Recommendations on specific precautions for companions/visitors of patients hospitalized: characteristics and barriers to implementation
DOI:
https://doi.org/10.17058/reci.v13i3.18348Keywords:
Hospital Infection Control Program, Patient Isolation, Patient Safety, Caregivers, Infection ControlAbstract
Justification and Objectives: despite the importance of companions/visitors for hospitalized patients under specific precautions, it is noted that risks of exposure and dissemination of microorganisms in health services by this population are still incipient in the literature. Thus, the objective was to characterize the current recommendations on specific precautions for companions and visitors of hospitalized patients and to analyze the barriers to their implementation from infection preventionists’ perspective. Methods: a descriptive and exploratory study with a quantitative approach, with 89 infection preventionists, between March and June 2020. Data collected by electronic questionnaire, “snowball” sampling and analyzed according to frequency of responses. Results: hand hygiene was the most recommended recommendation (>95.0%). As for non-conformities, staying in the room without attire (78.6%), going to other rooms (53.9%) and keeping doors open as aerosol precaution (51.7%) stood out. Regarding the strategies adopted to guide companions/visitors, there was a predominance of individual verbal guidance (92.4%). The main barrier cited was the lack of institutional policy (56.2%). Conclusion: there was no uniformity in the recommendations, and non-conformities and barriers were listed. The importance of specific prevention guidelines for this public and effective educational strategies for its implementation are highlighted.
Downloads
References
Généreux M, David MD, O´Sullivan T et al. Communication strategies and media discourses in the age of COVID-19: an urgent need for action. Health Promotion International. 2021; 36(4): 1178-1185. https://doi.org/10.1093/heapro/daaa136
Chatzopoulou M, Kyriakaki A, Reynolds L. Review of antimicrobial resistance control strategies: low impact of prospective audit with feedback on bacterial antibiotic resistance within hospital settings. Infect Dis (Lond). 2021; 53(3):159-168. https://doi.org/10.1080/23744235.2020.1846777
Padoveze MC, Juskevicius LF, Santos TR et al. The concept of vulnerability applied to Healthcare-associated Infections. Revista Brasileira de Enfermagem [online]. 2019; 72(1):299-303. https://doi.org/10.1590/0034-7167-2017-0584
Jesus JB, Dias AAL, Figueiredo RM. Specific precautions: experiences of hospitalized patients. Rev Bras Enferm. 2019; 72(4): 874-879. http://dx.doi.org/10.1590/0034-7167-2017-0888
Pimenta SBB, Ferreira SFB, Silva AIP. ISOLAMENTO HOSPITALAR PEDIÁTRICO: práticas e recursos na perspectiva da psicologia. Rev. Psicol Saúde e Debate. Jun., 2021; 7(1):408-429.https://doi.org/10.22289/2446-922X.V7N1A28
Juskevicius LF, Padoveze MC. Vulnerabilidade dos pacientes quanto às precauções específicas para doenças infecciosas. Rev enferm UFPE online. 2016; 10(Suppl. 4):3688-3693. https://doi.org/10.5205/reuol.9681-89824-1-ED.
Hammond S, Amer F, Lohner S et al. Patient education on infection control: A systematic review. American Journal of Infection Control. 2020;48:1506−1515. https://doi.org/10.1016/j.ajic.2020.05.039
Munshi L, Evans G, Razak F. The case for relaxing no-visitor polices in hospitals during the ongoing COVID-19 pandemic. CMAJ. 2021; 193(4):E135-E137. https://doi.org/10.1503/cmaj.202636.
Park JY, Pardosi JF, Seale H. Examining the inclusion of patients and their family members in infection prevention and control policies and guidelines across Bangladesh, Indonesia, and South Korea. Am J Infect Control. 2020 Jun;48(6):599-608. https://doi: 10.1016/j.ajic.2019.10.001.
Miller AC, Arakkal AT, Sewell DK, Segre AM, Pemmaraju SV, Polgreen PM; CDC MInD-Healthcare Group. Risk for Asymptomatic Household Transmission of Clostridioides difficile Infection Associated with Recently Hospitalized Family Members. Emerg Infect Dis. 2022 May;28(5):932-939. https://doi/10.3201/eid2805.212023.
Juskevicius LF, Luz RA, Felix AMDS et al. Lessons learned from a failed implementation: Effective communication with patients in transmission-based precautions. Am J Infect Control. 2022 S0196-6553(22)00729-5. http://doi:10.1016/j.ajic.2022.09.029.
Agência Nacional de Vigilância Sanitária (BR). Programa nacional de prevenção e controle de infecções relacionadas à assistência à saúde (PNPCIRAS) 2021 a 2025. 2021. https://www.gov.br/anvisa/pt-br/centraisdeconteudo/publicacoes/servicosdesaude/publicacoes/pnpciras_2021_2025.pdf.
