Hand hygiene in high-complexity sectors as an integrating element in the combat of Sars-CoV-2

Paula, Danielle Galdino de; Francisco, Marianna Ramos; Freitas, Juliana Dias; Levachof, Renata Christine Quintella; Fonseca, Bianca de Oliveira; Simões, Bruno Francisco Teixeira; Bilio, Rafael de Lima

doi:10.1590/0034-7167-2020-0316

Brasil

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ORIGINAL ARTICLE • Rev. Bras. Enferm. 73 (Suppl 2) • 2020 • https://doi.org/10.1590/0034-7167-2020-0316 linkcopy

Hand hygiene in high-complexity sectors as an integrating element in the combat of Sars-CoV-2

Higiene de las manos en sectores de alta complejidad como elemento integrador en el combate del Sras-CoV-2

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective: to perform a situational diagnosis of the behavior of health professionals concerning hand hygiene practices in highly-complex sectors.

Methods: this quantitative and retrospective study was based on reports (2016 and 2017) of Adult and Pediatric ICUs of a Federal hospital in Rio de Janeiro.

Results: one thousand two hundred fifty-eight opportunities for hand hygiene were analysed. The chance of professionals sanitizing hands in Pediatric ICUs is 41.61% higher than in Adult ICUs. Concerning proper hand hygiene, the medical team had a 39.44% lower chance than the nursing team. Others had a 30.62% lower chance when compared to the nursing team. The moment “after contact with the patient” presented 4.5275 times the chance in relation “before contact with the patient”.

Conclusion: in front of hand hygiene recommendations to control COVID-19, diagnostic assessment and previous analysis of the behavior of professionals proved to be positive.

Descriptors: SARS Virus; Hand Hygiene; Cross Infection; Intensive Care Units; Nursing

Variable	Category	n^* ***** number of observation opportunities	(95% CI) OR
Team	Nursing	733	1
	Medical	306	0.6056^ p value<0.001; (0.4828;0.8704)
	Others	219	0.6938^* * p value<0.01; (0.5012;0.9603)
Moment of hygiene	Before contact with the patient	360	1
	Before the aseptic procedure	44	1.4439 (0.7583;2.7256)
	After contact with the patient	593	4.5275^ p value<0.001; (3.4141;6.0313)
	After contact with neighbors	186	1.3216 (0.9131;1.9123)
	After risk of exposure	75	2.2674^* * p value<0.01; (1.3591;3.8226)
Sector	Adult ICU	689	1
Sector	Pediatric ICU	569	1.4161^* * p value<0.01; (1.1120;1.8068)

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[TFN1] Note:

[TFN2] ^*
p value<0.01;

[TFN3] ^**
p value<0.001;

[TFN4] ^***
number of observation opportunities