median CI for the HAIPCC varied from 0.55-0.94 among hospital categories. Hospitals with > 200 beds had the worst ratio of beds to sinks (3.9; P <. 001). Regarding alcoholic product for handrubbing, the worst ratio of beds to dispensers was found in hospitals with < 50 beds (6.4) compared with reference hospitals (3.3; P<.001). The CI for sterilization services showed huge variation ranging from 0.0-1.00. Reference hospitals were more likely to have their own laboratory of microbiology than other hospitals. Conclusion: This study highlights the need for public health strategies aiming to improve the structure for HAI prevention in Brazilian hospitals. Copyright (C) 2016 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-01-01 2018-11-26T17:55:41Z 2018-11-26T17:55:41Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1016/j.ajic.2015.08.004 American Journal Of Infection Control. New York: Mosby-elsevier, v. 44, n. 1, p. 74-79, 2016. 0196-6553 http://hdl.handle.net/11449/164702 10.1016/j.ajic.2015.08.004 WOS:000367787600025 WOS000367787600025.pdf |
url |
http://dx.doi.org/10.1016/j.ajic.2015.08.004 http://hdl.handle.net/11449/164702 |
identifier_str_mv |
American Journal Of Infection Control. New York: Mosby-elsevier, v. 44, n. 1, p. 74-79, 2016. 0196-6553 10.1016/j.ajic.2015.08.004 WOS:000367787600025 WOS000367787600025.pdf |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
American Journal Of Infection Control 1,062 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
74-79 application/pdf |
dc.publisher.none.fl_str_mv |
Elsevier B.V. |
publisher.none.fl_str_mv |
Elsevier B.V. |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808128210556157952 |