Descrição
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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
Background: Minimal structure is required for effective prevention of health careeassociated infection (HAI). The objective of this study was to evaluate the structure for prevention of HAI in a sample of Brazilian hospitals. Methods: This was a cross-sectional study from hospitals in 5 Brazilian regions (n = 153; total beds: 13,983) classified according to the number of beds; 11 university hospitals were used as reference for comparison. Trained nurses carried out the evaluation by using structured forms previously validated. The evaluation of conformity index (CI) included elements of structure of the Health CareeAssociated Prevention and Control Committee (HAIPCC), hand hygiene, sterilization, and laboratory of microbiology. Results: The median CI for the HAIPCC varied from 0.55-0.94 among hospital categories. Hospitals with > 200 beds had the worst ratio of beds to sinks (3.9; P <. 001). Regarding alcoholic product for handrubbing, the worst ratio of beds to dispensers was found in hospitals with < 50 beds (6.4) compared with reference hospitals (3.3; P<.001). The CI for sterilization services showed huge variation ranging from 0.0-1.00. Reference hospitals were more likely to have their own laboratory of microbiology than other hospitals. Conclusion: This study highlights the need for public health strategies aiming to improve the structure for HAI prevention in Brazilian hospitals. Copyright (C) 2016 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
Univ Sao Paulo, Sch Nursing, Dept Collect Hlth Nursing, BR-05403000 Sao Paulo, Brazil
State Univ Sao Paulo, Botucatu Sch Med, Dept Infect Dis, Botucatu, SP, Brazil
Univ Fed Sao Paulo, Special Clin Microbiol Lab, Infect Dis Discipline, Sao Paulo, Brazil
Univ Fed Rio Grande do Sul, Clin Hosp Porto Alegre, Ctr Expt Res, Lab Res Bacterial Resistance, Porto Alegre, RS, Brazil
Fed Univ Para, Dept Infect Dis, BR-66059 Belem, Para, Brazil
Pequeno Principe Hosp, Epidemiol & Infect Control Dept, Curitiba, Parana, Brazil
Univ Fed Ceara, Fac Med, Dept Community Hlth, Fortaleza, Ceara, Brazil
Univ Fed Paraiba, Clin Microbiol Discipline, BR-58059900 Joao Pessoa, Paraiba, Brazil
Hosp Infect Control Comm, Inst Med Integral Prof Fernando Figueira, Recife, PE, Brazil
Pontifical Catholic Univ, Dept Nursing, Goiania, Go, Brazil
Univ Fed Uberlandia, Inst Biomed Sci, Microbiol, BR-38400 Uberlandia, MG, Brazil
Fundacao Oswaldo Cruz, Nucleo Vigilancia Hosp, Inst Nacl Saude Mulher Crianca & Adolescente Fern, Rio De Janeiro, Brazil
Univ Fed Sao Paulo, Div Infect Dis, Sao Paulo, Brazil
State Univ Sao Paulo, Botucatu Sch Med, Dept Infect Dis, Botucatu, SP, Brazil
CNPq: 563225/2010-6
CNPq: 40/2010
