Hand hygiene adherence in intensive care units: comparison before and during the COVID-19 pandemic in a municipality of São Paulo state

ABSTRACT Objective: Compare alcohol-based hand sanitizer use in intensive care units in a municipality in São Paulo state, before and during the coronavirus pandemic. Methods: Analytical retrospective study using indirect documentation, with data obtained from a notification spreadsheet for epidem...

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Main Authors: Vanessa Aparecida Vilas-Boas, Pedro Antonio Teodoro de Moraes, Marcela Grispino Vieira Torres de Lolo, Edinêis de Brito Guirardello, Maria Isabel Pedreira de Freitas
Format: Article
Language:English
Published: Instituto Israelita de Ensino e Pesquisa Albert Einstein 2025-02-01
Series:Einstein (São Paulo)
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082025000100200&lng=en&tlng=en
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author Vanessa Aparecida Vilas-Boas
Pedro Antonio Teodoro de Moraes
Marcela Grispino Vieira Torres de Lolo
Edinêis de Brito Guirardello
Maria Isabel Pedreira de Freitas
author_facet Vanessa Aparecida Vilas-Boas
Pedro Antonio Teodoro de Moraes
Marcela Grispino Vieira Torres de Lolo
Edinêis de Brito Guirardello
Maria Isabel Pedreira de Freitas
author_sort Vanessa Aparecida Vilas-Boas
collection DOAJ
description ABSTRACT Objective: Compare alcohol-based hand sanitizer use in intensive care units in a municipality in São Paulo state, before and during the coronavirus pandemic. Methods: Analytical retrospective study using indirect documentation, with data obtained from a notification spreadsheet for epidemiological indicators of healthcare-associated infection in the state. Data on monthly alcohol-based sanitizer use were collected from the intensive care units of public and private general hospitals of the municipality. Analysis was conducted using descriptive statistics and graphically with run charts. The Mann-Whitney test was applied to compare the median consumption of public and private hospitals, at a 5% significance level. Results: Adult, neonatal and pediatric intensive care units showed median increases in hand sanitizer use of 34.03 to 57.64, 31.53 to 48.66 and 34.38 to 60.35mL/patient-day, respectively. Private hospitals showed greater hand sanitizer use in the adult and pediatric intensive care units compared to public institutions. Conclusion: The pandemic contributed to increasing hand sanitizer use in municipal intensive care units, but there is still room for improvement. More effort is needed to ensure that hand sanitizer use remains high.
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spelling doaj-art-ecbee292d9c6466cbcffc21ab8b3a56a2025-02-04T07:42:20ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)2317-63852025-02-012310.31744/einstein_journal/2025ao0951Hand hygiene adherence in intensive care units: comparison before and during the COVID-19 pandemic in a municipality of São Paulo stateVanessa Aparecida Vilas-Boashttps://orcid.org/0000-0002-1084-2290Pedro Antonio Teodoro de Moraeshttps://orcid.org/0000-0001-5354-064XMarcela Grispino Vieira Torres de Lolohttps://orcid.org/0000-0003-2726-5829Edinêis de Brito Guirardellohttps://orcid.org/0000-0003-0457-2850Maria Isabel Pedreira de Freitashttps://orcid.org/0000-0002-2162-3093ABSTRACT Objective: Compare alcohol-based hand sanitizer use in intensive care units in a municipality in São Paulo state, before and during the coronavirus pandemic. Methods: Analytical retrospective study using indirect documentation, with data obtained from a notification spreadsheet for epidemiological indicators of healthcare-associated infection in the state. Data on monthly alcohol-based sanitizer use were collected from the intensive care units of public and private general hospitals of the municipality. Analysis was conducted using descriptive statistics and graphically with run charts. The Mann-Whitney test was applied to compare the median consumption of public and private hospitals, at a 5% significance level. Results: Adult, neonatal and pediatric intensive care units showed median increases in hand sanitizer use of 34.03 to 57.64, 31.53 to 48.66 and 34.38 to 60.35mL/patient-day, respectively. Private hospitals showed greater hand sanitizer use in the adult and pediatric intensive care units compared to public institutions. Conclusion: The pandemic contributed to increasing hand sanitizer use in municipal intensive care units, but there is still room for improvement. More effort is needed to ensure that hand sanitizer use remains high.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082025000100200&lng=en&tlng=enHand hygieneHand sanitizersRisk reduction behaviorCOVID-19Coronavirus infectionsPandemicsIntensive care units
spellingShingle Vanessa Aparecida Vilas-Boas
Pedro Antonio Teodoro de Moraes
Marcela Grispino Vieira Torres de Lolo
Edinêis de Brito Guirardello
Maria Isabel Pedreira de Freitas
Hand hygiene adherence in intensive care units: comparison before and during the COVID-19 pandemic in a municipality of São Paulo state
Einstein (São Paulo)
Hand hygiene
Hand sanitizers
Risk reduction behavior
COVID-19
Coronavirus infections
Pandemics
Intensive care units
title Hand hygiene adherence in intensive care units: comparison before and during the COVID-19 pandemic in a municipality of São Paulo state
title_full Hand hygiene adherence in intensive care units: comparison before and during the COVID-19 pandemic in a municipality of São Paulo state
title_fullStr Hand hygiene adherence in intensive care units: comparison before and during the COVID-19 pandemic in a municipality of São Paulo state
title_full_unstemmed Hand hygiene adherence in intensive care units: comparison before and during the COVID-19 pandemic in a municipality of São Paulo state
title_short Hand hygiene adherence in intensive care units: comparison before and during the COVID-19 pandemic in a municipality of São Paulo state
title_sort hand hygiene adherence in intensive care units comparison before and during the covid 19 pandemic in a municipality of sao paulo state
topic Hand hygiene
Hand sanitizers
Risk reduction behavior
COVID-19
Coronavirus infections
Pandemics
Intensive care units
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082025000100200&lng=en&tlng=en
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