Assessment of healthcare-associated infection control programs: a critical perspective of ANVISA's RDC Nº 48/2000

Authors

  • Charlise Fortunato Pedroso Instituto Federal de Educação, Ciência e Tecnologia de Goiás (IFG), Goiânia, Goiás, Brasil. E-mail: charlise.pedroso@ifg.edu.br.
  • Rafael Alves Guimarães Universidade Federal de Goiás (UFG), Goiânia, Goiás, Brasil. E-mail: rafaelalves@ufg.br. https://orcid.org/0000-0001-5171-7958
  • Karla de Aleluia Batista Instituto Federal de Educação, Ciência e Tecnologia de Goiás (IFG), Goiânia, Goiás, Brasil. E-mail: karla.batista@ifg.edu.br. https://orcid.org/0000-0003-4396-032X
  • Paula Regina de Souza Hermann Universidade de Brasília (UnB), Ceilândia Sul, Distrito Federal, Brasil. E-mail: paularegina@unb.br.
  • Lyriane Apolinário de Araújo Instituto Federal de Educação, Ciência e Tecnologia de Goiás (IFG), Goiânia, Goiás, Brasil. E-mail: lyriane.araujo@ifg.edu.br. https://orcid.org/0000-0002-9134-0259
  • Ingrid Aline de Jesus Gonçalves Instituto Federal de Educação, Ciência e Tecnologia de Goiás (IFG), Goiânia, Goiás, Brasil. E-mail: ingrid.gonçalves@ifg.edu.br.
  • Thaís Augusto Marinho Instituto Federal de Educação, Ciência e Tecnologia de Goiás (IFG), Goiânia, Goiás, Brasil. E-mail: thais.marinho@ifg.edu.br. https://orcid.org/0000-0002-7463-3957
  • Hélio de Souza Júnior Instituto Federal de Educação, Ciência e Tecnologia de Goiás (IFG), Águas Lindas, Goiás, Brasil. E-mail: helio.junior@ifg.edu.br. https://orcid.org/0000-0003-2455-6735
  • Jeane Kelly Silva de Carvalho Instituto Federal de Educação, Ciência e Tecnologia de Goiás (IFG), Águas Lindas, Goiás, Brasil. E-mail: jeane.carvalho@ifg.edu.br. https://orcid.org/0000-0003-3498-0927
  • Geraldo Andrade de Oliveira Instituto Federal de Educação, Ciência e Tecnologia de Goiás (IFG), Valparaíso, Goiás, Brasil. E-mail: geraldo.oliveira@ifg.edu.br. https://orcid.org/0000-0001-8040-5582
  • Raquel Silva Pinheiro Instituto Federal de Educação, Ciência e Tecnologia de Goiás (IFG), Goiânia, Goiás, Brasil. E-mail: raquel.pinheiro@ifg.edu.br. https://orcid.org/0000-0002-4581-584X

DOI:

https://doi.org/10.5216/ree.v25.74024

Keywords:

Hospital Infection Control Program, Cross Infection, Epidemiological Monitoring, Quality of Health Care

Abstract

Objective: to critically evaluate Healthcare-Associated Infection Control Programs (HAICP) in medium to extra-large hospitals, as to compliance with national health criteria. Methods: cross-sectional study conducted in 18 hospitals with Healthcare-Associated Infection Control Committees (HAICC) in the states of Goiás and São Paulo, Brazil. Data were collected using online form based on the evaluation items from Directors' Collegiate Resolution (RDC) Nº 48/2000 – ANVISA. For statistical analysis, frequency, and distribution of variables (mean; standard deviation - SD) were examined. Results: HAICC met 100% of the indispensable items, 93.0% (SD = 5.8) of the required, and 64.8% (SD = 32.5) of the recommended. Healthcare-Associated Infection Control Services complied with 90.2% (SD = 16.1) of the necessary items, and 77.8% (SD = 19.2) of those recommended. Conclusion: indispensable items were met, but the necessary and recommended ones present different degrees of noncompliance, which may compromise the prevention and control of healthcare-associated infections. The application of a script based on the RDC Nº 48/2000 contributes to identify the reality of the hospitals' HAICP, however, this normative does not establish a minimum percentage of compliance, making it difficult to interpret the results. It is necessary to update it in order to provide tools to surveillance agencies.

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Published

2023-05-24

Issue

Vol. 25 (2023)

Section

Original Article

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