Impact of alcohol gel on hand bacteria in healthcare professionals
Background and objectives: Healthcare-Associated Infections are a problem reported by hospitals worldwide, increasing patient morbidity and mortality, prolonging hospitalization, and increasing health care costs. The hands of health professionals are still the main source of infections, making hand...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | Portuguese |
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Universidade de Santa Cruz do Sul
2021-07-01
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| Series: | Revista de Epidemiologia e Controle de Infecção |
| Subjects: | |
| Online Access: | https://online.unisc.br/seer/index.php/epidemiologia/article/view/16493 |
| _version_ | 1811322470111641600 |
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| author | Gabriel Faria Ralciane Menezes Priscila Alves Lara Marques Nagela Silva Meliza Bessa Felipe Silva Denise Röder Reginaldo Pedroso Mario Penatti |
| author_facet | Gabriel Faria Ralciane Menezes Priscila Alves Lara Marques Nagela Silva Meliza Bessa Felipe Silva Denise Röder Reginaldo Pedroso Mario Penatti |
| author_sort | Gabriel Faria |
| collection | DOAJ |
| description | Background and objectives: Healthcare-Associated Infections are a problem reported by hospitals worldwide, increasing patient morbidity and mortality, prolonging hospitalization, and increasing health care costs. The hands of health professionals are still the main source of infections, making hand hygiene extremely important for spreading infection control. The objective of this study was to analyze the presence of bacteria on the hands of health professionals after hygiene with alcohol gel in a Neonatal Unit and describe the resistance of microorganisms to antimicrobials. Methods: Hand samples were collected using the modified glove-juice method on both occasions, before and after hand hygiene with alcohol gel. Bacteria were identified by MALDI-TOF and susceptibility tests according to Clinical and Laboratory Standards Institute document M100-E29. Results: A total of 214 samples were obtained, of which 104 (48.6%) showed bacterial growth before hand hygiene and 52 (24.3%) after hand hygiene with alcohol gel. There were 217 isolates from the cultures, of which coagulase-negative Staphylococcus was the most frequent with 41 (27.2%) and 24 (36.4%) positive cultures, respectively before and after hand hygiene. The second most frequent microorganism was Klebsiella pneumoniae with 32 (21.2%) and 16 (24.2%), respectively before and after hand hygiene. Multidrug resistance to antimicrobials was detected in 58.1% of gram-positive bacteria and in 34.3% of gram-negative bacteria. Conclusion: A decrease was observed, but not an elimination of the microbial load after hand hygiene with alcohol gel, demonstrating the need for improvements in hand hygiene. |
| first_indexed | 2024-04-13T13:35:46Z |
| format | Article |
| id | doaj.art-43512c0aeb614589aa74326db7b89350 |
| institution | Directory Open Access Journal |
| issn | 2238-3360 |
| language | Portuguese |
| last_indexed | 2024-04-13T13:35:46Z |
| publishDate | 2021-07-01 |
| publisher | Universidade de Santa Cruz do Sul |
| record_format | Article |
| series | Revista de Epidemiologia e Controle de Infecção |
| spelling | doaj.art-43512c0aeb614589aa74326db7b893502022-12-22T02:44:47ZporUniversidade de Santa Cruz do SulRevista de Epidemiologia e Controle de Infecção2238-33602021-07-0111310.17058/reci.v11i3.1649314102Impact of alcohol gel on hand bacteria in healthcare professionalsGabriel Faria0Ralciane Menezes1Priscila Alves2Lara Marques3Nagela Silva4Meliza Bessa5Felipe Silva6Denise Röder7Reginaldo Pedroso8Mario Penatti9Universidade Federal de UberlândiaUniversidade Federal de UberlândiaUniversidade Federal de UberlândiaUniversidade Federal de UberlândiaUniversidade Federal de UberlândiaUniversidade Federal de UberlândiaUniversidade Federal de UberlândiaUniversidade Federal de UberlândiaUniversidade Federal de UberlândiaUniversidade Federal de UberlândiaBackground and objectives: Healthcare-Associated Infections are a problem reported by hospitals worldwide, increasing patient morbidity and mortality, prolonging hospitalization, and increasing health care costs. The hands of health professionals are still the main source of infections, making hand hygiene extremely important for spreading infection control. The objective of this study was to analyze the presence of bacteria on the hands of health professionals after hygiene with alcohol gel in a Neonatal Unit and describe the resistance of microorganisms to antimicrobials. Methods: Hand samples were collected using the modified glove-juice method on both occasions, before and after hand hygiene with alcohol gel. Bacteria were identified by MALDI-TOF and susceptibility tests according to Clinical and Laboratory Standards Institute document M100-E29. Results: A total of 214 samples were obtained, of which 104 (48.6%) showed bacterial growth before hand hygiene and 52 (24.3%) after hand hygiene with alcohol gel. There were 217 isolates from the cultures, of which coagulase-negative Staphylococcus was the most frequent with 41 (27.2%) and 24 (36.4%) positive cultures, respectively before and after hand hygiene. The second most frequent microorganism was Klebsiella pneumoniae with 32 (21.2%) and 16 (24.2%), respectively before and after hand hygiene. Multidrug resistance to antimicrobials was detected in 58.1% of gram-positive bacteria and in 34.3% of gram-negative bacteria. Conclusion: A decrease was observed, but not an elimination of the microbial load after hand hygiene with alcohol gel, demonstrating the need for improvements in hand hygiene.https://online.unisc.br/seer/index.php/epidemiologia/article/view/16493hand hygienehealth personnelneonatal intensive care unitsmicrobial drug resistance. |
| spellingShingle | Gabriel Faria Ralciane Menezes Priscila Alves Lara Marques Nagela Silva Meliza Bessa Felipe Silva Denise Röder Reginaldo Pedroso Mario Penatti Impact of alcohol gel on hand bacteria in healthcare professionals Revista de Epidemiologia e Controle de Infecção hand hygiene health personnel neonatal intensive care units microbial drug resistance. |
| title | Impact of alcohol gel on hand bacteria in healthcare professionals |
| title_full | Impact of alcohol gel on hand bacteria in healthcare professionals |
| title_fullStr | Impact of alcohol gel on hand bacteria in healthcare professionals |
| title_full_unstemmed | Impact of alcohol gel on hand bacteria in healthcare professionals |
| title_short | Impact of alcohol gel on hand bacteria in healthcare professionals |
| title_sort | impact of alcohol gel on hand bacteria in healthcare professionals |
| topic | hand hygiene health personnel neonatal intensive care units microbial drug resistance. |
| url | https://online.unisc.br/seer/index.php/epidemiologia/article/view/16493 |
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