Risks of infection in health care out of the hospital setting: an integrative review

Carla Maria Oppermann, Rita Catalina Aquino Caregnato, Marcelo Schenk de Azambuja


Background and Objectives: healthcare-associated infections (HAIs) are common adverse events also in health care out of the hospital setting and generate increased costs and suffering by the individuals who acquire them. Considering the diversity and volume of outpatient services and the large number of users, this study aims to review the literature on HAI risks found in these facilities. Content: the present study is an integrative review of articles published between 2011 and 2016 in the following da-tabases: LILACS, MEDLINE / PubMed, and SciELO. The sample consisted of 13 articles. The risks of outbreaks due to airborne respiratory infections were demonstrated in the presence of multiresistant microorganisms, in unsafe injection practices and failures in the process of cleaning and sterilizing medical equipment in surgical, oncological and dialysis clinics. Patients at highest risk are the elderly, oncological and neurological patients, as well as incontinent ones and those with skin lesions and using catheters and drains. Conclusion: a specific legislation is required for all types of health services and it is necessary to increase the surveillance and regulation for the implementation of infection control programs that include indicators and education in the ser-vice. Keywords: Cross infection. Ambulatory care. Ambulatory care facilities.

DOI: http://dx.doi.org/10.17058/reci.v7i3.8987

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