Navegando por Autor "Prado, Marinésia Aparecida do"
Agora exibindo 1 - 20 de 25
Resultados por página
Opções de Ordenação
Item Acidentes com material biológico ocorridos com profissionais de laboratórios de análises clínicas(2006) Prado, Marinésia Aparecida do; Canini, Silvia Rita Marin da Silva; Gir, Elucir; Melo, Lílian Lorena; Mata, Daniela H.; Santana, Raide M. T.; Souza, Lorena R.; Souza, Adenícia Custódia Silva eIntroduction: the risk of exposure to biological material in clinical analysis laboratories is high, due to the constant manipulation of organic fluids and blood. Objective: identify the frequency and main causes of occupational accidents with biological material among professionals that work in clinical analysis laboratories. Methods: this descriptive study was conducted in clinical analysis laboratories at two teaching hospitals in Goiânia/GO, Brazil. Results: considering 81 professionals interviewed, 9 (11,1%) had not been vaccinated against hepatitis B; 45 (55,5%) referred accident with biological material; being 36 (80%) exposed to percutaneous injuries and 9 (20%) to mouth and ocular mucosa splashes; 22 (48,9%) subjects did not notify any accidents, and one worker was infected by the hepatitis B virus after the accident. The main causes attributed to accident occurrence included inadequate or lack of personal protective equipment, work overload, self confidence and insufficient piercing and cutting material collectors. Conclusion: the high prevalence of accidents, allied to insufficient notification, can cause serious damage to professionals and institutions. This deserves urgent efforts to implement an accident prevention and health promotion program.Item Acidentes ocupacionais com material biológico: a percepção do profissional acidentado(2006-02) Damasceno, Ariadna Pires; Pereira, Milca Severino; Souza, Adenícia Custódia Silva e; Tipple, Anaclara Ferreira Veiga; Prado, Marinésia Aparecida doThis qualitative research aims at identifying the perception of health care workers of different categories from a specialized institution in emergency health service in the city of Goiânia regarding the context involving biohazard accidents. Firstly, 382 workers were given a questionnaire in order to identify those who had experienced an accident, 39 of which also took part in an interview addressing the general aspects of the accidents. Among the main accident causes to be highlighted are: unattention, non-adherence to preventive measures, patient´s severity and hurry. Among the experienced feelings the main ones are: inconfidence, fear of contamination, rage, and even calmness. Half reported no consequence resulted from the accident. Data points to the need of self-worth concerning the worker´s health and also of programs aiming at occupational safety enhancemnt.Item A antissepsia cirúrgica das mãos no cotidiano de um centro cirúrgico(2012) Barreto, Regiane Aparecida dos Santos Soares; Vilefort, Larissa Oliveira Rocha; Souza, Adenícia Custódia Silva e; Barbosa, Maria Alves; Paula, Gabriella Ribeiro de; Prado, Marinésia Aparecida doThe surgical hand antisepsis should be performed before procedures at high risk of contamination, such as surgery, and is constituted of important measure for prevention of surgical site infections. This study aimed to observe and evaluate the practice of surgical hand antisepsis in a surgical center in a teaching hospital. A quantitative descriptive study, conducted in 2009, in the operating room of a teaching hospital in GoiâniaGO, with members of surgical teams. Of the 54 surgical hand antisepsis observed in 87% was brushing erroneous forearms and back of hands, 94,5% were not kept unidirectional movements, and 31,5% of professionals contaminated hands after antisepsis.Item Atuação da enfermagem na prevenção e controle de infecção de corrente sanguínea relacionada a cateter(2011-06) Mendonça, Katiane Martins; Neves, Heliny Carneiro Cunha; Barbosa, Divina Fernandes Silva; Souza, Adenícia Custódia Silva e; Tipple, Anaclara Ferreira Veiga; Prado, Marinésia Aparecida doPreventive measures relating to vascular access procedures are being neglected in practice by ali personnel involved, especially nursing staff. ln order to discuss lhe role of the nursing team in lhe prevention and control of catheterrelated bloodstream infections, related national