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1.
Medicine (Baltimore) ; 100(5): e24503, 2021 Feb 05.
Artigo em Inglês | MEDLINE | ID: mdl-33592903

RESUMO

ABSTRACT: Recently, the coronavirus disease 2019 (COVID-19) epidemic has greatly threatened global public health. The responsibility of healthcare-associated infection control professionals (ICPs) is to prevent and control the nosocomial infections. The mental health status of ICPs deserves more attention, however, the correlational research is still lacking. This study aims to investigate the incidence and risk factors of mental health status among ICPs in China during the outbreak of COVID-19.A national cross-sectional survey was performed. The online questionnaire was completed by 9228 ICPs from 3776 hospitals throughout China. Data collection tools were used, including demographics data questionnaire, the Chinese version of the 12-item general health questionnaire (GHQ-12) and the Chinese version of the psychological capital questionnaire (PCQ) for medical staff. Univariate and multivariable analyses were conducted.The total score of mental health of Chinese ICPs was 3.45 ±â€Š2.57. 5608 (60.77%) ICPs might have mental health problems. The psychological capital was in the upper-middle level with an average score of 3.72 ±â€Š0.38. An increased mental health problem risk was associated with the greater self-efficacy and working in the public hospital; a significantly lower risk was obtained by working in the second-class hospital rather than in the third-class hospitals. Besides, mental health problem risk of ICPs working in hospitals of the western economic region or northeast economic region was more significant than that in hospitals of the central economic region. However, a lower risk was caused by the unmarried than married, and working years in department ≤1 year contributed to the lower risk than that >20 years. Moreover, fewer working hours per week, higher values of hope, and optimism each were contributed to a lower risk.Chinese healthcare-associated ICPs were under different levels of mental health problems in fighting against COVID-19. More importantly, we should actively deal with the mental health problem of ICPs and help them get rid of psychological disorders.


Assuntos
Infecção Hospitalar , Profissionais Controladores de Infecções , Controle de Infecções , Exposição Ocupacional , Estresse Ocupacional , Adulto , /prevenção & controle , China/epidemiologia , Infecção Hospitalar/epidemiologia , Infecção Hospitalar/prevenção & controle , Estudos Transversais , Feminino , Humanos , Controle de Infecções/métodos , Controle de Infecções/organização & administração , Profissionais Controladores de Infecções/psicologia , Profissionais Controladores de Infecções/estatística & dados numéricos , Masculino , Saúde Mental/estatística & dados numéricos , Exposição Ocupacional/prevenção & controle , Exposição Ocupacional/estatística & dados numéricos , Estresse Ocupacional/epidemiologia , Estresse Ocupacional/etiologia , Estresse Ocupacional/prevenção & controle , Medição de Risco , Inquéritos e Questionários
3.
Curr Med Sci ; 40(4): 608-613, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32767263

RESUMO

The corona virus disease 2019 (COVID-19) is an emerging respiratory infectious disease caused by SARS-CoV-2, which first occurred in December 2019 in Wuhan, China. These days, in China, chest CT is used for diagnosis of COVID-19, as an important complement to the reverse-transcription polymerase chain reaction (RT-PCR) test. Because of contacting with a large number of suspected or probable cases closely during chest CT examination, radiographers are easily infected with COVID-19. This article included the rearrangement of CT examination room in fever clinic, the rearrangement of human resources in radiology department, and the drafting of new operating procedures for radiologists who carry out CT examination on COVID-19 patients. This article also introduced the emergency management procedures of the department of radiology during the outbreak, and the experience of infection prevention for the staff of the department of radiology.


Assuntos
Betacoronavirus , Técnicas de Laboratório Clínico , Infecções por Coronavirus/diagnóstico por imagem , Pandemias , Pneumonia Viral/diagnóstico por imagem , Serviço Hospitalar de Radiologia/organização & administração , China/epidemiologia , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Desinfecção/normas , Humanos , Controle de Infecções/organização & administração , Controle de Infecções/normas , Profissionais Controladores de Infecções/organização & administração , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Radiologistas/organização & administração , Tomografia Computadorizada por Raios X
5.
Brasília, D.F.; OPAS; 2020-04-13. (OPAS/BRA/Covid-19/20-046).
em Português | PAHO-IRIS | ID: phr2-52050

RESUMO

Objetivo: • Fornecer diretrizes de cuidados para profissionais da saúde expostos ao novo coronavírus (COVID-19) em estabelecimentos de saúde, e conduta na exposição ocupacional ao vírus. • Esta ferramenta irá ajudar a determinar o risco de infecção dos profissionais da saúde que foram expostos a um paciente com COVID-19 e orientar as decisões sobre as ações apropriadas. Além disso, oferece recomendações para a conduta adequada com esses profissionais da saúde, de acordo com o risco de infecção. Estas recomendações são preliminares e sujeitas à revisão, à medida que novas evidências estiverem disponíveis.


