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Biossegurança e rastreabilidade de dispositivos médicos feitos por medida entre a clínica de medicina dentária e o laboratório de prótese

Moreira, Ana Rita da Silva
Fonte: [s.n.] Publicador: [s.n.]
Tipo: Dissertação de Mestrado
Publicado em //2014 POR
Relevância na Pesquisa
46%
Projeto de Pós-Graduação/Dissertação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Mestre em Medicina Dentária; A prótese dentária destina-se à substituição das peças dentárias perdidas, com o restabelecimento da função oral e atendendo às suas características e finalidade, são classificadas como dispositivos médicos (DM). A sua elaboração envolve uma interacção entre o profissional de saúde, assistentes e técnicos do laboratório de prótese. Esta revisão narrativa teve como propósito catalogar e definir os DM em Medicina Dentária, em particular os dispositivos médicos feitos por medida (DMFM, próteses dentárias); Pretendeu-se ainda enumerar as principais vias de transmissão de infecções e os conceitos gerais acerca da biossegurança que orientam o controlo de infecção relativamente aos ambientes clínico e laboratorial, nas reabilitações com DMFM; rever orientações da literatura quanto à comunicação entre o laboratório de prótese e a clínica de Medicina Dentária, particularmente quanto às possibilidades de rastreabilidade dos DMFM, em termos de controlo e biossegurança, e seus contributos para a prática clínica. A pesquisa foi efectivada aplicando a seguinte terminologia: “medical device”...

Desinfecção e esterilização de instrumental em Medicina Dentária

Silva, Eduarda Lígia Almeida Brites Pereira da
Fonte: [s.n.] Publicador: [s.n.]
Tipo: Dissertação de Mestrado
Publicado em //2014 POR
Relevância na Pesquisa
46.09%
Projeto de Pós-Graduação/Dissertação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Mestre em Medicina Dentária; A prevenção da contaminação cruzada é um elemento-chave para providenciar um ambiente seguro, tanto para os pacientes como para os próprios profissionais presentes nos consultórios dentários, sendo um tema pertinente e actual. Neste trabalho de revisão narrativa pretendeu-se (1) reunir e actualizar informações relativas aos processos de descontaminação, (2) definir o instrumental clínico como Dispositivo Médico (DM), contextualizando-o na legislação vigente, (3) descrever como se realiza a rastreabilidade do reprocessamento e de que forma esta auxilia na gestão do controlo de qualidade do processo. Foi efectuada uma pesquisa entre Setembro de 2013 e Janeiro de 2014 em duas bases de dados principais, PubMed (Medline) e Embase (Science Direct), recorrendo às palavras-chave: “cross infection AND dentistry”, “cross infection AND dentistry AND patient risks”, “cross infection AND dental office”, “sterilization protocol AND dental office”, “reusable instruments AND dentistry”, “reprocessing AND dental instruments” e “reprocessing AND dentistry”. Na metodologia foram incluídos: (1) artigos publicados a partir do ano 2000...

Infecções em pacientes submetidos a procedimento hemodialítico: revisão sistemática; Infections in patients submitted to hemodialysis: a systematic review

CAIS, Daiane Patricia; TURRINI, Ruth Natalia Teresa; STRABELLI, Tânia Mara Varejão
Fonte: Associação de Medicina Intensiva Brasileira - AMIB Publicador: Associação de Medicina Intensiva Brasileira - AMIB
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
45.92%
OBJETIVOS: Os procedimentos dialíticos para a correção da lesão renal têm a infecção como uma das principais complicações, com impacto significante na morbi-mortalidade em pacientes dialíticos crônicos e agudos críticos. O objetivo deste trabalho foi revisar a literatura sobre infecções em pacientes submetidos a procedimentos hemodialíticos. MÉTODOS: Foi realizado levantamento das publicações de 1990 a março de 2008 nas bases eletrônicas COCHRANE, PubMed/MEDLINE, Literatura Latino-Americana e do Caribe em Ciências da Saúde, Banco de dados de Enfermagem. Foram utilizados os descritores em Ciências da Saúde (DeCS) e o Medical Subject Headings Section (MeSH) do PubMed/MEDLINE: infecção; infecção hospitalar; bacteremia; diálise renal; insuficiência renal crônica; insuficiência renal aguda; hemofiltração; hemodiafiltração; terapia de substituição renal. RESULTADOS: Foram selecionados 33 artigos. A maioria das publicações era americana, concentrou-se entre os anos 2001 e 2005 e a principal topografia foi infecção relacionada ao acesso vascular. Os estudos divergiram na definição de infecção e denominadores utilizados, comprometendo a comparação dos mesmos. Cinco artigos trabalharam com diferentes topografias de infecção...

