Dissemination of microorganisms through the coat of health professionals: an integrative review
DOI:
https://doi.org/10.33448/rsd-v9i9.7180Keywords:
Health care; Bacteria; Contamination; Individual protection equipment.Abstract
Objective: To analyze the published scientific literature regarding the microbiological contamination of the coat of health professionals. Methodology: This is an integrative review of the literature in which searches for scientific materials were carried out in the databases of PubMed, Science Direct, Scientific Eletronic Library Online (SciELO) and Virtual Health Library (VHL), published between the years of 2010 and 2020. In total, 174 documents were found, of which 29 were analyzed in full and 14 included in this study. Results and Discussion: The analysis showed the contamination of lab coats by several bacterial species, with emphasis on Staphylococcus spp., In addition to a single study having detected species of fungi of the genus Candida sp. As for the sensitivity profile, recovery of vancomycin and ampicillin-resistant Staphylococcus aureus was observed, followed by other species resistant to Cotrimaxozol. Related to the level of evidence of the studies analyzed, most express a certain limitation, without strong evidence in the face of clinical applications. Final Considerations: New studies are suggested that express stronger levels of evidence, highlighting the implementation of measures that emphasize greater care with lab coats, awareness of their private use in their own environments and aspects involved in resistance, in the cross-transmission of microorganisms and in the development of Health Care-Related Infections (HCRI).
References
Almeida, A. C. P. de, Souza Júnior, R. L. de, Oliveira Júnior, S. D. de, Ribeiro, T. A. V., Nogueira, D. A., Chavasco, J. K. (2015). Estudo sobre a contaminação de jaleco por Staphylococcus como subsidio para o conhecimento das infecções cruzadas. Revista da Universidade Vale do Rio Verde, 13(2), 152–161. http://dx.doi.org/10.5892/ruvrd.v13i1.2191
Banu, A., Anand, M., & Nagi, N. (2012). White coats as a vehicle for bacterial dissemination. Journal of Clinical and Diagnostic Research, 6(8), 1381–1384. https://doi.org/10.7860/JCDR/2012/4286.2364
Berktold, M., Mayr, A., Obwegeser, A., Lass-Flörl, C., Kreidl, P., & Orth-Höller, D. (2018). Long-sleeved medical workers’ coats and their microbiota. American Journal of Infection Control, 46(12), 1408–1410. https://doi.org/10.1016/j.ajic.2018.04.230
Brasil (2009). Agência Nacional de Vigilância Sanitária. Processamento de roupas em serviços de saúde: prevenção e controle de riscos. Brasília: Anvisa. http://www.anvisa.gov.br/servicosaude/manuais/processamento_roupas.pdf
Cataño, J. C., Echeverri, L. M., & Szela, C. (2012). Bacterial Contamination of Clothes and Environmental Items in a Third-Level Hospital in Colombia. Interdisciplinary Perspectives on Infectious Diseases, 2012, 1–5. https://doi.org/10.1155/2012/507640
Chiereghin, A., Felici, S., Gibertoni, D., Foschi, C., Turello, G., Piccirilli, G., Gabrielli, L., Clerici, P., Landini, M. P., & Lazzarotto, T. (2020). Microbial Contamination of Medical Staff Clothing During Patient Care Activities: Performance of Decontamination of Domestic Versus Industrial Laundering Procedures. Current Microbiology, 1–8. https://doi.org/10.1007/s00284-020-01919-2
Ercole, F. F., Melo, L. S. de, & Alcoforado, C. L. G. C. (2014). Integrative review versus systematic review. Reme: Revista Mineira de Enfermagem, 18(1), 9–11. https://doi.org/10.5935/1415-2762.20140001
Espiríto Santo (2019). Secretaria de Saúde. Laboratório Central de Saúde Pública (LACEN) do Espírito Santo. Manual de Biossegurança. Espírito Santo: Secretaria de Saúde. https://saude.es.gov.br/Media/sesa/LACEN/MAN.NQ01.003%20-%20REV%2003%20-%20MANUAL%20DE%20BIOSSEGURANCA%20.pdf
Fontana, R. T. (2006). As infecções hospitalares e a evolução histórica das infecções. Revista Brasileira de Enfermagem, 59(5), 703–706. https://doi.org/10.1590/S0034-71672006000500021
