EVALUATION OF THE SU RGICAL HANDS ANTISEPTIC PROCED URE, PREOPERATIVE SICTN PREPARATION AND ANTIBIOTIC PROPHYLAXIS IN A UNIVERSITY HOSPITAL
Keywords:
Hospital Infection Control Program, antibiotic prophylaxis, surgical wound infection, asepsis/ methods, handwashing / surgery.Abstract
The objective of this de sc riptive st ud y was to eva l u a te t h e practices for surgica1 hand s ant isept ic procedure, preoperative skin prepara tio n and surgical antib io ti c pro phylaxis. ln 2005, sur geo ns, medical st udents and nursing staff were o bserved d ur ing the performance of 50 surgeries usin g a check list tool. The performance of 67 scru b-hand s, 13 skin- hyg iene, 50 preoperative skin preparat io n and 30 ant i bio tic pro phylaxis administration were o bserved. The discrimination of the ste p- by-ste p procedure enabled the evaluation and identification of the frequency of correct and incorrect steps. T he high est proportion of correct step proced ures was related to skin disinfec tion and the lo west concerned to the tim ing of scru b-hand proced ure and the moment of a nt i bio ti c ad ministratio n . The method of eval uat io n proved to be valid for it ackno wle dge s, in details, the co nd it io ns of the performanc es of the procedures, enhancing co nt inu ed ed u cation policies, clo sely associated wit h infection pro blems faced by in vo lved pro fessio nals.
References
R rasil. M inisté rio da Sa úde. Po rtar ia n . 2 .6 1 6 de 12 de maio de 1 99 8 . D is - nho GH, C lc rnc n tc 'vVT, L1cerda R.A. Estu do comparativo do d iag nó st ic o tfa inkcção do sít io cirúrgico durante e após a i n tc rn açJ.o . RL'.v Saúde Pú blic a. 2002; 36( 6 ):7 1 7 -22 .
Rabhae GN, Ribeiro Fil ho N, Fer
nandes AT. Infecção do sírio cirúrgico. ln : Fernarn.ks AT, Fe rn a nd es MOV
Rib eiro Filho N. I nfrcçJ.o hospitalar e'
suas inte rface s na área de saúde. São Pau lo : Athe ne u; 20 0 0 . p. 4 79 -50 5 .
Polir DF, Hungler BP. Fu nd a me n tos de pesquisa em e nfe rm ag e m . Porto Aleg re: Ar tes Méd ic as; 19 9 5 . Méto d o de coleta de dados; p. 16 3 -9 8 .
Lacerda RA, coo rde nad o ra. Con trole de infecção em centro cirú rg ico : fatos, mitos e co n t ro vér sias . S.10 P au lo : Atheneu; 2003. Técnicas cirúrgicas e procedimentos pré -o pe rató rios; p . 36 3 -8 6 .
G razia no KU, L1eenb RA. Fatores de ris co re lac io nad o s a todo paciente cir ú rgico : espL'.citicid,uks d,1 c iru rg ia. ln: Lacerda RA, coorde,udora. Bu s cando compreender a infecção hospi talar no pacie nt e cirúrgico. S1.0 Pau lo : Atheneu; 19 9 2 . p . 39 4 1 .
Graziano KU, Sil va A , Bianchi E RF.
Limpeza, desinfecção, esterili zação de artigos e antissepsia . ln: Fer nandes AT, Fernandes MOV, Ribeiro Filho N. Infecção hospita lar e suas interfaces na área da saúde. São Paulo : Atheneu; 2000. p. 266-308.
Association of Operating Room N urses. Recomm ended practices for surgical hand scrubs. AORN J. 1999;69 (4 ):842-5 0.
Ferraz AB, Ferraz EM, Bacelar TS. Infecção da ferida cirúr gica. ln: Ferraz EM. Infecção em ciru rgia . São Paulo: MEDSI; 1997. p. 267 -77 .
Grinbaum RS. Infecçõe s do sítio cirúrgico e antibioticoprofi laxia em cirurgia. ln: Rodrigues EAC, Mendonça JS de, Amaran te JM B. Infecções hosp italares: prevenção e controle. São Paulo: Sarvier; 199 7. p. 149-61.
Association of Operating Room Nurses. Proposed recommended practices for surgical skin preparation . AORN J. 199 6;6 3( 1 ):221 -27.
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