Assuntos
Infecções por Coronavirus , Recursos Humanos , Profissionais Controladores de Infecções , Coronavirus , Pessoal de Saúde
6.
Washington, D.C.; OPS; 2020-04-13. (PAHO/PHE/IM/Covid-19/20-005).
em Espanhol | PAHO-IRIS | ID: phr-52033

RESUMO

Objetivo: • Proveer lineamientos para la atención al trabajador de salud expuesto al nuevo coronavirus (COVID-19) en establecimientos de salud, así como la conducta de la exposición ocupacional al virus. • Esta herramienta ayudará a determinar el riesgo de infección por el virus COVID-19 de los profesionales de la salud que han estado expuestos a un paciente con COVID-19 y orientará las conductas a ser consideradas y luego proporcionará recomendaciones para el manejo adecuado de estos profesionales de la salud, de acuerdo con el riesgo de infección. Estas recomendaciones son preliminares y están sujetas a revisión a medida que se disponga de nuevas evidencias.


Assuntos
Infecções por Coronavirus , Recursos Humanos , Profissionais Controladores de Infecções , Pessoal de Saúde
7.
Guatemala; MSPAS; 19 mar 2020. 15 p. graf.
Não convencional em Espanhol | LILACS, LIGCSA | ID: biblio-1100682

RESUMO

Planificar, coordinar, conducir las operaciones y las acciones que contribuyan a organizar los esfuerzos para la toma decisiones oportunas para el mejor aprovechamiento de los recursos ante la amenaza de la presencia de Coronavirus.


Assuntos
Humanos , Pneumonia Viral/prevenção & controle , Infecções por Coronavirus/prevenção & controle , Estado de Alerta em Emergências , Betacoronavirus , Profissionais Controladores de Infecções/organização & administração , Centro de Operações de Emergência , Guatemala
8.
PLoS One ; 15(1): e0227955, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31978086

RESUMO

INTRODUCTION: Outbreaks of communicable diseases in hospitals need to be quickly detected in order to enable immediate control. The increasing digitalization of hospital data processing offers potential solutions for automated outbreak detection systems (AODS). Our goal was to assess a newly developed AODS. METHODS: Our AODS was based on the diagnostic results of routine clinical microbiological examinations. The system prospectively counted detections per bacterial pathogen over time for the years 2016 and 2017. The baseline data covers data from 2013-2015. The comparative analysis was based on six different mathematical algorithms (normal/Poisson and score prediction intervals, the early aberration reporting system, negative binomial CUSUMs, and the Farrington algorithm). The clusters automatically detected were then compared with the results of our manual outbreak detection system. RESULTS: During the analysis period, 14 different hospital outbreaks were detected as a result of conventional manual outbreak detection. Based on the pathogens' overall incidence, outbreaks were divided into two categories: outbreaks with rarely detected pathogens (sporadic) and outbreaks with often detected pathogens (endemic). For outbreaks with sporadic pathogens, the detection rate of our AODS ranged from 83% to 100%. Every algorithm detected 6 of 7 outbreaks with a sporadic pathogen. The AODS identified outbreaks with an endemic pathogen were at a detection rate of 33% to 100%. For endemic pathogens, the results varied based on the epidemiological characteristics of each outbreak and pathogen. CONCLUSION: AODS for hospitals based on routine microbiological data is feasible and can provide relevant benefits for infection control teams. It offers in-time automated notification of suspected pathogen clusters especially for sporadically occurring pathogens. However, outbreaks of endemically detected pathogens need further individual pathogen-specific and setting-specific adjustments.


Assuntos
Bactérias/isolamento & purificação , Infecção Hospitalar/diagnóstico , Surtos de Doenças/prevenção & controle , Controle de Infecções/métodos , Algoritmos , Bactérias/classificação , Bactérias/efeitos dos fármacos , Bactérias/patogenicidade , Infecção Hospitalar/epidemiologia , Hospitais , Humanos , Profissionais Controladores de Infecções
9.
Rev. enferm. Inst. Mex. Seguro Soc ; 28(1): 25-36, Ene-Mar. 2020. graf, ilustr
Artigo em Espanhol | LILACS, BDENF - Enfermagem | ID: biblio-1121589

