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Impact of the Systematic Performance of the SCIH in Monitoring Precautions and Isolation in the Face of the Pandemic Scenario

BACKGROUND: One of the attributions of the Hospital Infection Control Service (SCIH) is to ensure that the precautions and isolation applicable to the suspicion attributed to the patient are applied, according to transmission routes: contact, droplets, and aerosols. These precautions must be effecti...

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Autores principales: Pinto, Juliana, Ralio, Renata B., Minenelli, Fernanda, Da Fonseca, Paula G., Agutuli, Isabella, Franca, Raphaela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Published by Mosby, Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9215279/
http://dx.doi.org/10.1016/j.ajic.2022.03.109
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author Pinto, Juliana
Ralio, Renata B.
Minenelli, Fernanda
Da Fonseca, Paula G.
Agutuli, Isabella
Franca, Raphaela
author_facet Pinto, Juliana
Ralio, Renata B.
Minenelli, Fernanda
Da Fonseca, Paula G.
Agutuli, Isabella
Franca, Raphaela
author_sort Pinto, Juliana
collection PubMed
description BACKGROUND: One of the attributions of the Hospital Infection Control Service (SCIH) is to ensure that the precautions and isolation applicable to the suspicion attributed to the patient are applied, according to transmission routes: contact, droplets, and aerosols. These precautions must be effectively instituted to ensure the non-transmission of microorganisms between patients and healthcare professionals. Due the pandemic scenario, the SCIH starts the daily active monitoring of isolation patients, having the precautions extended, altered, or suspended, when necessary, based in institutionally defined criteria. Evaluate and validate the maintenance of precautions instituted by the care team, adapting them, when necessary, in a general private hospital in São Paulo/Brazil. METHODS: The SCIH monitored daily the precautions applied to patients in the inpatient and intensive care units through the health management software from February (Feb) to November (Nov) 2021. The precautions monitored by units were computed and after evaluation by the SCIH were tabulated and recorded in an Excel spreadsheet. RESULTS: The SCIH evaluated 8011 patients in isolation during the period (Feb/Nov 2021). Before this period, the non-compliance rate of the precautions monitored weekly was 14.7% (mean 85.3% compliance) and the intra-hospital transmission of COVID-19 was 0.16% (5 cases per 40170 patient days in non-COVID-19 units). After validation was instituted for daily, a non-compliance rate dropped to 3.5% (mean 96.5% compliance) and intra-hospital transmission dropped to 0.02% (2 cases per 58801 patient days in non-COVID-19 units). CONCLUSIONS: The evaluation and validation of precautions and isolations by the SCIH is essential in preventing the cross-transmission of microorganisms. Increasing the frequency of this monitoring and involvement of the care team is essential to ensure patient safety in the institution, especially during the COVID-19 pandemic period.
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spelling pubmed-92152792022-06-22 Impact of the Systematic Performance of the SCIH in Monitoring Precautions and Isolation in the Face of the Pandemic Scenario Pinto, Juliana Ralio, Renata B. Minenelli, Fernanda Da Fonseca, Paula G. Agutuli, Isabella Franca, Raphaela Am J Infect Control Its-62 BACKGROUND: One of the attributions of the Hospital Infection Control Service (SCIH) is to ensure that the precautions and isolation applicable to the suspicion attributed to the patient are applied, according to transmission routes: contact, droplets, and aerosols. These precautions must be effectively instituted to ensure the non-transmission of microorganisms between patients and healthcare professionals. Due the pandemic scenario, the SCIH starts the daily active monitoring of isolation patients, having the precautions extended, altered, or suspended, when necessary, based in institutionally defined criteria. Evaluate and validate the maintenance of precautions instituted by the care team, adapting them, when necessary, in a general private hospital in São Paulo/Brazil. METHODS: The SCIH monitored daily the precautions applied to patients in the inpatient and intensive care units through the health management software from February (Feb) to November (Nov) 2021. The precautions monitored by units were computed and after evaluation by the SCIH were tabulated and recorded in an Excel spreadsheet. RESULTS: The SCIH evaluated 8011 patients in isolation during the period (Feb/Nov 2021). Before this period, the non-compliance rate of the precautions monitored weekly was 14.7% (mean 85.3% compliance) and the intra-hospital transmission of COVID-19 was 0.16% (5 cases per 40170 patient days in non-COVID-19 units). After validation was instituted for daily, a non-compliance rate dropped to 3.5% (mean 96.5% compliance) and intra-hospital transmission dropped to 0.02% (2 cases per 58801 patient days in non-COVID-19 units). CONCLUSIONS: The evaluation and validation of precautions and isolations by the SCIH is essential in preventing the cross-transmission of microorganisms. Increasing the frequency of this monitoring and involvement of the care team is essential to ensure patient safety in the institution, especially during the COVID-19 pandemic period. Published by Mosby, Inc. 2022-07 2022-06-22 /pmc/articles/PMC9215279/ http://dx.doi.org/10.1016/j.ajic.2022.03.109 Text en Copyright © 2022 Published by Mosby, Inc. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Its-62
Pinto, Juliana
Ralio, Renata B.
Minenelli, Fernanda
Da Fonseca, Paula G.
Agutuli, Isabella
Franca, Raphaela
Impact of the Systematic Performance of the SCIH in Monitoring Precautions and Isolation in the Face of the Pandemic Scenario
title Impact of the Systematic Performance of the SCIH in Monitoring Precautions and Isolation in the Face of the Pandemic Scenario
title_full Impact of the Systematic Performance of the SCIH in Monitoring Precautions and Isolation in the Face of the Pandemic Scenario
title_fullStr Impact of the Systematic Performance of the SCIH in Monitoring Precautions and Isolation in the Face of the Pandemic Scenario
title_full_unstemmed Impact of the Systematic Performance of the SCIH in Monitoring Precautions and Isolation in the Face of the Pandemic Scenario
title_short Impact of the Systematic Performance of the SCIH in Monitoring Precautions and Isolation in the Face of the Pandemic Scenario
title_sort impact of the systematic performance of the scih in monitoring precautions and isolation in the face of the pandemic scenario
topic Its-62
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9215279/
http://dx.doi.org/10.1016/j.ajic.2022.03.109
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