Management of mattresses in the prevention of healthcare-associated infection: a cross-sectional study
DOI:
https://doi.org/10.26694/repis.v8i1.3872Keywords:
Beds, Cross Infection, Homes for the AgedAbstract
Introduction: Healthcare Associated Infection (HAI) threatens patient safety and can be associated with contamination of surfaces such as mattresses. This study aimed to identify the criteria for the acquisition and conservation of mattresses in hospitals and Homes for the Aged (HA) as an infection prevention strategy. Outlining: Cross-sectional study carried out with 18 institutions. Data were collected through a structured interview with the person responsible for administration, hospitality sector or the Hospital Infection Control Committee, using a validated instrument. Data analysis was performed using descriptive statistics. Results: Five HA and 8 Hospitals partook the study. Acquisition by direct purchase prevails (94.4%), with a periodicity of 1 to 5 years (50%). All mattresses purchased are foam ones, due to user comfort (44.4%) and resistance (38.9%). Waterproof cover is used by 83% of the services, made of “napa” (72.2%) and “corvin” (66.7%) for easy sanitizing (77.8%). “During the concurrent cleaning” is the most mentioned time to evaluate the integrity of the mattress (38.8%) and coating (50%). Implications: it was observed that there is no systematic management for the acquisition and maintenance of mattresses. This highlights the need to improve the care with patient bed in order to prevent healthcare-associated infections.
References
Latif A, Halim MS, Pronovost PJ. Eliminating infections in the ICU: CLABSI. Curr. Infect. Dis. Rep [Internet]. 2015 [cited 2022 Nov 15]; 17(7):1-9. Available from: https://doi.org/10.1007/s11908-015-0491-8
Viana RH, dos Santos SG, Oliveira AC. Recovery of resistant bacteria from mattresses of patients under contact precautions. Am J Infect Control [Internet]. 2016 [cited 2022 Apr 15]; 44(4):465-9. Available from: https://doi.org/10.1016/j.ajic.2015.10.027
Hespanhol LAB, Ramos SCS, Júnior OCR, Araújo, Tatiane TS, Martins AB. Infección relacionada con la Asistencia a la Salud en Unidad de Cuidados Intensivos Adulto. Enf Global [Internet]. 2018 [cited 2022 Jan 26]; 18(1):215-54. Available from: https://doi.org/10.6018/eglobal.18.1.296481
Padoveze MC, Fortaleza CMCB. Infecções relacionadas à assistência à saúde: desafios para a saúde pública no Brasil. Rev Saúde Pública [Internet]. 2014 [cited 2022 Apr 15]; 48(6):995 1001. Available from: https://doi.org/10.1590/S0034-8910.2014048004825
Reis GAX, Rossaneis MA, Haddad MCL, Belei RA. Criterion for acquisition, preservation and disposal of mattresses in health institutions. Rev Min Enferm [Internet]. 2014 [cited 2022 Apr 15]; 18(3):673-678. Available from: http://www.dx.doi.org/10.5935/1415-2762.20140049
Mahl S, Rossi EM. Antimicrobial susceptibility of bactéria on hospital mattresses. RBAC [Internet]. 2017 [cited 2022 Apr 15]; 49(4):371-375. Available from: http://www.rbac.org.br/wp content/uploads/2018/01/RBAC-vol-49-4-2017-ref-582.pdf
Souza ME, Ferreira H, Zilly A, Mattos ALA, Pereira LSG, Silva RMM. Condições de desinfecção de superfícies inanimadas em unidades de terapia intensiva. J Res: fundam care online [Internet]. 2019 [cited 2022 Apr 15]; 11(4):951-956. Available from: http://dx.doi.org/10.9789/2175-5361.2019.v11i4.951-956
Oliveira AC, Damasceno QS. Superfícies do ambiente hospitalar como possíveis reservatórios de bactérias resistente: uma revisão. Rev Esc Enfer USP [Internet]. 2010 [cited 2022 Apr 15]; 44(4): 1118-23. Available from: https://doi.org/10.1590/S0080 62342010000400038
Silva JCB da, Silva AAOB da, Oliveira DAL et al. Perfil do enfermeiro no gerenciamento dos serviços hospitalares. Rev Enferm UFPE on line [Internet]. 2018 [cited 2022 Apr 15]; 12(10):2883-90. Available from: https://doi.org/10.5205/1981-8963-v12i10a236307p2883-2890-2018
Associação Brasileira de Normas Técnicas. NBR 13579-1 – Colchão e colchonete de espuma flexível de poliuretano e bases – requisitos e métodos de ensaio. Rio de Janeiro: ABNT; 2011.
