RESUMO
BACKGROUND: Traditional resources, such as bundles, can help experts define essential steps of health product processing to prevent infections. The present study developed bundle content construction and validation criteria for central sterile supply departments (CSSDs). METHODS: The present study employed a Delphi technique modified for content evaluation. Eleven professionals with at least 4 years of experience in sterilization were enlisted. Participants discussed main stages of the process virtually and compiled a list of items based on scientific references justified by law and/or logical reasoning. Agreement, disagreement, and/or suggestions on each step resulted in bundles for a CSSD. Items were then reassessed by experts using a Likert scale with a 90% approval criterion. RESULTS: Six bundles were developed: cleaning, inspection, preparation and packaging, sterilization, and storage resulting from 384 responses and 373 agreements (Interassessor coefficientâ¯=â¯97%). DISCUSSIONS: Items obtained from the criteria assessment received majority agreement from the first document. CONCLUSIONS: Agreement among varying professionals was achieved, and bundles were successfully developed to evaluate the processing of goods in CSSDs.
Assuntos
Almoxarifado Central Hospitalar/normas , Contaminação de Equipamentos/prevenção & controle , Equipamentos e Provisões Hospitalares/normas , Controle de Infecções/métodos , Embalagem de Produtos , Esterilização/métodos , HumanosRESUMO
Um estudo prospectivo sobre infecçäo hospitalar foi realizado por dois anos, no período de agosto de 1987 a julho de 1989 no berçário de alto risco do Hospital de Clíncias da Universidade Federal do Paraná. Foram identificadas as taxas mensais de infecçäo hospitalar com os agentes e a localizaçäo da infecçäo. A taxa média de infecçäo foi de 30%. Staphylococcus aureus foi o agente etiológico mais comum. A infecçäo mais frequente foi a cutâneo-mucosa. Medidas educativas foram o fator mais importante na reduçäo das taxas