and international scientific texts and current regulations were read and analyzed. Although guidelines do exist, we believe that efforts focusing on criticai awareness and ethical attitudes need to be directed to nursing training and continuing professional development programs in order to change this situation.Item Avaliação da adoção das medidas de precauções padrão em categorias específicas de profissionais de saúde(Joaquim Tomé de Sousa, 1999-12) Pereira, Tatiane M.; Castro, Kézia F.; Santos, Tatiana O.; Prado, Marinésia Aparecida do; Junqueira, Ana Luiza Neto; Barbosa, Maria Alves; Teles, Sheila AraújoA survey of health care workers who were thought likely have frequent and intensive exposures to blood and other body fluids, anaesthetists, was carried out to asses the frequency of self-reported occupational exposures to blood and other body fluids, the knowledge and the compliance with regard standard precautions. Of all interviewed profissionals, 62.8% reported occupational exposures to blood and/or other body fluids by percutaneous injuries and/or mucous membranes contacts. All profissionals reported knowledge about standard precautions and the most of them assumed the use of these precautions, and hepatitis B vaccination. Nevertheless was observed a poor adherence to standard precautions in their practices, principally, concerning the use of masks, protective eyeglasses and handwashings. This study emphasizes the importance of developing new strategies for precautions standards training.Item Avaliação de serviços de apoio na perspectiva do controle de infecção hospitalar(Joaquim Tomé de Sousa, 1999-12) Pereira, Milca Severino; Prado, Marinésia Aparecida do; Leão, Ana Lúcia de Melo; Souza, Denise Nobre deThe quality of the services of support is an important condition for the prevention and control of Hospital Infections (HI). Objective: To identify and to analyse the operation and pattern of quality of the service infrastructure, in relation to the attendance to the requirements for the control of infection into hospital. Methodology: Descriptive and analytic research accomplished at public and private hospitals. Structured interview and checklist obtained the data, both previously validated, applied in supervisors of the services. Result: Were analysed 13 hospitals 62 services and all have a Hospital Infections Control Commission (HICC). The procedures standardisation was related by 78% of the laboratories; 45% of the drugstore; 61% of the nutrition services; 67% of the laundries; 100% of the services of cleaning. The interaction between the support services and the HICC is larger in the public hospitals. Conclusion: more than 50% of the studied hospitals present a good pattern of control of HI in what it means to the support services.Item Colonização de trabalhadores de áreas de apoio hospitalar por staphylococcus sp.: aspectos epidemiológicos e microbiológicos(Marcelo Medeiros, 2016-03-31) Vilefort, Larissa Oliveira Rocha; Vasconcelos, Lara Stefânia Netto de Oliveira Leão; Costa, Dayane de Melo; Lima, Lima; Peleja, Edgar Berquó; Prado, Marinésia Aparecida doItem Contaminação de torniquetes para punção intravenosa periférica(2015) Batista, Késia Cristina de Oliveira; Tipple, Anaclara Ferreira Veiga; Leão-Vasconcelos, Lara Stefânia Netto de Oliveira; Ribeiro, Evandro Leão; Prado, Marinésia Aparecida doObjective: To identify the presence of contamination on tourniquets for peripheral intravenous puncture and to characterize the profile of the Staphylococcus spp. and the isolated yeasts. Methods: Cross-sectional study in which 18 tourniquets for peripheral intravenous puncture in use at a hospital were analyzed. The tourniquets were immersed in BHI broth for 24h and cultivated in selective media for isolation and identification of Staphylococcus spp. and yeasts. The disk-diffusion method was employed to analyze the susceptibility profile of the Staphylococcus spp. to the antimicrobial agents. Results: Thirteen (72.2%) tourniquets presented the growth of some microorganism: 11 (52.4%) coagulasenegative Staphylococcus, two (9.5%) Staphylococcus aureus, four (19%) Rodothorula mucilaginosa, three (14.3%) Candida albicans. 