Infection control practices among a cohort of Brazilian dentists

BELLISSIMO-RODRIGUES, Wanessa Teixeira; BELLISSIMO-RODRIGUES, Fernando; MACHADO, Alcyone Artioli
Fonte: F D I WORLD DENTAL PRESS LTD Publicador: F D I WORLD DENTAL PRESS LTD
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
45.89%
Objective: To evaluate infection control practices among dentists in private and public practice. Design: Survey and cross-sectional analysis. Setting: Sertaozinho city, Brazil. Participants: All dentists who were currently working at the study city, and agreed to participate, resulting in a study population of 135 dentists. Methods: Participants were personally interviewed and variables were submitted to X(2) or Fisher`s exact test. Results: Hand washing before and after each patient was reported by 86.7% of dentists, but private practitioners used liquid soap and paper towels more often than their public colleagues (p<0.001). Most of the study population (97.8%) used gloves routinely during clinical sessions, but 8.2% reused them. Dry-heat was the main method employed for sterilisation of heat-stable devices by 80.0% of dentists, but adequate temperature and time of exposure was accomplished by only 32.1% of public and 70.0% of private professionals (p<0.001). Heat-sensitive devices were disinfected with an adequate substance by 60.0% of both affiliation dentists (p=0.908). Conclusions: There is a large gap between infection control recommendations and practices observed among the study population, and the situation is worse in public services. To reverse that situation...

Proposta de protocolo para controle de infecção cruzada em radiologia odontológica; Protocol proposal for the control of cross infection in oral radiology

Shimura, Elisabeth Mieko
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 30/08/2007 PT
Relevância na Pesquisa
45.9%
A prática odontológica expõe pacientes e profissionais a numerosos microorganismos e infecções. A transmissão pode ocorrer via sangue, saliva ou partículas dispersas no ar e por meio de contato direto ou indireto via instrumentos ou superfícies contaminadas. Assim, é necessário se utilizar precauções universais e procedimentos de controle de infecção para proteger tanto profissionais quanto pacientes. Na radiologia odontológica, como não há produção de aerosóis, muitos profissionais menosprezam os cuidados com a biossegurança. Nosso objetivo neste trabalho foi de alertar os profissionais com relação ao risco de contaminação cruzada por meio de todos os equipamentos envolvidos nos procedimentos radiológicos e apresentar medidas efetivas para controle de infecção cruzada por meio de um protocolo de biossegurança para uso em radiologia odontológica.; Patients and dentists are exposed to many different microorganisms and infections in dental practice. Infection may occur through the blood, saliva or airborne particles, as well as direct or indirect contact with contaminated instruments or surfaces. Thus, it is necessary to follow universal precautions and infection control procedures to protect both the dentist and the patient. Because there is no production of aerosol particles in oral radiology...

Desinfecção das canetas de alta rotação com álcool 70% p/v sem limpeza prévia: avaliação do risco de infecção cruzada; Disinfection of high-speed dental equipment with 70% ethanol without previous cleaning: assessment of cross-infection risk

