Abstract

Objetivou-se identificar na literatura, artigos sobre a ocorrência de contaminação por microrganismos, em jalecos, aventais e uniformes dos profissionais de saúde, e a similaridade com aqueles associados às Infecções Relacionadas à Assistência à Saúde, considerando o perfil de resistência aos antimicrobianos. Realizou-se busca por artigos nas seguintes bases de dados: MEDLINE, LILACS e SCOPUS, publicados entre 2000 e 2010. Foram selecionados nove artigos. Os estudos evidenciaram a contaminação dos jalecos, aventais e uniformes. Nos estudos analisados, verificou-se a presença de bactérias, principalmente, nos bolsos, punhos e região abdominal. Quanto ao perfil de sensibilidade, verificou-se recuperação de Staphylococcus aureus meticilina resistente, seguidos dos Gram negativos resistentes aos antimicrobianos. Identificou-se semelhança entre as cepas isoladas no vestuário dos profissionais de saúde e aquelas relacionadas à ocorrência de infecções. Assim, jalecos, aventais e uniformes devem ser considerados na cadeia de disseminação de microrganismos resistentes.

Highlights

  • Healthcare Associated Infections (HAIs) refer to those obtained during the provision of healthcare

  • Given the importance of the subject, this study aimed to identify articles in the literature on the occurrence of contamination by microorganisms of white coats, gowns and uniforms of healthcare professionals, and to highlight the similarity of these microorganisms with those related to Healthcare Associated Infections

  • The development of the present review was defined using the following guiding question: what evidence is available in the literature regarding the recovery of microorganisms in white coats, gowns and uniforms of healthcare professionals and what is the similarity between these isolates and those related to HAI, considering the profile of antimicrobial resistance? For the selection of the articles three databases were used: MEDLINE (Medical Literature Analysis and Retrieval System online), LILACS (Latin American and Caribbean System on Health Sciences Information) and SCOPUS (Database of research literature)

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Summary

Introduction

Healthcare Associated Infections (HAIs) refer to those obtained during the provision of healthcare. They represent a major public health problem in both developed countries and developing countries, because they increase the rates of morbidity and mortality, prolong the period of hospitalization, and increase hospital costs.[1,2]. Despite significant progress in infection control, there is an increase in the frequency and severity of cases of HAI, which may be favored by the spread of drug resistant microorganisms.[3]. The control of HAI and the spread of resistant bacteria constitute a challenge and a priority for the healthcare institutions, due to the reduced therapeutic options for the treatment of cases, the major complications related to the clinical care, and the social repercussions, such as decreased productivity and quality of life of the pacient.[4,5]. The major route of transmission of microorganisms occurs between the hands of the healthcare professionals and patients.[6,7] the possible participation of environmental factors, such as surfaces, equipment and clothing (white coats, gowns and uniforms) used by the professionals, draws the attention of researchers, society, and the infection control agencies and associations.[8]

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