Universidade Federal de Minas Gerais, Escola de Enfermagem, Belo Horizonte, MG, Brazil.
Hospital Socor, Belo Horizonte, Minas Gerais, Brazil.
Rev Lat Am Enfermagem. 2021 Apr 9;29:e3407. doi: 10.1590/1518-8345.3952.3407. eCollection 2021.
to analyze, in the clinical practice of large hospitals, how the adoption of measures to prevent and control the spread of bacterial resistance has occurred, and to propose a score for the institutions' adherence.
a cross-sectional study carried out in 30 large hospitals of Minas Gerais, from February 2018 to April 2019, after approval by the Ethics and Research Committee. Interviews were conducted with hospital managers, with Hospital Infection Control Services coordinators, and with the care coordinators of the Inpatient Units and Intensive Care Center. In addition, observations were made of the adoption of preventive measures by the multidisciplinary team in the care units.
in the 30 participating hospitals, 93.3% (N=28) had protocols for prophylactic antibiotics, and 86.7% (N=26) performed their audit, 86.7% (N=26) for therapeutic antibiotics and 83.3% (N=25) their audit; 93.3% (N=56) used gloves and cloaks for patients in contact precautions, and 78.3% (N=47) of the professionals were unaware of or answered incompletely on the five moments for hand hygiene. In the score to identify the adoption of measures to control bacterial resistance, 83.3% (N=25) of the hospitals were classified as partially compliant, 13.3% (N=04) as deficient, and 3.4% (N=01) as non-adoption.
it was found that the recommended measures to contain bacterial resistance are not consolidated in the clinical practice of the hospitals.
分析大医院临床实践中细菌耐药防控措施的采用情况，并提出机构依从性评分。
2018 年 2 月至 2019 年 4 月，在米纳斯吉拉斯州 30 家大型医院进行横断面研究，经伦理和研究委员会批准后，对医院管理人员、医院感染控制服务协调员以及住院病房和重症监护中心的护理协调员进行访谈，并观察多学科团队在护理病房中采取的预防措施。
在参与的 30 家医院中，93.3%（N=28）有预防性抗生素方案，86.7%（N=26）进行了方案审核，86.7%（N=26）有治疗性抗生素方案，83.3%（N=25）进行了方案审核；93.3%（N=56）对接触防护的患者使用手套和罩袍，78.3%（N=47）的专业人员对手卫生五个时刻不了解或回答不完整。在识别控制细菌耐药性措施采用的评分中，83.3%（N=25）的医院被归类为部分合规，13.3%（N=04）为不足，3.4%（N=01）为不采用。
发现推荐的细菌耐药性控制措施在医院临床实践中并未得到巩固。