Pinto, Flávia Morais Gomes
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 17/06/2013 PT
Relevância na Pesquisa
55.93%
Introdução: Na prática clínica odontológica, justificada pela praticidade, tempo curto disponível entre os atendimentos, associados à insuficiente previsão e provisão das Canetas de Alta Rotação (CAR), a descontaminação destas por meio de aplicação direta do álcool 70% p/v, sem limpeza prévia, é uma realidade. Este procedimento contraria, a priori, os protocolos de processamento que recomendam, no mínimo, limpeza seguida de desinfecção de alto nível para prevenção de infecção cruzada. Objetivo: avaliar a desinfecção das CAR com álcool 70% p/v, sem limpeza prévia com vistas ao risco de causar infecção cruzada. Método: caracterizou-se como uma pesquisa pragmática em um Estabelecimento Odontológico, onde rotineiramente as práticas de interesse para o estudo estavam presentes. O grupo experimental foi composto por 100 amostras de CAR utilizadas em tratamentos diversos, após a fricção do desinfetante por 90 segundos em sua superfície externa. Para avaliação dos resultados, uma gaze umedecida com soro fisiológico foi utilizada como carreador para o arraste dos possíveis micro-organismos nas superfícies desinfetadas. Metade do número das amostras (50) foi analisada pelo método de filtração por membrana (Método I - quantitativo)...

Crenças dos enfermeiros sobre o comportamento de higienização das mãos

Monica Costa Ricarte
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 22/12/2004 PT
Relevância na Pesquisa
45.93%
A higienização das mãos (HM) trata-se de uma das mais importantes medidas para o controle das infecções hospitalares; entretanto, observa-se uma adesão menor que o esperado a este comportamento. O objetivo deste estudo foi identificar os fatores que contribuem para a formação da intenção comportamental do enfermeiro na realização de HM, tendo como referencial teórico-metodológico uma extensão da Teoria do Comportamento Planejado. Trata-se de estudo exploratório, realizado junto a enfermeiros (n=24) de Unidades de Terapia Intensiva e de Internação de hospitais públicos e privados de Campinas. Os dados foram obtidos por meio de entrevistas semi-estruturadas, gravadas em fita magnética e posteriormente transcritas, visando o levantamento de Crenças de Atitude, Crenças normativas e de Controle, e de risco Percebido. A análise qualitativa dos dados destacou dentre as Crenças de Atitude, as vantagens: conforto, segurança e proteção e prevenção; desvantagens: conseqüências negativas para as mãos; e como afetividade: ser prazeroso, necessário, incômodo e chato. Dentre as Crenças Normativas, destacaram-se os referentes sociais positivos: funcionários e paciente; Negativo: médico e chefia médica; Positivos e/ou negativos: enfermeiros assistenciais...

Risk factors for healthcare-associated infection in pediatric intensive care units: a systematic review

Mello,Maria Júlia Gonçalves de; Albuquerque,Maria de Fátima Pessoa Militão de; Lacerda,Heloísa Ramos; Souza,Wayner Vieira de; Correia,Jailson B.; Britto,Murilo Carlos Amorim de
Fonte: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz Publicador: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2009 EN
Relevância na Pesquisa
55.96%
A systematic review of observational studies on risk factors for healthcare-associated infection in pediatric Intensive Care Units (ICU) was carried out. Studies indexed in MEDLINE, LILACS, Cochrane, BDENF, CAPES databases published in English, French, Spanish or Portuguese between 1987 and 2006 were included and cross references added. Key words for search were "cross infection" and "Pediatric Intensive Care Units" with others sub-terms included. 11 studies were selected from 419 originally found: four studies had healthcare-associated infection as the main outcome without a specific site; three articles identified factors associated with lower respiratory tract infection (pneumonia or tracheitis); three articles were concerned with laboratory-confirmed bloodstream infection; and a single retrospective study analyzed urinary tract infection. The production of evidence on risk factors Paediatric ICU has not kept up the same pace of that on adult - there are few studies with adequate design and statistical analysis. The methodological diversity of the studies did not allow for a summarized measurement of risk factors.

