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Contact Precaution: Acceptance of Health Professionals to Teaching Hospital

Open Journal of Nursing 2020年第5期10卷 551-562页

作者： Hercília Oliveira dos Santos Marli de Carvalho Jericó Viviane Decicera Colombo Oliveira Geraldo Magela de Faria Junior Patrícia de Carvalho Jericó Pedro Paulo de Carvalho Jericó ingrid gomes campos truzzi Angela Silveira Gagliardo Calil Faculdade de Medicina de São José do Rio Preto (FAMERP) São José do Rio Preto Brazil Pontifícia Universidade Católica do Rio Grande do Sul Porto Alegre Brazil Pontifícia Universidade Católica do Paraná Curitiba Brazil

The adoption by health professionals to the practice of patient isolation is a decision that reduces patients’ risks of occupational exposure to potentially contaminated biological material and prevents nosocomial infections. Verify the compliance of health professionals to the practices of contact precautions in patients colonized by microorganisms in a teaching hospital. This was a prospective observational cohort study in a special-sized hospital located in southeastern Brazil. The observation of health professionals in delivery of health care to patients with contact precaution was performed regarding hand hygiene, use of overcoat, glove, and mask. We carried out 1502 observations involving the following professional categories: nursing technicians and/or nursing assistants (n = 1028;68.4%), nurses (n = 200;13.3%), physical therapists (n = 185;12.3%), and physicians (n = 89;5.9%), totaling 971.8 hours. Regarding the level of compliance of professionals to contact precaution practices with hand hygiene after the procedures, the use of overcoats, gloves, and masks, all were statistically significant (p Klebsiella pneumoniae was the most positive pathogen identified in laboratory tests. This study provided the mapping of the compliance of health professionals to the practices of contact precautions in order to support a safer management of patient care reducing the risks of Healthcare-Associated Infections (HAI). This study also showed that health professionals are using practice management to deal with their behavior to protect their health.

关键词： Universal Precautions Infection Control Services Hospital Patient Isolation Drug Resistance Microbial Quality Indicators Health Care Process Assessment (Health Care)

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Healthcare Professionals’ Adherence to Contact Precautions at a Maternal and Child Teaching Hospital

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Open Journal of Nursing 2023年第12期13卷 839-854页

作者： Lucas Eduardo Luizão Marli de Carvalho Jericó Angela Silveira Gagliardo Calil Viviane Decicera Colombo Oliveira Alexandre Lins Werneck ingrid de campos truzzi Eliana Ofelia Lapa Rodriguez Maria Rita Rodrigues Vieira Pedro Paulo de Carvalho Jericó Medical School in Sã o Jose do Rio Preto S&#227o Jose do Rio Preto Brazil Federal University of Sergipe Sergipe Brazil

Background: Healthcare-associated infections affect hundreds of millions of patients worldwide. Children have greater susceptibility to healthcare-associated infections due to the immaturity of their immune system. Contact precautions aim to promote safety, protection and prevention of contamination. Thus, the objective of this study was to verify adherence to contact precaution measures, as well as compliance to the use of personal protective equipment. Methods: This cross-sectional observational study was carried out from July to October 2019 using a checklist to evaluate health professionals’ adherence to hand hygiene procedures and the use of gloves and surgical gowns when assisting children on contact precautions. Results: A total of 941 observations were carried out in a total of 300.532 hours. Hand hygiene was performed before and after contact with the patient in 58.84% and 75.09% of the cases, respectively and a surgical gown was used in 86.40% of the cases. The use of gloves was the variable most adhered to by professionals (87.57%). Intensive care unit professionals were the care workers who most complied with the regulation regarding hand hygiene after contact with the patient (p = 0.009) and the use of the surgical gown (p < 0.001). The correct hand hygiene technique was the recommendation with least adherence. Non-compliance to the hand hygiene technique was statistically significant among intensive care unit professionals (p = 0.002). Conclusions: Adherence to hand hygiene before contact with the patient and compliance with the hand hygiene technique were neglected by most professionals. However, there was good adherence to the use of surgical gloves and gowns, as well as high compliance to the techniques of removing these items. .

关键词： Hospital Infection Universal Precautions Patient Safety Pediatric Nursing Isolation of Patients Microbial Drug Resistance

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