Good infection prevention practices in three Brazilian hospitals: Implications for patient safety policies.
Identifieur interne : 000280 ( Main/Exploration ); précédent : 000279; suivant : 000281Good infection prevention practices in three Brazilian hospitals: Implications for patient safety policies.
Auteurs : Zenewton A. Da Silva Gama [Brésil] ; Pedro J. Saturno Hernández [Mexique] ; Marise Reis De Freitas [Brésil] ; Maria Clara Padoveze [Brésil] ; Cecília O. Paraguai De Oliveira Saraiva [Brésil] ; Laiane G. Paulino [Brésil] ; Sibele Ferreira De Araújo [Brésil]Source :
- Journal of infection and public health [ 1876-035X ]
Descripteurs français
- KwdFr :
- Adhésion aux directives, Brésil, Humains, Hygiène des mains, Hôpitaux (), Indicateurs qualité santé, Infection croisée (), Infections sur cathéters (), Infections urinaires (), Personnel de santé, Pneumopathie infectieuse sous ventilation assistée (), Transmission de maladie infectieuse (), Études transversales.
- MESH :
- Wicri :
- geographic : Brésil.
English descriptors
- KwdEn :
- Brazil, Catheter-Related Infections (prevention & control), Cross Infection (prevention & control), Cross-Sectional Studies, Disease Transmission, Infectious (prevention & control), Guideline Adherence, Hand Hygiene, Health Personnel, Hospitals (statistics & numerical data), Humans, Pneumonia, Ventilator-Associated (prevention & control), Quality Indicators, Health Care, Urinary Tract Infections (prevention & control).
- MESH :
- geographic : Brazil.
- prevention & control : Catheter-Related Infections, Cross Infection, Disease Transmission, Infectious, Pneumonia, Ventilator-Associated, Urinary Tract Infections.
- statistics & numerical data : Hospitals.
- Cross-Sectional Studies, Guideline Adherence, Hand Hygiene, Health Personnel, Humans, Quality Indicators, Health Care.
Abstract
OBJECTIVE
Healthcare-associated infections (HAI) are a serious patient safety problem. There are effective preventive practices, but little information on adherence in Brazilian hospitals. This study aims at assessing adherence to good HAI prevention practices.
METHODS
A cross-sectional observational study was conducted at 3 different types of hospitals (public-federal, public-state and private) in Rio Grande do Norte state, Brazil. A total of 19 structure and process indicators were measured based on 7 National Quality Forum Patient Safety Practices.
RESULTS
Overall adherence was low, but higher in the private hospital, followed by the public-federal and public-state institutions. There was adequate maintenance of central venous catheters and high vaccine coverage against the influenza virus among health professionals. However, hand hygiene adherence was low, and surgical antibiotic prophylaxis and prevention of multidrug-resistant bacteria transmission, urinary tract infection by urinary catheter and associated with mechanical ventilation were inadequate.
CONCLUSIONS
Despite the availability of evidence-based recommendations, there is ample room for improvement in adherence to safe practices in the hospitals under study, contributing to the heightened risk of unnecessary harm to patients.