A survey of cross-infection control procedures: knowledge and attitudes of Turkish dentists

Yüzbasioglu,Emir; Saraç,Duygu; Canbaz,Sevgi; Saraç,Y. Sinasi; Cengiz,Seda
Fonte: Faculdade De Odontologia De Bauru - USP Publicador: Faculdade De Odontologia De Bauru - USP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2009 EN
Relevância na Pesquisa
66.07%
OBJECTIVES: The objective of this study was to investigate the knowledge, attitudes and behavior of Turkish dentists in Samsun City regarding cross-infection control. MATERIAL AND METHODS: A questionnaire was designed to obtain information about procedures used for the prevention of cross-infection in dental practices and determine the attitudes and perceptions of respondent dental practitioners to their procedures. The study population included all dentists in the city of Samsun, Turkey, in April 2005 (n=184). The questionnaire collected data on sociodemographic characteristics, knowledge and practice of infection control procedures, sterilization, wearing of gloves, mask, use of rubber dam, method of storing instruments and disposal methods of contaminated material, etc. Questionnaire data was entered into a computer and analyzed by SPSS statistical software. RESULTS: From the 184 dentists to whom the questionnaires were submitted, 135 participated in the study (overall response rate of 73.36%). As much as 74.10% dentists expressed concern about the risk of cross-infection from patients to themselves and their dental assistants. Forty-three percent of the participants were able to define "cross-infection" correctly. The greatest majority of the respondents (95.60%) stated that all patients have to be considered as infectious and universal precautions must apply to all of them. The overall responses to the questionnaire showed that the dentists had moderate knowledge of infection control procedures. CONCLUSIONS: Improved compliance with recommended infection control procedures is required for all dentists evaluated in the present survey. Continuing education programs and short-time courses about cross-infection and infection control procedures are suitable to improve the knowledge of dentists.

Prophylaxis with enteral antibiotics in ventilated patients: selective decontamination or selective cross-infection?

Hurley, J C
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /04/1995 EN
Relevância na Pesquisa
45.98%
Selective decontamination of the digestive tract (SDD) has been evaluated as a method to prevent colonization and infection in ventilated patients in 40 trials. On the basis of an assumption that cross-infection would be reduced as a consequence of SDD and that this would distort the results of SDD studies that used concurrent controls, 14 studies used historic controls. To test this assumption, three observations from the two types of studies were compared. (i) The differences between observed and expected event rates for each study were used to perform a meta-analysis. This revealed that the summary odds ratios for bacteremia and respiratory infection were marked by significant heterogeneity (P > 0.95) and inconsistencies between those derived from studies with concurrent versus studies with historic controls. (ii) Where the data were available, the rates of acquisition of colonization in control groups were higher in studies with concurrent controls than in studies with historic controls. (iii) At least four studies with concurrent controls have shown a pattern of pathogenic isolates consistent with cross-infection between groups. These results are contrary to the initial assumption and suggest the possibility that SDD represents a major cross-infection hazard.

Pseudomonas aeruginosa colonisation in an intensive therapy unit: role of cross infection and host factors.

Noone, M R; Pitt, T L; Bedder, M; Hewlett, A M; Rogers, K B
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em 29/01/1983 EN
Relevância na Pesquisa
45.93%
Despite the sparsity of Pseudomonas aeruginosa in the environment colonisation and infection with this organism was found at several sites by selective culture in 20 out of 46 patients in an intensive therapy unit. Three patients developed Ps aeruginosa pneumonia. Serial serogrouping and phage typing identified multiple strains in the unit and in the same patient. Rectal carriage occurred in 16 patients but rectal strains did not subsequently appear in tracheal aspirates; strains varied in their affinity for the upper respiratory tract. Colonisation was not directly related to length of stay and was detected in 16 of those colonised within 24 hours of admission. In intubated patients, who were colonised more frequently than those not intubated, upper respiratory tract colonisation correlated strongly with low initial arterial pH values. Personnel were probably responsible for cross infection among patients when the unit was busy. Strain differences and the susceptibility of patients also influenced colonisation and infection. Elimination of major reservoirs of Ps aeruginosa and compliance with procedures to control cross infection remain essential if patients in hospital are to escape colonisation by the organism.

