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1.
Farm. hosp ; 45(2): 96-107, marzo-abril 2021. tab
Article in Spanish | IBECS | ID: ibc-218111

ABSTRACT

Objetivo: Establecer unas recomendaciones, en base a la evidencia disponible, para la monitorización de la contaminación de superficies en las áreasde elaboración de medicamentos peligrosos de los Servicios de Farmacia.Método: A partir de una revisión bibliográfica en las bases de datosMedline y Embase desde enero de 2009 a julio de 2019, así como de laconsulta de documentos de estándares y recomendaciones de organizaciones sanitarias, un comité de expertos de la Sociedad Española de FarmaciaHospitalaria ha definido una serie de prácticas seguras sobre manipulaciónde medicamentos peligrosos y monitorización de superficies de trabajo. Lasdecisiones de recomendación se tomaron por consenso entre el grupo deexpertos teniendo en cuenta las recomendaciones encontradas, la situaciónen nuestro entorno y los costes asociados a la monitorización.Resultados: Se han definido 10 recomendaciones estructuradas enocho secciones. Se incluyen aspectos relacionados con los medicamentos a monitorizar; localizaciones a monitorizar; momento de la toma demuestras; determinación del riesgo y plan de muestreo; técnicas analíticas;umbrales de contaminación; plan de acción según los resultados del muestreo y descontaminación. (AU)


Objective: To establish a series of recommendations based on available evidence for monitoring surface contamination in the areas devoted tocompounding hazardous drugs in pharmacy departments.Method: Based on a literature search in the Medline and Embase databases (search period: January 2009 to July 2019), as well as on a reviewof standards and recommendations issued by different healthcare organizations, a committee of experts from the Spanish Society of Hospital Pharmacists defined a series of safe practices for handling hazardous drugsand monitoring compounding work surfaces. Recommendation decisionswere adopted by consensus among the members of the expert group,considering the recommendations reviewed, the monitoring situation inSpanish hospital departments, and the associated costs.Results: Ten recommendations were formulated, structured into eight sections. They include aspects related to the drugs to be monitored; the areasto be monitored; when samples should be taken; risk determination andpreparation of a sampling protocol; analytical techniques; contaminationthresholds; and design of an action plan based on the sampling anddecontamination results obtained. (AU)


Subject(s)
Humans , Antineoplastic Agents , Pharmaceutical Preparations , Hospitals , Pharmacists , Pharmaceutical Services , Occupational Exposure
2.
Acta bioquím. clín. latinoam ; 54(2): 145-150, jun. 2020. tab
Article in Spanish | LILACS | ID: biblio-1130589

ABSTRACT

Conocer el rol del medio ambiente es fundamental para evitar las infecciones intra-hospitalarias. Con ese objetivo, se planteó evaluar la prevalencia de contaminación ambiental por microorganismos multirresistentes (MMR) antes y después de la limpieza terminal de habitaciones de pacientes colonizados y establecer si la aparatología de uso común actuaba como reservorio de estos en la unidad de cuidados intensivos (UTI). Se obtuvieron muestras ambientales de las habitaciones, 48 h posteriores a la detección de colonización y luego de las limpiezas. Los resultados mostraron que luego de ambos procedimientos de limpieza se logró reducir de 28,2% a 2,6% la contaminación por Acinetobacter spp. multirresistente (AMR). También, se tomaron muestras de aparatología de uso común encontrándose entre 1,8 y 5,4% de contaminación por MMR. La limpieza y desinfección reducen significativamente la contaminación ambiental. Sin embargo, la colonización de equipos por MMR y el incumplimiento de precauciones universales representan una posibilidad de transmisión cruzada.


It is essential to understand the role of the environment in order to avoid intrahospital infections. To achieve this objective, this research proposes to assess the prevalence of the environmental contamination caused by multi-resistant microorganisms (MRM) before and after terminal disinfection in rooms with colonized patients, but also to establish whether the commonly used device acts as a reservoir of those micro-organisms in an intensive care unit (ICU). Environmental samples were obtained from the rooms, 48 hours after detecting colonization and also after the first and second final cleaning. The results showed that after both procedures, there was a reduction from 28.2% to 2.6% of contamination caused by multi-resistant Acinetobacter spp. (AMR). Samples from appliances and supplies were taken as well, in which case, between 1.8 and 5.4% of contamination levels induced by MMR were found. Cleaning and disinfecting significantly reduce environmental contamination. However, both MMR bacterial colonization and the lack of universal precautions enforcement represent a possibility of cross-transmission.


É essencial conhecer o papel do meio ambiente para evitar as infecções intra-hospitalares. Com esse objetivo, planejou-se avaliar a prevalência de contaminação ambiental por microorganismos multirresistentes (MMR) antes e depois da limpeza final dos quartos de pacientes colonizados e estabelecer se os aparelhos de uso comum atuavam como um reservatório deles na unidade de terapia intensiva (UTI). Obtiveram-se amostras ambientais dos quartos 48 horas após a detecção da colonização e logo após as limpezas finais. Os resultados mostraram que depois dos dois procedimentos de limpeza se obteve uma redução de 28,2% para 2,6% da contaminação por Acinetobacter spp. multirresistente (AMR). Foram obtidas também amostras de aparelhos de uso comum onde se encontraram entre 1,8% e 5,4% de contaminação por MMR. A limpeza e a desinfecção reduzem significativamente a contaminação ambiental. Contudo, a colonização de equipamentos por MMR e o não cumprimento de providências universais representam uma possibilidade de transmissão cruzada.


Subject(s)
Humans , Acinetobacter , Acinetobacter/pathogenicity , Disinfection , Environmental Pollution , Environmental Pollution/prevention & control , Housekeeping, Hospital , Housekeeping, Hospital/ethics , Intensive Care Units , Research , Role , Patients' Rooms , Environmental Monitoring/methods , Prevalence , Environment , Housekeeping, Hospital/standards , Infections , Methods
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