Goyal, S., Khot, S. C., Ramachandran, V., Shah, K. P., & Musher, D. M. (2019). Bacterial contamination of medical providers’ white coats and surgical scrubs: A systematic review. American Journal of Infection Control, 47(8), 994–1001. https://doi.org/10.1016/j.ajic.2019.01.012
Gupta, P., Bairagi, N., Priyadarshini, R., Singh, A., Chauhan, D., & Gupta, D. (2017). Bacterial contamination of nurses’ white coats after first and second shift. American Journal of Infection Control, 45(1), 86–88. https://doi.org/10.1016/J.AJIC.2016.07.014
Haas, J. P., & Larson, E. L. (2007). Measurement of compliance with hand hygiene. In Journal of Hospital Infection (Vol. 66, Issue 1, pp. 6–14). J Hosp Infect. https://doi.org/10.1016/j.jhin.2006.11.013
Hochman, B., Nahas, F. X., Oliveira Filho, R. S. de, & Ferreira, L. M. (2005). Desenhos de pesquisa. Acta Cirurgica Brasileira, 20(suppl 2), 2–9. https://doi.org/10.1590/S0102-86502005000800002
Loveday, H. P., Wilson, J. A., Hoffman, P. N., & Pratt, R. J. (2007). Public perception and the social and microbiological significance of uniforms in the prevention and control of healthcare-associated infections: an evidence review. British Journal of Infection Control, 8(4), 10–21. https://doi.org/10.1177/1469044607082078
Malini, M., Bhargava, D., Girija, S., & Thomas, T. (2012). Microbiology of the white coat in a dental operatory. Indian Journal of Dental Research, 23(6), 841. https://doi.org/10.4103/0970-9290.111289
Margarido, C. A., Boas, T. M. V., Mota, V. S., Silva, C. K. M. da, & Poveda, V. de B. (2014). Microbial contamination of cuffs lab coats during health care. Revista Brasileira de Enfermagem, 67(1), 127–132. https://doi.org/10.5935/0034-7167.20140017
Mello, G. M. de, Ribeiro, T. A. V., Lima, D. C. de, & Almeida, A. C. P. de. (2016). Jaleco não está na moda. vista essa ideia! Universidade Federal de Ouro Preto. https://docplayer.com.br/150754015-Jaleco-nao-esta-na-moda-vista-essa-ideia.html
Mendes, K. D. S., Silveira, R. C. de C. P., & Galvão, C. M. (2008). Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto & Contexto - Enfermagem, 17(4), 758–764. https://doi.org/10.1590/s0104-07072008000400018
Modesto, E. N., & Ferreira, J. N. M. (2019). Carga microbiana presente em jalecos de profissionais de saúde. Revista Eletrônica Acervo Saúde, 11(6), e346. https://doi.org/10.25248/reas.e346.2019
Mwamungule, S., Chimana, H. M., Malama, S., Mainda, G., Kwenda, G., & Muma, J. B. (2015). Contamination of health care workers’ coats at the University Teaching Hospital in Lusaka, Zambia: the nosocomial risk. Journal of Occupational Medicine and Toxicology, 10(1), 1–6. https://doi.org/10.1186/s12995-015-0077-2
Neves, J. D. B., Vandesmet, V. C. S., Mendes, C. F. C., Júnior, D. L. de S., Santos, N. M., Cordeiro, P. M. D., & Leandro, L. M. G. (2016). Análise bacteriológica de jalecos de profissionais da saúde de uma clínica escola na cidade de juazeiro do norte, ceará. Revista Interfaces, 3(9), 50–54. https://doi.org/10.16891/2317-434X.535.ISSN
Oliveira, A. C. de, & Silva, M. das D. M. (2013). Caracterização epidemiológica dos microrganismos presentes em jalecos dos profissionais de saúde. Revista Eletrônica de Enfermagem, 15(1), 80–87. https://doi.org/10.5216/ree.v15i1.17207
Oliveira, A. C. De, & Silva, M. das D. M. (2015). Jalecos de trabalhadores de saúde: um potencial reservatório de microrganismos. Medicina (Ribeirão Preto. Online), 48(5), 440. https://doi.org/10.11606/issn.2176-7262.v48i5p440-448
Qaday, J., Sariko, M., Mwakyoma, A., Kifaro, E., Mosha, D., Tarimo, R., Nyombi, B., & Shao, E. (2015). Bacterial Contamination of Medical Doctors and Students White Coats at Kilimanjaro Christian Medical Centre, Moshi, Tanzania. International Journal of Bacteriology, 2015, 1–5. https://doi.org/10.1155/2015/507890
Rio de Janeiro (2019). Lei nº 8626 de 18 de novembro de 2019. Regulamenta a utilização de equipamentos e vestimentas de proteção individual pelos profissionais da área de saúde no estado do Rio de Janeiro e dá outras providências.
