CONTAMINATION OF WHITE COATS BY HEALTH PROFESSIONALS IN PROVIDING HEALTH CARE

Raquel Pinheiro, Luciana Rosa Santos, Aires Garcia Santos Junior, Fernando Ribeiro dos Santos, Mara Cristina Ribeiro Furlan, Juliana Dias Reis Pessalacia

Resumo


Introduction: Health care-related infections are considered a public health problem, as they compromise the safety and quality of care provided to users of this service. The objective is to describe the occurrence of contamination of textile clothing by health professionals in the provision of health care. Outline: Integrative literature review conducted in October 2018 in SciELO and the VHL. Controlled health descriptors were used: ‘cross infection’ AND ‘health personnel’ AND ‘clothing’. After the selection steps, 11 articles remained. Results: It is observed that four (36.36%) articles have as objectives: to determine the biological characteristics of microorganisms present in the white coats, what type, level, frequency and places of contamination of the white coats; four (36.36%) are aimed at identifying transmission potentials and reducing contamination and infection control strategies through the use of gloves and white coats; one (9.09%) aims to evaluate domestic washing procedures and one (9.09%) aims to examine the maintenance and use of lead clothing by assessing microbiological contamination in surgical procedures. Implications: There is a challenge to be faced which is related to educational actions and continuing education.


Palavras-chave


Infecção Hospitalar; Pessoal de Saúde; Vestuário.

Texto completo:

PDF (English) PDF

Referências


Sales WB, Visentin A, Cavelçao C, Hey AP, Guimarães L, Baptistella RSR. Quantitativo microbiano em jalecos de estudantes da área da saúde em instituição de ensino superior. J Health Sci Inst [Internet]. 2016 Jun [cited 2020 Feb 10]; 34(4):195–9. Available from: https://www.unip.br/presencial/comunicacao/publicacoes/ics/edicoes/2016/04_out-dez/V34_n4_2016_p195a199.pdf

Oliveira AC de, Silva MDM. Jalecos de trabalhadores de saúde: um potencial reservatório de microrganismos. Medicina [Internet]. 2015 Out [cited 2020 Feb 10]; 48(5):440-8. Available from: https://doi.org/10.11606/issn.2176-7262.v48i5p440-448

WHO. World Health Organization. Guidelines on Hand Hygiene in Health Care. First global patient safety challenge clean care is safer care. Geneva: WHO; 2009.

Agência Nacional de Vigilância Sanitária (BR). Boletim Segurança do Paciente e Qualidade em Serviços de Saúde nº 16: Avaliação dos indicadores nacionais das Infecções Relacionadas à Assistência à Saúde (IRAS) e Resistência microbiana do ano de 2016. Brasília (DF): ANVISA; 2017.

Ministério da Saúde (BR). Relatório Final Trabalho a Respeito de Jalecos. Sub grupo de trabalho da Comissão Técnica de Biossegurança da FIOCRUZ. Rio de Janeiro: Fundação Oswaldo Cruz; 2004.

Balani KC, Marcuz FS. Utilização do jaleco pelos profissionais de saúde de um pronto atendimento do município de Cianorte – Paraná - Brasil. Revista Uningá Review [Internet]. 2014 Jan [cited 2020 Feb 10]; 17(1):35–41. Available from:

http://revista.uninga.br/index.php/uningareviews/article/view/1485/1099

Oliveira AC de, Silva MDM. Caracterização epidemiológica dos microrganismos presentes em jalecos dos profissionais de saúde. Rev Eletr Enf [Internet]. 2013 Jan [cited 2020 Feb 10]; 15(1):80–7. Available from: http://dx.doi.org/10.5216/ree.v15i1.17207

Oliveira AC de, Silva MDM. Behavior of health professionals in relating with the use of the lab coat. J Nurs UFPE on line [Internet]. 2013 Sep [cited 2020 Feb 10]; 7(9):5469–76. Available from: http://dx.doi.org/10.5205/reuol.3529-29105-1-SM.0709201314

Scheidt KLS, Ribeiro RL, Araújo ARVF de, Chagas GMS, Carneiro MS, Canuto R, et al. Práticas de utilização e perfil de contaminação microbiológica de jalecos em escola médica. Medicina [Internet]. 2015 Oct [cited 2020 Feb 10]; 48(5):467–7. Available from: http://revista.fmrp.usp.br/2015/vol48n5/AO7-Jalecos-utilizacao-e-contaminacao.pdf

Mendes KDS, Silveira RCCP, Galvão CM. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto contexto – enferm [Internet]. 2008 Dec [cited 2020 Feb 10]; 17(4):758–64. Available from:

http://dx.doi.org/10.1590/S0104-07072008000400018

Verbeek JH, Ijaz S, Miscke C, Ruotsalainen JH, Mäkelä E, Neuvonen K et al. Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff. Cochrane Database Syst Ver [Internet]. 2016 Apr [cited 2020 Feb 10]; 4:CD011621. Available from: http://dx.doi.org/10.1002/14651858.CD011621.pub2

Bearman G, Bryant K, Leekha S, Mayer J, Munoz-Price LS, Murthy R et al. Healthcare personnel attire in non-operating-room settings. Infect Control Hosp Epidemiol [Internet]. 2014 Feb [cited 2020 Feb 10]; 35(2):107–21. Available from:

http://dx.doi.org/10.1086/675066

Oliveira AC, Silva MDM, Garbaccio JL. Clothing of health care professional as potential reservoirs of micro-organisms: an integrative review. Texto context – enferm [Internet]. 2012 Sep [cited 2020 Feb 10]; 21(3):684–91. Available from:

http://dx.doi.org/10.1590/S0104-07072012000300025

Melnyk BM, Fineout-Overholt E. Making The Case For Evidence-Based Practice. In: Stillwell SB, Fineout-Overholt E, Melnyk BM, Williamson KM. Evidence-based practice in nursing & healthcare: a guide to best 21 practice. Philadelphia: Lippincot Williams &

Wilkins; 2005. p. 3–24.

