Avaliação da implementação dos Programas de Controle de Infecções Relacionadas à Assistência à Saúde nos hospitais da região da 4ª Coordenadoria de Saúde

Abstract

Objective: to evaluate the implementation of Healthcare-Associated Infection Control Programs (PCIRAS). Methodology: exploratory descriptive evaluation study, carried out using data from Infection Control Services Related to Healthcare of hospitals inspected by the health surveillance of the 4th Regional Health Coordination, in the State of Rio Grande do Sul, Brazil, to obtain the renewal of the annual health license. Results: in total, there were 24 (85.7%) hospitals that participated in the research, all of them have general care, 75% are small, 16.7% are medium-sized, 4.2% are large and 4.2% are extra size. As for the supporting entity, 25% are public, 12.5% private and 62.5% are mixed. Compliance results ranged from 66.66% to 32.5%. Better results were evidenced in the technical-operational structure (PCET) and operational guidelines for the prevention and control of HAIs (PCDO), with compliance averages of 66.66% and 63.53%, respectively. Other indicators relating to the HAI epidemiological surveillance system (PCVE) and HAI control and prevention activities (PCCP) showed lower results, with respective compliance averages of 38.33% and 32.5%. Conclusion: the indices of the studied region in general lack attention and resolute proposals. However, PCVE and PCCP are alert. It is noteworthy that hospitals need to determine continuous actions that evaluate the applicability and effectiveness of programs. This implies the visibility that these programs will have to determine strategies that impact the quality of care and patient safety. This approach will enable improvements in care practice.