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1.
Cogitare enferm ; 23(1): 1-9, jan - mar. 2018.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-883494

RESUMO

Objetivo: analisar o entendimento sobre o uso da roupa hospitalar e sua importância no cuidado. Método: estudo de caso com 19 profissionais de nível superior (médicos e enfermeiros), 23 profissionais de nível médio (técnicos e auxiliares de Enfermagem) e 11 estudantes de graduação (Enfermagem e Medicina) de um hospital de ensino do interior do Estado de São Paulo, de fevereiro a junho de 2016. Para a análise dos dados, foi utilizada a Análise de Conteúdo Temática. Resultados: da análise dos dados, emergiram duas categorias: "Roupa hospitalar como um item do cuidado" e "Oferta da roupa para o cuidado". Considerações finais: os participantes do estudo desconhecem o significado e a importância da roupa para o cuidado. São necessárias ações educativas para a compreensão de sua finalidade (AU).


Objective: analyze the understanding of the use of hospital linen and its importance in health care. Method: case study with 19 university level professionals (physicians and nurses), 23 secondary level professionals (nursing technicians and aides) and 11 undergraduate students (nursing and medicine) from a teaching hospital in the state of São Paulo, from February to June 2016. Thematic content analysis was used for data analysis. Results: two categories emerged from data analysis: "Hospital linen as a care item" and "Provision of linen for care". Final considerations: the participants were unaware of the meaning and importance of linen within the care context. Educational activities are needed to understand its importance (AU).


Objetivo: Analizar la comprensión sobre el uso de la ropa hospitalaria y su importancia en el cuidado. Método: Estudio de caso, con 19 profesionales de nivel superior (médicos y enfermeros), 23 profesionales de nivel intermedio (técnicos y auxiliares de Enfermería) y 11 estudiantes de curso de grado (Enfermería y Medicina) en hospital de enseñanza del interior del Estado de São Paulo, de febrero a junio de 2016. Datos analizados por Análisis de Contenido Temático. Resultados: Del análisis surgieron dos categorías: "Ropa hospitalaria como ítem del cuidado" y "Oferta de la ropa para el cuidado". Consideraciones finales: Los participantes del estudio desconocen el significado y la importancia de la ropa para el cuidado. Serán necesarias acciones educativas para la comprensión de su finalidad (AU).


Assuntos
Humanos , Educação em Saúde , Assistência Integral à Saúde , Pesquisa Qualitativa , Serviços de Saúde , Serviço Hospitalar de Lavanderia
2.
Codas ; 30(1): e20170080, 2018 Feb 19.
Artigo em Português, Inglês | MEDLINE | ID: mdl-29466510

RESUMO

OBJECTIVE: Evaluate the effectiveness of educational interventions on hearing health developed at a hospital laundry. METHODS: Quantitative assessment conducted at a hospital laundry. The study sample comprised 80 workers of both genders divided into two groups: Study Group (SG) and Control Group (CG). The educational interventions in hearing preservation were evaluated based on a theoretical approach using the Participatory Problem-based Methodology in five workshops. To assess the results of the workshops, an instrument containing 36 questions on knowledge, attitudes, and practices in hearing preservation at work was used. Questionnaires A and B were applied prior to and one month after intervention, respectively. The answers to both questionnaires were analyzed by group according to gender and schooling. RESULTS: Results of the pre-intervention phase showed low scores regarding knowledge about hearing health in the work setting for both groups, but significant improvement in knowledge was observed after intervention in the SG, with 77.7% of the answers presenting significant difference between the groups. There was also an improvement in the mean scores, with 35 responses (95.22%) presenting scores >4 (considered adequate). The women presented lower knowledge scores than the men; however, these differences were not observed in the SG after the workshops. Schooling was not a relevant factor in the assessment. CONCLUSION: The educational proposal grounded in the Participatory Problem-based Methodology expanded knowledge about hearing health at work among the participants.


