Study of an outbreak of Healthcare Associated Infection in a Hemodialysis Service
Keywords:
CATHETER-RELATED INFECTIONS, HEMODIALYSIS, CATHETERS, BACTEREMIA.Abstract
Introduction: healthcare-associated infections are experiencing a remarkable increase related to the increase of medical services and their complexity, raising the burden of morbidity and mortality and the cost of hospital services.
Objective: to identify the factors related to the outbreak of healthcare-associated infection reported in the hemodialysis service of the Hospital General Docente Comandante Pinares in January 2024.
Methods: descriptive cross-sectional study in patients and health personnel of the hemodialysis service. The universe consisted of 54 patients undergoing renal replacement therapy, of which 14 infected patients and 39 workers associated with the service were taken as a sample.
Results: the distribution of infected patients by shifts and cubicles was significant. The total coverage of health personnel in the service only covered 54,9 % of the approved staff. There was a lack of material resources to carry out the sanitization processes. Only 66,9 % of the hand washing processes were evaluated as good. 81,8 % of the water samples analyzed were found to be inappropriate. The epidemiological study of hands showed 14,2 % of positivity.
Conclusions: there was overcrowding and disorganization in the flow chart of patient care in the service. Existence of low health personnel coverage and inexperience in the care of these patients. Non-compliance with sanitary norms and procedures. Poor quality of hand washing and contamination of the water that supplies the institution.
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