Hands hygiene and the use of gloves by nursing team in hemodialysis service.

Darlyani Mariano Da Silva,Rosely Moralez De Figueiredo,Bianca Miranda Marques,Nathalia Malaman Galhardi,Fabiana De Souza Orlandi

doi:10.1590/0034-7167-2017-0476

Darlyani Mariano Da Silva, Rosely Moralez De Figueiredo + Show 3 more

Open Access

https://doi.org/10.1590/0034-7167-2017-0476

Copy DOI

Abstract

to analyze the adhesion of the nursing team to the practice of hands hygiene (HH) and the use of latex gloves in a hemodialysis service. this is a descriptive-exploratory study with a quantitative approach, performed between August and October 2016 in a hemodialysis service in the countryside of São Paulo State, Brazil, where the nursing team adhered to HH and the use of gloves. All ethical aspects have been contemplated. there were 1090 opportunities for HH, with the adhesion rate being only 16.6%. Regarding the use of gloves, of the 510 opportunities observed, there was correct use in 45%, reuse in 25% and absence of latex gloves in 29% of the time. the rate of HH and adherence to gloves is far from ideal, contributing to the increased risk of infection for both the user and the professional.

Highlights

IntroductionThe Chronic Kidney Disease (CKD) is considered a public health problem, since its prevalence has increased year by year worldwide
The Chronic Kidney Disease (CKD) is considered a public health problem, since its prevalence has increased year by year worldwide. This pathological process can lead to an evolution to End-Stage Kidney Disease (ESKD), requiring some type of Renal Replacement Therapy (RRT), such as hemodialysis, peritoneal dialysis and kidney transplantation[1]
The fact that low adherence to hands hygiene (HH) is more pronounced at the time “before” contact with the patient has been previously reported in the literature both for other health services in general[17,25,26] and for the hemodialysis service[8]

Summary

Introduction

The Chronic Kidney Disease (CKD) is considered a public health problem, since its prevalence has increased year by year worldwide. This pathological process can lead to an evolution to End-Stage Kidney Disease (ESKD), requiring some type of Renal Replacement Therapy (RRT), such as hemodialysis, peritoneal dialysis and kidney transplantation[1]. In Brazil, about 36 thousand patients started chronic dialysis in 2014, and of these, 90.8% underwent hemodialysis[2]. An access is needed to perform hemodialysis. The access is where you receive hemodialysis. Blood is removed from your body, cleaned by the dialysis machine (called the dialyzer), and returned to your body[3]

Results

Discussion

Conclusion