61.5% of the Staphylococcus spp. were oxacillin-resistant. The team professionals did not mention protocols for cleaning, disinfection or controlled replacement of these materials at the institution. Conclusion: The contamination of tourniquets by pathogenic microorganisms was identified, with a resistance profile to the antibiotics that are frequently used in hospitals.Item Controle de infecção hospitalar em unidade de terapia intensiva: desafios e perspectivas(Joaquim Tomé de Sousa, 2000-12) Perira, Milca Severino; Prado, Marinésia Aparecida do; Sousa, Joaquim Tomé de Sousa; Tipple, Anaclara Ferreira Veiga; Souza, Adenícia Custódia Silva eSeveral studies point the hospital infections as he most frequent complications of the treatment in Intensive Care. Thus, in this study we sought to relate about factors that difficult infection control and to indicate aspects to be considered on attendance. Methodology: research accomplished in Intensive Care Unit of three hospitals. The data were obtained through questionaire and observation previously validated. Content analysis was accomplished. Results: The items related stand out to the attendance planning of the attendance, principles that govern the prevention and infection control, interaction between the team and challenges mentioned by nurses. Conclusion: Although the planning process, implementation and hospital infection evaluation are items very complex, given the multiplicity of intervening factors, nurses identified the principal aspects that should deserve attention. The hands washing continue being a challenge to be overcome.Item Desafios para o controle de infecção nas instituições de saúde: percepção dos enfermeiros(2002) Souza, Adenícia Custódia Silva e; Tipple, Anaclara Ferreira Veiga; Pereira, Milca Severino; Prado, Marinésia Aparecida doThe multiplicity of factors that involves the control of infections has been hindering the implementation of an effective prevention program and control and day-to-day represents a larger challenge to the professionals of health. This study of qualitative approach seeks to identify, among the female nurses, the challenges for the nosocomial infection control. The subjects in the study, are nurses candidates to the specialization course in nosocomial infection control. The reports were obtained through the participants’ free registration which from their experiences and visions related the challenges in the infection control in the institutions of health where they work. After exhaustive reading we apprehended six analysis categories: organizational structure; biological battle; professional involvement; professional training; epidemiology of the infections; prevention measures and control. The challenges quoted include since the adoption of simple measures of control until the complicated organizational structures of the institutions that make norms, suppliers and executors. However, the largest challenges shown were the politics of each institution, the work relationships and the professionals’ little involvement.Item Enterobacteriaceae isolates from the oral cavity of workers in a brazilian oncology hospital(2015-04) Vasconcelos, Lara Stefânia Netto de Oliveira Leão; Lima, Ana Beatriz Mori; Costa, Dayane de Melo; Vilefort, Larissa Oliveira Rocha; Oliveira, Ana Claúdia Alves de; Gonçalves, Nádia Ferreira; Vieira, José Daniel Gonçalves; Prado, Marinésia Aparecida doThe evaluation of workers as potential reservoirs and disseminators of pathogenic bacteria has been described as a strategy for the prevention and control of healthcare-associated infections (HAIs). The aim of this study was to evaluate the presence of Enterobacteriaceae in the oral cavity of workers at an oncology hospital in the Midwest region of Brazil, as well as to characterize the phenotypic profile of the isolates. Saliva samples of 294 workers from the hospital’s healthcare and support teams were collected. Microbiological procedures were performed according to standard techniques. Among the participants, 55 (18.7%) were colonized by Enterobacteriaceae in the oral cavity. A total of 64 bacteria were isolated, including potentially pathogenic species. The most prevalent species was Enterobacter gergoviae (17.2%). The highest rates of resistance were observed for β-lactams, and 48.4% of the isolates were considered multiresistant. Regarding the enterobacteria isolated, the production of ESBL and KPC was negative. Nevertheless, among the 43 isolates of the CESP group, 51.2% were considered