Adriana Oliveira de Paula

Monitoração da adesão à higienização das mãos: uma revisão de literatura

Surveys conducted show a lack of standardized methods for assessing the adherence of health professionals to the practice of hand hygiene. Therefore, this review aimed to identify the different methods used to assess adherence to this practice found within the literature, referenced by the following query databases - Latin American and Caribbean Health Sciences, Medical Analysis Retrieval System Online Scientific Electronic Library Online. A total of 210 studies were identified, among which 34 were selected articles published between the years 2001 to 2010. The study presents the different methods used to conduct the evaluation of adherence to hand hygiene procedures and highlights their strengths and weaknesses, in order to subsidize the critical analysis on the part of health professionals, to facilitate the choice of the most appropriate method for each institution and reality.Surveys conducted show a lack of standardized methods for assessing the adherence of health professionals to the practice of hand hygiene. Therefore, this review aimed to identify the different methods used to assess adherence to this practice found within the literature, referenced by the following query databases - Latin American and Caribbean Health Sciences, Medical Analysis Retrieval System Online Scientific Electronic Library Online. A total of 210 studies were identified, among which 34 were selected articles published between the years 2001 to 2010. The study presents the different methods used to conduct the evaluation of adherence to hand hygiene procedures and highlights their strengths and weaknesses, in order to subsidize the critical analysis on the part of health professionals, to facilitate the choice of the most appropriate method for each institution and reality.

Descolonização de portadores de Staphylococcus aureus: indicações, vantagens e limitações

The objective of this article was to establish the main indications, advantages and limitations of the decolonization of patients with Staphylococcus aureus. An integrative literature review was performed on the LILACS, MEDLINE, Science Direct, SCOPUS and Isi Web of Knowledge databases for articles published after 1999. The main indications for decolonization pertained to high-risk patients (admitted to the ICU, post-operative, long stay, etcetera). The advantages were based on the eradication of the microorganism, reducing infection rates and the spread of the microorganism. The observed controversies were due to the possibility of increasing bacterial resistance and lack of scientific evidence regarding the effectiveness of the eradication of the colonizing microorganism, as well as reducing infection rates. Thus, it was observed that decolonization should not be indicated routinely; rather, it should only be recommended for patients at risk and during outbreaks. DESCRIPTORS: Infection control. Methicillin-resistant Staphylococcus aureus. Cross infection. Bacterial drug resistance.The objective of this article was to establish the main indications, advantages and limitations of the decolonization of patients with Staphylococcus aureus. An integrative literature review was performed on the LILACS, MEDLINE, Science Direct, SCOPUS and Isi Web of Knowledge databases for articles published after 1999. The main indications for decolonization pertained to high-risk patients (admitted to the ICU, post-operative, long stay, etcetera). The advantages were based on the eradication of the microorganism, reducing infection rates and the spread of the microorganism. The observed controversies were due to the possibility of increasing bacterial resistance and lack of scientific evidence regarding the effectiveness of the eradication of the colonizing microorganism, as well as reducing infection rates. Thus, it was observed that decolonization should not be indicated routinely; rather, it should only be recommended for patients at risk and during outbreaks. DESCRIPTORS: Infection control. Methicillin-resistant Staphylococcus aureus. Cross infection. Bacterial drug resistance.

Infecções relacionadas à assistência em saúde e gravidade clínica em uma unidade de terapia intensiva

Objetivou-se verificar a possivel associacao entre a severidade clinica e a ocorrencia de infeccoes relacionadas a assistencia em saude. Conduziu-se uma coorte prospectiva em uma unidade de terapia intensiva de um hospital universitario, de agosto de 2009 a fevereiro de 2010. Utilizou-se o Average Severity Index Score para avaliar a severidade clinica. Os dados foram coletados por vigilância ativa e processados no SPSS. Realizou-se analise univariada e considerou-se significância estatistica de p<0,05, com intervalo de confianca de 95%. O indice de severidade esteve relacionado a ocorrencia de infeccoes, assim como tempo de permanencia na unidade de terapia intensiva, tipo de paciente, uso de procedimento invasivo, antimicrobiano, colonizacao e desfecho do paciente (p<0,05). A presenca de infeccoes foi um fator preditivo para a ocorrencia de obitos (p=0,000). Tais achados reforcam a ideia de que a ocorrencia de infeccao constitui uma complexa cadeia, multifatorial, com destaque para a severidade clinica do paciente.This study was aimed at verifying the relationship between the severity illness index and the occurrence of healthcare associated infections. A prospective cohort was conducted in an intensive care unit of a university hospital, between August 2009 and February 2001. The Average Severity Index Score was used to evaluate the severity of illness. Data was collected by active surveillance and processed in SPSS. Univariate analysis was carried out, statistical signficance when p < 0.05 and confidence interval of 95%. The severity illness index was related to the occurrence of healthcare associated infection, as well as the length of stay in the intensive care unit, patient type, use of invasive procedure, antimicrobials, colonization and patient outcome (p < 0.05). The occurrence of infections was also apredictive factor for the occurrence of death (p = 0.000). These findings reinforce the idea that the occurrence of healthcare associate infections is a complex multifactorial chain, with emphasis on the clinical severity of the patient.