Assuntos
Educação em Saúde/métodos , Perda Auditiva/prevenção & controle , Serviço Hospitalar de Lavanderia , Ruído Ocupacional/prevenção & controle , Doenças Profissionais/prevenção & controle , Adulto , Escolaridade , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Testes Auditivos , Humanos , Masculino , Pessoa de Meia-Idade , Saúde do Trabalhador , Fatores Sexuais , Inquéritos e Questionários , Adulto Jovem
3.
Am J Ind Med ; 61(2): 157-166, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-29152784

RESUMO

BACKGROUND: Workplace violence is a substantial occupational hazard for healthcare workers in the United States. METHODS: We analyzed workplace violence injury surveillance data submitted by hospitals participating in the Occupational Health Safety Network (OHSN) from 2012 to 2015. RESULTS: Data were frequently missing for several important variables. Nursing assistants (14.89, 95%CI 10.12-21.91) and nurses (8.05, 95%CI 6.14-10.55) had the highest crude workplace violence injury rates per 1000 full-time equivalent (FTE) workers. Nursing assistants' (IRR 2.82, 95%CI 2.36-3.36) and nurses' (IRR 1.70, 95%CI 1.45-1.99) adjusted workplace violence injury rates were significantly higher than those of non-patient care personnel. On average, the overall rate of workplace violence injury among OHSN-participating hospitals increased by 23% annually during the study period. CONCLUSION: Improved data collection is needed for OHSN to realize its full potential. Workplace violence is a serious, increasingly common problem in OHSN-participating hospitals. Nursing assistants and nurses have the highest injury risk.


Assuntos
Pessoal de Saúde , Hospitais , Traumatismos Ocupacionais/epidemiologia , Violência no Trabalho/estatística & dados numéricos , Adulto , Serviço Hospitalar de Emergência , Feminino , Serviço Hospitalar de Nutrição , Setor de Assistência à Saúde , Serviço Hospitalar de Limpeza , Humanos , Incidência , Serviço Hospitalar de Lavanderia , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Enfermeiras e Enfermeiros , Assistentes de Enfermagem , Saúde do Trabalhador , Estados Unidos/epidemiologia
4.
Ann Work Expo Health ; 61(9): 1087-1096, 2017 Nov 10.
Artigo em Inglês | MEDLINE | ID: mdl-29136420

RESUMO

Little is known about exposure to pathogenic bacteria among industrial laundry workers who work with soiled clinical linen. To study worker exposures, an assessment of surface contamination was performed at an industrial laundry facility serving hospitals in Seattle, WA, USA. Surface swab samples (n = 240) from the environment were collected during four site visits at 3-month intervals. These samples were cultured for Clostridium difficile, methicillin-resistant Staphylococcus aureus (MRSA), and vancomycin-resistant enterococci (VRE). Voluntary participation of 23 employees consisted of nasal swabs for detection of MRSA, observations during work, and questionnaires. Contamination with all three pathogens was observed in both dirty (laundry handling prior to washing) and clean areas (subsequent to washing). The dirty area had higher odds of overall contamination (≥1 pathogen) than the clean area (odds ratio, OR = 18.0, 95% confidence interval 8.9-36.5, P < 0.001). The odds of contamination were high for each individual pathogen: C. difficile, OR = 15.5; MRSA, OR = 14.8; and VRE, OR = 12.6 (each, P < 0.001). The highest odds of finding surface contamination occurred in the primary and secondary sort areas where soiled linens were manually sorted by employees (OR = 63.0, P < 0.001). The study substantiates that the laundry facility environment can become contaminated by soiled linens. Workers who handle soiled linen may have a higher risk of exposure to C. difficile, MRSA, and VRE than those who handle clean linens. Improved protocols for prevention and reduction of environmental contamination were implemented because of this study.


