1
|
Fonseca EPD, Cruz AJS, Pereira-Junior EA, Palmier AC, Abreu MHNG. The Role of Socioeconomic and Health Services Organizational Factors on Infection Control Structure Score, Brazil. CIENCIA & SAUDE COLETIVA 2024; 29:e19572022. [PMID: 38198337 DOI: 10.1590/1413-81232024291.19572022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2022] [Accepted: 03/13/2023] [Indexed: 01/12/2024] Open
Abstract
This study aimed to analyze possible associations between the Infection Control Structure Score (ICSS), health services, and social characteristics of the municipalities in Brazil. Secondary data from the third cycle 2017-2018 of the Brazilian National Program for Improving Primary Care Access and Quality (PMAQ) was analyzed. Six independent variables - FIRJAN Index of Municipal Development, number of inhabitants, number of family health teams receiving a financial incentive from the federal government, healthcare expenditure per capita, and number of Oral Health Teams modalities 1 and 2 - were included to assess their influence on ICSS, measured for each Brazilian town. Data analysis used the Classification and Regression Tree model performed with IBM SPSS 25. A total of 4,900 municipalities were included, and the mean ICSS was 0.905 (±0.092). A positive relationship was observed between healthcare expenditure per capita, municipal development, and the outcome. Conversely, towns with a higher number of family health teams receiving a financial incentive from the federal government showed lower mean ICSS. The findings suggest that inequalities in the infection control structures exist within the country, and they were related to the health services and social characteristics of the municipalities.
Collapse
Affiliation(s)
- Emilio Prado da Fonseca
- Departamento de Odontologia Comunitária e Preventiva, Faculdade de Odontologia, Universidade Federal de Minas Gerais (UFMG). Av. Antonio Carlos 6627, Pampulha. 31270-800 Belo Horizonte MG Brasil.
| | - Alex Junio Silva Cruz
- Departamento de Odontologia Comunitária e Preventiva, Faculdade de Odontologia, Universidade Federal de Minas Gerais (UFMG). Av. Antonio Carlos 6627, Pampulha. 31270-800 Belo Horizonte MG Brasil.
| | | | - Andréa Clemente Palmier
- Departamento de Odontologia Comunitária e Preventiva, Faculdade de Odontologia, Universidade Federal de Minas Gerais (UFMG). Av. Antonio Carlos 6627, Pampulha. 31270-800 Belo Horizonte MG Brasil.
| | - Mauro Henrique Nogueira Guimarães Abreu
- Departamento de Odontologia Comunitária e Preventiva, Faculdade de Odontologia, Universidade Federal de Minas Gerais (UFMG). Av. Antonio Carlos 6627, Pampulha. 31270-800 Belo Horizonte MG Brasil.
| |
Collapse
|
2
|
Zaman SU, Sadia I, Yasmin N, Islam KN, Rahman MM, Haq A, Mou TJ, Azmuda N, Haque M, Adnan N. Application of Rapid Biological Indicators Coupled With Auto-Reader for the Quality Assurance of Surgical Instruments After Sterilization at a Cardiac Hospital in Bangladesh. Cureus 2021; 13:e19428. [PMID: 34926019 PMCID: PMC8654048 DOI: 10.7759/cureus.19428] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/10/2021] [Indexed: 12/02/2022] Open
Abstract
Background Sterilization failure is one of the main reasons for surgical site infections (SSIs). The biological indicator (BI) test is the most reliable test to check sterilization efficiencies. But 48 hours BI test result makes the monitoring process time-consuming. Rapid BI testing can be time demanding in this regard. Therefore, the objective is to determine the importance of rapid BI monitoring for the quality assurance of sterile surgical instruments. Methods This study was conducted in the Labaid Cardiac Hospital, Bangladesh from April 1, 2021, to July 8, 2021. A total of 100 steam and 100 ethylene oxide (EO) rapid BIs and an auto reader incubator were used to conduct this research. Quick BI of steam and EO were used once per day and tested by the auto reader. Later, all the tested BIs were incubated for 48 hours by a conventional incubator to confirm the auto reader's rapid BI test results. Result All the EO BI results were found negative, but the BI was found positive twice in steam sterilization. Surgical items of those two loads were re-sterilized. Again, after checking the BI result, the items were released. All BIs except positive steam rapid BIs were found with no growth after 48 hours of incubation for cross-checking of auto reader results. In positive rapid BI of steam, growth was found after 48 hours of incubation. Conclusion When sterilization failure occurred, process recall could not be possible at that time if rapid BI tests were not performed. So, integration of a rapid BI test with an auto reader can save the patient from critical SSI.
Collapse
Affiliation(s)
- Sifat U Zaman
- Department of Microbiology, Jahangirnagar University, Dhaka, BGD
- Division of Infection Prevention and Control, Medlife Healthcare Limited, Dhaka, BGD
| | - Israt Sadia
- Department of Infection Control, Labaid Cardiac Hospital, Dhaka, BGD
| | - Nawzia Yasmin
- Department of Public Health, State University of Bangladesh, Dhaka, BGD
| | | | | | - Ahsanul Haq
- Department of Statistics, Gonoshasthaya-RNA Molecular Diagnostic & Research Center, Dhaka, BGD
| | - Taslin Jahan Mou
- Department of Microbiology, Jahangirnagar University, Dhaka, BGD
| | - Nafisa Azmuda
- Department of Microbiology, Jahangirnagar University, Dhaka, BGD
| | - Mainul Haque
- Department of Pharmacology and Therapeutics, National Defence University of Malaysia, Kuala Lumpur, MYS
| | - Nihad Adnan
- Department of Microbiology, Jahangirnagar University, Dhaka, BGD
| |
Collapse
|