Virus Cross-infection in Paediatric Wards

Gardner, P. S.; Court, S. D. M.; Brocklebank, J. T.; Downham, M. A. P. S.; Weightman, D.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em 09/06/1973 EN
Relevância na Pesquisa
46%
In a survey of virus cross-infection in paediatric wards there were 15 cross-infections due to respiratory syncytial (R.S.) virus and 16 due to influenza A, both during a four-month period, and 19 due to parainfluenza viruses over two years. The illnesses produced by these infections acquired in hospital ranged from a slight cold to severe pneumonia: in 17 of the 50 cases the illness involved the lower respiratory tract. A measure of cross-infection frequency in the form of a “cross-infection rate” has been devised, and it is suggested that this can be used to assess the influence of factors such as ward design and admission policy on the frequency of cross-infection.

Cross-infection in Infantile Gastroenteritis

Ironside, A. G.; Brennand, J.; Mandal, B. K.; Heyworth, B.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /12/1971 EN
Relevância na Pesquisa
45.93%
It is not entirely possible to prevent hospital cross-infection in infantile gastroenteritis by the use of conventional barrier-nursing techniques, even with experienced staff in well-designed wards. An incident of double cross-infection due to enteropathic Esch. coli types O119 and O126 and the measures that were taken to control it are described. The type O119 infections were clinically severe, and the cases showed significant levels of serum antibody to the organism, while the type O126 infections were clinically mild and no antibody was produced. The use of the antibiotic colistin, to which both organisms were originally sensitive, may have been of some value in clearing the type O119 infection but was without effect on the type O126 infection, which continued to spread during treatment. A degree of resistance to colistin was found in some strains of the type O126 organism isolated after treatment. The outbreaks largely ended spontaneously, but may have been limited in extent by the administrative measures described. The use of antibiotics in infantile gastroenteritis is reviewed and a plea is made for a modern large-scale trial to reassess their value.

Evaluation of environmental bacterial contamination and procedures to control cross infection in a sample of Italian dental surgeries

Monarca, S.; Grottolo, M.; Renzi, D.; Paganelli, C.; Sapelli, P.; Zerbini, I.; Nardi, G.
Fonte: BMJ Group Publicador: BMJ Group
Tipo: Artigo de Revista Científica
Publicado em /11/2000 EN
Relevância na Pesquisa
45.94%
OBJECTIVES—To perform a pilot study on bacterial contamination in some dental surgeries (n=51) in a local health unit in Brescia (Lombardy Region, Italy) and to evaluate the procedures to control cross infection used by the personnel to reduce the risk of infection in dental practice.
METHODS—A survey was carried out by interviewing 133 dental personnel with a questionnaire on the procedures used to control infection. The autoclaves, chemical baths (chemiclaves), and ovens present in the surgeries were tested for sterilisation efficiency with a spore test, and already packed and sterilised instruments were randomly sampled and tested for sterility. Microbial contamination of air, surface, and dental unit water samples were also studied.
RESULTS—The dental personnel did not generally follow the principal procedures for infection control: 30% of personnel were not vaccinated against hepatitis B virus, infected instruments were often not decontaminated, periodic checks of autoclave efficiency were lacking, and the knowledge of disinfection mechanisms and procedures was incomplete. High bacteriological contamination of water at dental surgeries was often found and total bacteriological counts in air samples were high. Surface studies showed widespread bacterial contamination.
CONCLUSIONS—On the basis of these results...

Public perception of cross-infection control in dentistry

Thomson, W.; Stewart, J.; Carter, K.; Spencer, A.
Fonte: Australian Dental Association Publicador: Australian Dental Association
Tipo: Artigo de Revista Científica
Publicado em //1997 EN
Relevância na Pesquisa
66.04%
Since the advent of HIV/AIDS at the beginning of the 1980s, concern has generated considerable impetus for change in cross-infection control procedures in dentistry. This process has been hastened partly by media coverage which, in tending to favour sensation over rational discourse, has played a not inconsiderable role in shaping public uderstanding and expectations. This study aimed to investigate public perceptions of cross-infection control in dentistry in Australia using a postal follow-up to the 1995 National Dental Telephone rate was 85.2 per cent. Concerns about the procedures used by their dentist to sterilize instruments were reported by 13.3 per cent of respondents overall, and this was greater among non-health-card-holders, individuals who mainly spoke a language other than English in the home, and those who reported a non-routine dental visiting pattern. Avoidance or delaying of dental visits due to the perceived cross-infection risk was reported by an overall 3.6 per cent of people, and this was higher among females and those who expressed concern about cross-infection control. The profession has a responsibility to ensure that information on the measures which have been taken to reduce the risk of cross-infection in dentisry is disseminated as widely and as clearly as possible so that undue public concern and avoidance of dental care are minimized.; W. Murray Thomson...