Assuntos
Roupas de Cama, Mesa e Banho/microbiologia , Clostridium difficile/isolamento & purificação , Poluentes Ambientais/análise , Serviço Hospitalar de Lavanderia/estatística & dados numéricos , Staphylococcus aureus Resistente à Meticilina/isolamento & purificação , Exposição Ocupacional/análise , Enterococos Resistentes à Vancomicina/isolamento & purificação , Adulto , Contaminação de Equipamentos , Humanos , Nariz/microbiologia
5.
Healthc Manage Forum ; 30(2): 97-100, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-28929886

RESUMO

A water recycling system was installed at the Nova Scotia Hospital Central Laundry in Dartmouth, Nova Scotia in the spring of 2014. The consequent reductions in the consumption of water and steam at this facility have been measured over a 20-month period and are presented here in nominal units and as a financial analysis. Cumulative savings over this period have been calculated to be $351,567, representing a 53% annual return on investment after accounting for annual operating and maintenance costs.


Assuntos
Conservação dos Recursos Naturais/métodos , Serviço Hospitalar de Lavanderia , Reciclagem , Redução de Custos , Humanos , Serviço Hospitalar de Lavanderia/economia , Nova Escócia , Reciclagem/métodos , Abastecimento de Água
6.
Clin Infect Dis ; 64(suppl_2): S91-S97, 2017 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-28475782

RESUMO

Background: A high seasonal incidence of Bacillus bacteremia was associated with the use of contaminated hospital linens. Methods: An outbreak investigation was conducted to study the incidence and source of Bacillus bacteremia during the baseline, outbreak, and postoutbreak period from 1 January 2012 through 31 July 2016 at a university-affiliated teaching hospital in Hong Kong. Replicate organism detection and counting plates were used for microbial screening of linen samples. The Bacillus species isolated from patient and linen samples were identified by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry and were phylogenetically analyzed. Results: During the study period, a total of 113 207 blood cultures were collected from 43 271 patients, of which 978 (0.86%) specimens from 744 (1.72%) patients were identified as Bacillus species. The incidence of Bacillus bacteremia per 10 000 patient admissions and per 10 000 patient-days was significantly higher during the summer outbreak as compared with baseline and 1 year postoutbreak after cessation of the linen supply from the designated laundry and change of laundry protocol (39.97 vs 18.21 vs 2.27; 13.36 vs 5.61 vs 0.73; P < .001). The mean total aerobic bacterial count per 100 cm2 was significantly higher among the 99 linen samples screened during the outbreak period compared to the 100 screened in the postoutbreak period (916.0 ± 641.6 vs 0.6 ± 1.6; P < .001). Blood culture isolates of Bacillus cereus group in 14 of 87 (16.1%) patients were phylogenetically associated with 9 linen sample isolates. Conclusions: Suboptimal conditions of hospital laundry contributed to the seasonal outbreak of Bacillus bacteremia.


Assuntos
Infecções por Bacillaceae/epidemiologia , Bacillus/isolamento & purificação , Bacteriemia/epidemiologia , Roupas de Cama, Mesa e Banho/microbiologia , Surtos de Doenças , Estações do Ano , Adulto , Bacillus/classificação , Bacillus/genética , Bacteriemia/etiologia , Bacteriemia/microbiologia , Infecção Hospitalar/epidemiologia , Feminino , Hong Kong/epidemiologia , Hospitais de Ensino/estatística & dados numéricos , Hospitais Universitários/estatística & dados numéricos , Humanos , Serviço Hospitalar de Lavanderia , Masculino , Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por Matriz
7.
Sci Total Environ ; 590-591: 233-241, 2017 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-28283289

RESUMO

The present research investigated the treatment of hospital laundry wastewaters by the combined use of photochemical VUV and UVC reactors. Seven different configurations were tested and the performances of each of them were evaluated based on the removal of the load parameters, detoxification and life cycle assessment (LCA). The characterization of studied wastewaters included analysis of the following parameters: COD, BOD5, TKN, total P, pH, turbidity and conductivity. Acute ecotoxicity was evaluated using Daphnia magna. Ultraviolet-Visible (UV-Vis) spectroscopy was performed to determine the organic fraction and chromatography coupled to the mass spectrometer (GC-MS) was used for the qualitative characterization of priority pollutants. Characterization parameters showed the presence of drugs like lidocaine and dipyrone and a high organic load with a poor biodegradability. Wastewaters presented an extreme acute toxicity against D. magna (EC50 6.7%). The ozonation process (mainly generated by the VUV reactor) obtained the best results concerning the ratio between the consumed energy and the removed COD and the UVC process presented the lowest environmental impacts for the characterization and normalization parameters of the LCA. Normalization revealed that the highest environmental burdens were associated with human toxicity, ecotoxicity and eutrophication of surface waters as well as to the use of non-renewable resources. VUV/UVC/O3 process presented the best results considering detoxification (EC50 100%).


