Hand Hygiene indicators and strategies in Medical Day Care in Salvador, BA
Indicadores de Higiene de Manos en el Hospital Día
DOI:
https://doi.org/10.5327/Z1414-4425202429950Keywords:
Hand hygiene, Day care, medical, Cross infection, Patient safetyAbstract
Objective: To analyze hand hygiene (HH) adherence indicators among healthcare professionals in a medical day care (MDC) and present strategies used to encourage this practice. Method: A cross-sectional and descriptive study was conducted in an MDC located in Salvador, Bahia. Data collection consisted of document analysis and internal audit data on HH practice from 2016 to 2023. Results: HH adherence rates ranged from 39.4 to 81.4%, with an average of 63.9%. Among the evaluated healthcare professionals, nurses showed the highest HH adherence (74.3%), followed by nursing technicians (71.1%) and physicians (50%). Multimodal strategies to encourage HH in this service included HH training, with systematic evaluation conducted by nursing coordinators. Conclusion: The HH adherence rates presented are higher than those reported in the literature but below the standardized goal of 70% in the MDC studied, confirming that the implementation of this apparently simple practice is a complex, multi-causal issue that requires coordination between management policies as well as scientific knowledge in building a culture in favor of this practice in healthcare organizations.
References
Voidazan S, Albu S, Toth R, Grigorescu B, Rachita A, Moldovan I. Healthcare associated infections – a new pathology in medical practice? Int J Environ Res Public Health. 2020;17(3):760. https://doi.org/10.3390/ijerph17030760 DOI: https://doi.org/10.3390/ijerph17030760
Haque M, Sartelli M, McKimm J, Bakan MA. Health care-associated infection – an overview. Infect Drug Resist. 2018;11:2321-33. https://doi.org/10.10.2147/IDR.S177247 DOI: https://doi.org/10.2147/IDR.S177247
World Health Organization. The burden of health care-associated infection worldwide [Internet]. Geneva: WHO; 2010 [acessado em 25 abr. 2024]. Disponível em: https://www.who.int/news-room/feature-stories/detail/the-burden-of-health-care-associated-infection-worldwide
World Health Organization. Guidelines on core components of infection prevention and control programmes at the national and acute health care facility level [Internet]. Geneva: World Health Organization; 2016 [acessado em 3 jan. 2023]. Disponível em: https://www.who.int/publications/i/item/9789241549929
Lotfinejad N, Peters A, Tartari E, Fankhauser-Rodriguez C, Pires D, Pittet D. Hand hygiene in health care: 20 years of ongoing advances and perspectives. Lancet Infect Dis. 2021;21(8):e209-21. https://doi.org/10.1016/S1473-3099(21)00383-2 DOI: https://doi.org/10.1016/S1473-3099(21)00383-2
Watson JA. Role of a multimodal educational strategy on health care workers’ handwashing. Am J Infect Control. 2016;44(4):400-4. https://doi.org/10.1016/j.ajic.2015.10.030 DOI: https://doi.org/10.1016/j.ajic.2015.10.030
World Health Organization. WHO guidelines on hand hygiene in health care. First global patient safety challenge clean care is safer care [Internet]. Geneva: World Health Organization; 2009 [acessado em 10 dez. 2022]. Disponível em: https://www.who.int/publications/i/item/9789241597906
World Health Organization. Hand hygiene for all iniative: improving access and behavior in health care facilities [Internet]. Geneva: World Health Organization; 2020 [acessado em 10 fev. 2023]. Disponível em: https://www.who.int/publications/i/item/9789240011618
