Banca de DEFESA: ALANY CARLA DE SOUSA PAIVA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : ALANY CARLA DE SOUSA PAIVA
DATE: 18/06/2021
TIME: 09:00
LOCAL: https://meet.google.com/ovj-svgr-btp
TITLE:

Control measures for Mycobacterium tuberculosis infection in the hospital service.

KEY WORDS:

Tuberculosis; Infection Contro; Hospitals.

PAGES: 32
BIG AREA: Ciências da Saúde
AREA: Enfermagem
SUMMARY:

        The Ministry of Health, through the Manual of Recommendations for the Control of Tuberculosis in Brazil, warns that control measures be taken to interrupt the chain of transmission of the disease. The objective of this work is to evaluate the positive and negative factors of the implementation of administrative control measures, engineering and individual protection in the control of Mycobacterium tuberculosis in the hospital service, presenting an action plan to minimize the challenges of these measures. It is an integrative review of the literature with a summary of the studies published in the years between 2016 and 2020. Articles available in their entirety for free access in English, Spanish, Portuguese and French were included. Editorials, letters to the editor, review studies, theses, dissertations, duplicate articles and studies that did not correspond to the relevant topic for the purpose of the review were excluded. A research protocol was constructed and the guiding question was elaborated based on the PICO strategy. The search for the studies was carried out in February 2021, on the basis of the US National Library of Medicine, ScienceDirect, Cumulative Index to Nursing and Allied Health Literature and Literatura Latino-Americana e do Caribe em Ciências da Saúde. The research strategy was given by crossing the descriptors "Tuberculosis", "Infection Control" and "Hospitals". For the information analysis, a Microsoft Excel spreadsheet was used, which allowed the compilation and further categorization of the data. The synthesis of the information also allowed the construction of the SWOT matrix with the identification of positive (strengths and opportunities), negative (weaknesses and threats), internal and external factors related to the tuberculosis infection control measures and the strategic planning of actions identified as negative. By preparing the 5W2H matrix, in order to minimize the weaknesses and threats to the tuberculosis infection control process in the hospital service. Of the 22 studies selected in the sample, (63.6%) were included in the US National Library of Medicine (50%) published in 2019, (95.46%) were in English. There was a prevalence in the use of the quantitative approach in (95.46%) of the articles and a predominance of the investigations carried out in the regions of Asia (40.91%) and Africa (36.37%). Regarding the objective and method of the studies, (45.4%) of the studies use the infinite verb "evaluate" in the objective, but they do not use any methodological evaluation tool or methodological framework that defines the study design as evaluative. The data analysis allowed to identify the tuberculosis infection control measures carried out in the hospital service, being (90.9%) administrative measures, (63.6%) environmental measures and finally (54.4%) measures of individual protection. These results were separated by strengths, opportunities, weaknesses, and threats. This data was organized this way, because it was what the SWOT matrix setup required. What later allowed the construction of the 5W2H matrix focused on the negative points (weaknesses and threats) that the studies bring. The measures categorized as internal force were an infection control plan, isolation criteria of the suspected or confirmed case of Tuberculosis, Tuberculosis Infection Control Committee, bacteriological diagnosis, disinfection of potentially contaminated areas, reduction of the patient's stay in the service, promotion of education / training of personnel, education in cough etiquette and respiratory hygiene, screening / identification of tuberculosis cases, screening of the professional tuberculosis team, screening of suspected or confirmed tuberculosis cases, notification of tuberculosis cases , provision of treatment, diagnostic imaging, indication of air isolation, professional responsible for tuberculosis infection control, prioritization of tuberculosis control, hospital discharge after negative result, periodic monitoring of infection control actions, waiting room for tuberculosis cases s Respiratory intomas, sputum collection area and independent entrance for professionals in risk areas with a high tuberculosis burden, existence of ultraviolet lighting in the environment, presence of airborne isolation room, opening of doors and windows, existence of air filter in the rooms, exclusive room for tuberculosis cases and bacteriological analysis laboratory. Regarding external opportunities, the policy / guideline / regulation for the control of tuberculosis infection and communication with sectors / departments external to the service were identified. Regarding internal weaknesses, it was observed under follow-up of mechanical ventilation, lack of training, delay in the start of treatment, low adherence to the use of the N95 mask, limitation in the supply of N95, insufficient number of isolation rooms, delay in patient isolation, isolation in the wrong place, low tuberculosis detection rate, inadequate facilities, incorrect precautionary signs in environments, late diagnosis, under-registration of tuberculosis cases, lack of a professional responsible for tuberculosis infection control Regarding external threats, we find the limitation of financial resources. It was concluded that the construction of the SWOT matrix allowed the organization of the control measures found in the studies, so that they were distributed in positive and negative factors, since these data were presented in the selected investigations. Thus, it was possible to observe which aspects required a strategic action to minimize the weaknesses and threats to the tuberculosis infection control process. From this moment, with the construction of the 5W2H planning matrix, it was possible to outline an action plan, which emphasizes the importance of strengthening these control measures and highlights the need to evaluate the implementation of measures to control Tuberculosis thus contributing towards decision making.

BANKING MEMBERS:
Presidente - 1995800 - ERIKA SIMONE GALVAO PINTO
Externa ao Programa - 4177365 - JULIANA TEIXEIRA JALES MENESCAL PINTO
Interna - 3168491 - NILBA LIMA DE SOUZA
Externa à Instituição - WESLLA KARLA ALBUQUERQUE SILVA DE PAULA - UFPE