Assuntos
Serviço Hospitalar de Lavanderia , Fotobiorreatores , Eliminação de Resíduos Líquidos/métodos , Poluentes Químicos da Água/análise , Animais , Daphnia/efeitos dos fármacos , Ozônio , Testes de Toxicidade Aguda , Águas Residuárias/análise , Águas Residuárias/toxicidade , Poluentes Químicos da Água/toxicidade
8.
J Hosp Infect ; 95(2): 218-223, 2017 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-27989378

RESUMO

BACKGROUND: Enterococcus spp. are a normal part of the gastrointestinal tract of humans and animals. They are also important pathogens, being responsible for 14% of US nosocomial infections from 2007 to 2010. AIM: To examine a laundry facility that processes clinical linens for the presence and seasonality of vancomycin-resistant Enterococcus spp. METHODS: Surface samples were collected four times in 2015 from the dirty and clean areas of the laundry facility. Isolates were confirmed using biochemical assays, and antibiotic susceptibility testing was performed. Further investigations included molecular characterization by multi-locus sequence typing (MLST), detection of acquired vanA and vanB and/or intrinsic vanC1 genes by polymerase chain reaction, and eBURST analysis. FINDINGS: Seventy-four vanA-positive multi-drug-resistant Enterococcus spp. were identified: 64/120 (53%) in the dirty area and 10/120 (8%) in the clean area. There were 14 ST types among the E. faecium isolates identified (ST16, 17, 18, 117, 186, 280, 324, 412, 584, 664, 665, 736, 750 and 1038). Both E. faecalis isolates were ST109. CONCLUSION: Isolation of vancomycin-resistant enterococci (VRE) isolates was significantly higher (53% vs 8%) in the dirty area of the facility compared with the clean area. SIGNIFICANCE AND IMPACT OF THE STUDY: This is the first study to examine an industrial laundry facility for the presence of VRE, and may be an unrecognized reservoir.


Assuntos
Proteínas de Bactérias/genética , Carbono-Oxigênio Ligases/genética , Farmacorresistência Bacteriana Múltipla , Enterococcus faecalis/isolamento & purificação , Enterococcus faecium/isolamento & purificação , Microbiologia Ambiental , Serviço Hospitalar de Lavanderia , Enterococos Resistentes à Vancomicina/isolamento & purificação , Técnicas Bacteriológicas , Enterococcus faecalis/classificação , Enterococcus faecalis/efeitos dos fármacos , Enterococcus faecalis/genética , Enterococcus faecium/classificação , Enterococcus faecium/efeitos dos fármacos , Enterococcus faecium/genética , Hospitais , Humanos , Tipagem de Sequências Multilocus , Peptídeo Sintases/genética , Reação em Cadeia da Polimerase , Prevalência , Estados Unidos , Enterococos Resistentes à Vancomicina/classificação , Enterococos Resistentes à Vancomicina/efeitos dos fármacos , Enterococos Resistentes à Vancomicina/genética
10.
Enferm. actual Costa Rica (Online) ; (31): 193-210, jul.-dic. 2016. tab, ilus
Artigo em Espanhol | LILACS, BDENF - Enfermagem | ID: biblio-840340

