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Introduction: Healthcare professionals working in emergency care perform hand hygiene on few occasions when in contact with the patient and/or nearby areas. Aim: To verify adherence and behavior of healthcare professionals regarding hand hygiene practices in emergency care. Outlining: Cross-sectional, descriptive, quantitative study conducted with 39 healthcare professionals working in emergency care. Data were analyzed using descriptive statistics and multiple linear regression. Results: A total of 230 observations were made during day and night shifts. The majority did not use adornments during their workday (81.0%). The adherence rate was 33.0%, with the lowest frequency before performing aseptic procedures (24.0%) and before contacting the patient (27.1%). Nurses stood out among the evaluated professionals (39.5%). There was no statistical difference between the products used for handhygiene and the adherence rate (p=0.20). Implications: It is necessary to implement strategies to sensitize healthcare professionals about hand hygiene, as the participants' performance was low.

Objective: To map the available evidence about the prescription of antimicrobials in Primary Health Care. Methods: A Scoping Review has been proposed based on the procedures recommended by the Joanna Briggs Institute. Results: This review included a total of 16 studies. The articles compiled demonstrated that this theme is the center of discussion, in a linear manner, over the past 12 years. Among the studies, 37.5% occurred in Brazil, and regarding the prescription of antimicrobials analyzed in studies, amoxicillin was the most prescribed, the physician was the prescribing professional in 12 studies, and the prescriptions were mostly intended for the general population (children, adolescents, adults and the elderly). Conclusion: This review ratifies the premise of rational use of antimicrobials promoted by the World Health Organization through the goals of sustainable development when understanding that these drugs have been considerably prescribed in the daily routine of Primary Health Care and there is no specific system to control and monitor their rational use.

Introduction: Amid COVID-19 pandemic, the use of protective measures, as hand hygiene, is necessary due the easiness of transmission through contact. Aim: To report the developed activities about hand hygiene, before the pandemic, in a university extension program which can contribute to reduce COVID-19 transmission within health service. Outlining: Descriptive study with qualitative approach, experience report type, of the activities carried out in the extension project “Surveillance of Risk Factors and Protection for Healthcare Related Infection by the Search and Notification of Cases”, the year of 2019. Results: The developed activities ranged from the monitoring of the practice of hand hand hygiene until the development of educational activities which aim the adhesion by the professionals, being an important practice for controlling infections that can be transmitted through the hands. Implications: The increase of hand hygiene adhesion, through educational activities, can contribute to the reduction of COVID-19 transmission risk within the hospital services.

To map the scientific production about biofilms formation and prevention on urinary catheters. It is a bibliometric, exploratory, and descriptive research performed in Web of Science™, in three stages, and utilizing HistCite™ software. In this regard, descriptors “Biofilm*” AND “Urinary Catheter*” were utilized within the period between 1945 and 2016. A total of 329 articles about biofilm on urinary catheter were found from 1985 to 2016. These articles were written by 1,262 authors from 452 institutions located in 50 countries. The relation among the 15 selected articles, the most impacting ones, evidences the existence of experimental researches; most of them was in vitro. The control of biofilm formation on urinary catheters remains as a major challenge in the health area, because new ways are necessary to improve the prevention and minimization of this phenomenon. Mapear a produção científica acerca da formação e prevenção de biofilmes em cateteres urinários. Trata-se de uma pesquisa bibliométrica, exploratória e descritiva, realizada no Web of Science™, em três estágios, e utilizando o software HistCite™. Nesse sentido, foram utilizados os descritores “Biofilme*” E “Cateter Urinário*” no período de 1945 a 2016. Foram encontrados 329 artigos sobre biofilme em cateter urinário no período de 1985 a 2016. Estes artigos foram escritos por 1.262 autores de 452 instituições localizadas em 50 países. A relação entre os 15 artigos selecionados, os mais impactantes, evidencia a existência de pesquisas experimentais; a maioria delas foi in vitro. O controle da formação de biofilme nos cateteres urinários permanece como um grande desafio na área da saúde, pois são necessárias novas formas de melhorar a prevenção e a minimização desse fenômeno.

