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Oliveira BADS, Bernardes LDO, Ferreira AM, Pessalacia JDR, Furlan MCR, de Sousa ÁFL, de Andrade D, Barbosa DA, Lapão LV, dos Santos Junior AG. Impact of Educational Intervention on Cleaning and Disinfection of an Emergency Unit. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17093313. [PMID: 32397527 PMCID: PMC7246614 DOI: 10.3390/ijerph17093313] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/28/2020] [Revised: 04/09/2020] [Accepted: 04/17/2020] [Indexed: 11/16/2022]
Abstract
We aimed to evaluate the impact of an educational intervention on the surface cleaning and disinfection of an emergency room. This is an interventional, prospective, longitudinal, analytical and comparative study. Data collection consisted of three stages (Stage 1-baseline, Stage 2-intervention and immediate assessment, Stage 3-long term assessment). For the statistical analysis, we used a significance level of α = 0.05. The Wilcoxon and the Mann-Whitney test tests were applied. We performed 192 assessments in each stage totaling 576 evaluations. Considering the ATP method, the percentage of approval increased after the educational intervention, as the approval rate for ATP was 25% (Stage 1), immediately after the intervention it went to 100% of the approval (Stage 2), and in the long run, 75% of the areas have been fully approved. Stage 1 showed the existence of significant differences between the relative light units (RLU) scores on only two surfaces assessed: dressing cart (p = 0.021) and women's toilet flush handle (p = 0.014); Stage 2 presented three results with significant differences for ATP: dressing cart (p = 0.014), women's restroom door handle (p = 0.014) and women's toilet flush handle (p = 0.014); in step III, there was no significant difference for the ATP method. Therefore, conclusively, the educational intervention had a positive result in the short term for ATP; however, the same rates are not observed with the colony-forming units (CFU), due to their high sensitivity and the visual inspection method since four surfaces had defects in their structure.
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Affiliation(s)
- Bruna Andrade dos Santos Oliveira
- Campus Três Lagoas, University of Mato Grosso do Sul, Três Lagoas 79600-080, Brazil; (B.A.d.S.O.); (L.d.O.B.); (A.M.F.); (J.D.R.P.); (M.C.R.F.); (A.G.d.S.J.)
| | - Lucas de Oliveira Bernardes
- Campus Três Lagoas, University of Mato Grosso do Sul, Três Lagoas 79600-080, Brazil; (B.A.d.S.O.); (L.d.O.B.); (A.M.F.); (J.D.R.P.); (M.C.R.F.); (A.G.d.S.J.)
| | - Adriano Menis Ferreira
- Campus Três Lagoas, University of Mato Grosso do Sul, Três Lagoas 79600-080, Brazil; (B.A.d.S.O.); (L.d.O.B.); (A.M.F.); (J.D.R.P.); (M.C.R.F.); (A.G.d.S.J.)
| | - Juliana Dias Reis Pessalacia
- Campus Três Lagoas, University of Mato Grosso do Sul, Três Lagoas 79600-080, Brazil; (B.A.d.S.O.); (L.d.O.B.); (A.M.F.); (J.D.R.P.); (M.C.R.F.); (A.G.d.S.J.)
| | - Mara Cristina Ribeiro Furlan
- Campus Três Lagoas, University of Mato Grosso do Sul, Três Lagoas 79600-080, Brazil; (B.A.d.S.O.); (L.d.O.B.); (A.M.F.); (J.D.R.P.); (M.C.R.F.); (A.G.d.S.J.)
| | - Álvaro Francisco Lopes de Sousa
- Network in Exposome Human and Infectious Diseases (NEHID), School of Nursing of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14040-902, Brazil;
- Global Health and Tropical Medicine (GHTM), Instituto de Higiene e Medicina Tropical (IHMT), Universidade Nova de Lisboa, 1349-008 Lisbon, Portugal;
- Correspondence:
| | - Denise de Andrade
- Network in Exposome Human and Infectious Diseases (NEHID), School of Nursing of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14040-902, Brazil;
| | | | - Luis Velez Lapão
- Global Health and Tropical Medicine (GHTM), Instituto de Higiene e Medicina Tropical (IHMT), Universidade Nova de Lisboa, 1349-008 Lisbon, Portugal;
| | - Aires Garcia dos Santos Junior
- Campus Três Lagoas, University of Mato Grosso do Sul, Três Lagoas 79600-080, Brazil; (B.A.d.S.O.); (L.d.O.B.); (A.M.F.); (J.D.R.P.); (M.C.R.F.); (A.G.d.S.J.)
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