RESUMO

Introducción: los catéteres venosos centrales son dispositivos de acceso directo al torrente sanguíneo, el manejo inadecuado es la principal causa de infección. Siendo el personal de enfermería el responsable de la manipulación de dicho dispositivo, es necesario establecer intervenciones de enfermería que garanticen la seguridad del usuario durante su estancia hospitalaria. Objetivo: determinar nivel de conocimiento y cuidado enfermero del paciente con catéter venoso central, en el Hospital General Regional No. 1 de Culiacán, Sinaloa. Métodos: estudio descriptivo, observacional, transversal y correlacional. La muestra estuvo conformada por 158 enfermeros; las variables principales del estudio fueron: nivel de conocimiento y cuidado enfermero, la recolección de datos se realizó a través del cuestionario: Nivel de conocimiento del paciente con catéter venoso central, y una lista de verificación de líneas vasculares centrales. Resultados: predominó el género femenino (62%); el 54.4% fueron enfermeros generales, el 36.1% se ubica en el turno matutino, el 52.5% tiene un nivel de conocimiento regular sobre catéter venoso central (CVC), el 54% proporciona cuidado enfermero regular. Se identificó que existe asociación significativa entre nivel de conocimiento con el cuidado enfermero del CVC (Tb = 2.40, p = 0.01). El 73.4% tiene un nivel de conocimiento regular y proporciona un nivel de cuidado deficiente, el 52% tiene un nivel de conocimientos deficiente y proporciona buen cuidado. Existe una correlación positiva y significativa moderada (rs = 0.65, p = 0.01) entre el conocimiento sobre el manejo del CVC y el cuidado enfermero. El conocimiento explica el cuidado en un 42% (R2= 0.42). Conclusiones: el nivel de conocimiento y cuidado enfermero sobre el CVC es regular, existe asociación positiva y significativa entre el nivel de conocimiento y cuidado enfermero del paciente con CVC.


Introduction: Central venous catheters are direa access devices to the bloodstream, improper handling is the main cause of infection; being the nursing staff responsible for the manipulation of said device, it is necessary to establish nursing interventions that guarantee the safety of the user during their hospital stay Objective: To determine the level of knowledge and nursing care of the patient with a central venous catheter, at the Hospital General Regional No.l in Culiacán, Sinaloa. Methods: Descriptive, observational, cross-sectional and correlational study; the sample was made up of 158 nurses; The main variables of the study v/ere level of knowledge and nursing care; Data colleaion was carried out through the questionnaire: level of knowledge of the patient with a central venous catheter, and a checklist of central vascular lines. Results: Female gender predominated 62.0%; 54.4% are general nurses, 36.1% are in the morning shift, 52.5% have a regular level of knowledge about central venous catheter (CVC), 54% provide regular nursing care; There is a significant association between the level of knowledge with CVC nursing care (7b = 2.40, p = 0.01). 73.4% have a regular level of knowledge and provide a poor level of care, 52.0% have a poor level of knowledge and provide good care. There is a modérate positive and significant correlation (rs = 0.65, p = 0.01) between knowledge about CVC management and nursing care; knowledge explains care in 42% (R2 = 0.42). Conclusions: The level of knowledge and nursing care about CVC is regular; There is a positive and significant association between the level of knowledge and nursing care of the patient with CVC.


Assuntos
Humanos , Epidemiologia Descritiva , Estudos Transversais , Profissionais Controladores de Infecções , Controle de Infecções , Bacteriemia , Conhecimento , Cateteres , Dispositivos de Acesso Vascular , Estudo Observacional , Hospitais Públicos , Cuidados de Enfermagem , Recursos Humanos de Enfermagem no Hospital , México
10.
J Nurs Adm ; 49(12): 591-595, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31725058

RESUMO

OBJECTIVE: Describe clinical nurse involvement in antibiotic stewardship programs (ASPs). BACKGROUND: The extent to which clinical nurses are supported and integrated into ASPs is unknown. METHODS: Electronic survey of infection preventionists (IPs) working in acute care hospitals. RESULTS: A total of 207 IPs nationwide reported on clinical nurses' involvement in their hospital's ASP. Among respondents, 42% reported the presence of a designated nurse executive that championed nurses' involvement in ASPs; 33% reported that the hospital provides antibiotic stewardship education and training to clinical nurses, and only 14% believed that clinical nurses have adequate stewardship knowledge to participate in ASP activities. CONCLUSIONS: Study findings indicate the need for nurse leaders to improve the preparation and integration of clinical nurses in ASPs. While clinical nurses routinely perform activities that contribute to optimal antibiotic use, the knowledge and competency of clinical nurses in these activities and their formal integration in ASPs are minimal.