AmpC β-lactamase producers by induction, and 48.8% were hyper-producing mutants. The significant prevalence of carriers of Enterobacteriaceae and the phenotypic profile of the isolates represents a concern, especially due to the multiresistance and production of AmpC β-lactamases.Item Enterobactérias isoladas de baratas (Periplaneta americana) capturadas em um hospital brasileiro(2002) Prado, Marinésia Aparecida do; Pimenta, Fabiana Cristina; Hayashid, Miyeko; Souza, Paula Regina; Pereira, Milca Severino; Gir, ElucirObjective. To isolate and identify microorganisms from cockroaches that were captured in a public hospital and to test the antimicrobial susceptibility of these microorganisms. Methods. Cockroaches were captured in the morning and at night. They were placed in flasks rinsed with 70% alcohol, transferred to sterilized flasks, and then taken to the laboratory. Only cockroaches captured whole and live were utilized for the study. After being immobilized at 0 degrees C, each cockroach was placed in a test tube with sterile saline solution (0.8%) and then homogenized. The resulting solution was then placed in the following five culture media: MacConkey agar, nutrient broth, brain-heart infusion agar, Sabouraud agar, and mannitol. The cultures were examined using a stereomicroscope, and colony-forming units were counted. The disk diffusion test was used to determine antimicrobial susceptibility. Results. We found a 56% prevalence of enterobacteria and an 18% prevalence of coagulase-negative staphylococci. Fifteen species of enterobacteria were identified. The most frequent were Klebsiella pneumoniae (17%), Enterobacter aerogenes (14%), Serratia marcescens (13%), Hafnia alvei (12%), Enterobacter gergoviae and Enterobacter cloacae (each 9%), and Serratia spp. (6%). Both the enterobacteria and the coagulase-negative staphylococci showed significant resistance to antimicrobials, including oxacillin. Conclusions. The prevalence of enteropathogenic bacteria and coagulase-negative staphylococci isolated from Periplaneta americana cockroaches in the studied hospital reflects the weakness of the measures adopted both for vector control and for antimicrobial use. The results show the need to implement effective health-institution programs focusing on hygiene and the rational use of antimicrobials.Item Feminização da AIDS: conhecimento de mulheres soropositivas sobre a transmissão e prevenção do HIV -1(2004) Gir, Elucir; Canini, Silvia Rita Marin da Silva; Prado, Marinésia Aparecida do; Carvalho, Milton Jorge; Duarte, Geraldo; Reis, Renata KarinaIntroduction: FALTA Objective: to identify aspects related to ways of transmitting and preventing the human immunodeficiency virus (HIV) and reported by HIV seropositive women. Method: Data were collected by means of recorded semi-structured interviews, which were guided by a specific form. Result: most participants mentioned they did not know about HIV transmission and prevention modes before finding out about the infection diagnosis. It is highlighted that 62% mentioned they did not know about the HIV transmission mechanisms, while 68% did not know about prevention measures. Among the possible ways of transmitting this virus, most women considered that vaginal and/or anal intercourse with condom is sufficient to prevent HIV transmission, and 12% of them did not consider oral sex a transmission way. Conclusion: it was concluded that, nowadays, there are still female HIV-1 patients with unsafe sexual behavior who continue underestimating the infection. There is an urgent need for multiprofessional actions, not only with a view to information on HIV prevention and transmission, but also to elaborate a health education program that allows for discussions and the implementation of actions able to give these women an active role in this process.Item Higienização de mãos: 20 anos de divergências entre a prática e o idealizado(2009) Cruz, Elaine Drehmer de Almeida; Pimenta, Fabiana Cristina; Silva, Silvia Rita Marin da; Prado, Marinésia Aparecida doHandwashing is related to the prevention of health hazards and has been a research issue. This retrospective, twenty-year literature review of publications -available at PubMed database- aimed to characterize scientific reports on handwashing (HW), and contextualize divergences between practice and theory. The