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  • Open Access

P265: Structure for prevention of healthcare-associated infection in Brazilian Hospitals

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Antimicrobial Resistance and Infection Control20132 (Suppl 1) :P265

  • Published:


  • Hand Hygiene
  • Microbiology Laboratory
  • Effective Prevention
  • Huge Variation
  • Process Issue


Minimal structure is required for an effective prevention of Healthcare-Associated Infection (HAI).


Countrywide evaluation of structure for HAI prevention in a sample of hospitals from Brazil.


Hospitals from five Brazilian regions were evaluated (n=91; total of 8,853 beds). A team of trained nurses carried out the evaluation, focusing on structure and process issues for HAI prevention and control (HAI-PCC). Teaching hospitals were used as reference for comparisons.


The majority of components of HAI-PCC in reference hospitals were identified with conformity indexes (CI) above 80%; other hospitals have achieved CI below 70% in most situations. The component of HAI surveillance showed the worst CI in non-reference hospitals (below 65.7%). The worst ratio of beds/sinks was found in hospital with >200 beds (4.5, p<0.0001). Regarding alcoholic products, the worst ratio beds/dispensers was found in non reference hospitals with > 200 beds (4.2; p<0.001) or with <50 beds (4.0; p <0.001) compared to reference hospitals (2.8). The overall CI for handwashing structure was 51.7% and for hand hygiene with alcohol was 81.2%; better CI occurred in reference hospitals (65.2% and 83.1%, respectively). The CI for sterilization services showed huge variation from 0 to 100%, and was better for reference hospitals. Those hospitals were also more likely to have their own microbiology laboratories.


These data point out to problems with structure for infection control in non-teaching hospitals in Brazil.


Authors’ Affiliations

Escola de Enfermagem, USP - Universidade de São Paulo, São Paulo, Brazil
Tropical Diseases, Faculdade de Medicina de Botucatu - UNESP - Univ Estadual Paulista, Botucatu, Brazil
Laboratório Especial de Microbiologia Clínica, UNIFESP - Universidade Federal de São Paulo, São Paulo, Brazil
UFRGS - Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
UFPA - Universidade Federal do Pará, Belém, Brazil
UFC - Universidade Federal do Ceará, Fortaleza, Brazil
UFPB - Universidade Federal da Paraíba, João Pessoa, Brazil
IMIP - Pernambuco, Recife, Brazil
FIOCRUZ - Rio de Janeiro, Rio de Janeiro, Brazil
UFGO - Universidade Federal de Goiás, Goiânia, Brazil
UFU - Universidade Federal de Uberlândia, Uberlândia, Brazil
UNIFESP - Universidade Federal de São Paulo, São Paulo, Brazil


© Padoveze et al; licensee BioMed Central Ltd. 2013

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.