Assuntos
Gestão de Antimicrobianos/organização & administração , Profissionais Controladores de Infecções/estatística & dados numéricos , Liderança , Enfermeiras Administradoras , Enfermeiras Clínicas/educação , Enfermeiras Clínicas/estatística & dados numéricos , Papel do Profissional de Enfermagem , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Estados Unidos
11.
Eur J Clin Microbiol Infect Dis ; 38(11): 2061-2068, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31396830

RESUMO

Antimicrobial stewardship (AMS) and Infection prevention and control (IPC) are two key complementary strategies that combat development and spread of antimicrobial resistance. The ESGAP (ESCMID Study Group for AMS), EUCIC (European Committee on Infection Control) and TAE (Trainee Association of ESCMID) investigated how AMS and IPC activities and training are organized, if present, at national level in Europe. From February 2018 to May 2018, an internet-based cross-sectional survey was conducted through a 36-item questionnaire, involving up to three selected respondents per country, from 38 European countries in total (including Israel), belonging to the ESGAP/EUCIC/TAE networks. All 38 countries participated with at least one respondent, and a total of 81 respondents. Education and involvement in AMS programmes were mandatory during the postgraduate training of clinical microbiology and infectious diseases specialists in up to one-third of countries. IPC was acknowledged as a specialty in 32% of countries. Only 32% of countries had both guidance and national requirements regarding AMS programmes, in contrast to 61% for IPC. Formal national staffing standards for AMS and IPC hospital-based activities were present in 24% and 63% of countries, respectively. The backgrounds of professionals responsible for AMS and IPC programmes varied tremendously between countries. The organization and training of AMS and IPC in Europe are heterogeneous and national requirements for activities are frequently lacking.


Assuntos
Gestão de Antimicrobianos/estatística & dados numéricos , Educação Médica Continuada/estatística & dados numéricos , Controle de Infecções/estatística & dados numéricos , Gestão de Antimicrobianos/organização & administração , Estudos Transversais , Europa (Continente) , Administração Hospitalar/estatística & dados numéricos , Humanos , Controle de Infecções/organização & administração , Profissionais Controladores de Infecções/educação , Profissionais Controladores de Infecções/organização & administração , Pessoal de Laboratório Médico/educação , Pessoal de Laboratório Médico/organização & administração , Inquéritos e Questionários
12.
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi ; 31(2): 192-196, 2019 May 06.
Artigo em Chinês | MEDLINE | ID: mdl-31184056

RESUMO

OBJECTIVE: To understand the status and capability of professionals at provincial parasitic diseases control institutions in main clonorchiasis-endemic areas of China. METHODS: The status and capacity of professionals at four provincial parasitic diseases control institutions were collected using questionnaire surveys, including Guangdong, Guangxi, Heilongjiang and Jilin, and the data were analyzed. RESULTS: There were totally 37 professionals working on parasitic diseases control in the four provincial institutions in 2018, including 33 full-time and 4 part-time professionals, and there were 12, 16, 3 and 6 professionals working at Guangdong, Guangxi, Heilongjiang and Jilin provincial institutions, respectively. Of the 37 professionals, there were 24.32%, 37.84% and 37.84% at ages of 35 years and lower, 35 to 45 years, and greater than 45 years. Men consisted of 54.05% of all professionals, and 86.49% had an education of bachelor and above, while 78.38% had a title of moderate or above. Among all professionals, there were 29 responsible for clonorchiasis prevention and control; however, they all participated in the prevention and control of other parasitic diseases; 33 professionals were able to prepare Kato-Katz smears and 34 read the smears; 30 professionals were able to detect metacercaria in fishes, and 24 and 16 professionals were able to perform immunological and mo-lecular tests. In addition, 26 professionals participated in provincial projects, 19 in national projects; however, few professionals participated in international projects or undertook provincial, national or international projects. Furthermore, there were 34 professionals (91.89%) participating in national trainings on parasitic diseases; however, only 12 (32.43%) completed a training for more than one week. CONCLUSIONS: There are few professionals at provincial parasitic diseases control institutions in main clonorchiasis-endemic areas of China, and they have a relative high capability in parasitic disease control; however, their research capacity is relative weak.


Assuntos
Clonorquíase , Profissionais Controladores de Infecções , Doenças Parasitárias , Adulto , Animais , China , Clonorquíase/prevenção & controle , Humanos , Profissionais Controladores de Infecções/normas , Profissionais Controladores de Infecções/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Doenças Parasitárias/prevenção & controle , Inquéritos e Questionários
16.
Am J Infect Control ; 47S: A58-A61, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-31146852

RESUMO

The infection preventionists' (IPs') presence and intervention in outpatient facilities continues to lag behind the inpatient hospital IPs' presence. Additionally, in an outpatient world that is heavy on instrument reprocessing, IPs must be prepared to assess instrument reprocessing practices, including high-level disinfection and sterilization to keep our patients and staffs safe. This paper presents 3 problems associated with instrument reprocessing practices in health care facilities, with a special emphasis on outpatient facilities: physical space problems, training and education problems, and lack of IPs' presence. We offer solutions and mitigation strategies for these 3 problems. We also give some reflections on the current state of IP presence and responsibilities, and industry responsibilities, and we call for robust partnerships between IPs and the instrument reprocessing industry.