DOI: 10.1016/j.jiph.2019.02.016
PubMed: 30853219
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Da Silva Gama</name><affiliation wicri:level="2"><nlm:affiliation>Departamento de Saúde Coletiva, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil. Electronic address: zgama@ufrnet.br.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Departamento de Saúde Coletiva, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte</wicri:regionArea><placeName><region type="state">Rio Grande do Norte</region></placeName></affiliation></author><author><name sortKey="Saturno Hernandez, Pedro J" sort="Saturno Hernandez, Pedro J" uniqKey="Saturno Hernandez P" first="Pedro J" last="Saturno Hernández">Pedro J. Saturno Hernández</name><affiliation wicri:level="1"><nlm:affiliation>Centro de Investigación en Calidad y Encuestas, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, Mexico.</nlm:affiliation><country xml:lang="fr">Mexique</country><wicri:regionArea>Centro de Investigación en Calidad y Encuestas, Instituto Nacional de Salud Pública, Cuernavaca, Morelos</wicri:regionArea><wicri:noRegion>Morelos</wicri:noRegion></affiliation></author><author><name sortKey="Reis De Freitas, Marise" sort="Reis De Freitas, Marise" uniqKey="Reis De Freitas M" first="Marise" last="Reis De Freitas">Marise Reis De Freitas</name><affiliation wicri:level="2"><nlm:affiliation>Departamento de Infectologia, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Departamento de Infectologia, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte</wicri:regionArea><placeName><region type="state">Rio Grande do Norte</region></placeName></affiliation></author><author><name sortKey="Padoveze, Maria Clara" sort="Padoveze, Maria Clara" uniqKey="Padoveze M" first="Maria Clara" last="Padoveze">Maria Clara Padoveze</name><affiliation wicri:level="4"><nlm:affiliation>Departamento de Enfermagem em Saúde Coletiva, Universidade de São Paulo, São Paulo, São Paulo, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Departamento de Enfermagem em Saúde Coletiva, Universidade de São Paulo, São Paulo, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName><orgName type="university">Université de São Paulo</orgName></affiliation></author><author><name sortKey="Paraguai De Oliveira Saraiva, Cecilia O" sort="Paraguai De Oliveira Saraiva, Cecilia O" uniqKey="Paraguai De Oliveira Saraiva C" first="Cecília O" last="Paraguai De Oliveira Saraiva">Cecília O. Paraguai De Oliveira Saraiva</name><affiliation wicri:level="2"><nlm:affiliation>Doutoranda do Programa de Pós-graduação em Enfermagem, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Doutoranda do Programa de Pós-graduação em Enfermagem, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte</wicri:regionArea><placeName><region type="state">Rio Grande do Norte</region></placeName></affiliation></author><author><name sortKey="Paulino, Laiane G" sort="Paulino, Laiane G" uniqKey="Paulino L" first="Laiane G" last="Paulino">Laiane G. Paulino</name><affiliation wicri:level="2"><nlm:affiliation>Curso de Gestão em Sistemas e Serviços de Saúde, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Curso de Gestão em Sistemas e Serviços de Saúde, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte</wicri:regionArea><placeName><region type="state">Rio Grande do Norte</region></placeName></affiliation></author><author><name sortKey="Ferreira De Araujo, Sibele" sort="Ferreira De Araujo, Sibele" uniqKey="Ferreira De Araujo S" first="Sibele" last="Ferreira De Araújo">Sibele Ferreira De Araújo</name><affiliation wicri:level="2"><nlm:affiliation>Curso de Gestão em Sistemas e Serviços de Saúde, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Curso de Gestão em Sistemas e Serviços de Saúde, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte</wicri:regionArea><placeName><region type="state">Rio Grande do Norte</region></placeName></affiliation></author></analytic><series><title level="j">Journal of infection and public health</title><idno type="eISSN">1876-035X</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Brazil</term><term>Catheter-Related Infections (prevention & control)</term><term>Cross Infection (prevention & control)</term><term>Cross-Sectional Studies</term><term>Disease Transmission, Infectious (prevention & control)</term><term>Guideline Adherence</term><term>Hand Hygiene</term><term>Health Personnel</term><term>Hospitals (statistics & numerical data)</term><term>Humans</term><term>Pneumonia, Ventilator-Associated (prevention & control)</term><term>Quality Indicators, Health Care</term><term>Urinary Tract Infections (prevention & control)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adhésion aux directives</term><term>Brésil</term><term>Humains</term><term>Hygiène des mains</term><term>Hôpitaux ()</term><term>Indicateurs qualité santé</term><term>Infection croisée ()</term><term>Infections sur cathéters ()</term><term>Infections urinaires ()</term><term>Personnel de santé</term><term>Pneumopathie infectieuse sous ventilation assistée ()</term><term>Transmission de maladie infectieuse ()</term><term>Études transversales</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Brazil</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Catheter-Related Infections</term><term>Cross Infection</term><term>Disease Transmission, Infectious</term><term>Pneumonia, Ventilator-Associated</term><term>Urinary Tract Infections</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Hospitals</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Cross-Sectional Studies</term><term>Guideline Adherence</term><term>Hand Hygiene</term><term>Health Personnel</term><term>Humans</term><term>Quality Indicators, Health Care</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adhésion aux directives</term><term>Brésil</term><term>Humains</term><term>Hygiène des mains</term><term>Hôpitaux</term><term>Indicateurs qualité santé</term><term>Infection croisée</term><term>Infections sur cathéters</term><term>Infections urinaires</term><term>Personnel de santé</term><term>Pneumopathie infectieuse sous ventilation assistée</term><term>Transmission de maladie infectieuse</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Brésil</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>Healthcare-associated infections (HAI) are a serious patient safety problem. There are effective preventive practices, but little information on adherence in Brazilian hospitals. This study aims at assessing adherence to good HAI prevention practices.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A cross-sectional observational study was conducted at 3 different types of hospitals (public-federal, public-state and private) in Rio Grande do Norte state, Brazil. A total of 19 structure and process indicators were measured based on 7 National Quality Forum Patient Safety Practices.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Overall adherence was low, but higher in the private hospital, followed by the public-federal and public-state institutions. There was adequate maintenance of central venous catheters and high vaccine coverage against the influenza virus among health professionals. However, hand hygiene adherence was low, and surgical antibiotic prophylaxis and prevention of multidrug-resistant bacteria transmission, urinary tract infection by urinary catheter and associated with mechanical ventilation were inadequate.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Despite the availability of evidence-based recommendations, there is ample room for improvement in adherence to safe practices in the hospitals under study, contributing to the heightened risk of unnecessary harm to patients.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">30853219</PMID><DateCompleted><Year>2020</Year><Month>01</Month><Day>28</Day></DateCompleted><DateRevised><Year>2020</Year><Month>01</Month><Day>28</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1876-035X</ISSN><JournalIssue CitedMedium="Internet"><Volume>12</Volume><Issue>5</Issue><PubDate><MedlineDate>2019 Sep - Oct</MedlineDate></PubDate></JournalIssue><Title>Journal of infection and public health</Title><ISOAbbreviation>J Infect Public Health</ISOAbbreviation></Journal><ArticleTitle>Good infection prevention practices in three Brazilian hospitals: Implications for patient safety policies.</ArticleTitle><Pagination><MedlinePgn>619-624</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S1876-0341(19)30087-5</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jiph.2019.02.016</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Healthcare-associated infections (HAI) are a serious patient safety problem. There are effective preventive practices, but little information on adherence in Brazilian hospitals. This study aims at assessing adherence to good HAI prevention practices.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A cross-sectional observational study was conducted at 3 different types of hospitals (public-federal, public-state and private) in Rio Grande do Norte state, Brazil. A total of 19 structure and process indicators were measured based on 7 National Quality Forum Patient Safety Practices.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Overall adherence was low, but higher in the private hospital, followed by the public-federal and public-state institutions. There was adequate maintenance of central venous catheters and high vaccine coverage against the influenza virus among health professionals. However, hand hygiene adherence was low, and surgical antibiotic prophylaxis and prevention of multidrug-resistant bacteria transmission, urinary tract infection by urinary catheter and associated with mechanical ventilation were inadequate.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Despite the availability of evidence-based recommendations, there is ample room for improvement in adherence to safe practices in the hospitals under study, contributing to the heightened risk of unnecessary harm to patients.