Resumo Objetivo: Avaliar a influência do tempo de exposição e calibre na formação de biofilme em cateteres urinários de Foley (CUFs). Método: Pesquisa in vitro com amostras de fragmentos de CUFs em látex siliconizado de diferentes calibres (n° 14 e n° 16 Frenchs). A urina artificial foi confeccionada, inoculada com bactérias-padrão Staphylococcus aureus (ATCC 25923) e Pseudomonas aeruginosa (ATCC 27853) e incubada a 37 °C por 24 horas e 72 horas. As análises foram realizadas por meio de cultura (carga bacteriana) e microscopia eletrônica de varredura. Resultados: Não houve diferença na carga bacteriana dos biofilmes formados nas superfícies dos CUFs com relação aos diferentes calibres (p > 0,05). Por outro lado, o tempo de exposição (24 horas e 72 horas) foi o fator determinante para formação do biofilme de P. aeruginosa nos CUFs (p < 0,05). Conclusão: O tempo de exposição influenciou a formação do biofilme de P. aeruginosa nos CUFs, independentemente dos calibres.

Background The global records of occupational accidents and diseases are alarming, having serious consequences for victims and their families. Among hospital settings, the Intensive Care Unit (ICU) is considered to be the most tense, traumatic and aggressive, due to its heavy work routine and the constant risks to which the staff is exposed. Nurses are some among the professionals who are constantly exposed to various risk factors. Objective To analyze the occupational hazards to which ICU nursing professionals are exposed in the national and international literature. Methods: Integrative literature review conducted in databases LILACS, CINAHL, MEDLINE and SciELO from July to August 2015. Results Most studies were published in Brazilian journals (66.6%), however, little difference was found by comparison to international studies with the same perspective. Discussion The ICU setting exhibits a wide variety of risks, which are considerably minimized when nursing professionals make correct use of personal protective equipment. Conclusion Hospitals should develop effective educational strategies for professionals to make correct use of the equipment. In addition, workers should have accurate knowledge of the risks to which they are exposed and how they might affect their health and quality of life.

Objective: To analyze the processing of health products in Material and Sterilization Centers (MSC) of Health Care Establishments of the city Teresina – PI. Method: Transversal analytic observational study performed at three health care establishments through an interview with the professional responsible for the MSC and through direct observation in loco with a script. Results: Two of the health care establishments studied presented appropriate technical conditions and one presented partially appropriate techniques. The professionals responsible for the MSC related an insufficient staff for the work demand. Conclusion: It was observed in one of the places studied the noncompliance with the current legislation, which constitutes sanitary infraction and represents a risk to the safety of the process and the patient. Some structural and organizational adjustments are required. Also, it is necessary a human resources management.

Objective: To identify the prevalence of bloodstream infection associated with the Catheter related Blood stream infections in patients of the Intensive Care Unit, and the characteristics of its use and handling. Methods: Descriptive and transversal study with a sample of 88 participants. Data were collected through the observational method and the records in the medical records. The absolute and relative frequencies were used for data analysis. Results: 73.86% of the patients had central venous access in the subclavian vein, 100% used double lumen Catheter related Blood stream infections, 0.5% chlorhexidine solution for skin antisepsis, dressing coverage is performed mostly with Sterile gauze and tape, with a daily exchange. The rate of infection related to the use of the Catheter related Blood stream infections was (6.81%). The most infused pharmacological drugs were antimicrobials (69.32%). Conclusion: The study showed that care with central venous accesses is performed according to recommendations for prevention of bloodstream infection related to the use of these devices. The infection rate is close to the standards found in the literature. Key words: Central Venous Catheterization. Hospital Infection. Intensive care unit. Risk factors. Catheter-Related Infection..

The global records of occupational accidents and diseases are alarming, having serious consequences for victims and their families. Among hospital settings, the Intensive Care Unit (ICU) is considered to be the most tense, traumatic and aggressive, due to its heavy work routine and the constant risks to which the staff is exposed. Nurses are some among the professionals who are constantly exposed to various risk factors.To analyze the occupational hazards to which ICU nursing professionals are exposed in the national and international literature. Methods: Integrative literature review conducted in databases LILACS, CINAHL, MEDLINE and SciELO from July to August 2015.Most studies were published in Brazilian journals (66.6%), however, little difference was found by comparison to international studies with the same perspective.The ICU setting exhibits a wide variety of risks, which are considerably minimized when nursing professionals make correct use of personal protective equipment.Hospitals should develop effective educational strategies for professionals to make correct use of the equipment. In addition, workers should have accurate knowledge of the risks to which they are exposed and how they might affect their health and quality of life.Os registros de acidentes de trabalho e doenças profissionais no mundo são alarmantes e possuem graves consequências para as vítimas e seus familiares. Entre os ambientes hospitalares, a Unidade de Terapia Intensiva (UTI) é considerada como a mais tensa, traumatizante e agressiva, em decorrência da rotina de trabalho intensa e dos riscos constantes à equipe. Dentre esses profissionais, a enfermagem é uma das equipes que está constantemente exposta a vários fatores de risco.Analisar na literatura nacional e internacional quais são os riscos ocupacionais a que os trabalhadores de enfermagem estão expostos em UTI.Trata-se de uma revisão integrativa da literatura realizada nas bases de dados LILACS, CINAHL, MEDLINE e na biblioteca eletrônica SciELO no período de julho a agosto de 2015.Os estudos são, em maioria, publicados em periódicos nacionais (66,6%), mas com pouca evidência de diferenças quando comparados a estudos internacionais dessa mesma perspectiva.O ambiente de trabalho da UTI apresenta os mais diversos tipos de riscos, mas esses são consideravelmente minimizados se os profissionais de enfermagem fizerem o uso correto dos equipamentos de proteção individual.Instituições hospitalares devem desenvolver estratégias educativas efetivas para que esses profissionais usem os equipamentos corretamente. Além disso, esses trabalhadores devem conhecer os riscos a que estão expostos e compreender o quanto isso pode afetar a sua saúde e a sua qualidade de vida.

