Structure for prevention of health care-associated infections in Brazilian hospitals: A countrywide study

Structure for prevention of health care-associated infections in Brazilian hospitals: A countrywide study

Author Padoveze, Maria Clara Google Scholar
Castelo Branco Fortaleza, Carlos Magno Google Scholar
Kiffer, Carlos Autor UNIFESP Google Scholar
Barth, Afonso Luis Google Scholar
do Rosario Souza Carneiro, Irna Carla Google Scholar
Garcia Giamberardino, Heloisa Ilhe Google Scholar
Nobre Rodrigues, Jorge Luiz Google Scholar
Santos Filho, Lauro Google Scholar
Gonalves de Mello, Maria Julia Google Scholar
Pereira, Milca Severino Google Scholar
Gontijo Filho, Paulo Google Scholar
Rocha, Mirza Google Scholar
Servolo de Medeiros, Eduardo Alexandrino Autor UNIFESP Google Scholar
Campos Pignatari, Antonio Carlos Autor UNIFESP Google Scholar
Abstract 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.
Keywords Hospital infections
Infection control
Public health
Hand hygiene
Sterilization
Hospital infection control programRepublic-Of-Korea
Control Programs
Surveillance
Organization
System
Japan
Language English
Sponsor Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
Ministry of Health of Brazil, under the call MCT/CNPq/CT-Saude/MS/SCTIE/DECIT
Grant number CNPq: 563225/2010-6
MCT/CNPq/CT-Saude/MS/SCTIE/DECIT: 40/2010.
Date 2016
Published in American Journal Of Infection Control. New York, v. 44, n. 1, p. 74-79, 2016.
ISSN 0196-6553 (Sherpa/Romeo, impact factor)
Publisher Mosby-Elsevier
Extent 74-79
Origin http://dx.doi.org/10.1016/j.ajic.2015.08.004
Access rights Closed access
Type Article
Web of Science ID WOS:000367787600025
URI http://repositorio.unifesp.br/handle/11600/46057

Show full item record




File

File Size Format View

There are no files associated with this item.

This item appears in the following Collection(s)

Search


Browse

Statistics

My Account