Among the four instruments applied to assess hospital infection control programs, only two presented results with more than 80.0% of conformity: those related to the epidemiological surveillance and technical-operational structure assessments.
Introduction: Healthcare Associated Infection (HAI) threatens patient safety and can be associated with contamination of surfaces such as mattresses. This study aimed to identify the criteria for the acquisition and conservation of mattresses in hospitals and Homes for the Aged (HA) as an infection prevention strategy. Outlining: Cross-sectional study carried out with 18 institutions. Data were collected through a structured interview with the person responsible for administration, hospitality sector or the Hospital Infection Control Committee, using a validated instrument. Data analysis was performed using descriptive statistics. Results: Five HA and 8 Hospitals partook the study. Acquisition by direct purchase prevails (94.4%), with a periodicity of 1 to 5 years (50%). All mattresses purchased are foam ones, due to user comfort (44.4%) and resistance (38.9%). Waterproof cover is used by 83% of the services, made of “napa” (72.2%) and “corvin” (66.7%) for easy sanitizing (77.8%). “During the concurrent cleaning” is the most mentioned time to evaluate the integrity of the mattress (38.8%) and coating (50%). Implications: it was observed that there is no systematic management for the acquisition and maintenance of mattresses. This highlights the need to improve the care with patient bed in order to prevent healthcare-associated infections.
Objective To characterize the sociodemographic and clinical variables of people with intestinal stomas. Materials and Methods We conducted a cross-sectional study with 47 patients of a Specialized Rehabilitation Center (CER II/APAE) in the municipality of Três Lagoas, state of Mato Grosso do Sul, Midwestern Brazil, from December 2019 to June 2020. Data was analyzed using inferential descriptive statistics (Anderson-Darling, Chi-squared, and Mann-Whitney normality tests). Results Regarding the patients, 87.23% were from Três Lagoas, 51.06% were female, 40.43% were aged from 60 to 69 years, 59.57% were married, 53.19% were brown, 59.57% were catholic, 36.17% finished elementary school, 46.81% were retired, and 57.45% earned a monthly income below 1 minimum wage. Moreover, 61.70% had undergone terminal colostomy (61.70%), 61.70% had received guidance about its placing, 57.45% had it placed due to situations of urgency, 74.47% had a stoma installed due to a neoplasia, 38.30% were permanent, with 46.81% located in the inferior left quadrant (ILQ), 59.57% presented pasty effluent, 63.83% had a circular diameter, 53.19% had pouches with 2 pieces and 57.45%, with a flexible base, 87.23% had other adjunct equipment, and 95.74% had been trained in self-care. The most common complication was skin/peristomal irritant contact dermatitis (59,57%), and 65,95% of these cases were solved by teaching self-care. The type of stoma was significantly associated with the consistency of the effluent and the size of the protrusion (p > 0.05). Conclusion The results found can support strategies to implement practices to promote health, develop new public policies, to provide training in self-care, and prevent and treat complications.
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