Impacto da estratégia multimodal na prevenção de infecções relacionadas à assistência à saúde

Abstract

ABSTRACT: Rationales and Objectives: Hand hygiene (HH) is one of the most effective ways of controlling health care-related infections (HAI) acquired during health care. In this way, the World Health Organization (WHO) has launched a proposal for the reduction of infections, its application through multimodality. The present study compares the parameters of multimodality to the influence of HAI. Method: This is an observational, descriptive and exploratory cohort study. Held in the public hospital of the Secretary of State for Health of the Federal District. The data were updated by August 2017 in the areas of rehabilitation and palliative care in the day and night shifts. Results: 242 observations were performed without moment and 342 after multimodal. There was an incidence rate of adherence of 46.8% and 53.2%, associated with a reduction in infections from 50.8% to 49.2%. As for topography, respiratory infection represents a higher incidence, before and after execution (54.2% - 45.8%), continued by urinary (45% - 55%) and finally, cutaneous (53.3% - 46.7%). The highlight was the previous support (44.6%) to the detriment of the indication before performing aseptic procedure, which presented reduction of 75% to 25%.Conclusion: The application of the multimodal strategy generated reduction of the total infection, although it did not have the same effect in all the infection sites.