Investigação da fadiga e/ou satisfação por compaixão em profissionais da saúde nas práticas de controle de infecções relacionadas à assistência à saúde; Investigation of fatigue and/or satisfaction compassion in health care professionals on the health care infection control practices

Souza, Claudia Gesserame Vidigal Mendes de
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 31/07/2015 PT
Relevância na Pesquisa
45.9%
Introdução: Esta pesquisa é um recorte do projeto de pesquisa INVESTIGAÇÃO DAS DIFICULDADES HUMANAS DE PROFISSIONAIS DE SAÚDE NAS PRÁTICAS DE CONTROLE DE INFECÇÃO RELACIONADA À ASSISTÊNCIA À SAÚDE. Parte da hipótese de que o sofrimento decorrente da condição que um profissional de assistência à saúde (PAS) tem de se envolver emocionalmente e afetivamente ao sofrimento e às dores dos pacientes a quem prestam assistência possa ser a principal causa da não adesão às práticas de controle de infecções relacionadas à assistência à saúde (IRAS) e a responsável por fazer com que eles se descuidem, colocando a vida do paciente e a deles própria em risco de morte uma vez que o sofrimento decorrente dessa condição interfere em seus trabalhos, aumentando a possibilidade de erros e de não adesão, colaborando, assim, para a sua transmissão. As manifestações decorrentes da condição de envolvimento emocional e afetivo de um PAS ao sofrimento e às dores de seus pacientes vêm recebendo diversas nomeações e definições, como Fadiga e/ou Satisfação por Compaixão. Objetivos: investigar: a) se PAS de Unidades de Terapia Intensiva (UTIs) apresentam sofrimento decorrente da condição de envolvimento emocional e afetivo ao sofrimento e às dores dos pacientes a quem prestam assistência...

A survey of cross-infection control procedures: knowledge and attitudes of Turkish dentists

Yüzbasioglu, Emir; Saraç, Duygu; Canbaz, Sevgi; Saraç, Y. Sinasi; Cengiz, Seda
Fonte: Universidade de São Paulo. Faculdade de Odontologia de Bauru Publicador: Universidade de São Paulo. Faculdade de Odontologia de Bauru
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; Formato: application/pdf
Publicado em 01/12/2009 ENG
Relevância na Pesquisa
66.07%
OBJECTIVES: The objective of this study was to investigate the knowledge, attitudes and behavior of Turkish dentists in Samsun City regarding cross-infection control. MATERIAL AND METHODS: A questionnaire was designed to obtain information about procedures used for the prevention of cross-infection in dental practices and determine the attitudes and perceptions of respondent dental practitioners to their procedures. The study population included all dentists in the city of Samsun, Turkey, in April 2005 (n=184). The questionnaire collected data on sociodemographic characteristics, knowledge and practice of infection control procedures, sterilization, wearing of gloves, mask, use of rubber dam, method of storing instruments and disposal methods of contaminated material, etc. Questionnaire data was entered into a computer and analyzed by SPSS statistical software. RESULTS: From the 184 dentists to whom the questionnaires were submitted, 135 participated in the study (overall response rate of 73.36%). As much as 74.10% dentists expressed concern about the risk of cross-infection from patients to themselves and their dental assistants. Forty-three percent of the participants were able to define "cross-infection" correctly. The greatest majority of the respondents (95.60%) stated that all patients have to be considered as infectious and universal precautions must apply to all of them. The overall responses to the questionnaire showed that the dentists had moderate knowledge of infection control procedures. CONCLUSIONS: Improved compliance with recommended infection control procedures is required for all dentists evaluated in the present survey. Continuing education programs and short-time courses about cross-infection and infection control procedures are suitable to improve the knowledge of dentists.

