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

Rev Bras Enferm. 2020 Jun 29;73Suppl 2(Suppl 2):e20200316. doi: 10.1590/0034-7167-2020-0316. eCollection 2020.
[Article in English, Portuguese]

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.

MeSH terms

  • Adult
  • Betacoronavirus*
  • Brazil
  • COVID-19
  • Coronavirus Infections / prevention & control*
  • Female
  • Guideline Adherence / statistics & numerical data*
  • Hand Disinfection / standards*
  • Health Personnel / education*
  • Humans
  • Intensive Care Units / standards*
  • Male
  • Middle Aged
  • Pandemics / prevention & control*
  • Pneumonia, Viral / prevention & control*
  • Practice Guidelines as Topic*
  • Retrospective Studies
  • SARS-CoV-2