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Structure for prevention of health care-associated infections in Brazilian hospitals: A countrywide study.

Abstract：

BACKGROUND:Minimal structure is required for effective prevention of health care-associated 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 Care-Associated 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.

journal_name

Am J Infect Control

journal_title

American journal of infection control

authors

Padoveze MC,Fortaleza CM,Kiffer C,Barth AL,Carneiro IC,Giamberardino HI,Rodrigues JL,Santos Filho L,de Mello MJ,Pereira MS,Gontijo Filho P,Rocha M,de Medeiros EA,Pignatari AC

doi

10.1016/j.ajic.2015.08.004

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

74-9

issue

1

eissn

0196-6553

issn

1527-3296

pii

S0196-6553(15)00851-2

journal_volume

44

pub_type

杂志文章

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