results show behavior, habit and environment interference as well as care context explain the low adherence to this practice, besides the need to understand and transform reality, minimizing the evidenced divergences.Item A infecção hospitalar e suas implicações para o cuidar da enfermagem(2005-06) Pereira, Milca Severino; Souza, Adenícia Custódia Silva e; Tipple, Anaclara Ferreira Veiga; Prado, Marinésia Aparecida doNursing practices and procedures play an indispensable role in the prevention of hospital infection. This review discusses the unquestionable importance of proper nursing practices related to the control of infection. The establishment of a culture based on prevention is a requirement for any infection control program. This paper also explains activities conducted by our research group that identified procedures that affirm the role of nursing practices in the prevention and control of infection. It is clear that continuing education represents the main strategy to implement effective measures for providing quality health care.Item Infecções associadas ao cuidado em saúde em um hospital oncológico brasileiro: análise de cinco anos(2012-01) Santos, Silvana de Lima Vieira dos; Sousa, Thais Kato de; Costa, Dayane de Melo; Lopes, Lillian Kelly de Oliveira; Peleja, Edgar Berquó; Melo, Dulcelene de Sousa; Prado, Marinésia Aparecida do; Pereira, Milca SeverinoEstudio epidemiológico retrospectivo realizado en 2009 a fin de analizar las tasas de infección asociada a los cuidados en la salud, en pacientes oncológicos, por topografía, letalidad y mortalidad de 2004 a 2008. Los datos se recogieron de registros archivados en el Servicio de Control de Infección Hospitalaria (SCIH) de la institución. Los aspectos éticos fueron observados. Referente a la tasa de infección asociada a los cuidados en Enfermería Global Nº 25 Enero 2012 Página 19 salud se observó que ocurrió el 8,24% (5.821) de episodios en el período. Estas tasas presentaron variación del 6,51% (1,017) en 2004 al 10,82% (1.790) en 2007 y desvío estándar = (± 1,91). Referente al número de pacientes con infección se encontró el 5,75% (4.064) variando del 4,89% (765) en 2004 al 7,47% (1237) en 2007. Las topografías más acometidas fueron las de sitio quirúrgico con el 26,11%, corriente sanguínea con el 24,11% y el tracto respiratorio con el 18,50%. La tasa de letalidad y mortalidad asociadas a la infección fueron el 23,86% y el 1,37% de óbitos respectivamente. Se considera necesaria la evaluación de los múltiples factores involucrados en ese proceso para que la institución desarrolle estrategias de prevención y control de las infecciones y pueda intervenir en tiempo hábil.Item Língua brasileira de sinais: um desafio para a assistência de enfermagem(2003) Barbosa, Maria Alves; Oliveira, Márcia Arimatéa de; Siqueira, Karina Machado; Damas, Keyti Cristine Alves; Prado, Marinésia Aparecida doCommunication is a process of messages exchange that helps understanding the world and the relationships between individuals. The aims of this study were established considering the complexity of the hearing deficiency,: to discuss the relevance of non-verbal communication in the relationship between professional and client and to identify the perception of the use of the Brazilian Language of Signals - LIBRAS by students of assistant and technical nursing courses when assisting the hearing deficient client. It is a qualitative study having students of assistant and technical nursing courses as its focus population. A questionnaire was used for the collection of data. The findings show that nonverbal communication is an important means of exchanging information and that LIBRAS enables contact with the hearing deficient client. In conclusion, effective communication is a humanizing factor because it contributes to the quality of human interaction and facilitates the satisfaction of the clients needs.Item Methicillin-resistant Staphylococcus sp. colonizing health care workers of a cancer hospital(2014-09) Costa, Dayane de Melo; Kipnis, André; Vasconcelos, Lara Stefânia Netto de Oliveira Leão; Vilefort, Larissa Oliveira Rocha; Teles, Sheila Araujo; André, Maria Cláudia Dantas Porfirio Borges; Tipple, Anaclara Ferreira Veiga; Lima, Ana Beatriz Mori; Ribeiro, Nádia Ferreira Gonçalves; Pereira, Mayara Regina; Prado, Marinésia Aparecida doThe aim of