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Performance of infection prevention and control programs in small hospitals
Pryscilla Ladislau Carneiro Santos1, Maria Clara Padoveze2, Rúbia Aparecida Lacerda3
1Universidade de São Paulo, Escola de Enfermagem, Programa de Pós-Graduação em Enfermagem em Saúde do Adulto, São Paulo, SP, Brasil.
Objective:
To evaluate the structure compliance and prevention and control processes of Healthcare-Associated Infections (HAIs).
Method:
A prospective and cross-sectional study conducted from 2015 to 2016 in small hospitals with up to 70 beds in a region of São Paulo state. Four previously validated indicators were evaluated and expressed as a compliance index (percentage in relation to the evaluated items).
Results:
Fourteen (14) among the 27 recruited hospitals consented to participate in the study. The average compliance values for each indicator were: Program structure (61.0%); Operational guidelines (84.5%); Epidemiological surveillance (57.9%); and Prevention activities (74.5%). Greater compliance was observed in private hospitals (73.9%) and with the presence of an intensive care unit (90.3%). The hospitals had nurses assigned to the program (92.9%), but only 23.1% of the private institutions worked exclusively for six hours.
Conclusion:
Only the indicator referring to the Operational Guidelines of the evaluated programs was above 90% compliance for the median of hospitals. The greatest dispersion of compliance results among the studied hospitals was related to the Epidemiological Surveillance indicator.
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