</AbstractText><CopyrightInformation>Copyright © 2019 The Authors. Published by Elsevier Ltd.. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>da Silva Gama</LastName><ForeName>Zenewton A</ForeName><Initials>ZA</Initials><AffiliationInfo><Affiliation>Departamento de Saúde Coletiva, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil. Electronic address: zgama@ufrnet.br.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Saturno Hernández</LastName><ForeName>Pedro J</ForeName><Initials>PJ</Initials><AffiliationInfo><Affiliation>Centro de Investigación en Calidad y Encuestas, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, Mexico.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Reis de Freitas</LastName><ForeName>Marise</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Departamento de Infectologia, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Padoveze</LastName><ForeName>Maria Clara</ForeName><Initials>MC</Initials><AffiliationInfo><Affiliation>Departamento de Enfermagem em Saúde Coletiva, Universidade de São Paulo, São Paulo, São Paulo, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Paraguai de Oliveira Saraiva</LastName><ForeName>Cecília O</ForeName><Initials>CO</Initials><AffiliationInfo><Affiliation>Doutoranda do Programa de Pós-graduação em Enfermagem, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Paulino</LastName><ForeName>Laiane G</ForeName><Initials>LG</Initials><AffiliationInfo><Affiliation>Curso de Gestão em Sistemas e Serviços de Saúde, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ferreira de Araújo</LastName><ForeName>Sibele</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Curso de Gestão em Sistemas e Serviços de Saúde, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D064888">Observational Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>03</Month><Day>08</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Infect Public Health</MedlineTA><NlmUniqueID>101487384</NlmUniqueID><ISSNLinking>1876-0341</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001938" MajorTopicYN="N" Type="Geographic">Brazil</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055499" MajorTopicYN="N">Catheter-Related Infections</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003428" MajorTopicYN="N">Cross Infection</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018562" MajorTopicYN="N">Disease Transmission, Infectious</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D019983" MajorTopicYN="N">Guideline Adherence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D063373" MajorTopicYN="Y">Hand Hygiene</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006282" MajorTopicYN="N">Health Personnel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006761" MajorTopicYN="N">Hospitals</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D053717" MajorTopicYN="N">Pneumonia, Ventilator-Associated</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D019984" MajorTopicYN="N">Quality Indicators, Health Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014552" MajorTopicYN="N">Urinary Tract Infections</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Nosocomial infection</Keyword><Keyword MajorTopicYN="N">Patient safety</Keyword><Keyword MajorTopicYN="N">Quality indicators</Keyword><Keyword MajorTopicYN="N">Safety management</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2018</Year><Month>11</Month><Day>19</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2019</Year><Month>01</Month><Day>23</Day></PubMedPubDate><PubMedPubDate 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Paulo</li></orgName></list><tree><country name="Brésil"><region name="Rio Grande do Norte"><name sortKey="Da Silva Gama, Zenewton A" sort="Da Silva Gama, Zenewton A" uniqKey="Da Silva Gama Z" first="Zenewton A" last="Da Silva Gama">Zenewton A. Da Silva Gama</name></region><name sortKey="Ferreira De Araujo, Sibele" sort="Ferreira De Araujo, Sibele" uniqKey="Ferreira De Araujo S" first="Sibele" last="Ferreira De Araújo">Sibele Ferreira De Araújo</name><name sortKey="Padoveze, Maria Clara" sort="Padoveze, Maria Clara" uniqKey="Padoveze M" first="Maria Clara" last="Padoveze">Maria Clara Padoveze</name><name sortKey="Paraguai De Oliveira Saraiva, Cecilia O" sort="Paraguai De Oliveira Saraiva, Cecilia O" uniqKey="Paraguai De Oliveira Saraiva C" first="Cecília O" last="Paraguai De Oliveira Saraiva">Cecília O. Paraguai De Oliveira Saraiva</name><name sortKey="Paulino, Laiane G" sort="Paulino, Laiane G" uniqKey="Paulino L" first="Laiane G" last="Paulino">Laiane G. Paulino</name><name sortKey="Reis De Freitas, Marise" sort="Reis De Freitas, Marise" uniqKey="Reis De Freitas M" first="Marise" last="Reis De Freitas">Marise Reis De Freitas</name></country><country name="Mexique"><noRegion><name sortKey="Saturno Hernandez, Pedro J" sort="Saturno Hernandez, Pedro J" uniqKey="Saturno Hernandez P" first="Pedro J" last="Saturno Hernández">Pedro J. Saturno Hernández</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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