im: To investigate the psychomotor and administrative abilities of nursing students of a higher education institution of Piauí, by means of frequency and self-reported confidence regarding the accomplishment of adult hospital care procedures. Method: This is a descriptive, cross-sectional study, developed with nursing students, from April to May 2015, using an online questionnaire. Result: Procedures for drug administration and related to the integumentary system were the ones that were most carried out. Students were confident in performing few procedures. Discussion: The frequency of completion of the procedures is related to the opportunities offered by the university and the internship fields. The safety of the students is associated with the frequency of the procedures (p

RESUMO Objetivo: apreender as representações sociais da biossegurança por profissionais de Enfermagem na Atenção Primária e analisar como elas se articulam com a qualidade da assistência prestada. Métodos: pesquisa exploratória, qualitativa, fundamentada na Teoria das Representações Sociais. Os participantes da pesquisa foram 36 trabalhadores de Enfermagem de Unidades Básicas de Saúde de uma capital da Região Nordeste do Brasil. Os dados foram analisados pela Classificação Hierárquica Descendente. Resultados: foram obtidas cinco classes: acidentes ocupacionais sofridos pelos profissionais; exposição ocupacional a agentes biológicos; gestão da biossegurança em Atenção Primária; importância do equipamento de proteção individual, e biossegurança e controle de infecção. Conclusão: as diferentes tomadas de posições dos profissionais parecem se ancorar em um campo das representações sociais ligado a questões relacionadas ao conceito de biossegurança, à exposição a acidentes e riscos aos quais estão expostos. No entanto, o acidente ocupacional é reportado como inerente à prática.

Este estudo objetivou determinar a prevalência de infecção hospitalar (IH) e distribuição por topografia e por microorganismo e suas sensibilidades antimicrobianas. Realizado em duas Unidades de Terapia Intensiva (UTIs) de um hospital público de ensino de Teresina, com amostragem de 394 casos de IH e processados pelo Software SPSS. A infecção respiratória foi a maior prevalência (61,26%) na UTI Geral. Evidenciou-se maior sensibilidade bacteriana à amicacina (52,48) na UTI do SPS. O microorganismo com maior prevalência foi a Klebsiella pneumonia (35,46%) na UTI geral. Conclui-se que a prevalência de IH nas duas UTIs foi de 60,8%, ultrapassando 45,3 % do índice geral registrado nos hospitais brasileiros que é 15,5%, contribuindo para aumentar a morbi - mortalidade causadas por infecções.

to understand the biosecurity social representations by primary care nursing professionals and analyze how they articulate with quality of care.exploratory and qualitative research based on social representation theory. The study participants were 36 nursing workers from primary health care in a state capital in the Northeast region of Brazil. The data were analyzed by descending hierarchical classification.five classes were obtained: occupational accidents suffered by professionals; occupational exposure to biological agents; biosecurity management in primary health care; the importance of personal protective equipment; and infection control and biosecurity.the different positions taken by the professionals seem to be based on a field of social representations related to the concept of biosecurity, namely exposure to accidents and risks to which they are exposed. However, occupational accidents are reported as inherent to the practice.

Objective: to investigate the epidemiological profile of hospital infections acquired in the Intensive Care Unit of a reference hospital in the Northeast. Methods: This is a descriptive, prospective data collection study carried out in two adult intensive care units of a general hospital and teaching hospital. Data were collected through a structured questionnaire. Results: Among the participants, there was a predominance of females and of the age group comprising young adults and married. All patients underwent at least one type of invasive procedure, with nasogastric probe and bladder catheterization being the most prevalent. Respiratory tract infection was the most prevalent (66.7%) among the total number of infections. Attention is also drawn to the high rates of urinary tract infection (45.8%) and bloodstream infection (15.8%). Conclusion: Respiratory tract infection is the main infectious topography in the hospital environment.

