Biofilme em smartphones de profissionais da saúde: padrão de uso e de descontaminação do aparelho
DOI:
https://doi.org/10.5216/ree.v24.71216Palavras-chave:
Smartphone, Pessoal de Saúde, Biofilmes, Contaminação de Equipamentos, Descontaminação, Controle de InfecçõesResumo
Objetivo: avaliar a presença de biofilme nas películas de smartphones de profissionais da saúde, investigar o padrão de uso e de descontaminação dos smartphones no ambiente de assistência à saúde em um hospital de médio porte. Métodos: estudo analítico e transversal, realizado com profissionais de saúde que possuíam smartphone. Foram realizadas entrevistas estruturadas e a presença de biofilme nas películas de vidro dos smartphones foi avaliada pela microscopia eletrônica de varredura. Resultados: todas as amostras de películas foram positivas para presença de biofilme, mesmo após descontaminação com álcool a 70%. Dos participantes, 96,4% utilizavam smartphone no ambiente de trabalho, a maioria utilizava o aparelho para fins pessoais e descontaminavam com álcool a 70% com frequência irregular. Conclusões: o smartphone pode servir como fômite, visto que biofilmes foram detectados na superfície das películas. Esses achados apontam para a necessidade de políticas de controle de infecção relacionadas ao uso dos smartphones.
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Referências
Flynn GAH, Polivka B, Behr JH. Smartphone Use by Nurses in Acute Care Settings. Comput Inform Nurs [Internet]. 2018 [cited 2022 Dec 19];36(3):120-6. Available from: https://doi.org/10.1097/CIN.0000000000000400
Franko OI, Tirrell TF. Smartphone app use among medical providers in ACGME training programs. J Med Syst [Internet]. 2012 [cited 2022 Dec 19];36(5):3135-9. Available from: https://doi.org/10.1007/s10916-011-9798-7
Kameda-Smith MM, Iorio-Morin C, Winkler-Schwartz A, Ahmed US, Bergeron D, Bigder M, et al. Smartphone Usage Patterns by Canadian Neurosurgery Residents: A National Cross-Sectional Survey. World Neurosurg [Internet]. 2018 [cited 2022 Dec 19];111:e465-70. Available from: https://doi.org/10.1016/j.wneu.2017.12.089
Abolfotouh MA, BaniMustafa A, Salam M, Al-Assiri M, Aldebasi B, Bushnak I. Use of smartphone and perception towards the usefulness and practicality of its medical applications among healthcare workers in Saudi Arabia. BMC Health Serv Res [Internet]. 2019 [cited 2022 Dec 19];19(1):826. Available from: https://doi.org/10.1186/s12913-019-4523-1
McBride DL, LeVasseur SA, Li D. Non-work-related use of personal mobile phones by hospital registered nurses. JMIR Mhealth Uhealth [Internet]. 2015 [cited 2022 Dec 19];3(1):e3. Available from: https://doi.org/10.2196/mhealth.4001
Simmonds R, Lee D, Hayhurst E. Mobile phones as fomites for potential pathogens in hospitals: microbiome analysis reveals hidden contaminants. J Hosp Infect [Internet]. 2020 [cited 2022 Dec 19];104(2):207-13. Available from: https://doi.org/10.1016/j.jhin.2019.09.010
Lambe KA, Lydon S, Madden C, Vellinga A, Hehir A, Walsh M, et al. Hand Hygiene Compliance in the ICU: A Systematic Review. Crit Care Med [Internet]. 2019 [cited 2022 Dec 19];47(9):1251-7. Available from: https://doi.org/10.1097/CCM.0000000000003868
Chang CH, Chen SY, Lu JJ, Chang CJ, Chang Y, Hsieh PH. Nasal colonization and bacterial contamination of mobile phones carried by medical staff in the operating room. PLoS One [Internet]. 2017 [cited 2022 Dec 19];12(5):e0175811. Available from: https://doi.org/10.1371/journal.pone.0175811
Kanayama AK, Takahashi H, Yoshizawa S, Tateda K, Kaneko A, Kobayashi I. Staphylococcus aureus surface contamination of mobile phones and presence of genetically identical strains on the hands of nursing personnel. Am J Infect Control [Internet]. 2017 [cited 2022 Dec 19];45(8):929-31. Available from: https://doi.org/10.1016/j.ajic.2017.02.011
Bhardwaj N, Khatri M, Bhardwaj SK, Sonne C, Deep A, Kim KH. A review on mobile phones as bacterial reservoirs in healthcare environments and potential device decontamination approaches. Environ Res [Internet]. 2020 [cited 2022 Dec 19];186:109569. Available from: https://doi.org/10.1016/j.envres.2020.109569
