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Search Results: 1 - 10 of 21509 matches for " Anaclara Ferreira Veiga;Pimenta "
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Kits para aerossol em um servi?o de saúde: uma análise microbiológica após reprocessamento
Anders, Patrícia Staciarini;Tipple, Anaclara Ferreira Veiga;Pimenta, Fabiana Cristina;
Revista da Escola de Enfermagem da USP , 2008, DOI: 10.1590/S0080-62342008000200010
Abstract: aerosol kits are used in treatments of respiratory illnesses and require at least an intermediate level of disinfection for their reuse. the objectives of the study were to verify possible contamination of kits after they were processed as well as to identify the microorganisms that were isolated in them. this transversal experimental study was conducted in the pediatric unit of a hospital in goiania, state of goiás. samples were collected from three different parts (masks, cups and hoses) of 15 previously disinfected kits and placed in different culture media, and the microorganisms that were isolated were identified through biochemical tests. of the kits that were analyzed, 13 cups, 9 hoses and 13 masks were found to be contaminated. a total of 101 cfu were isolated 39 from the cups, 20 from the hoses, and 42 the masks. among the pathogens found were coagulase-positive staphylococci, coagulase-negative staphylococci, gram negative fermenter rods, gram negative nonfermenter rods, micrococcus and yeast. microbial presence indicates probable inefficiencies in processing these items.
Endoscope reprocessing using glutaraldehyde in endoscopy services of Goiania, Brazil
Barbosa, Jackeline Maciel;Souza, Adenicía Custódia Silva;Tipple, Anaclara Ferreira Veiga;Pimenta, Fabiana Cristina;Le?o, Lara Stefania Netto de Oliveira;Silva, Silvia Rita Marin Caninni;
Arquivos de Gastroenterologia , 2010, DOI: 10.1590/S0004-28032010000300002
Abstract: context: the endoscopic procedure safety depends on the use of an adequately reprocessed device which quality is related to each of its operational steps. objective: to characterize the reprocessing of endoscopes using glutaraldehyde in endoscopy services methods: study was conducted by observing the reprocessing of 60 endoscopes from 20 medical practices of the municipality of goiania, go, central area of brazil. results: this study showed failure in all reprocessing steps. the pre-washing was performed in 24 (40.0%) of the endoscope. in the cleaning steps, was identify the improper use of enzymatic detergent, and in 27 (45.0%) cases, the brushing of internal channels was not performed. all 60 endoscopes were submitted to this disinfectant. however, for 33 (55.0%) of the cases the internal channels was not filled. the total immersion of endoscope in the glutaraldehyde was not performed in 39 (65.0%) cases. the recommended minimum total immersion time for exposure to 2% glutaraldehyde solution was followed only for 12 (20.0%) endoscopes. there was no filter for water treatment used in the rinse of most endoscopes 54 (90.0%) and to dry the internal channels only 6 (10.0%) of them used compressed air. adequate storing conditions were identified. conclusion: considering the particularities of the endoscope and its reprocessing, it is imperative to establish protocols to ensure the quality of the disinfection and the prevention of cross-contamination.
Eficácia da estufa de Pasteur como equipamento esterilizante em consultórios odontológicos
Tavares, Solange do Socorro Fonseca;Sousa, Joaquim Tomé de;Tipple, Anaclara Ferreira Veiga;Silva e Souza, Adenícia Custódia;Pimenta, Fabiana Cristina;Anders, Patricia Staciarini;
Revista da Escola de Enfermagem da USP , 2008, DOI: 10.1590/S0080-62342008000100021
Abstract: this study was aimed at assessing the efficacy of the use of the pasteur oven as sterilization equipment in dental offices through biological monitoring. for this assessment were taken into account how adequately the material is loaded into the equipment; time/temperature used; and preventive maintenance of the oven. the data were collected in 101 dental offices in the central district of goiania, in the state of goiás, through observation, interviews and performance of tests with biological indicator. the results showed a lack of standardization of some of the procedures recommended by the ministry of health for sterilization of items in the oven, and positive results of the biological test in 46 (45.5%) of the tested cycles. the intervening factors with most significance regarding sterilization problems were: absence of an accessory thermometer to control the cycles' temperature and non-observance of the time/temperature relations recommended for the sterilization cycle through dry heat.
