Prevalencia de lavado de manos y factores asociados al incumplimiento. Estudio de sombra / Prevalence of hand washing and associated factors to unaccomplishment. A shade study
Rev. enferm. Inst. Mex. Seguro Soc
; 15(3): 141-146, Sep.-dic. 2007. tab, graf
Article
in Es
| BDENF
| ID: biblio-967074
Responsible library:
MX346.1
RESUMEN
Introducción:
El lavado de manos es la estrategia principal para prevenir infecciones nosocomiales, lavarse las manos por 30 segundos reduce 90% las bacterias de las manos.Objetivo:
Determinar la prevalencia del lavado de manos y los factores asociados al incumplimiento en el Hospital de Especialidades La Raza.Metodología:
Médicos, enfermeras e inhaloterapeutas seleccionados al azar, fueron observados y entrevistados por enfermeras capacitadas con la "Guía para el lavado de manos en hospitales", para evaluar el cumplimiento; a través de un cuestionario se preguntaron factores asociados a incumplimiento del lavado de manos, existencia de insumos, conocimiento de prevención de infecciones nosocomiales y periodicidad de capacitación sobre lavado de manos. Se realizó análisis con frecuencias simples, Ji cuadrada (x2), t de Student y análisis de varianza.Resultados:
Se entrevistaron 299 trabajadores de la salud. La prevalencia general de lavado de manos fue de 60.2%, enfermería 62%, médicos residentes 57.6%, médicos adscritos 75% e inhaloterapeutas 20% (p=0.03). Manifestaron haber recibido plática sobre lavado de manos 56.5%, necesita capacitación 41.1%. El motivo de incumplimiento fue exceso de trabajo 28.4%, falta de insumos 31.8%, irritación de la piel 9.6%. Los factores asociados a incumplimiento fueron falta de toallas de papel desechables y desconocer que existe un Comité de infecciones nosocomiales (p<0.01).Conclusión:
La prevalencia de lavado de manos en el hospital es aceptable, sin embargo la calidad es pobre. La falta de insumos y desconocer que existe un Comité de Infecciones, está asociado a incumplimiento de lavado de manos.ABSTRACT
Introduction:
Hand washing (HW) is the main strategy to prevent nosocomial infections (Nis). Washing the hands for 30 seconds reduces up to 90% of bacteria on hands.Objective:
To determine the prevalence of HW and associated factors to unaccomplishment in Hospital of Specialties at National Medical Center "La Raza".Methodology:
Doctors, nurses, and respiratory therapists were randomized selected, observed, and interviewed by trained nurses utilizing the "Guideline for HW in Hospitals" to evaluate the adequate accomplishment of HW. Through a questionnaire, factors associated to unaccomplishment of HW, existence of supplies for HW, knowledge regarding prevention of INs, and periodicity of HW training were researched. Analysis of simple frequencies, Ji square, t-student, and variability analysis were performed.Results:
299 health workers were interviewed. The general prevalence of HW was 60.2%. Nurses 62%, resident doctors 57.6%, doctors 75%, and respiratory therapists 20% (p=0.03). 56.5% respondents manifested having received a lecture about HW; 41.1% needs training. The motive of unaccomplishment of HW was 28.4% due to overwork; 31.8 due to lack of supplies; and 9.6% due to skin irritation. Factors associated to unaccomplishment were lack of disposable paper towels, and unknowing the existence of a INs Committee (p<0.01).Conclusions:
The prevalence of HW in the hospital is acceptable; however, the quality of HW is poor. The lack of supplies for HW, and unknowing the existence of Infections Committee is associated to unaccomplishment of HW.Key words
Full text:
1
Collection:
05-specialized
/
BR
Database:
BDENF
Main subject:
Hand Disinfection
/
Cross Infection
/
Data Collection
/
Hand Hygiene
/
Hospitals, Special
Type of study:
Clinical_trials
/
Guideline
/
Prevalence_studies
/
Qualitative_research
/
Risk_factors_studies
/
Screening_studies
Limits:
Humans
Country/Region as subject:
Mexico
Language:
Es
Journal:
Rev. enferm. Inst. Mex. Seguro Soc
Year:
2007
Document type:
Article