RESUMO

ResumenIntroducción. La segregación y procesamiento de la ropa es un asunto vital tanto para los pacientes como para el recurso humano que labora en los hospitales y centros de salud y que manipula este material. El objetivo fue evaluar la efectividad del personal de enfermería respecto de la segregación de la ropa hospitalaria en origen usada por el paciente, para la prevención de infecciones intrahospitalarias.Método. Se trata de una revisión sistemática, aplicando la metodología recomendada por la Colaboración Cochrane. Para la identificación de los estudios se realizó búsquedas electrónicas en MEDLINE, conferencias en línea, alertas semanales de revistas en BioMed Central (e-mail), EBSCO, Clinical Key, PubMed, Journal of infection, Advance of Nursing, Excelencia.net, Journal of Hospital, Cochrane Library Plus.Después de establecer los criterios de inclusión y exclusión y análisis crítico, se seleccionaron 5 documentos que dieran respuesta a la pregunta clínica.Resultado.La segregación de la ropa debe ser realizada en origen (A-III) y recomiendan que la manipulación de la ropa sucia se debe determinar a nivel local, en consulta con el comité local de control de infecciones.Conclusión.No se pudo determinar la efectividad de la segregación de la ropa en origen realizada por el personal de enfermería en relación con la prevención de infecciones intrahospitalarias.


AbstractIntroduction. Segregation and processing of clothing is a vital issue for both patients and human resources working in hospitals and health centers and handling this material. The objective was to evaluate the effectiveness of nursing staff regarding the segregation of hospital origin clothing worn by the patient, for the prevention of nosocomial infections.Method. This is a systematic review, using the recommended by the Cochrane Collaboration methodology. For the identification of studies Electronic searches, online conferences, weekly alerts in BioMed Central journals (e-mail), EBSCO, Clinical Key, PubMed, Journal of infection, Advance of Nursing, Excelencia.net, MEDLINE Journal of Hospital, Cochrane Library Plus. After establishing the criteria for inclusion and exclusion and critical analysis, five documents that would respond to the clinical question they were selected.Result. Segregation of clothing should be made at source (A-III) and recommend handling dirty laundry should be determined locally, in consultation with the local infection control committee.Conclusion. Could not determine the effectiveness of segregation clothing originally performed by nurses in relation to the prevention of nosocomial infections.


ResumoIntrodução.Segregação e processamento de roupas é umaquestão vital para os doentes e os recursos humanos que trabalhamemhospitais e centros de saúde e manuseiodeste material. O objetivo foiavaliar a eficácia do pessoal de enfermagememrelação à segregação de roupaorigemhospitalar usada pelo paciente, para a prevenção das infecçõeshospitalares.Método. Esta é umarevisão sistemática, usando o recomendado pela metodologia Cochrane Collaboration. Para a identificação de estudos de investigações electrónicas, conferências on-line, alertas semanais na BioMed Central revistas (e-mail), EBSCO, Key Clínica, PubMed, Jornal de infecção, a Advance of Nursing, Excelencia.net, MEDLINE Jornal do Hospital, Biblioteca Cochrane Plus. Depois de estabelecer os critérios de inclusão e exclusão e análise crítica, cinco documentos que respondam à questão clínica que foramselecionados.Resultado.Segregação de roupadeve ser feita na fonte (A-III) e recomendar a manipulaçãoroupa suja deve ser determinado localmente, em consulta com a comissão de controle de infecção local.Conclusão.Nãofoipossível determinar a eficácia de roupasegregação originalmente realizada por enfermeirosemrelação à prevenção das infecçõesnosocomiais.


Assuntos
Humanos , Roupas de Cama, Mesa e Banho/classificação , Infecção Hospitalar , Enfermagem , Serviço Hospitalar de Limpeza , Serviço Hospitalar de Lavanderia , Costa Rica
15.
Clin Infect Dis ; 62(6): 714-721, 2016 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-26668339