Evaluation of central supply units in public dental medicine colleges in Brazil
Sasamoto, Sandra Arag?o de Almeida;Tipple, Anaclara Ferreira Veiga;Souza, Adenícia Custódia Silva e;Paiva, Enilza Maria M. de;Souza, Carlos de Paula e;Pimenta, Fabiana Cristina;
Brazilian Journal of Infectious Diseases , 2004, DOI: 10.1590/S1413-86702004000600009
Abstract: a guarantee of quality of all steps involved in processing dental materials is essential to achieve security. a descriptive study was made of how public dental medicine colleges in brazil process critical materials and determine the patterns of physical, chemical and biological control in their use of hot air ovens and autoclaves to sterilize these materials. the data were obtained with a questionnaire, sent by mail and analyzed with the software epi-info 6.04. among the 40 brazilian public dental medicine colleges, only 16 returned the questionnaire. in eight of these, the individuals responsible for the materials and sterilization center had a college degree in a human health field. in 14 institutions, the students were responsible for the cleaning of the instruments, but in six of these they did so outside of the materials and sterilization center. both the autoclave and the dry heat oven were the method of choice in 13 of the 16 schools. the sterilization routine was routinely monitored by 11 of the institutions. chemical control through the tape test in the autoclave was used by 13 of the schools, three institutions reported preventive maintenance, and biological indicators were used by seven of the 16 schools. autoclaves are widely used because of the degree of biological security that this method offers, however physical, chemical and biological controls have not been routinely implemented by most of the institutions.
O monitoramento de processos físicos de esteriliza??o em hospitais do interior do estado de Goiás
Tipple, Anaclara Ferreira Veiga;Pires, Francine Vieira;Guadagnin, Simone Vieira Toledo;Melo, Dulcelene de Sousa;
Revista da Escola de Enfermagem da USP , 2011, DOI: 10.1590/S0080-62342011000300029
Abstract: the objective of this descriptive study was to identify the physical, chemical and biological controls of the sterilization process by saturated steam in pasteur autoclaves at material and sterilization centers (msc). the data was obtained by interviewing the worker responsible for the msc of the largest hospital in every city in the interior of goiás that had population of at least 20,000, in the period from august 2005 to june 2006. a total 44 municipalities participated. the analysis was performed using spss software. in 31 (94.0%) hospitals there were no nurses exclusive to the msc, the workers responsible for the center were nursing aides and technicians. most did not perform any physical, chemical and biological control of the sterilization process, and, in one case only these controls were performed simultaneously. failing to monitor the sterilization cycles, and thus not ensuring the quality of the processes, is a risk to the population being assisted.
Clima de seguran a organizacional e a ades o às precau es padr o entre dentistas Organizational safety climate and adherence to standard precautions among dentists
Patrícia Helena Vivan Ribeiro,Maria Meimei Brevidelli,Anaclara Ferreira Veiga Tipple,Renata Perfeito Ribeiro
Acta Paulista de Enfermagem , 2013,
Abstract: OBJETIVO: Verificar a percep o do dentista a respeito do clima de seguran a no trabalho em rela o à ades o às precau es padr o. MéTODOS: Trata-se de um estudo quantitativo, transversal realizado através da aplica o da escala de Clima de Seguran a a uma popula o de 224 dentistas que atuavam em unidades de Aten o Básica de Saúde de seis municípios do Paraná. RESULTADOS: O escore total de 3,43 (DP=0,88) revela a baixa percep o dos dentistas a respeito do incentivo e apoio organizacional para ado o das PP. CONCLUS O: Clima de seguran a insatisfatório, onde a percep o do dentista sobre a seguran a de seu ambiente de trabalho é deficiente, evidenciando a es gerenciais de apoio à seguran a fragilizadas, falta de um programa de treinamento em saúde ocupacional e deficiência do feedback para favorecer a ado o de práticas seguras. OBJECTIVE: Check the perception of dentists about safety climate at work in relation to adherence to standard precautions. METHODS: It is a quantitative, cross-sectional study conducted through the application of the Safety Climate Scale to a population of 224 dentists who worked in units of primary health care in six municipalities of Paraná. RESULTS: The total score of 3.43 (SD = 0.88) reveals that dentists have a poor perception of the incentives and organizational support for adopting standard precautions. CONCLUSION: Unsatisfactory safety climate, where the perception of dentists about safety in their work environment is deficient, demonstrating fragile management actions of support to safety, lack of a training program in occupational health and deficient feedback to favor the adoption of safe practices.
