Abstract
to identify the knowledge and ability of caregivers on hand hygiene in hematopoietic stem cell transplantation. a prospective cross-sectional study. A questionnaire was used to identify the knowledge and it was observed the hygiene technique performance. Data were collected in two units (autologous and allogeneic transplant). the 37 participants recognized the importance of hand hygiene and 95.5% related to removal of dirt or infection prevention. 91.9% stated that it was important to clean their hands with soap and water when entering and leaving the room, and 64.9% understood that it was necessary to apply alcoholic solution after washing. On average, the caregivers scored 6.16 steps, when demonstrating the washing technique and 3.91 steps in the friction with alcoholic solution. although they recognize the importance of the procedure, there are deficits related to the moment and the correct way of doing it, evidencing the need for strategies aimed at improving this process.
Highlights
IntroductionHematopoietic stem cell transplantation (HSCT) consists of the infusion of Hematopoietic Stem Cells (HSC), in order to restore hematopoiesis and the immunological functions of patients with medulary failure, which may be autologous (when HSC are obtained from the patient) or allogeneic (when HSC are collected from a compatible donor)(1).The HSCT process requires the use of chemotherapy, radiotherapy and other treatments that make patients immunocompromised and more susceptible to infections[1]
Hematopoietic stem cell transplantation (HSCT) consists of the infusion of Hematopoietic Stem Cells (HSC), in order to restore hematopoiesis and the immunological functions of patients with medulary failure, which may be autologous or allogeneic[1]
Depending on the HSCT phase, different types of microorganisms may be responsible for infections
Summary
Hematopoietic stem cell transplantation (HSCT) consists of the infusion of Hematopoietic Stem Cells (HSC), in order to restore hematopoiesis and the immunological functions of patients with medulary failure, which may be autologous (when HSC are obtained from the patient) or allogeneic (when HSC are collected from a compatible donor)(1).The HSCT process requires the use of chemotherapy, radiotherapy and other treatments that make patients immunocompromised and more susceptible to infections[1]. Depending on the HSCT phase, different types of microorganisms may be responsible for infections. In the medullary aplasia phase, due to intense immunosuppression, opportunistic infections are common, as well as those caused by microorganisms of the patient’s microbiota[3]. With the aim of preventing infections, the use of antibiotic prophylaxis from the beginning of conditioning is part of the treatment protocol. This practice is not enough if specific health care is not incorporated into the patient and the environment. Routines and measures should be incorporated into transplant centers, aiming at the prevention and control of this injury[4]
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