Assessment of technique and adherence to hand hygiene in the central of materials and sterilization center

Authors

DOI:

https://doi.org/10.17058/reci.v14i3.19357

Keywords:

Hand Disinfection, Sterilization, Nursing, Infection control

Abstract

Background and Objectives: Hand hygiene should be encouraged among the nursing team of the materials and sterilization center, as various processes can be sources of microorganism transmission. The objective is to assess the quality of hand hygiene technique and adherence in the materials and sterilization center, according to the recommendations of the World Health Organization. Methods: This is an observational, descriptive, and prospective study, in which weekly visits were conducted from February to May 2023. On-site direct observation was used, followed by notes on an adapted form. Results: Out of 364 observations made, only 91 (25%) performed hand hygiene, and only 7 (1.9%) executed the correct technique. Moments with the highest adherence were upon arrival at the unit (35.1%), upon leaving the unit (12.1%), and before handling packaging and health products. Among the supplies used, liquid soap had the highest frequency (51.6%). Males showed higher adherence compared to females (p<0.01). Conclusion: Adherence to hand hygiene was low among the nursing staff, and few executed the correct technique according to the steps recommended by the World Health Organization. The results underscore the need for awareness-raising and training actions regarding this preventive measure in the materials and sterilization center.

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Author Biographies

Bruno Henrique Ataíde da Trindade, Universidade Federal de Juiz de Fora

Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil.

Vanessa Albuquerque Alvim de Paula, Universidade Federal de Juiz de Fora

Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil.

Thiago César Nascimento, Universidade Federal de Juiz de Fora

Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil.

Thais Vidal de Oliveira, Universidade Federal de Juiz de Fora

Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil.

Bráulio Roberto Gonçalves Marinho Couto, Biobyte Sistemas

Biobyte Sistemas, Belo Horizonte, MG, Brasil.

Andre Luiz Silva Alvim, Universidade Federal de Juiz de Fora

Professor Adjunto da Universidade Federal de Juiz de Fora (UFJF). Doutor e Mestre em Enfermagem pela Universidade Federal de Minas Gerais. Especialista em Controle de Infecção. MBA em Auditoria e Gestão da Qualidade. Pós-doutor em Promoção da Saúde.

References

Silva BR da, Carreiro MA, Simões BFT, et al. Monitoring hand hygiene adherence in an intensive care unit. Rev Enferm Uerj. 2018; 26:1-6. http://dx.doi.org/10.12957/reuerj.2018.33087.

Medeiros KC de, Azevedo IC, Cruz GKP, et al. Higienização das mãos entre profissionais de enfermagem circulantes de sala operatória. Rev Enferm Atual In Derme. 2019; 81(19):1-7. http://dx.doi.org/10.31011/reaid-2017-v.81-n.19-art.322.

Oliveira ES de, Cardoso MVLM, Bezerra CM, et al. Taxa de higienização das mãos em uma Unidade de Terapia Intensiva Neonatal. Acta paul. enferm. 2022; 35:eAPE00497:1-7. https://doi.org/10.37689/acta-ape/2022AO00497.

Kraker MAA, Tartari E, Tomczyk S, et al. Implementation of hand hygiene in health-care facilities: results from the WHO hand hygiene self-assessment framework global survey 2019. Lancet Infect Dis. 2022; 22(6):1-10. http://dx.doi.org/10.1016/s1473-3099(21)00618-6.

World Health Organization. A Guide to the Implementation of the WHO Multimodal Hand Hygiene Improvement Strategy. Geneva: WHO; 2009. https://www.who.int/publications/i/item/a-guide-to-the-implementation-of-the-who-multimodal-hand-hygiene-improvement-strategy

Cavalcante FML, Barros LM. O trabalho do enfermeiro no centro de material e esterilização: uma revisão integrativa. Rev SOBECC. 2020; 25(3):1-8. http://dx.doi.org/10.5327/z1414-4425202000030007.

Pires FV, Tipple AFV, Freitas LR, et al. Momentos para higienizar as mãos em Centro de Material e Esterilização. Rev Bras Enferm. 2016; 69(3):1-6. http://dx.doi.org/10.1590/0034-7167.2016690318i.

Ghaferi AA, Schwartz TA, Pawlik TM. STROBE Reporting Guidelines for Observational Studies. JAMA Surg. 2021; 156(6):577-578. http://dx.doi.org/10.1001/jamasurg.2021.0528.

Gould D, Lindström H, Purssell E, et al. Electronic hand hygiene monitoring: accuracy, impact on the Hawthorne effect and efficiency. J Infect Prev. 2020; 21(4):136-143. http://dx.doi.org/10.1177/1757177420907999.

Llapa-Rodríguez EO, Oliveira JKA, Menezes MO, et al. Aderência de profissionais de saúde à higienização das mãos. Rev Enferm Ufpe On Line. 2018; 12(6):1-8. http://dx.doi.org/10.5205/1981-8963-v12i6a230841p1578-1585-2018.

Price L, Gozdzielewska L, Matuluko A, et al. Comparing the effectiveness of hand hygiene techniques in reducing the microbial load and covering hand surfaces in healthcare workers: updated systematic review. Am J Infect Control. 2022; 50(10):1-12. http://dx.doi.org/10.1016/j.ajic.2022.02.003.

Ferreira BEM, Santos DM, Silveira AP, et al. Adesão dos profissionais de enfermagem as metas de segurança da OMS: uma revisão de literatura. Rev Eletr Acervo Enferm. 2021; 8:1-8. http://dx.doi.org/10.25248/reaenf.e5967.2021.

Silva CSS, Pereira AA, Parente AT, et al. Higienização das mãos em uma unidade de terapia intensiva neonatal. Rev Recien - Rev Cient Enferm. 2021; 11(34):1-11. http://dx.doi.org/10.24276/rrecien2021.11.34.41-51.

Brasil. Agência Nacional de Vigilância Sanitária. Segurança do paciente em serviços de saúde: higienização das mãos. Anvisa: Brasília, 2009. https://bvsms.saude.gov.br/bvs/publicacoes/seguranca_paciente_servicos_saude_higienizacao_maos.pdf

Lima AM de, Silva DP, Araújo HB, et al. Contribution of continuing education about hand hygiene in the fight against COVID-19: an experience report. Rev Prev Infec Saude. 2022; 8(1):1-8. http://dx.doi.org/10.26694/repis.v8i1.3111.

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Published

2024-09-12

How to Cite

da Trindade, B. H. A., de Paula, V. A. A., Nascimento, T. C., de Oliveira, T. V., Couto, B. R. G. M., & Alvim, A. L. S. (2024). Assessment of technique and adherence to hand hygiene in the central of materials and sterilization center. Revista De Epidemiologia E Controle De Infecção, 14(3). https://doi.org/10.17058/reci.v14i3.19357

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Section

ORIGINAL ARTICLE