http://gov-rj.jusbrasil.com.br/legislacao/783072493/lei-8626-19-rio-de-janeiro-rj
Sales, W. B., Visentin, A., Caveião, C., Hey, A. P., Guimarães, L., Santos, R., & Baptistella, R. (2016). Quantitativo microbiano em jalecos de estudantes da área da saúde em instituição de ensino superior. J Health Sci Inst., 195–199. https://www.unip.br/presencial/comunicacao/publicacoes/ics/edicoes/2016/04_out-dez/V34_n4_2016_p195a199.pdf
Santos, T. W. dos. (2015). Proliferação de micro-organismos provenientes de área laboratorial em região acadêmica: uso incorreto do jaleco. Faculdades Integradas Promove de Brasília. http://nippromove.hospedagemdesites.ws/arquivos_up/documentos/2d4285c4e885012d4a992710ede85814.pdf
Savastano, C., de Oliveira Silva, E., Gonçalves, L. L., Nery, J. M., Silva, N. C., & Dias, A. L. T. (2016). Candida glabrata among candida spp. From environmental health practitioners of a Brazilian hospital. Brazilian Journal of Microbiology, 47(2), 367–372. https://doi.org/10.1016/j.bjm.2015.05.001
Scheidt, K. L. S., Ribeiro, R. L., Araújo, A. R. V. F. de, Chagas, G. M. S., Carneiro, M. S., Canuto, R., & Corbelli, C. C. O. (2015). Práticas de utilização e perfil de contaminação microbiológica de jalecos em escola médica. Medicina (Ribeirao Preto. Online), 48(5), 467. https://doi.org/10.11606/issn.2176-7262.v48i5p467-77
Silva, M. das D. M. (2011). Caracterização epidemiológica dos microrganismos presentes em jalecos dos profissionais de saúde de um hospital geral. Universidade Federal de Minas Gerais, 1(1), 1–102. http://www.enf.ufmg.br/pos/defesas/730M.PDF
Treakle, A. M., Thom, K. A., Furuno, J. P., Strauss, S. M., Harris, A. D., & Perencevich, E. N. (2009). Bacterial contamination of health care workers’ white coats. American Journal of Infection Control, 37(2), 101–105. https://doi.org/10.1016/j.ajic.2008.03.009
Uneke, C., & Ijeoma, P. (2010). The Potential for Nosocomial Infection Transmission by White Coats Used by Physicians in Nigeria: Implications for Improved Patient-Safety Initiatives. World Health & Population, 11(3), 44–54. https://doi.org/10.12927/whp.2010.21664
Valadares, B. D. S., Barbosa, R. M., Teixeira, R. A. V., Oliveira, R. A. De, & Tomich, G. M. (2017). Contaminação de Uniformes Privativos Utilizados por Profissionais que Atuam nas Unidades de Terapia Intensiva. Revista de Epidemiologia e Controle de Infecção, 7(1), 6–11. https://doi.org/10.17058/reci.v7i1.7380
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Copyright (c) 2020 Wybson Fontinele Lima ; Andressa Aparecida da Silva Mesquita; Gabriel Mauriz de Moura Rocha; Mauro Gustavo Amaral Brito; Mônica do Amaral Silva; Guilherme Antônio Lopes de Oliveira
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