Arns Beatriz, Agani Crepin Aziz Jose Oluwafoumi, Sesin Guilhermo Prates, Horvath Jaqueline Driemeyer C, Fogazzi Débora Vacaro, Romeiro Silva Fernanda Kelly, Costa Lauren Sezera, Pereira Adriano Jose, Nassar Junior Antônio Paulo, Cavalcanti Bruno Tomazini, Dietrich Camila, Veiga Viviane Cordeiro, Catarino Daniela G M, Cheno Maysa Yukari, Biasi Alexandre, Ferronatto Bianca Ramos, Bassetti Bil Randerson, Fernandes Caio Cesar Ferreira, Deutschendorf Caroline, Grion Cintia Magalhães Carvalho, Vidal Claudia Fernanda de Lacerda, de Oliveira Cláudio Dornas, Caser Eliana Bernadete, Boschi Emerson, Silva Everton Macêdo, Pizzol Felipe Dal, Urbano Hugo Correa de Andrade, Silva Iany, Maia Israel Silva, Rego Leila Rezegue de Moraes, Oliveira Luana Pontes, Tavares Maria Brandão, Dracoulakis Marianna Deway Andrade, Bainy Marina Peres, Golin Nicole Alberti, Tomba Pablo Oscar, Kurtz Pedro Martins Pereira, Foernges Rafael Botelho, Prestes Rejane Martins, de Melo Rodrigo Morel Vieira, Da Silva Rodrigo Reghini, Toledo Tatiana Gozzi Pancev, Lima Valéria Paes, Fernandes Vanildes de Fátima, Lovato Wilson José, Zavascki Alexandre Prehn
Hospital Moinhos de Vento, Porto Alegre, Rio Grande do Sul, Brazil.
Infectious Diseases Service, Hospital Moinhos de Vento, Porto Alegre, Rio Grande do Sul, Brazil.
Antimicrob Steward Healthc Epidemiol. 2023 Apr 26;3(1):e79. doi: 10.1017/ash.2023.136. eCollection 2023.
Data are scarce regarding hospital infection control committees and compliance with infection prevention and control (IPC) recommendations in Brazil, a country of continental dimensions. We assessed the main characteristics of infection control committees (ICCs) on healthcare-associated infections (HAIs) in Brazilian hospitals.
This cross-sectional study was conducted in ICCs of public and private hospitals distributed across all Brazilian regions. Data were collected directly from the ICC staff by completing an online questionnaire and during on-site visits through face-to-face interviews.
In total, 53 Brazilian hospitals were evaluated from October 2019 to December 2020. All hospitals had implemented the IPC core components in their programs. All centers had protocols for the prevention and control of ventilator-associated pneumonia as well as bloodstream, surgical site, and catheter-associated urinary tract infections. Most hospitals (80%) had no budget specifically allocated to the IPC program; 34% of the laundry staff had received specific IPC training; and only 7.5% of hospitals reported occupational infections in healthcare workers.
In this sample, most ICCs complied with the minimum requirements for IPC programs. The main limitation regarding ICCs was the lack of financial support. The findings of this survey support the development of strategic plans to improve IPCs in Brazilian hospitals.
在地域辽阔的巴西，关于医院感染控制委员会以及对感染预防与控制（IPC）建议的遵守情况的数据稀缺。我们评估了巴西医院中医疗相关感染（HAIs）的感染控制委员会（ICCs）的主要特征。
这项横断面研究在分布于巴西所有地区的公立和私立医院的感染控制委员会中开展。通过填写在线问卷并在现场访问期间进行面对面访谈，直接从感染控制委员会工作人员处收集数据。
在2019年10月至2020年12月期间，总共评估了53家巴西医院。所有医院在其项目中都实施了感染预防与控制的核心要素。所有中心都有预防和控制呼吸机相关性肺炎以及血流感染、手术部位感染和导管相关性尿路感染的方案。大多数医院（80%）没有专门分配给感染预防与控制项目的预算；34%的洗衣房工作人员接受过专门的感染预防与控制培训；只有7.5%的医院报告了医护人员的职业感染情况。
在这个样本中，大多数感染控制委员会符合感染预防与控制项目的最低要求。感染控制委员会的主要限制是缺乏财政支持。本次调查结果支持制定战略计划以改善巴西医院的感染预防与控制工作。
