The practice of disinfection of finger oximeters performed by nursing professionals

Authors

DOI:

https://doi.org/10.15253/2175-6783.20212261222

Keywords:

Nursing; Disinfection; Drug Resistance, Bacterial; Equipment Contamination; Nurse Practitioners.

Abstract

Objective: to analyze the practice of disinfection of finger oximeters by nursing professionals. Methods: a quantitative, descriptive, and cross-sectional study with nine professionals in a hospital clinical unit. Eighteen swab samples were collected, internally and externally from each equipment, isolating 51 bacterial colonies for antimicrobial susceptibility testing. Results: the professionals were not trained to disinfect the equipment. Eight carried the oximeters in their lab coats, and one carried them on a tray. They rarely disinfected the inside of the device fearing the 70% ethyl alcohol would damage the sensor. In 17 samples, different bacterial genera grew. 17.7% were multidrug-resistant to antimicrobials. Conclusion: it was observed that Nursing professionals don’t disinfect finger oximeters correctly. The use of 70% isopropyl alcohol is recommended to disinfect the sensors, since it doesn’t damage the equipment, and 70% ethyl alcohol to sanitize the patients’ fingers before and after the tests.

References

Basak S, Singh P, Rajurkar M. Multidrug. Resistant and extensively drug resistant bacteria: a study. J Pathog. 2016; (2016):4065603. doi: https://doi.org/10.1155/2016/4065603

Dalton KR, Rock C, Carroll KC. One Health in hospitals: how understanding the dynamics of people, animals, and the hospital built-environment can be used to better inform interventions for antimicrobial-resistant gram-positive infections. Antimicrob Resist Infect Control. 2020; 9:78. doi: https://doi.org/10.1186/s13756-020-00737-2

Cinadatha C, Villamaria FC, Coppin ID, Dale CR, Williams MD, Whitworth R, et al. Interaction of healthcare worker hands and portable medical equipment: a sequence analysis to show potential transmission opportunities. BMC Infect Dis. 2017; 17(1):800. doi: https://doi.org/10.1186/s12879-017-2895-6

Landelle C, Pittet D. Definition, epidemiology, and general management of nosocomial infection. Oxford Med Online. 2016. doi: https://doi.org/10.1093/med/9780199600830.003.0283

Rutala WA, Weber DA. Disinfection and sterilisation in healthcare facilities: an overview and current issues. Infect Dis Clin North Am. 2016; 30(3):609-37. doi: https://doi.org/10.1016/j. Idc.2016.04.002

Desai F, Scribante J, Perrie H, Fourtounas M. Contamination of pulse oximeter probes before and after decontamination in two intensive care units. Southern Afr J Crit Care. 2019; 35(2):43-7. doi: https://doi.org/10.7196/SAJCC.2019.v35i2.394

Nandy P, Lucas AD, Gonzalez EA, Hitchins VM. Efficacy of commercially available wipes for disinfection of pulse oximeter sensors. Am J Infect Control. 2016; 44(3):304-10. doi: https://doi.org/10.1016/j.ajic.2015.09.028

Agência Nacional de Vigilância Sanitária (BR). Nota técnica nº 47/2020/SEI/COSAN/GHCOS/DIRE3/ANVISA [Internet]. 2020 [cited Jan 5, 2021]. Available from: http://www.gov.br/anvisa/pt-br/arquivos-noticias-anvisa/552json-file-1

Center for Disease Control. Best practices for environmental cleaning in healthcare facilities in resource-limited settings [Internet]. 2019 [cited Jan 5, 2021]. Available from: https://www.cdc.gov/hai/pdfs/resource-limited/environmental-cleaning-508.pdf

Center for Disease Control. Chemical disinfectants: guideline for disinfection and sterilization in healthcare facilities [Internet]. 2019 [cited Jan 5, 2021]. Available from: https://www.cdc.gov/infectioncontrol/guidelines/disinfection/disinfection-methods/chemical.html

Siman AG, Brito MJ. Changes in nursing practice to improve patient safety. Rev Gaúcha Enferm. 2016; 37(spe):e68271. doi: https://doi.org/10.1590/1983-1447.2016.esp.68271

Nagy E, Boyanova L, Justesen US, ESCMID Study Group of Anaerobic Infections. How to isolate, identify and determine antimicrobial susceptibility of anaerobic bacteria in routine laboratories. Clin Microbiol Infect. 2018; 24(11):1139-48. doi: https://doi.org/10.1016/j.cmi.2018.02.008

Clinical and Laboratory Standards Institute. Performance standards for antimicrobial susceptibility testing [Internet]. 2018 [cited Jan 5, 2021]. Available from: http://file.qums.ac.ir/repository/mmrc/CLSI-2018-M100-S28.pdf

G-Tech. Oxímetro de pulso [Internet]. 2020 [cited Jan 5, 2021]. Available from: https://accumed.com.br/wp-content/uploads/2018/08/IM_OXIOLCM_REV01_280617_.pdf

Bäumler AJ, Sperandio V. Interactions between the microbiota and pathogenic bacteria in the gut. Nature. 2016; 535:85-93. doi: https://doi.org/10.1038/nature18849

Published

2021-04-19

How to Cite

Korb, A., & Silveira, A. de M. (2021). The practice of disinfection of finger oximeters performed by nursing professionals. Rev Rene, 22, e61222. https://doi.org/10.15253/2175-6783.20212261222

Issue

Section

Research Article