Assuntos
Assistência Ambulatorial/métodos , Desinfecção/métodos , Equipamentos Médicos Duráveis , Reutilização de Equipamento , Instalações de Saúde , Profissionais Controladores de Infecções , Humanos
17.
Am J Infect Control ; 47(10): 1265-1269, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31128984

RESUMO

The Certification Board of Infection Control and Epidemiology conducted a marketing research study to determine the perceived value of the certification in infection prevention and control among infection prevention professionals and other stakeholders. Four thematic categories were identified: certification process and standards; professionalism, competency, and career growth; patient care, safety, infection prevention and control; and regulatory compliance. Respondents stated that certification demonstrated professional competency, increased career growth, improved regulatory compliance, was important in influencing legislation, and improved the practice of infection prevention and control. Opportunities were to reevaluate eligibility criteria and examination difficulty; demonstrate how certification increases financial compensation and organizational recognition; and offer recertification through continuing education based on the study findings, strategic recommendations and next steps were incorporated into the strategic plan. This article is an overview and summarizes the study findings.


Assuntos
Certificação/normas , Profissionais Controladores de Infecções/normas , Controle de Infecções/normas , Educação Continuada/normas , Humanos , Competência Profissional/normas
18.
Infect Control Hosp Epidemiol ; 40(5): 536-540, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30932802

RESUMO

OBJECTIVE: To ascertain opinions regarding etiology and preventability of hospital-onset bacteremia and fungemia (HOB) and perspectives on HOB as a potential outcome measure reflecting quality of infection prevention and hospital care. DESIGN: Cross-sectional survey. PARTICIPANTS: Hospital epidemiologists and infection preventionist members of the Society for Healthcare Epidemiology of America (SHEA) Research Network. METHODS: A web-based, multiple-choice survey was administered via the SHEA Research Network to 133 hospitals. RESULTS: A total of 89 surveys were completed (67% response rate). Overall, 60% of respondents defined HOB as a positive blood culture on or after hospital day 3. Central line-associated bloodstream infections and intra-abdominal infections were perceived as the most frequent etiologies. Moreover, 61% thought that most HOB events are preventable, and 54% viewed HOB as a measure reflecting a hospital's quality of care. Also, 29% of respondents' hospitals already collect HOB data for internal purposes. Given a choice to publicly report central-line-associated bloodstream infections (CLABSIs) and/or HOB, 57% favored reporting either HOB alone (22%) or in addition to CLABSI (35%) and 34% favored CLABSI alone. CONCLUSIONS: Among the majority of SHEA Research Network respondents, HOB is perceived as preventable, reflective of quality of care, and potentially acceptable as a publicly reported quality metric. Further studies on HOB are needed, including validation as a quality measure, assessment of risk adjustment, and formation of evidence-based bundles and toolkits to facilitate measurement and improvement of HOB rates.


Assuntos
Bacteriemia/psicologia , Infecção Hospitalar/psicologia , Epidemiologistas/psicologia , Fungemia/psicologia , Profissionais Controladores de Infecções/psicologia , Bacteriemia/prevenção & controle , Infecção Hospitalar/microbiologia , Estudos Transversais , Fungemia/prevenção & controle , Conhecimentos, Atitudes e Prática em Saúde , Hospitais , Humanos , Qualidade da Assistência à Saúde , Inquéritos e Questionários
19.
Am J Infect Control ; 47(6): 729-731, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-31003751

RESUMO

The prevention of health care-associated infections is an international concern. Infection preventionists across the world play a key role in assessing, planning, implementing, and evaluating infection control policies. In 2015, the APIC launched the MegaSurvey to establish the state of the infection preventionist workforce. This brief report will describe and compare responses from the United States, Canada, and "other" countries to establish a professional baseline and set an agenda for future international collaborations.


Assuntos
Infecção Hospitalar/prevenção & controle , Transmissão de Doença Infecciosa/prevenção & controle , Profissionais Controladores de Infecções/estatística & dados numéricos , Inquéritos e Questionários/estatística & dados numéricos , Canadá , Feminino , Humanos , Masculino , Estados Unidos
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