Universidade Estadual Paulista, Faculdade de Medicina de Botucatu, Botucatu, SP, Brasil.
Universidade de São Paulo, Escola de Artes, Ciências e Humanidades, São Paulo, SP, Brasil.
Rev Lat Am Enfermagem. 2022;30:e3557. doi: 10.1590/1518-8345.5581.3557.
to evaluate the adherence of Brazilian long-term care facilities to the World Health Organization Infection Prevention and Control guidance, and assess the association of their size with the adherence to these recommendations.
cross-sectional study conducted with facilities' managers. Authors developed a 20-item questionnaire based on this guidance, and a global score of adherence, based on the adoption of these recommendations. Adherence was classified as (1) excellent for those who attended ≥14 out of 20 recommendations; (2) good for 10 to 13 items; and (3) low for those with less than ten items. Facilities' sizes were established as small, intermediate, and large according to a two-step cluster analysis. Descriptive statistics and chi-square tests were used at a 5% significance level.
among 362 included facilities, 308 (85.1%) adhered to 14 or more recommendations. Regarding its size, adherence to screening COVID-19 symptoms of visitors (p=0.037) and isolating patients until they have had two negative laboratory tests (p=0.032) were lower on larger ones compared to medium and small facilities.
adherence to COVID-19 mitigation measures in Brazilian facilities was considered excellent for most of the recommendations, regardless of the size of the units.
评估巴西长期护理机构对世界卫生组织感染预防和控制指南的遵循情况，并评估其规模与这些建议的遵循程度之间的关联。
对机构管理人员进行的横断面研究。作者根据该指南制定了一个包含 20 个项目的问卷，并根据这些建议的采纳情况制定了一个总体遵循得分。根据所采纳的建议数量，将遵循情况分为（1）非常好（≥14 项）；（2）好（10-13 项）；（3）差（<10 项）。根据两步聚类分析，将机构规模分为小型、中型和大型。采用描述性统计和卡方检验，显著性水平为 5%。
在纳入的 362 家机构中，有 308 家（85.1%）采纳了 14 项或更多建议。就其规模而言，与中型和小型机构相比，大型机构对访客 COVID-19 症状筛查（p=0.037）和隔离患者直至两次实验室检测均为阴性（p=0.032）的遵循程度较低。
巴西各机构在 COVID-19 缓解措施方面的遵循程度被认为是非常好的，这与单位规模无关。
