Estratégia de promoção à higienização das mãos em unidade de terapia intensiva

A prospective observational study was conducted to evaluate the effect of a strategy to promote hand hygiene adhesion to this procedure by health professionals in an intensive care unit. It was applied a structured instrument to collect data regarding adhesion to hand hygiene by healthcare workers before and after an intervention in an intensive care unit of a hospital in the northwestern region of Parana in 2009. For data analysis, the rate of accession by the ratio between the number of procedures performed and number of alerts requiring the procedure was measured. It was also used used chi-square and Fisher exact tests for comparison of data before and after intervention. After the intervention, a significant increase in overall compliance rate of 21.7% to 28%, p = 0.039, in the category of nursing technicians, in rubbing antiseptic, before contact with the patient before the clean and aseptic procedures. In contrast, adhesion did not improve among nurses, doctors and moments after the contact with the patient. The intervention associated with the encouragement of the use of alcoholic preparations contributed to significantly improve overall adhesion to hand hygiene by health professionals.