RESUMO

BACKGROUND: Healthcare laundry-related infection is rare, and pulmonary zygomycosis due to contaminated hospital linens has never been reported. METHODS: We reported an outbreak investigation of zygomycosis in a university-affiliated teaching hospital. Air samplers, sponge swabs and Replicate Organism Detection and Counting (RODAC) contact plates were used for environmental sampling. The fungal isolates from clinical and environmental samples were identified by morphology, MALDI-TOF MS, and ITS1-5.8S-ITS2 rRNA gene cluster sequencing. RESULTS: From 2 June 2015 to 18 July 2015, 6 immunosuppressed patients developed pulmonary (n = 4) and/or cutaneous (n = 3) infection by a spore-forming mold, Rhizopus microsporus, through direct inhalation and skin contact of contaminated linen items supplied by a designated laundry. Seventy (27.8%) of 252 freshly laundered clothing and 15 (3.4%) of 443 nonclothing laundered linen items (pillow case, bed sheet, draw sheet) were contaminated by R. microsporus, which was significantly higher than those from other hospital laundries (0%, n = 451; P < .001) supplying linen to hospitals with no cases of zygomycosis reported during the same period. The fungal isolates from patients and linens were phylogenetically related. In sum, 61% of environmental samples and 100% of air samples at the designated laundry were also positive for zygomycetes, suggesting heavy environmental contamination. RODAC contact plates revealed mean total viable bacteria counts of freshly laundered items (1028 ± 611 CFU/100 cm(2)) far exceeded the "hygienically clean" standard of 20 CFU/100 cm(2) set by the US healthcare textile certification requirement. CONCLUSIONS: Suboptimal conditions of washing, drying, and storage contributed to the massive linen contamination and the outbreak of zygomycosis.


Assuntos
Roupas de Cama, Mesa e Banho/microbiologia , Infecção Hospitalar/epidemiologia , Surtos de Doenças , Serviço Hospitalar de Lavanderia/normas , Pulmão/microbiologia , Rhizopus/isolamento & purificação , Zigomicose/microbiologia , Adulto , Idoso , China/epidemiologia , Infecção Hospitalar/microbiologia , Feminino , Hospitais de Ensino/estatística & dados numéricos , Hospitais Universitários , Humanos , Hospedeiro Imunocomprometido , Masculino , Pessoa de Meia-Idade , Filogenia , Rhizopus/genética , Análise de Sequência de DNA , Zigomicose/epidemiologia
16.
Inj Prev ; 21(6): 404-14, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26174198

RESUMO

BACKGROUND: This study aimed to increase safety knowledge and behaviour of US Hispanic custodial workers in healthcare through a culturally appropriate training and monitoring process. METHOD: A single-group, repeated-measures, pre-test and post-test design was used to examine training effectiveness across four sets of behaviours with 23 Spanish-speaking workers. RESULTS: Small group, lecture-style training in Spanish with pictures and video resulted in significant improvements in knowledge and behaviour. However, additional analyses show that behavioural feedback was the critical component in improving safety behaviour during transfer of training. DISCUSSION: Findings from reaction, knowledge, behaviour and results measures suggest that group training and graphic feedback is culturally appropriate and effective with Hispanic workers. Further investigation is needed to understand cultural factors that facilitate effective development and delivery of safety training and feedback to US Hispanic workers.


Assuntos
Feedback Formativo , Serviço Hospitalar de Lavanderia , Recursos Humanos em Hospital/educação , Ensino/métodos , Adulto , Feminino , Hispano-Americanos , Humanos , Masculino , Pessoa de Meia-Idade , Segurança , Estados Unidos
17.
Infect Control Hosp Epidemiol ; 36(9): 1073-88, 2015 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-26082994

RESUMO

Healthcare professionals have questions about the infection prevention effectiveness of contemporary laundry processes for healthcare textiles (HCTs). Current industrial laundry processes achieve microbial reductions via physical, chemical, and thermal actions, all of which result in producing hygienically clean HCTs. European researchers have demonstrated that oxidative laundry additives have sufficient potency to meet US Environmental Protection Agency benchmarks for sanitizers and disinfectants. Outbreaks of infectious diseases associated with laundered HCTs are extremely rare; only 12 such outbreaks have been reported worldwide in the past 43 years. Root cause analyses have identified inadvertent exposure of clean HCTs to environmental contamination (including but not limited to exposure to dust in storage areas) or a process failure during laundering. To date, patient-to-patient transmission of infection has not been associated with hygienically clean HCTs laundered in accordance with industry process standards. Occupationally acquired infection involved mishandling of soiled HCTs and failure to use personal protective equipment properly. Laboratory studies of antimicrobial treatments for HCTs demonstrate a wide range of activity from 1 to 7 log10 reduction of pathogens under various experimental conditions. Clinical studies are needed to evaluate potential use of these treatments for infection prevention. Microbiological testing of clean HCTs for certification purposes is now available in the United States. Key features (eg, microbial sampling strategy, numbers of textiles sampled) and justification of the testing are discussed.