Objetivo: Analisar a prevalência dos germes relacionados às pneumonias associadas à ventilação mecânica e seus perfis de sensibilidades. Métodos: estudo epidemiológico, descritivo com abordagem quantitativa. A amostra constou de 99 pacientes em uso de ventilação mecânica em duas unidades de terapia intensiva em um hospital público e de ensino do município de Teresina-Piauí. Os dados foram coletados por meio de um formulário nos meses de janeiro e fevereiro de 2009, processados estatisticamente e apresentados em forma de tabelas. Resultados: Os germes mais prevalentes foram: klebsiella spp (40,40%); Bacilo Gram-Negativo não fermentador (24,24%); Staphylococcus aureus e pseudomonas aeruginosa (17,17%). Evidenciou-se maior sensibilidade bacteriana ao imipenem (76,77%); meropenem (72,73%) e cefepime (58,59%). Conclusão: Terapêutica adequada e estratégias de prevenção reduzem as taxas de prevalência de pneumonia associada à ventilação mecânica e o surgimento de resistência microbiana.

OBJETIVO: Descrever a percepção dos enfermeiros sobre o cuidado de enfermagem prestado ao paciente, e analisar como o cuidado prestado na sala de recuperação pós-anestésica influencia no quadro clínico-cirúrgico do paciente. MÉTODOS: Trata-se de uma pesquisa descritiva realizada junto a 07 enfermeiros que atuam na sala de recuperação pós-anestésica de um hospital de urgência e emergência do município de Teresina-Piauí, realizado por meio de entrevista semi-estruturada, nos meses de março e abril de 2012. RESULTADOS: Evidenciou-se 3 categorias: percepção dos enfermeiros sobre o cuidado na sala de recuperação pós-anestésica; práticas de cuidados intensivos na sala de recuperação pós-anestésica e cuidado de enfermagem e a segurança do paciente. CONCLUSÃO: Conclui-se que o cuidado de enfermagem é percebido como importante e que influencia na recuperação e na segurança cirúrgica do paciente, além disso, evidencia-se a existência de práticas de cuidados intensivos, porém tais práticas são expressas por ações técnicas e rotineiras.

Estudo exploratório qualitativo com a utilização da Teoria das Representações Sociais que objetivou apreender e discutir as representações sociais sobre as Doenças sexualmente transmissíveis e a Síndrome da imunodeficiência adquirida formuladas por 40 gestantes que realizavam pré-natal no Bairro Satélite de Teresina-PI. O instrumento utilizado para coleta de dados foi o Teste de Associação Livre de Palavras e foram processados no software Tri-Deux Mots e interpretados por meio da análise fatorial de correspondência. Os resultados mostraram que o campo representacional dos sujeitos está constituído pelas evocações: coceira, corrimento, dor, insegurança, medo, prevenção, perigo e camisinha, ancoradas no aspecto sociocultural e psicológico. Assim, as representações sociais foram expressas pelas mulheres com o aspecto social, cultural e psicológico sobre a prevenção e o controle das doenças sexualmente transmissíveis e a síndrome da imunodeficiência adquirida. The aim of this qualitative exploratory study using the Theory of Social Representations was to capture and discuss the social representations about Sexually Transmitted Diseases and Acquired Imunodeficiency Syndrome made by forty pregnant women who received prenatal care in the Satellite District of Teresina-PI, Brazil. The instrument used for data collection was the Test of Free Association of Words. The results were processed in the software Tri-Deux Mots and interpreted through correspondence factorial analysis. The results showed that the representational field of the subjects is constituted by the following evocations: itching, runniness, pain, insecurity, fear, prevention, danger, and condoms, anchored in the socio-cultural and psychological aspects. Thus, social representations have been expressed by women with the social, cultural, and psychological aspects on the prevention and control of sexually transmitted diseases and acquired immunodeficiency syndrome. Estudio exploratorio cualitativo basado en la Teoría de las Representaciones Sociales, cuyo objetivo fue aprehender y discutir las representaciones sociales acerca de las enfermedades transmitidas sexualmente y el síndrome de inmunodeficiencia adquirida. El estudio fue realizado con 40 mujeres embarazadas que hicieron el prenatal en el Barrio Satélite de Teresina-PI. Para la recolección de los datos se empleó la prueba de la Libre Asociación de Palabras, y para su procesamiento se usó el programa Tri-Deux Mots. Los datos fueron interpretados a través del análisis factorial de correspondencia. Los resultados mostraron que el ámbito de la representación de los sujetos está constituido por las siguientes evocaciones: picazón, flujo, dolor, inseguridad, miedo, prevención, peligro y condón, las cuales están arraigadas en el aspecto sociocultural y psicológico. De esa forma, las representaciones sociales manifestadas por las mujeres están relacionadas con el aspecto social, cultural y psicológico en lo que se refiere a la prevención y control de enfermedades de transmisión sexual y el síndrome de inmunodeficiencia adquirida.