The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: guidelines for reporting observational studies. 2022 https://www.equator-network.org/reporting-guidelines/strobe/
Siegel JD, Rhinehart E, Jackson M et al. Healthcare Infection Control Practices Advisory Committee. Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings. Atlanta: Center for Disease Control and Prevention [Internet]. 2007 https://www.cdc.gov/infectioncontrol/pdf/guidelines/isolation-guidelines.pdf.
Associação Paulista de Epidemiologia e controle de Infecção relacionada à assistência à saúde (APECIH). Precauções e Isolamento. 2 ed. - São Paulo: APECIH, 2012.
Massaroli A, Martini JG. Perfil dos profissionais do controle de infecção no ambiente hospitalar. Cienc Cuid Saude. 2014 Jul/Set; 13(3):511-518.
Remann T, Alvino RT, Lugo K et al. Infection preventionists’ experiences during the second year of the COVID-19 pandemic: Findings from focus groups conducted with association for professionals in infection control & epidemiology (APIC) members. AJIC. 2023;51(2):121-128 https://doi.org/10.1016/j.ajic.2022.11.023
Lee Z, Lo J, Luan YL et al. Patient, family, and visitor hand hygiene knowledge, attitudes, and practices at pediatric and maternity hospitals: A descriptive study. Am J Infect Control. 2021 Aug;49(8):1000-1007. http://doi:10.1016/j.ajic.2021.02.015.
Cobb N, Papali A, Pisani L et al. Pragmatic Recommendations for Infection Prevention and Control Practices for Healthcare Facilities in Low-and Middle-Income Countries during the COVID-19 Pandemic. Am. J. Trop. Med. Hyg. 2021; 104(Suppl.3): 25–33 http://dx.doi.org/10.4269/ajtmh.20-1009.
Agência Nacional de Vigilância Sanitária (BR). Nota Técnica GVIMS/GGTES/ANVISA Nº 07/2020. Orientações para prevenção e vigilância epidemiológica das infecções por SARS-CoV-2 (COVID-19) dentro dos serviços de saúde 23/07/2021. [internet], 2021 https://www.gov.br/anvisa/pt-br/centraisdeconteudo/publicacoes/servicosdesaude/notas-tecnicas/nota-tecnica-gvims-ggtes-anvisa-no-07-2020.
Munoz-Price LS, Banach D, Bearman G et al. Isolation precautions for visitors. Infection Control & Hospital Epidemiology. 2015;36(7), 747-758. http://doi:10.1017/ice.2015.67
Iness AN, Abaricia JO, Sawadogo W et al. The Effect of Hospital Visitor Policies on Patients, Their Visitors, and Health Care Providers During the COVID-19 Pandemic: A Systematic Review. Am J Med. 2022 Oct;135(10):1158-1167.e3. http://doi:10.1016j.amjmed.2022.04.005.
Munishi L, Evans G, Razor F. The case for relaxing no-visitor policies in hospitals during the ongoing COVID-19 pandemic. CMAJ. 2021 January 25;193:E135-7. http://doi:10.1503/cmaj.202636
Seibert G, Ewers T, Barker A, et al. What do visitors know and how do they feel about contact precautions? Am J Infect Control 2018;46:115-7. 10.1016/j.ajic.2017.05.011.
Antão C, Rodrigues N, Sousa F et al. Hospitalização da criança: sentimentos e opiniões dos pais. INFAD Revista de Psicología [Internet]. 2018; 2(1):125-132. http://dx.doi.org/10.17060/ijodaep.2018.n1.v2.1201.
Gonçalves KMM, Costa MTTCA, Silva DCB et al. Estratégia lúdica para promoção do engajamento de pais e acompanhantes na segurança do paciente pediátrico. Rev Gaúcha Enferm; 41:e20190473. https://doi.org/10.1590/1983- 1447.2020.20190473
World Health Organization (WHO). A Guide to the Implementation of the WHO Multimodal Hand Hygiene Improvement Strategy. Geneva: WHO; 2009 https://apps.who.int/iris/bitstream/handle/10665/70030/WHO_IER_PSP_2009.02_eng.pd
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Jeanine Geraldin Estequi, Lívia Cristina Scalon da Costa Perinoti, Daniela Sanches Couto, Juliano de Souza Caliari, Adriana Maria da Silva Félix, Rosely Moralez de Figueiredo
This work is licensed under a Creative Commons Attribution 4.0 International License.
The author must state that the paper is original (has not been published previously), not infringing any copyright or other ownership right involving third parties. Once the paper is submitted, the Journal reserves the right to make normative changes, such as spelling and grammar, in order to maintain the language standard, but respecting the author’s style. The published papers become ownership of RECI, considering that all the opinions expressed by the authors are their responsibility. Because we are an open access journal, we allow free use of articles in educational and scientific applications provided the source is cited under the Creative Commons CC-BY license.