Infecção Hospitalar

Basic knowledge of occupational health

Teaching methodologies will be based on theoretical-practical explanation through oral exposition with the support of audiovisual media and use of interactive audiovisual media, discussion of case studies and research work.

Eventualy, technical study visits will be carried out, in a real work context, with the prior realization of work tools, to support the studies of assisted observation in locus, with the completion of technical observation reports

The student must acquire knowledge of:
Risk management systems in health facilities
patient safety
Safety and health of workers a health units
Healthcare-associated infections
IACS National Prevention and Control Program
The student must acquire skills to:
Recognize and assess situations of hazards and risk in health facilities
Recognize critical points in patient safety
Recognize situations that potentiate hospital infections
Recognize the organizational structure of an (active) IACS epidemiological surveillance system;
– Recognize the responsibility of the various actors in the prevention and control of Infections Associated with Health Care;

The student must acquire skills to:
Assess and intervene in patient and worker safety in hospital units
Assess potential risk situations and act to minimize impacts
Integrate intervention teams
Collaborate in the implementation of standard precautionary measures, isolation measures and occupational biosafety measures for the prevention and control of healthcare-associated infection.

QUALITY AND PATIENT SAFETY
Non-clinical risk management
Patient safety in primary health care
Economic consequences of errors and adverse events
Accreditation and patient safety
Patient safety culture
Patient safety indicators
Communication between healthcare professionals and patient safety

INFECTIONS ASSOCIATED WITH HEALTHCARE
Historical framework of the IACS
IACS National Prevention and Control Program – Action strategies
Epidemiological surveillance – General principles, Areas of intervention, Organization of the active surveillance system

CONTROL OF COLONIZATION AND IACS OUTBREAKS
general aspects
Preferential surveillance: more frequent infections; risk areas and patients; procedures
Rules relating to specific situations

IACS GENERAL PREVENTION AND CONTROL RULES
personal hygiene
environmental control

HYGIENIZATION / STERILIZATION
Cleaning, decontamination and disinfection of the physical and material environment
Recommendations on disinfectants
Sterilization methods

GENERAL HYGIENE MEASURES
Hospital waste circuit
hospital clothing circuit
power circuit

OCCUPATIONAL BIOSAFETY PRECAUTIONS
Accident at work with biological risk
Prevention of professional risks

NAO

Primary bibliography

BROOKS, Geo. F. ; BUTEL, Janet S. ; MORSE, Stephen A. – Jawetz, Melnick e Adelberg Microbiologia médica : um livro médico Lange. 22ª edição. Rio de Janeiro : McGraw-Hill, cop. 2001. [xvi], 653 p. ISBN 978-85-86804-37-3. CAVALLINI, Míriam Elias ; BISSON, Marcelo Polacow – Farmácia hospitalar : um enfoque em sistemas de saúde. 2ª edição. Barueri, SP : Manole, 2010. XXIV, 260 p. ISBN 978-85-204-2853-5. COMISIÓN NACIONAL DE LA ESPECIALIDAD FARMACIA HOSPITALARIA. Sociedad Española de Farmacia Hospitalaria – Manual del residente de farmacia hospitalaria. Madrid : IM&C, D.L. 1999. 917 p. Farmacia hospitalaria. 2ª ed. Madrid : EMI, S.A., D. L. 1993. 5 vol. ISBN 84-86917-53-0. FORD, Michael, ed. lit. – Medical microbiology. 1st ed. Oxford : Oxford University Press, cop. 2010. xvii, 365 p. ISBN 978-0-19-954963-4. GRAHAME-SMITH, D.G. ; ARONSON, J.K. – Tratado de farmacologia clínica e farmacoterapia. 3ª ed. Rio de Janeiro : Guanabara Koogan, cop. 2004. XX, 617 p. ISBN 85-277-0867-1. LEVINSON, Warren ; JAWETZ, Ernest – Microbiologia médica e imunologia. 7ª edição. Porto Alegre : Artmed, 2005. 632 p. ISBN 978-85-363-0078-8. ROITT, Ivan ; BROSTOFF, Jonathan ; MALE, David – Imunologia. Sexta edição. Barueri, SP : Manole, 2003. xii, 481 p. ISBN 978-85-204-1439-2. STROM, Brian L. ; KIMMEL, Stephen E., ed. lit. – Textbook of pharmacoepidemiology . [1ª ed.]. Chichester, West Sussex : John Wiley & Sons, cop. 2006. xiv, 498 p. ISBN 978-0-470-02925-1. WINN, Washington C. [et al.] – Koneman diagnóstico microbiologico : texto y atlas en color. 6ª ed. Buenos Aires ; Bogotá ; Caracas : Medica Panamericana, 2008. xxxii, 1475 p. ISBN 978-950- 06-0895-4. ZAMBRANO, David, ed. lit. – Clindamycin in the treatment of human infections. 2nd ed. Michigan : Pharmacia & Upjohn, cop. 1997. X, [404] p. ISBN 0-89501-082-8.

Secundary bibliography

ISHST. Exposição a Agentes Biológicos. 2003. LEWIS, J.. Controlo de Infecção na Prática Clínica, ed. Lusociência. 2003.
LIMA, M. Condutas em Controle de Infecção Hospitalar. Iátria. 2007.
MARTINS, M. Manual de Infecção Hospitalar, Epidemiologia, Prevenção e Controle, 2ª edição. ed. MEDSI Editora Médica e Científica Ltda, Rio de Janeiro. 2001.
HIRATA, M. Manual de Biossegurança, ed. Manole. 2002. TAVARES, A. et al..
Manual de Controle de Infecção, Comissão de Controle de Infecção do Hospital Pedro Hispano, S.A. 2003
Neto, Gonzalo Vecina – Curso Básico de Controlo de Infecção Hospitalar, Cadernos C: Métodos de Protecção Anti-infecciosa, Agência Nacional de Vigilância Sanitária, 2000
Fernandes AT (ed). Infecção Hospitalar e suas Interfaces na Área da Saúde. São Paulo, 2001p. Atheneu, 2000.
Hall CB. Nosocomial respiratory syncitial virus infections: the “Cold War” has not ended. Clinical Infectious Diseases 2000; 3(2): 590-596
Trick WE, Weinstein RA, et al Colonization of skilled-care facility residents with antimicrobial-resistant pathogens, Journal American Geriatric Society 2001; 49(3): 270-276
Chang VT, Nelson K. The role of physical proximity in nosocomial diarrhoea. Clinical Infectious Diseases 2000; 31(3): 717-722
Byers KE, Anglim AM et al. A hospital epidemic of vancomycin-resistant Enterococcus: risk factors and control. Infection Control and Hospital Epidemiology 2001; 22(3): 140-147
CDC. Guidelines for Preventing Health-Care-Associated Pneumonia, 2003. Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee. MMWR Recomm Rep 2004;53(RR-3):1-40.