This study aimed to determine the prevalence of nosocomial infection (NI) and distribution for topography and microorganism and its antimicrobial sensibility. The study was carried out in two Intensive Care Units (ICUs) of a public teaching hospital of Teresina, with sampling of 394 NI cases and processed by the SPSS Software. The respiratory infection was the biggest prevalence (61.26%) in the General ICU. It was found a bigger bacterial sensibility to amicacine (52.48%) in the ICU of the ER. The microorganism with bigger prevalence was Klebsiella pneumonia (35.46%) in the general ICU. In conclusion, the prevalence of NI in the two ICUs was 60.8%, exceeding 45.3% of the general rate registered in the Brazilian hospitals that is 15.5%, contributing to increase the morbi-mortality caused by infections.

Objective: This study aimed to raise and discuss, on the literature, the aspects related to risk factors for local complications of Peripheral Intravenous Therapy in adults. Methodology : This is an integrative review, whose data collection happened in July 2013, in databases of the Latin American and Caribbean Center on Health Sciences Information and the Scientific Electronic Library Online about the risk factors for complications of Peripheral Intravenous Therapy in adults, from 2004 to 2013. Results: The sample consisted of seven articles that listed risk factors such as length of stay, material, location, salinization and maintenance of the catheter, patient’s age, type of drug, type of dressing, and non-adherence of nursing professionals to preventive measures. Conclusion: We conclude that there are risk factors for complications that are preventable and related to the conduct of nursing professionals. Therefore, we should intensify educational activities in order to reduce injuries to the patient. Descriptors: Nursing. Catheterization Peripheral. Infusions. Intravenous. RESUMO Objetivo: Este estudo objetivou levantar e discutir, na literatura, os aspectos relacionados aos fatores de risco das complicacoes locais da Terapia Intravenosa periferica em adultos. Metodologia: Trata-se de uma revisao integrativa, cuja coleta de dados ocorreu em julho de 2013, nas bases de dados Literatura Latino-Americana em Ciencias da Saude e Scientific Electronic Library Onlin sobre os fatores de risco para complicacoes da Terapia Intravenosa periferica em adultos, nos anos de 2004 a 2013. Resultados: Compuseram a amostra sete artigos que elencaram como fatores de risco tempo de permanencia, material, localizacao, forma de manutencao e salinizacao do cateter; idade do paciente; tipo de farmaco, tipo de curativo e nao adesao dos profissionais de Enfermagem as medidas preveniveis. Conclusao: Conclui-se que existem fatores de risco para complicacoes que sao preveniveis e que estao ligados as condutas dos profissionais de Enfermagem. Por isso, devem-se intensificar as acoes educativas com o intuito de diminuir injurias ao paciente. Descritores: Enfermagem. Cateterismo Periferico. Infusoes Intravenosas. RESUMEN Objetivo: El objetivo fue plantear y discutir en la literatura los aspectos relacionados con los factores de riesgo de complicaciones locales de la terapia intravenosa periferica en adultos. Metodologia: Revision integradora, llevada a cabo en julio de 2013, en las bases de datos Literatura Latino-Americana em Ciencias da Saude y Scientific Electronic Library Online acerca de los factores de riesgo para complicaciones de la terapia intravenosa periferica en adultos de 2004 a 2013. Resultados: Compusieron la amuestra siete articulos que apuntaron como factores de riesgo duracion de la estancia, material, localizacion, forma de mantenimiento y salinizacion del cateter, edad del paciente, tipo de medicamento, tipo de aderezo y falta de adherencia de los profesionales de enfermeria a las medidas de prevencion. Conclusion: Existen factores de riesgo para complicaciones que son prevenibles y que se vinculan a comportamientos de los profesionales de enfermeria. Asi, se debe ampliar las acciones educativas reducir lesiones al paciente. Descriptores: Enfermeria. Cateterismo Periferico. Infusiones Intravenosas.