Persistencia microbiana de importancia intrahospitalaria en uniformes clínicos a raíz de la pandemia de COVID-19

M.S. Kappes

M.S. Kappes Universidad San Sebastian, Facultad de Ciencias para el cuidado de la Salud, Chile https://orcid.org/0000-0001-8101-3898

Palabras clave: Infección hospitalaria, Vestuario, Transmisión de enfermedad infecciosa, Infecciones por coronavirus, Personal de enfermería en hospital, Chile

Key-words: Cross infection, Clothing, Disease transmission, Infectious, Coronavirus infections, Nursing staff, Hospital, Chile

Palavras chave: Infecção hospitalar, Vestuário, Transmissão de doença infecciosa, Infecções por coronavirus, Recursos humanos de enfermagem no hospital, Chile

Resumen

Introducción: El lavado de manos es la medida que más impacta en la prevención de infecciones asociadas a la atención en salud. Hay poca evidencia del rol que cumplen los uniformes clínicos como vector en transmisión cruzada de infecciones en hospitales. Método: Se realizó una revisión rápida con criterios Cochrane y lista de chequeo PRISMA con acceso a bases de datos PubMed, Ovid, ProQuest y Google Académico en español e inglés del 2010-2020. El objetivo establecido fue buscar evidencia sobre la persistencia de microorganismos de importancia intrahospitalaria en uniformes clínicos, a raíz de la actual pandemia de COVID-19. El análisis crítico de los artículos se realizó con ayuda de herramientas del Joanna Briggs Institute (checklist estudios analíticos, serie de casos, texto y opinión, ensayos clínicos controlados y revisiones sistemáticas). Resultados: En la búsqueda inicial se obtuvieron 1703 artículos, de los cuales fueron seleccionados 8. Se encuentra evidencia de presencia de microorganismos en uniformes clínicos. Las zonas más contaminadas son bolsillos y mangas. MERS-COV y SARS-COV han mostrado persistencia en aluminio hasta 48 horas, madera 4 días, papel hasta 24 horas. En género, el SARS-COV-2 ha demostrado una persistencia de 2 días. Conclusiones: Existe evidencia de la persistencia de microrganismos bacterianos y virales en uniformes clínicos. Los lugares más contaminados son bolsillos y mangas. Al contacto está demostrada la presencia de microrganismos en uniformes clínicos horas después. Se deben implementar medidas que tomen en cuenta el rol potencial de transmisión de patógenos durante el uso de uniformes clínicos en hospitales.

Abstract

Introduction: Hand washing is the measure that has the greatest impact on the prevention of infections associated with health care. There is little evidence of the role of clinical uniforms as a vector in cross-transmission of infections in hospitals. Method: A rapid review was carried out with Cochrane criteria and PRISMA check list with access to Pubmed, Ovid, ProQuest and Google Academic databases in Spanish and English from 2010-2020. The objective of the review was to search for evidence of the persistence of microorganisms of intra-hospital importance in clinical uniforms, in light of the current Covid-19 pandemic. The critical analysis of the articles was carried out with tools from the Joanna Briggs Institute (checklist analytical studies, case series, text and opinion, controlled clinical trials and systematic reviews) Results: The initial search yielded 1703 articles, of which 8 articles were selected. Evidence of persistence of microorganisms is found in clinical uniforms. The most contaminated areas are pockets and sleeves. MERS-COV and SARS-COV, have shown persistence in aluminum up to 48 hours, wood 4 days, paper 24 hours. In genus, SARS-COV 2 has shown a persistence of 2 days. Conclusions: There is evidence of persistence of bacterial and viral microorganisms in clinical uniforms. The most contaminated places are pockets and sleeves. After the position, hours later there is evidence of the presence of microorganisms in clinical uniforms.

Resumo

Introdução: A lavagem das mãos é a medida de maior impacto na prevenção de infecções associadas aos cuidados de saúde. Existem poucas evidências sobre o papel que desempenham os uniformes clínicos como vetor na transmissão cruzada de infecções em hospitais. Método: Foi realizada uma revisão rápida com os critérios Cochrane e checklist PRISMA com acesso às bases de dados PubMed, Ovid, ProQuest e Google Académico em espanhol e inglês de 2010-2020. O objetivo estabelecido foi buscar evidência sobre a persistência de microrganismos de importância intra-hospitalar em uniformes clínicos, como resultado da atual pandemia de COVID-19. A análise crítica dos artigos foi realizada com ferramenta do Joanna Briggs Institute (checklist de estudos analíticos, série de casos, texto e opinião, ensaios clínicos controlados e revisões sistemáticas). Resultados: A busca inicial resultou em 1703 artigos, dos quais foram selecionados 8. Foram encontradas evidências de persistência de microrganismos em uniformes clínicos. As áreas mais contaminadas são os bolsos e as mangas. MERS-COV e SARS-COV mostraram persistência em alumínio até 48 horas, madeira 4 dias, papel até 24 horas. No gênero, o SARS-COV-2 mostrou uma persistência de 2 dias. Conclusões: Existe evidência da persistência de microrganismos bacterianos e virais em uniformes clínicos. Os locais mais contaminados são os bolsos e as mangas. Uma vez colocado, é demonstrada a presença de microrganismos em uniformes clínicos horas depois. Devem ser implementadas medidas que tomem em conta o papel potencial de transmissão de patógenos de uniformes clínicos em hospitais.

Bibliografía

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Persistencia microbiana de importancia intrahospitalaria en uniformes clínicos a raíz de la pandemia de COVID-19

Microbial persistence in clinical uniforms: consideration of the COVID-19 pandemic

Persistência microbiana de importância intra-hospitalar em uniformes clínicos como resultado da pandemia da COVID-19

Resumen

Abstract

Resumo

Bibliografía