Abstract

ANALYSIS OF HANDS ASEPSIS AND ANTISEPSIS BY ANESTHESIOLOGISTS

Larissa Coêlho and Luiz Eduardo Imbelloni*

ABSTRACT

Ackground and Objectives: Anesthesiologists perform invasive procedures, which require adequate hand hygiene. This research aims to analyze hands asepsis and antisepsis by anesthesiologists, type of technique most used, correlate hygiene habit and moments in which it is performed, evaluate the use of sterile / procedure gloves at each moment. Method: A cross-sectional study was carried out by a questionnaire formulated for this research, electronically sent by SBA to 11,741 members, after approval by the ethics committee. The data were analyzed by SPSS 20.0, the numerical variables by t student test and the categorical variables by the chi-square test. Results: 471 anesthesiologists answered, accounting for 4.01%. Water and soap was the technique used by 36.31% of the interviewees. Among the moments: 66.66% performed hand hygiene upon reaching work, 38% before touching the patient and 45.43% after coughing / sneezing. In the exposure to body fluids, 97.23% proceed with hygiene. 89.8% of the interviewees proceeded to hygiene before neuraxial blockade. In intubation, 68.15% of the interviewees always use procedure gloves and 78.34% always use in extubation. Sterile gloves are always used by 98.51% of professionals in neuraxial blockades; by 98.09% in central venous access puncture and by 57.32% for invasive blood pressure puncture. In peripheral blocks, 57.33% of anesthesiologists always use sterile gloves. Conclusions: Anesthesiologists have good adherence to hand hygiene, but still aiming for self-protection rather than reducing hospital infection levels. There is preference for water and soap in hygiene and some do not use suitable gloves for each procedure.

Keywords: hand hygiene; anesthesiologists; asepsis and antisepsis; infection.