the study was to analyze epidemiological and microbiological aspects of oral colonization by methicillin-resistant Staphylococcus of health care workers in a cancer hospital. Interview and sa- liva sampling were performed with 149 health care workers. Antimicrobial resistance was deter- mined by disk diffusion and minimum inhibitory concentration. Polymerase Chain Reaction, Internal Transcribed Spacer-Polymerase Chain Reaction and Pulsed Field Gel Electrophoresis were per- formed for genotypic characterization of methicillin-resistant Staphylococcus. Risk factors were de- termined by logistic regression. Methicillin-resistant Staphylococcus colonization prevalence was 19.5%, denture wearing (p = 0.03), habit of nail biting (p = 0.04) and preparation and administration of antimicrobial (p = 0.04) were risk factors identified. All methicillin-resistant Staphylococcus were S. epidermidis, 94.4% of them had mecA gene. Closely related and indistinguishable methicillin- resistant S. epidermidis were detected. These results highlight that HCWs which have contact with patient at high risk for developing infections were identified as colonized by MRSE in the oral cavity, reinforcing this cavity as a reservoir of these bacteria and the risk to themselves and patients safety, because these microorganisms may be spread by coughing and talking.Item A parceria sexual na visão de mulheres portadoras do vírus da imunodeficiência humana – HIV(2006) Gir, Elucir; Canini, Silvia Rita Marin da Silva; Carvalho, Milton Jorge de; Prado, Marinésia Aparecida do; Reis, Renata Karina; Duarte, GeraldoIntroduction: various factors influence the vulnerability of women to acquire HIV, including low perceived risk and lack of knowledge about their sexual partners’ risk behaviors. Objective: examine how women with HIV/aids perceive risk behaviors related to acquiring the infection and to their sexual partners. Methods: a descriptive and exploratory study was carried out at the outpatient clinic for infectious-contagious diseases and gynecology of a teaching hospital in the interior of São Paulo State. We interviewed 50 women with HIV, who were under clinical follow-up during the puerperium, using an interview script. EPI-INFO 6.0 was used for data analysis. Results: participants presented low perceived risk to acquire HIV/aids; 36 (72%) of them found out about their infection by chance and 33 (66%) informed they did not perform any risk behavior to acquire this virus. Forty-two women (84%) attributed their HIV infection to sexual intercourse, and most of them considered their first or second partner as the source of infection. As to the aspects of their partners’ behavior considered as a “source of infection”, these women mentioned isolated risk factors, and 38 of them (76.0%) indicated more than one associated risk factor. Conclusion: health education programs should adopt prevention of sexual transmission as one of their main targets, with a view to making people aware of the need to adopt safe sexual behavior. In view of the advancement of HIV/aids in the female population, specific prevention strategies need to be directed at this clientele, and men need to be made aware of their coresponsibility for the sexual and reproductive health of their partners.Item Pseudomonas spp. isolated from the oral cavity of healthcare workers from an oncology hospital in midwestern Brazil(2015-12) Lima, Ana Beatriz Mori; Vasconcelos, Lara Stefânia Netto de Oliveira Leão; Costa, Dayane de Melo; Vilefort, Larissa Oliveira Rocha; André, Maria Cláudia Dantas Porfirio Borges; Barbosa, Maria Alves; Prado, Marinésia Aparecida doThis cross-sectional study, performed in an oncology hospital in Goiania, aimed to characterize the prevalence of oral colonization and antimicrobial susceptibility of Pseudomonas spp. isolated from the saliva of healthcare workers. Microorganisms were subjected to biochemical tests, susceptibility profile, and phenotypic detection. Of 76 participants colonized with Gram negative bacilli, 12 (15.8%) harbored Pseudomonas spp. Of all isolates, P. aeruginosa (75.0%), P. stutzeri (16.7%), and P. fluorescens (8.3%), were resistant to cefoxitin, and therefore likely to be AmpC producers. The results are clinically relevant and emphasize the importance of surveillance to minimize bacterial dissemination and multiresistance.