Lee YJ, Yoo CG, Lee CT, Chung HS, Kim YW, Han SK, et al. Contamination rates between smart cell phones and non-smart cell phones of healthcare workers. J Hosp Med [Internet]. 2013 [cited 2022 Dec 19];8(3):144-7. Available from: https://doi.org/10.1002/jhm.2011
Percival SL, Suleman L, Vuotto C, Donelli G. Healthcare-associated infections, medical devices and biofilms: risk, tolerance and control. J Med Microbiol. [Internet] 2015 [cited 2022 Dec 19];64(Pt 4):323-34. Available from: https://doi.org/10.1099/jmm.0.000032
Costa DM, Johani K, Melo DS, Lopes LKO, Lima LKOL, Tipple AFV, et al. Biofilm contamination of high-touched surfaces in intensive care units: epidemiology and potential impacts. Lett Appl Microbiol [Internet]. 2019 [cited 2022 Dec 19];68(4):269-76. Available from: https://doi.org/10.1111/lam.13127
Kirkby S, Biggs C. Cell Phones in the Neonatal Intensive Care Unit: How to Eliminate Unwanted Germs. Adv Neonatal Care [Internet]. 2016 [cited 2022 Dec 19];16(6):404-9. Available from: https://doi.org/10.1097/ANC.0000000000000328
Pucciarelli G, Simeone S, Virgolesi M, Madonna G, Proietti MG, Rocco G, et al. Nursing-Related Smartphone Activities in the Italian Nursing Population: A Descriptive Study. Comput Inform Nurs [Internet]. 2019 [cited 2022 Dec 19];37(1):29-38. Available from: https://doi.org/10.1097/CIN.0000000000000474
Alameddine M, Soueidan H, Makki M, Tamim H, Hitti E. The Use of Smart Devices by Care Providers in Emergency Departments: Cross-Sectional Survey Design. JMIR Mhealth Uhealth [Internet]. 2019 [cited 2022 Dec 19];7(6):e13614. Available from: https://doi.org/10.2196/13614
Goyal S, Khot SC, Ramachandran V, Shah KP, Musher DM. Bacterial contamination of medical providers' white coats and surgical scrubs: A systematic review. Am J Infect Control [Internet]. 2019 [cited 2022 Dec 19];47(8):994-1001. Available from: https://doi.org/10.1016/j.ajic.2019.01.012
Huffman S, Webb C, Spina SP. Investigation into the cleaning methods of smartphones and wearables from infectious contamination in a patient care environment (I-SWIPE). Am J Infect Control [Internet]. 2020 [cited 2022 Dec 19];48(5):545-9. Available from: https://doi.org/10.1016/j.ajic.2019.09.009
Costa DM, Lopes LKO, Hu H, Tipple AFV, Vickery K. Alcohol fixation of bacteria to surgical instruments increases cleaning difficulty and may contribute to sterilization inefficacy. Am J Infect Control [Internet]. 2017 [cited 2022 Dec 19];45(8):e81-6. Available from: https://doi.org/10.1016/j.ajic.2017.04.286
Parvin F, Hu H, Whiteley GS, Glasbey T, Vickery K. Difficulty in removing biofilm from dry surfaces. J Hosp Infect [Internet]. 2019 [cited 2022 Dec 19];103(4):465-7. Available from: https://doi.org/10.1016/j.jhin.2019.07.005
Hadi R, Vickery K, Deva A, Charlton T. Biofilm removal by medical device cleaners: comparison of two bioreactor detection assays. J Hosp Infect [Internet]. 2010 [cited 2022 Dec 19];74(2):160-7. Available from: https://doi.org/10.1016/j.jhin.2009.10.0231
Otter JA, Vickery K, Walker JT, deLancey Pulcini E, Stoodley P, Goldenberg SD, et al. Surface-attached cells, biofilms and biocide susceptibility: implications for hospital cleaning and disinfection. J Hosp Infect [Internet]. 2015 [cited 2022 Dec 19];89(1):16-27. Available from: https://doi.org/10.1016/j.jhin.2014.09.008
Galdino Júnior H, Lima BR, Santos SLV, Neves HCC, Tipple AFV. Adesão às precauções padrão durante a realização de curativos pela equipe de enfermagem. Revista Enfermagem Atual In Derme [Internet]. 2018 [cited 2022 Dec 19];84:45-58. Available from: https://doi.org/10.31011/reaid-2018-v.84-n.22-art.266
Chowdhury D, Tahir S, Legge M, Hu H, Prvan T, Johani K, et al. Transfer of dry surface biofilm in the healthcare environment: the role of healthcare workers' hands as vehicles. J Hosp Infect [Internet]. 2018 [cited 2022 Dec 19];100(3):e85-90. Available from: https://doi.org/10.1016/j.jhin.2018.06.021
Pittet D, Allegranzi B, Boyce J. The World Health Organization Guidelines on Hand Hygiene in Health Care and their consensus recommendations. Infect Control Hosp Epidemiol [Internet]. 2009 [cited 2022 Dec 19];30(7):611-22. Available from: https://doi.org/10.1086/600379
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