IMPACTO DE UMA INTERVENÇÃO EDUCATIVA NA LIMPEZA E DESINFECÇÃO EM UMA UNIDADE DE SÍNDROME RESPIRATÓRIA

Abstract

Concern about environmental contamination has increased over the years, especially with the advent of pandemics, highlighting the importance of the survival of microorganisms on the surfaces of health services. In this way, a strategy that aims to favor the prevention and control of infections involves an adequate cleaning and disinfection process. This study aims to evaluate the impact of an educational intervention on the cleaning and disinfection process of a respiratory syndrome unit. This is a sequential multi-method study carried out in a respiratory syndrome unit, a reference for the treatment of patients with COVID-19. The surfaces were evaluated according to the monitoring methods: adenosine triphosphate, colony forming unit and visual inspection. Professionals from the hygiene and cleaning team (elementary and high school) and nursing professionals (technical and higher education) participated in the study. The educational intervention was based on three axes: analysis of monitoring data; construction of the educational intervention based on the literature with updating of the institutional protocol; and standardization of practices. The research was approved by the Research Ethics Committee (CEP) of the Federal University of Mato Grosso do Sul, Brazil, under Opinion 4,317,394. All statistical tests were applied with a significance level of 5% or (P<0.05). Regarding the situational diagnosis of the cleaning and disinfection process, the results showed that most surfaces had microbial count values above 2.5 CFU/cm2 both before and after the cleaning and disinfection process, thus being disapproved. . After an educational intervention, a reduction in surface contamination rates was observed, with numerous statistically significant results for the adenosine triphosphate method: bench P=0.030; mattress P=0.014; handle P=0.014; armchair P=0.014. For the method of counting total aerobes, there was also a reduction in the contamination of the bench P=0.014, mattress P=0.014 and doorknob P=0.014. For the visual inspection method, an improvement of 37.5% of approval was also observed for the bench, armchair and mattress surfaces, after the educational intervention. Among the participants who answered the satisfaction questionnaire, it was found that the lowest levels of motivation at work were identified only in items pertaining to extrinsic motivation, especially with regard to the remuneration received. From the data, it is possible to identify improvements in the approval rates after the educational intervention, and it is possible to infer that the educational intervention carried out had a satisfactory result. This research made it possible to contribute to the monitoring of the cleaning and disinfection process of surfaces in a Respiratory Syndrome unit, a reference for the care of patients with COVID-19, developing ways for permanent education actions with the team and alignment of protocols, using objective cleaning monitoring methods. It should be noted that the study expands knowledge about characteristic elements of organizational daily life in health services in the context of the COVID-19 pandemic, enabling the planning of actions that favor working conditions in these institutions.

Keywords: Infections; Concurrent disinfection; Health Care; Cleaning service.