CROSS INFECTION: A RISC FOR THE NOT CICATRIZATION OF PRESSURE ULCER – SISTEMATIC REVIEW OF LITERATURE

Baesso, Ana Luiza; Cruz, Isabel
Fonte: Universidade Federal Fluminense Publicador: Universidade Federal Fluminense
Tipo: Peer-reviewed Article; systematic review Formato: text/html
Publicado em 03/07/2010 POR
Relevância na Pesquisa
66.01%
The present article discuss the problem of the cross infection that reach the pressure ulcers (PU) in the Intensive-care Unit, causing sepsis and possibly taking the patient to death. Its main objectives was to identify the national and international scientific productions in the nursing area that puts in evidence the possible ways of the PU infection, providing a differentiated glance to the nursing professionals on the bed of the PU, which can prevent its contamination. This study is a systematic revision of a computerized literature, with qualitative approach and descriptive character. The principal way of driving the cross infection for the bed of the UP was identified as the contaminated hands of the professionals who touch the patient. It was also noticed that, how much more knowledge and updating the nurse acquires about the studied subject, better will be his presence and, besides it, he will be able to offer continued formation for his team. This study tries to offer a reflection about the association of some basic principles, like the washing of the hands and the recognition of the particular characteristics of a PU, as well as the beginning of an infection in this wound.

Care nurse in the prevention of infection related to central venous catheter - a systematic literature review

Silva, Juliana Cezário Ferreira da; Universidade Federal Fluminense; Cruz, Isabel CF da
Fonte: Universidade Federal Fluminense Publicador: Universidade Federal Fluminense
Tipo: Peer-reviewed Article; systematic review Formato: text/html
Publicado em 29/07/2011 POR
Relevância na Pesquisa
45.93%
Hospital infection constitutes a serious public health problem. Patients admitted to the Intensive Care Unit (ICU) are subject to greater risk due to the severity of symptoms and the frequency of invasive procedures such as urinary catheterization, intravascular catheters, endotracheal intubation and mechanical ventilation. The scientific literature reports that the vascular catheter-related infection is the leading cause of hospital infection, accounting for 40% of infections occurring in ICU, and also mentions that the clinical manifestations of catheter-associated infection can be difficult to characterize because they may missing local signs of infection. Therefore, the proper handling of venous catheters, as well as monitoring for early detection of signs of inflammation, constitute tasks of nurses, with great impact on the evolution of critical patients. This study deals with a computerized literature search, conducted in the databases BDENF SCIELO, MEDLINE, LILACS, between 2006 to 2010, assessing their applicability to practice nursing. The clinical question was: On account of high complexity, which is the effectiveness of care with central venous catheter for prevention of hospital infection? Were selected 10 articles, 04 in Portuguese and 06 in English...

Risk factors for healthcare-associated infection in pediatric intensive care units: a systematic review

Mello,Maria Júlia Gonçalves de; Albuquerque,Maria de Fátima Pessoa Militão de; Lacerda,Heloísa Ramos; Souza,Wayner Vieira de; Correia,Jailson B.; Britto,Murilo Carlos Amorim de
Fonte: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz Publicador: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2009 EN
Relevância na Pesquisa
55.96%
A systematic review of observational studies on risk factors for healthcare-associated infection in pediatric Intensive Care Units (ICU) was carried out. Studies indexed in MEDLINE, LILACS, Cochrane, BDENF, CAPES databases published in English, French, Spanish or Portuguese between 1987 and 2006 were included and cross references added. Key words for search were "cross infection" and "Pediatric Intensive Care Units" with others sub-terms included. 11 studies were selected from 419 originally found: four studies had healthcare-associated infection as the main outcome without a specific site; three articles identified factors associated with lower respiratory tract infection (pneumonia or tracheitis); three articles were concerned with laboratory-confirmed bloodstream infection; and a single retrospective study analyzed urinary tract infection. The production of evidence on risk factors Paediatric ICU has not kept up the same pace of that on adult - there are few studies with adequate design and statistical analysis. The methodological diversity of the studies did not allow for a summarized measurement of risk factors.