evidência de eficácia de cobertura de sapatos e sapatos privativos no controle e prevenção de infecção do sítio cirúrgico: revisão sistemática de literatura evidencias de control y prevención de infecciones del sitio quirúrgico con calzados de seguridad y zapatos exclusivos: revisión sistemática de literatura evidence of control and prevention of surgical site infection by shoe covers and private shoes: a systematic literature review
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Abstract
Este estudio de revisión sistemática de investigaciones básicas sobre calzados de seguridad y zapatos exclusivos buscó evidencias de su eficacia en el control de la contaminación e infección del sitio quirúrgico por microorganismos del ambiente procedentes del piso. Fueron identificadas 10 investigaciones básicas a partir de una búsqueda electrónica y de listas de referencias de artículos de relevancia, en el período de 1950 a 2003, que fueron analizadas de acuerdo con: el objetivo, el tipo de investigación, el diseño metodológico, los resultados, las conclusiones y los comentarios de los investigadores. Los resultados no sugieren evidencia directa de esta eficacia, aunque hay evidencias de que la capacidad de barrera y de transferencia de microorganismos de un área para otra del piso depende del tipo de calzados de seguridad, siendo menor con zapatos exclusivos y calzados de seguridad. El riesgo de contaminación ocupacional durante la remoción y la puesta de calzados de seguridad también es evidente. La decisión por la continuidad del uso de estos elementos necesita ser controlada técnica y administrativamente.
The study is about shoe cover and private shoe usage and aimed to find scientific evidence on their direct relation in the control of surgical site contamination and/or infection transmitted by floor microorganisms. A systematic review of basic research on shoe covers and private shoes usage was carried out, covering the period from 1950 to 2003, by means of a search in electronic sources, bibliographies of relevant studies and proceedings of scientific events. The analysis was supported by two researchers, both of whom were experienced in this theme and one of them in research methodology. The research methods revealed a diverse range and various problems. Only 4 studies obtained a dispersion of floor microorganisms to the air environment, although not significant, and none of them was directly related to surgical site contamination and/or infection. Results do not suggest direct evidence on their efficacy but there is evidence, nonetheless, that barrier and microorganisms transfer from one specific area to another depend on the type of shoe cover, with lower transfer rates when private shoes and shoe covers are employed. Occupational contamination risk during shoe cover attire and removal is also evident and the decision about continuity of their usage needs to be technically and administratively controlled.
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santos2005revistaevidncia
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| Authors | ;Alice Medeiros Lutz Santos;Rúbia Aparecida Lacerda;Kazuko Uchikawa Graziano |
| Journal | acta paediatrica (oslo, norway : 1992) |
| Year | 2005 |
| DOI |
10.1590/S0104-11692005000100014
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