Assessment of Soiling on Highly Touched Clinical Surfaces in Intensive Care Units.

Pub Date : 2023-10-01 DOI:10.5152/FNJN.2023.23027
André Luiz Silva Alvim, Fabiana Guerra Pimenta, Angélica da Conceição Oliveira Coelho, Fábio da Costa Carbogim, Adriely de Abreu Varoto, Adriano Menis Ferreira, Liliane Moretti Carneiro, Aires Garcia Dos Santos Junior, Denise de Andrade, Álvaro Francisco Lopes de Sousa
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Abstract

Aim: The aim of this study is to evaluate highly touched clinical surfaces using visual inspection methods and adenosine triphosphate by bioluminescence to identify soiling in intensive care units.

Method: Descriptive, cross-sectional study carried out in three intensive care units located in Belo Horizonte, MG, Brazil. Data collection included 142 assessments of environmental surfaces. For data analysis, the Pareto diagram and descriptive statistics were used through measures of central tendency.

Results: The visual inspection identified dirtiness in the infusion pump, alcohol dispenser, and telephone. The surface that showed a high level of contamination by organic matter identified by the adenosine triphosphate bioluminescence test was the telephone, with a median of 1012 RLU/cm2 (±348.8).

Conclusion: The surface evaluation methods used in the intensive care units made it possible to identify dirt on surfaces highly touched by hands, reinforcing the need for investments in training and audits in the process of cleaning and disinfecting surfaces.

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重症监护室高接触临床表面污垢的评估。
目的:本研究的目的是使用目视检查方法和三磷酸腺苷生物发光法评估高度接触的临床表面,以识别重症监护室中的污垢。方法:在巴西MG贝洛奥里藏特的三个重症监护室进行描述性横断面研究。数据收集包括142项对环境表面的评估。在数据分析中,通过测量中心趋势,使用了帕累托图和描述性统计。结果:目视检查发现输液泵、酒精分配器和电话有污垢。三磷酸腺苷生物发光测试确定的有机物污染程度高的表面是电话,中位数为1012RLU/cm2(±348.8)。结论:重症监护室使用的表面评估方法可以识别手高度接触表面的污垢,加强了对清洁和消毒表面过程中的培训和审计的投资需求。
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