Assuntos
Roupas de Cama, Mesa e Banho/microbiologia , Infecção Hospitalar/epidemiologia , Infecção Hospitalar/prevenção & controle , Surtos de Doenças/prevenção & controle , Lavanderia/métodos , Serviço Hospitalar de Lavanderia/normas , Têxteis/microbiologia , Antibacterianos/farmacologia , Clareadores , Detergentes , Humanos , Peróxido de Hidrogênio , Lavanderia/normas , Viabilidade Microbiana , Ozônio , Compostos de Amônio Quaternário , Tensoativos , Estados Unidos
18.
J Hosp Infect ; 90(4): 285-92, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-25935701

RESUMO

Healthcare workers (HCWs) wear uniforms, such as scrubs and lab coats, for several reasons: (1) to identify themselves as hospital personnel to their patients and employers; (2) to display professionalism; and (3) to provide barrier protection for street clothes from unexpected exposures during the work shift. A growing body of evidence suggests that HCWs' apparel is often contaminated with micro-organisms or pathogens that can cause infections or illnesses. While the majority of scrubs and lab coats are still made of the same traditional textiles used to make street clothes, new evidence suggests that current innovative textiles function as an engineering control, minimizing the acquisition, retention and transmission of infectious pathogens by reducing the levels of bioburden and microbial sustainability. This paper summarizes recent literature on the role of apparel worn in healthcare settings in the acquisition and transmission of healthcare-associated pathogens. It proposes solutions or technological interventions that can reduce the risk of transmission of micro-organisms that are associated with the healthcare environment. Healthcare apparel is the emerging frontier in epidemiologically important environmental surfaces.


Assuntos
Infecção Hospitalar/prevenção & controle , Infecção Hospitalar/transmissão , Exposição Ocupacional/prevenção & controle , Roupa de Proteção/microbiologia , Têxteis/microbiologia , Anti-Infecciosos , Infecção Hospitalar/microbiologia , Mãos/microbiologia , Humanos , Controle de Infecções/métodos , Serviço Hospitalar de Lavanderia , Estados Unidos , United States Food and Drug Administration
20.
Arch Environ Contam Toxicol ; 68(1): 64-73, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-25135422

RESUMO

The aim of the present study was to assess the ecotoxicity and genotoxicity of hospital laundry wastewaters generated from a regional hospital located in Rio Pardo Valley in the state of Rio Grande do Sul, Brazil. Physicochemical, microbiological, ecotoxicological, and genotoxic analyses were performed, and the results indicate that some parameters were not in accordance with the limit concentrations established by Brazilian and international guidelines for urban wastewaters. Daphnia magna (EC50 2.01%) and Danio rerio (LC50 29.25%) acute toxicity was detected, and sublethal effects were identified in Lactuca sativa (IC25 12.50%) and Allium cepa (IC25 51.25%). Cytotoxicity was observed at the five wastewater concentrations used yielding statistically significant differences (p < 0.05) in the meristematic cells of A. cepa compared with the negative control. The results obtained here warn about the necessity to develop treatment methods that can mitigate the environmental impacts caused by the ecotoxicity and genotoxicity of hospital laundry wastewaters.


Assuntos
Monitoramento Ambiental , Serviço Hospitalar de Lavanderia , Águas Residuárias/toxicidade , Poluentes Químicos da Água/toxicidade , Animais , Brasil , Dano ao DNA , Daphnia , Ecotoxicologia , Hospitais , Testes de Mutagenicidade , Águas Residuárias/química , Poluentes Químicos da Água/análise
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