Marina Celly Martins Ribeiro de Souza

Representations of Primary Care Professionals about the Occupational Risk of HIV Infection

Este e um estudo qualitativo, fundamentado na Teoria das Representacoes Sociais, com profissionais que atuam na atencao primaria, sobre o risco de infeccao pelo HIV, ao qual estao expostos no cotidiano do trabalho. Foram entrevistados doze profissionais medicos e enfermeiras que atuam em dois centros de saude no municipio de Belo Horizonte, MG, Brasil. A analise final se deu com a saturacao das informacoes, pelo metodo proposto pela Analise Estrutural de Narracao. Os resultados desvelaram que os profissionais de saude entrevistados conhecem o risco de infeccao em seu cotidiano de trabalho, representando-o como muito baixo na atencao basica, porque o relacionam a complexidade tecnologica, que consideram nao existir no nivel de assistencia em que atuam. Acreditam que o uso de equipamentos de protecao individual pode minimizar os riscos e que, hoje, nenhum profissional da atencao basica deixa de atender pacientes por medo de se infectar, mesmo nao utilizando todas as precaucoes recomendadas.This was a qualitative study, based on the Social Representations Theory, with professionals that work in primary care, about the risk of HIV infection to which they are exposed in their quotidian work routine. Twelve physicians and nurses who work in two Health Centers in the city of Belo Horizonte, MG, Brazil, were interviewed. The final analysis, carried out using the saturation of information criterion, was based on the method proposed by Structural Analysis of Narrative. The results show that the health professionals interviewed knew the infection risk in their work routine, representing it as very low in primary care, because they relate it to technological complexity which they consider does not exist in the level of assistance in which they work. They believed that the use of personal protection equipment may minimize the risks and that, nowadays, no primary care professional refuses to attend a patient due to fear of infection, even if not using all the recommended precautions.

Representações de profissionais da atenção primária sobre risco ocupacional de infecção pelo HIV

Este e um estudo qualitativo, fundamentado na Teoria das Representacoes Sociais, com profissionais que atuam na atencao primaria, sobre o risco de infeccao pelo HIV, ao qual estao expostos no cotidiano do trabalho. Foram entrevistados doze profissionais medicos e enfermeiras que atuam em dois centros de saude no municipio de Belo Horizonte, MG, Brasil. A analise final se deu com a saturacao das informacoes, pelo metodo proposto pela Analise Estrutural de Narracao. Os resultados desvelaram que os profissionais de saude entrevistados conhecem o risco de infeccao em seu cotidiano de trabalho, representando-o como muito baixo na atencao basica, porque o relacionam a complexidade tecnologica, que consideram nao existir no nivel de assistencia em que atuam. Acreditam que o uso de equipamentos de protecao individual pode minimizar os riscos e que, hoje, nenhum profissional da atencao basica deixa de atender pacientes por medo de se infectar, mesmo nao utilizando todas as precaucoes recomendadas.This was a qualitative study, based on the Social Representations Theory, with professionals that work in primary care, about the risk of HIV infection to which they are exposed in their quotidian work routine. Twelve physicians and nurses who work in two Health Centers in the city of Belo Horizonte, MG, Brazil, were interviewed. The final analysis, carried out using the saturation of information criterion, was based on the method proposed by Structural Analysis of Narrative. The results show that the health professionals interviewed knew the infection risk in their work routine, representing it as very low in primary care, because they relate it to technological complexity which they consider does not exist in the level of assistance in which they work. They believed that the use of personal protection equipment may minimize the risks and that, nowadays, no primary care professional refuses to attend a patient due to fear of infection, even if not using all the recommended precautions.

Representaciones de profesionales de la atención primaria sobre riesgo ocupacional de infección por el virus HIV

Este e um estudo qualitativo, fundamentado na Teoria das Representacoes Sociais, com profissionais que atuam na atencao primaria, sobre o risco de infeccao pelo HIV, ao qual estao expostos no cotidiano do trabalho. Foram entrevistados doze profissionais medicos e enfermeiras que atuam em dois centros de saude no municipio de Belo Horizonte, MG, Brasil. A analise final se deu com a saturacao das informacoes, pelo metodo proposto pela Analise Estrutural de Narracao. Os resultados desvelaram que os profissionais de saude entrevistados conhecem o risco de infeccao em seu cotidiano de trabalho, representando-o como muito baixo na atencao basica, porque o relacionam a complexidade tecnologica, que consideram nao existir no nivel de assistencia em que atuam. Acreditam que o uso de equipamentos de protecao individual pode minimizar os riscos e que, hoje, nenhum profissional da atencao basica deixa de atender pacientes por medo de se infectar, mesmo nao utilizando todas as precaucoes recomendadas.This was a qualitative study, based on the Social Representations Theory, with professionals that work in primary care, about the risk of HIV infection to which they are exposed in their quotidian work routine. Twelve physicians and nurses who work in two Health Centers in the city of Belo Horizonte, MG, Brazil, were interviewed. The final analysis, carried out using the saturation of information criterion, was based on the method proposed by Structural Analysis of Narrative. The results show that the health professionals interviewed knew the infection risk in their work routine, representing it as very low in primary care, because they relate it to technological complexity which they consider does not exist in the level of assistance in which they work. They believed that the use of personal protection equipment may minimize the risks and that, nowadays, no primary care professional refuses to attend a patient due to fear of infection, even if not using all the recommended precautions.

Reprocessing of single-use dental medical devices:analysis of chemical and physical impairment

The reprocessing of single-use dental-medical device is a common practice in many countries so as to reduce the costs of health care and the volume of waste generated. Changes in physical and chemical and therefore, adverse events involved in reprocessing are the main concerns related to this practice. Although the reprocessing is a common practice, there are few studies that validate and real risk of re-use of single use dental-medical devices. Is an urgent need for further reflection and evaluation of the risk-benefit decision on the reuse of these items. The objective of this study was to discuss changes in the integrity and functionality of the single-use dental-medical device after cycles of reprocessing. It was used a total of 11 studies from database of the Virtual Health Library. The results of this review showed that reprocessing causes changes in physical and impaired functionality of the single-use dental-medical devices that independent of their type or composition. There was a correlation between the amendments and the number of reprocessing cycles. The reprocessing allows the adverse events that are still unknown. It highlights the importance of a joint assessment of changes in integrity and functionality after each reprocessing and the creation of validated protocols that describe the maximum number of reprocessing cycles.