Embalagem de tecido de algod o: análise do uso em hospitais de médio e grande porte
Lucimara Rodrigues de Freitas,Anaclara Ferreira Veiga Tipple,Dirce Pires Felipe,Neuraci dos Santos Ramos Rodrigues
Revista Eletr?nica de Enfermagem , 2012,
Abstract: O presente estudo teve como objetivo geral analisar o uso do tecido de algod o como embalagem de produtos para saúde processados em hospitais de médio e grande porte. Os dados foram coletados por análise de amostras novas de tecido e aplica o de questionário aos enfermeiros responsáveis pelo Centro de Material e Esteriliza o. Participaram 16 hospitais, sendo que em oito deles (50%) o enfermeiro da unidade era o responsável pela aquisi o do tecido de algod o, porém, quatro (25%) n o descreveram os critérios adotados. Os campos eram confeccionados de modo simples em seis hospitais (37,6%) e cinco (31,2%) utilizavam um campo simples e um duplo para a montagem dos pacotes. Um hospital relatou controle do reuso dos campos e na maioria o tecido tinha de 40 a 56 fios/cm2. Os critérios mínimos para as embalagens de tecido de algod o foram identificados nas amostras analisadas, entretanto, o monitoramento da vida útil da embalagem era negligenciado na maioria dos hospitais.
Efetividade de um protocolo de reprocessamento na esteriliza o de canetas de alta-rota o em autoclave gravitacional
Camila Fonseca Alvarenga,Cleomenes Reis,Anaclara Ferreira Veiga Tipple,Enilza Maria Mendon?a de Paiva
Revista Eletr?nica de Enfermagem , 2011,
Izilda Sim?es Vitorino Eliam,Izildinha Pedreira Barros,Karla Evangelina Marques Lopes,Anaclara Ferreira Veiga Tipple
Revista Eletr?nica de Enfermagem , 2004,
Abstract: Os profissionais dos servi os de diálise enfrentam situa es de riscos desde a realiza o dos procedimentos diretos às práticas relacionadas, até o gerenciamento dos diferentes resíduos gerados nestes servi os. O acidente com material perfurocortante representa um dos maiores riscos para trabalhadores da saúde. O objetivo foi caracterizar o gerenciamento dos resíduos biológicos nos servi os de diálise da cidade de Goiania – GO. Estudo descritivo, cujos dados foram coletados em mar o de 2004, por meio de check list elaborado de acordo com RDC 33/ 03/ANVISA, previamente validado, e observados os aspectos éticos e legais, havendo consentimento dos onze servi os existentes. Evidenciou-se que o descarte de perfurocortantes é feito em caixas específicas em quatro unidades; sete unidades improvisam o recipiente, utilizando frascos de solu es dialíticas. Em oito servi os os dialisadores s o descartados em sacos brancos leitosos. A segrega o de perfurocortantes é feita próxima à fonte geradora na maioria das unidades (91%). A maioria n o possui lixeira com tampa acionada por pedal para descarte de resíduos infectantes. O transporte interno é feito manualmente em 82% dos servi os. Concluiu-se que na maioria dos servi os pesquisados, as práticas relacionadas ao gerenciamento de resíduos, n o atendem às normas de biosseguran a, potencializando o risco biológico coletivo.
Tubos de látex: esterilidade pós-reprocessamento em vapor saturado sob press o
Patrícia Staciarini Anders,Anaclara Ferreira Veiga Tipple,Tcherno Aliu Candé,Cynthia Assis de Barros
Revista Eletr?nica de Enfermagem , 2009,
Abstract: Entre os artigos odonto-médico-hospitalares, os tubulares merecem aten o especial para o reprocessamento peladificuldade de limpeza de seu lúmen, que pode permitir acúmulo de matéria organica e forma o de biofilme. Com oobjetivo de avaliar a esterilidade dos tubos de látex submetidos ao processo de esteriliza o em autoclave a vapor emum hospital de Goiania-GO foram analisados 30 tubos pós-reprocessamento. Realizaram-se cortes transversais de 01cm em dois segmentos dos tubos: extremidade (E) e metade (M) que foram inoculados em caldo BHI (Brain HeartInfusion) e incubados a 37o C por 20 dias. Amostras com turva o visível foram semeadas em ágar sangue decarneiro para isolamento microbiano. As col nias desenvolvidas foram caracterizadas pela morfologia e por testesbioquímicos. Houve desenvolvimento microbiano em 05 (16,7%) amostras, sendo 03 (10%) segmentos M e 02(6,7%) seguimentos E. Os microrganismos contaminantes foram identificados como bacilos Gram-positivo (BGP),estafilococos coagulase negativa e positiva (ECN, ECP). Múltiplos reprocessamentos desses artigos facilita o desgaste,colabamento, ressecamento, forma o de rachaduras, o que favorece a reten o de microrganismos. De acordo comestes resultados, conclui-se que tubos de látex reprocessados em autoclave a vapor podem representar riscos aosusuários.
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