Mitchell A, Spencer M, Edmiston Junior C. Role of healthcare apparel and other healthcare textiles in the transmission of pathogens: a review of the literature. J Hosp Infect [Internet]. 2015 Aug [cited 2020 Feb 10]; 90(4):285–92. Available from:

http://dx.doi.org/10.1016/j.jhin.2015.02.017

Fijan S, Turk SS. Hospital textiles, are they a possible vehicle for healthcare associated infections? Int J Environ Res Public Health [Internet]. 2012 Sep [cited 2020 Feb 10]; 9(9):3330–43. Available from: http://dx.doi.org/10.3390/ijerph9093330

Riley K, Laird K, Williams J. Washing uniforms at home: adherence to hospital policy. Nurs Stand [Internet]. 2015 Feb [cited 2020 Feb 10]; 29(25):37–43. Available from: http://dx.doi.org/10.7748/ns.29.25.37.e9268

Potter YC, Justham D. Washing and changing uniforms: is guidance being adhered to? Br J Nurs [Internet]. 2012 Jun [cited 2020 Feb 10]; 21(11):649–50, 652–3. Available from: http://dx.doi.org/10.12968/bjon.2012.21.11.649

Padoveze MC, Figueiredo RM de. The role of primary care in the prevention and control of healthcare associated infections. Rev Esc Enferm USP [Internet]. 2014 Dec [cited 2020 Feb 10]; 48(6):1137–44. Available from:

http://dx.doi.org/10.1590/S0080-623420140000700023

Valle ARMC, Andrade D de, Sousa AFL de, Carvalho PRM de. Infection prevention and control in households: nursing challenges and implications. Acta Paul Enferm [Internet]. 2016 Apr [cited 2020 Feb 10]; 29(2):239–44. Available from:

http://dx.doi.org/10.1590/1982-0194201600033

Homaira N, Sheils J, Stelzer-Braid S, Lui K, Oie JL, Snelling T, et al. Respiratory syncytial virus is present in the neonatal intensive care unit. J Med Virol [Internet]. 2016 Feb [cited 2020 Feb 10]; 88(2):196–201. Available from: http://dx.doi.org/10.1002/jmv.24325

Qaday J, Sariko M, Mwakyoma A, Kifaro E, Mosha D, Tarimo, et al. bacterial contamination of medical doctors and students white coats at Kilimanjaro Christian Medical Centre, Moshi, Tanzania. Int J Bacteriol [Internet]. 2015 [cited 2020 Feb 10]; 2015:507890. Available from: http://dx.doi.org/10.1155/2015/507890

Tomas ME, Kundrapu S, Thota P, Sunkesula VCK, Cadnum JL, Mana TSC, et al. Contamination of health care personnel during removal of personal protective equipment. JAMA Intern Med [Internet]. 2015 Dec [cited 2020 Feb 10]; 175(12):1904–10. Available from: http://dx.doi.org/10.1001/jamainternmed.2015.4535

La Fauci V, Riso R, Facciolà A, Merlina V, Squeri R. Surveillance of microbiological contamination and correct use of protective lead garments. Ann Ig [Internet]. 2016 Nov [cited 2020 Feb 10]; 28(5):360–6. Available from: http://dx.doi.org/10.7416/ai.2016.2116

Morgan DJ, Pineles L, Shardell M, Sulis C, Kett DH, Bowling J, et al. Effect of chlorhexidine bathing and other infection control practices on the Benefits of Universal Glove and Gown (BUGG) trial: a subgroup analysis. Infect Control Hosp Epidemiol [Internet]. 2015 Dec [cited 2020 Feb 10]; 36(6):734–7. Available from: http://dx.doi.org/10.1017/ice.2015.33

Vikke HS, Giebner M. UniStatus - a cross-sectional study on the contamination of uniforms in the Danish ambulance service. BMC Res Notes [Internet]. 2015 Jan [cited 2020 Feb 10]; 8:95. Available from: http://dx.doi.org/10.1186/s13104-015-1057-4

Williams C, McGraw P, Schneck EE, LaFae A, Jacob JT, Moreno D et al. Impact of universal gowning and gloving on health care worker clothing contamination. Infect Control Hosp Epidemiol [Internet]. 2015 Aug [cited 2020 Feb 10]; 36(4):431–7. Available from: http://dx.doi.org/10.1017/ice.2014.75

Lakdawala N, Pham J, Shah M, Holton J. Effectiveness of low-temperature domestic laundry on the decontamination of healthcare workers' uniforms. Infect Control Hosp Epidemiol [Internet]. 2011 Nov [cited 2020 Feb 10]; 32(11):1103–8. Available from:

http://dx.doi.org/10.1086/662183




DOI: https://doi.org/10.26694/repis.v6i0.11021

Apontamentos

  • Não há apontamentos.


Bases/Indexadores:

Internacionais: CuidenIndex Copernicus InternationalResearch BibleLatindexCrossRefScholar Google; REDIB; PKP Index; DOAJ; MIAR; Biblioteca Virtual em Saúde (BVS); BDEnf.

Nacionais: DiadorimIBICTSumarios.orgLIVRE; periodicos CAPES.

REPIS is available in: Publons

ISSN: 2446-7901