World Health Organization. Cleaning and disinfection of environmental surfaces in the contexto of COVID-19 [Internet]. Geneva: World Health Organization; 2020 [acessado em 10 fev. 2023]. Disponível em: https://www.who.int/publications/i/item/cleaning-and-disinfection-of-environmental-surfaces-inthe-context-of-covid-19
Villegas-Arenas AO, Gómez J, Uriel-López J, Román RN, Villa JE, Botero J, et al. Medición de la adherencia al valado de manos, según los conco momentos de la OMS. Duazary. 2017;14(2):169-78. https://doi.org/10.21676/2389783X.1967 DOI: https://doi.org/10.21676/2389783X.1967
Karaaslan A, Kadayifci EK, Atici S, Sili U, Soysal A, Çulha G, et al. Compliance of healthcare workers with hand hygiene practices in neonatal and pediatric intensive care units: overt observation. Interdiscip Perspect Infect Dis. 2014;2014:306478. https://doi.org/10.1155/2014/306478 DOI: https://doi.org/10.1155/2014/306478
Vermeil T, Peters A, Kilpatrick C, Pires D, Allegranzi B, Pittet D. Hand hygiene in hospitals: anatomy of a revolution. J Hosp Infect. 2019;101(4):383-92. https://doi.org/10.1016/j.jhin.2018.09.003 DOI: https://doi.org/10.1016/j.jhin.2018.09.003
Erasmus V, Daha TJ, Brug H, Richardus JH, Behrendt MD, Vos MC, et al. Systematic review of studies on compliance with hand hygiene guidelines in hospital care. Infect Control Hosp Epidemiol. 2010;31(3):283-94. https://doi.org/10.1086/650451 DOI: https://doi.org/10.1086/650451
Mota APA, Costa EAM. Adesão à higienização das mãos em serviços hospitalares brasileiros: um estudo de revisão. Res Soc Dev. 2023;12(4):e13112441066. https://doi.org/10.33448/rsd-v12i4.41066 DOI: https://doi.org/10.33448/rsd-v12i4.41066
LLapa-Rodríguez EO, Oliveira JKA, Menezes MO, Silva LSL, Almeida DM, Lopes Neto D. Aderência de profissionais de saúde à higienização das mãos. Rev Enferm UFPE on line. 2018;12(6):1578-85. https://doi.org/10.5205/1981-8963-v12i6a230841p1578-1585-2018 DOI: https://doi.org/10.5205/1981-8963-v12i6a230841p1578-1585-2018
Romero DMP, Reboredo MM, Gomes EP, Coelho CM, Paula MAS, Souza LC, et al. Efeitos da implementação de um programa de educação de higienização das mãos entre profissionais de uma UTI: análise de séries temporais interrompidas. J Bras Pneumol. 2019;45(5):e20180152. https://doi.org/10.1590/1806-3713/e20180152 DOI: https://doi.org/10.1590/1806-3713/e20180152
Souza LM, Ramos MF, Beckerc EES, Meirelles LCS, Monteiro SAO. Adesão dos profissionais de terapia intensiva aos cinco momentos da higienização das mãos. Rev Gaúch Enferm. 2015;36(4):21-8. https://doi.org/10.1590/1983- 1447.2015.04.49090
Mota EC, Melo MG, Barbosa VR, Lopes JR, Souza LPS, Silva CSO, et al. Higienização das mãos: adesão da equipe multidisciplinar de saúde de um hospital ao norte do Estado de Minas Gerais. Enfermagem Brasil. 2012;11(6):334-9. https://doi.org/10.33448/rsd-v12i4.41066 DOI: https://doi.org/10.33233/eb.v11i6.3826
Zottele C, Magnago TSBS, Dullius AIS, Kolankiewicz ACB, Ongaro JD. Hand hygiene compliance of healthcare professionals in an emergency department. Rev Esc Enferm USP. 2017;51:e03242. https://doi.org/10.1590/S1980-220X2016035503242 DOI: https://doi.org/10.1590/s1980-220x2016027303242
Seto WH, Yuen SWS, Cheung CWY, Ching PTY, Cowling BJ, Pittet D. Hand hygiene promotion and the participation of infection control link nurses: an effective innovation to overcome campaign fatigue. Am J Infect Control. 2013;41(12):1281-3. https://doi.org/10.1016/j.ajic.2013.04.011 DOI: https://doi.org/10.1016/j.ajic.2013.04.011
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