Kishi Daniel, Videira Rogério Luiz da Rocha
Disciplina de Anestesiologia Faculdade de Medicina da Universidadede São Paulo (USP), Hospital das Clínicas (HC) of Faculdade de Medicina of USP (FM/USP), Brazil.
Rev Bras Anestesiol. 2011 Mar-Apr;61(2):177-81, 182-7, 95-100. doi: 10.1016/S0034-7094(11)70022-8.
Anesthesiologists play an important role in the prevention of nosocomial infections. In anesthetic practice, physiologic barriers are routinely breached, allowing patient contamination with microorganisms and the consequent development of infection. The lack of adhesion to recommended practices can facilitate transmission of microorganisms. It is important to describe prophylactic practices of anesthesia-related nosocomial infections performed by anesthesiologists.
Structured questionnaires were distributed to be answered voluntarily and anonymously by anesthesiologists.
Among 112 anesthesiologists, 75% answered the questionnaire. Surgical mask is used by 95.2% of anesthesiologists, 96.3% wear gloves frequently, 98.9% wear sterile gloves for neuraxial block, 91.3% use sterile technique for central venous puncture, 95.1% wash their hands between cases, 91.6% try to maintain the endotracheal tube sterile, 96.3% discard the prefilled propofol syringe at the end of each anesthesia, 30% clean the vials before using it in the neuraxial blocks, and 19.8% clean the vials before intravenous use.
Respondents showed good adhesion to practices of nosocomial infection prophylaxis and to improve them educational multidisciplinary campaigns are necessary.
麻醉医生在预防医院感染方面发挥着重要作用。在麻醉实践中，生理屏障常常被突破，使得患者受到微生物污染并随之发生感染。不遵守推荐的操作规范会促使微生物传播。描述麻醉医生预防麻醉相关医院感染的操作规范很重要。
向麻醉医生发放结构化问卷，由他们自愿匿名作答。
在112名麻醉医生中，75%回答了问卷。95.2%的麻醉医生使用外科口罩，96.3%经常戴手套，98.9%在进行神经阻滞时戴无菌手套，91.3%在中心静脉穿刺时采用无菌技术，95.1%在不同病例之间洗手，91.6%试图保持气管导管无菌，96.3%在每次麻醉结束时丢弃预充丙泊酚注射器，30%在用于神经阻滞前清洁药瓶，19.8%在静脉使用前清洁药瓶。
受访者对医院感染预防操作规范的遵守情况良好，有必要开展多学科教育活动以进一步改善。
