Métodos de avaliação da limpeza e desinfecção de superfícies em unidade de terapia intensiva pediátrica

Flávia Silva Moreira; Mariana Anjos Mota; Luan Aparecido Alexandre Elias; Viviane Perbeline Gonçalves; Daniel de Macedo Rocha; Alvaro Francisco Lopes de Sousa; Aires Garcia dos Santos Junior

doi:10.36517/2175-6783.20252696009

Autores/as

Flávia Silva Moreira Universidade Federal de Mato Grosso do Sul https://orcid.org/0009-0009-1553-7568
Mariana Anjos Mota Universidade Federal de Mato Grosso do Sul https://orcid.org/0009-0003-4153-9686
Luan Aparecido Alexandre Elias Universidade Federal de Mato Grosso do Sul https://orcid.org/0009-0004-7386-6873
Viviane Perbeline Gonçalves Universidade Federal de Mato Grosso do Sul https://orcid.org/0000-0002-3245-175X
Daniel de Macedo Rocha Universidade Federal de Mato Grosso do Sul https://orcid.org/0000-0003-1709-2143
Alvaro Francisco Lopes de Sousa Universidade Federal de Mato Grosso do Sul https://orcid.org/0000-0003-2710-2122
Aires Garcia dos Santos Junior Universidade Federal de Mato Grosso do Sul https://orcid.org/0000-0002-5946-0197

DOI:

https://doi.org/10.36517/2175-6783.20252696009

Palabras clave:

Intensive Care Units

Resumen

Objetivo: analisar a correlação entre métodos de avaliação da limpeza e desinfecção de superfícies em unidade de terapia intensiva pediátrica. Métodos: estudo quase-experimental de grupo único, trifásico, realizado em unidade pública. Avaliaram-se a eficácia da higienização de 120 superfícies, realizando 960 medições antes e depois do processo, utilizando a quantificação de trifosfato de adenosina, inspeção visual e contagem de colônias de bactérias aeróbias. Resultados: houve correlação positiva e significativa entre trifosfato de adenosina e unidades formadoras de colônias apenas na fase três, para a poltrona do acompanhante (coeficiente de Spearman = 0,74; valor de probabilidade = 0,038). Nas demais superfícies, nas três fases, não se observaram correlações significativas entre os dois métodos, antes ou depois da limpeza e desinfecção, indicando ausência de associação consistente na maior parte das situações. Conclusão: os métodos apresentam características próprias de sensibilidade e especificidade, não se substituem e são influenciados pela natureza da unidade, pelo tipo de superfície e pelos equipamentos e insumos empregados. Contribuições para a prática: combinar bioluminescência e fluorescência com inspeção visual pode fortalecer protocolos de prevenção de infecções, apoiar decisões gerenciais, qualificar auditorias e aprimorar a atuação de enfermagem na segurança do paciente em áreas críticas.

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