Discontinuation of antimicrobials and costs of treating patients with infection

OBJETIVO: Evaluar las repercusiones del desescalamiento en los costos con el tratamiento antimicrobiano de pacientes con infeccion de la corriente sanguinea. METODOS: Estudio de cohorte historica realizado en una Unidad de Terapia Intensiva de un hospital de Belo Horizonte (MG). La poblacion incluyo a 62 pacientes con infeccion de la corriente sanguinea causada por Staphylococcus aureus. Los datos fueron recolectados entre marzo/2007 y marzo/2011 en las historias clinicas de los pacientes, Comision de Control de Infeccion Hospitalaria y Sector de Costos con analisis, descriptivo y univariado. RESULTADOS: La colonizacion estuvo asociada a la ocurrencia de infeccion por microorganismo resistente (p<0.05). El desescalamiento antimicrobiano redujo el espectro de accion del antibiotico prescrito y los costos con el tratamiento (de R

Monitoring adherence to hand hygiene: a literature review

2.673,12 para R

Decolonization of Staphylococcus aureus carriers: indications, advantages and limitations

727,03, p=0,001). CONCLUSION: El desescalamiento de antimicrobianos favorecio el redireccionamiento de la terapia del paciente, reduciendo, cuando necesario, el espectro de accion del antimicrobiano prescrito y, consecuentemente, los costos con el tratamiento.

Descalonamento de antimicrobiano e custos do tratamento de pacientes com infecção

Surveys conducted show a lack of standardized methods for assessing the adherence of health professionals to the practice of hand hygiene. Therefore, this review aimed to identify the different methods used to assess adherence to this practice found within the literature, referenced by the following query databases - Latin American and Caribbean Health Sciences, Medical Analysis Retrieval System Online Scientific Electronic Library Online. A total of 210 studies were identified, among which 34 were selected articles published between the years 2001 to 2010. The study presents the different methods used to conduct the evaluation of adherence to hand hygiene procedures and highlights their strengths and weaknesses, in order to subsidize the critical analysis on the part of health professionals, to facilitate the choice of the most appropriate method for each institution and reality.Surveys conducted show a lack of standardized methods for assessing the adherence of health professionals to the practice of hand hygiene. Therefore, this review aimed to identify the different methods used to assess adherence to this practice found within the literature, referenced by the following query databases - Latin American and Caribbean Health Sciences, Medical Analysis Retrieval System Online Scientific Electronic Library Online. A total of 210 studies were identified, among which 34 were selected articles published between the years 2001 to 2010. The study presents the different methods used to conduct the evaluation of adherence to hand hygiene procedures and highlights their strengths and weaknesses, in order to subsidize the critical analysis on the part of health professionals, to facilitate the choice of the most appropriate method for each institution and reality.

Validação do protocolo de limpeza manual dos instrumentais videolaparoscópicos em hospital universitário

The objective of this article was to establish the main indications, advantages and limitations of the decolonization of patients with Staphylococcus aureus. An integrative literature review was performed on the LILACS, MEDLINE, Science Direct, SCOPUS and Isi Web of Knowledge databases for articles published after 1999. The main indications for decolonization pertained to high-risk patients (admitted to the ICU, post-operative, long stay, etcetera). The advantages were based on the eradication of the microorganism, reducing infection rates and the spread of the microorganism. The observed controversies were due to the possibility of increasing bacterial resistance and lack of scientific evidence regarding the effectiveness of the eradication of the colonizing microorganism, as well as reducing infection rates. Thus, it was observed that decolonization should not be indicated routinely; rather, it should only be recommended for patients at risk and during outbreaks. DESCRIPTORS: Infection control. Methicillin-resistant Staphylococcus aureus. Cross infection. Bacterial drug resistance.The objective of this article was to establish the main indications, advantages and limitations of the decolonization of patients with Staphylococcus aureus. An integrative literature review was performed on the LILACS, MEDLINE, Science Direct, SCOPUS and Isi Web of Knowledge databases for articles published after 1999. The main indications for decolonization pertained to high-risk patients (admitted to the ICU, post-operative, long stay, etcetera). The advantages were based on the eradication of the microorganism, reducing infection rates and the spread of the microorganism. The observed controversies were due to the possibility of increasing bacterial resistance and lack of scientific evidence regarding the effectiveness of the eradication of the colonizing microorganism, as well as reducing infection rates. Thus, it was observed that decolonization should not be indicated routinely; rather, it should only be recommended for patients at risk and during outbreaks. DESCRIPTORS: Infection control. Methicillin-resistant Staphylococcus aureus. Cross infection. Bacterial drug resistance.

Armazenamento dos produtos para saúde estéreis em unidades assistenciais: estudo descritivo

OBJETIVO: Evaluar las repercusiones del desescalamiento en los costos con el tratamiento antimicrobiano de pacientes con infeccion de la corriente sanguinea. METODOS: Estudio de cohorte historica realizado en una Unidad de Terapia Intensiva de un hospital de Belo Horizonte (MG). La poblacion incluyo a 62 pacientes con infeccion de la corriente sanguinea causada por Staphylococcus aureus. Los datos fueron recolectados entre marzo/2007 y marzo/2011 en las historias clinicas de los pacientes, Comision de Control de Infeccion Hospitalaria y Sector de Costos con analisis, descriptivo y univariado. RESULTADOS: La colonizacion estuvo asociada a la ocurrencia de infeccion por microorganismo resistente (p<0.05). El desescalamiento antimicrobiano redujo el espectro de accion del antibiotico prescrito y los costos con el tratamiento (de R

Descolonización de portadores de Staphylococcus aureus: indicaciones, ventajas y limitaciones

2.673,12 para R