Standard Operating Procedure for Cleaning, Maintenance and Replacement of Mattresses [Internet]. 2016 [Internet]. 2016 [cited 2022 Apr 15]. Available from: https://www.shb.scot.nhs.uk/board/publichealth/documents/ICM-SOP-Mattresses-Aug2019.pdf
Xiaobao L, Lam I, Teska P, Grinstead D, Becker L. Infection risks associated with damaged mattresses and management strategy using repair patches Infection Control. Infection Control Tips, 2021, may. Available from: https://infectioncontrol.tips/2021/05/04/infection risks-associated-with-damaged-mattresses-and-management-strategy-using-repair-patches/
Marks B, de Haas E, Abbound T, Lam I, Datta I. Uncovering the Rates of Damaged Patient Bed and Stretcher Mattresses in Canadian Acute Care Hospitals. Canadian J Infect Contr [Internet]. 2018 [cited 2022 Apr 15]; 33(3):171-175. Available from: https://doi.org/10.1017/ice.2021.486
Brasil. Ministério do Trabalho e Emprego. Norma Regulamentadora n º 32 - Segurança e Saúde no Trabalho em Estabelecimentos de Assistência à Saúde. Brasília: MS; 2005. Available from: https://www.gov.br/trabalho-e-previdencia/pt-br/acesso-a-informacao/participacao social/conselhos-e-orgaos-colegiados/ctpp/arquivos/normas-regulamentadoras/nr-32.pdf
Hooker EA, Bochan M, Reiff TT, Blackwell C, Webb KW, Hart KW. Decreasing Clostridium difficile health care-associated infections through use of a launderable mattress cover. Am J Infect Control [Internet]. 2015 [cited 2022 Apr 15]; 43(12):1326-30. Available from: https://doi.org/10.1016/j.ajic.2015.07.002
Corrêa ER, Machado AP, Bortolini J, Miraveti JC, Corrêa LVA, Valim MD. Bactérias resistentes isoladas de superfícies inanimadas em um hospital público. Cogitare enferm [Internet]. 2021 [cited 2022 Apr 15]; 26. Available from: http://dx.doi.org/10.5380/ce.v26i0.74774.
Tajeddin E, Rashidan M, Razaghi M, Javadi SSS, Sherafat SJ, Alebouyeh M, et al. The role of the intensive care unit environment and health-care workers in the transmission of bacteria associated with hospital acquired infections. J Infect Public Health [Internet]. 2016 [cited 2022 Apr 15]; 9(1):1-12. Available from: https://doi.org/10.1016/j.jiph.2015.05.010.
Cordeiro ALAO, Oliveira MMC, Fernandes JD, Barros CSMA, Castro LMC. Contaminação de equipamentos em unidade de terapia intensiva. Acta paul enferm [Internet]. 2015 [cited 2022 Apr 15]; 28(2). Available from: https://doi.org/10.1590/1982-0194201500027.
Ribeiro LF, Lopes EM, Kishi LT, Ribeiro LFC, Menegueti MG, Gaspar GG, et al. Microbial community profiling in intensive care units expose limitations in current sanitary standards. Front Public Health [Internet]. 2019 [cited 2022 Apr 15]; 7(240). Available from: https://doi.org/10.3389/fpubh.2019.00240
Boyce, JM. Alcohols as Surface Disinfectants in Healthcare Settings. Infect Control Hosp Epidemiol [Internet]. 2018 [cited 2022 Apr 15]; 39(3). Available from: https://doi.org/10.1017/ice.2017.301.
