RECOMMENDATIONS FOR PREVENTION AND CONTROL OF INFECTION IN NON-INVASIVE VENTILATION IN HOSPITAL ENVIRONMENT
RECOMMENDATIONS

Palavras-chave

contamination; disinfection; infection; non-invasive ventilation (NIV), prevention; antibacterial filter

Como Citar

Méndez, L. ., Caneiras, C. ., Oliveira Reis, C. ., & Bernardes, V. . (2023). RECOMMENDATIONS FOR PREVENTION AND CONTROL OF INFECTION IN NON-INVASIVE VENTILATION IN HOSPITAL ENVIRONMENT. Health and Society, 3(05), 308–323. https://doi.org/10.51249/hs.v3i05.1682

Resumo

There are numerous studies and recommendations on the complications associated with invasive mechanical ventilation, but few on prevention and control of infection in non-invasive ventilation (NIV), especially at the hospital environment. Healthcare workers (HCW) should be alert to the potential risk of transmission of infection in NIV. The main goal of this manuscript is to establish and promote good practices in the prevention and control of infections associated with NIV, as well as the development of a document that can serve as a guideline for HCW. A review of the literature on cleaning and disinfection of devices in NIV was carried out between February 2019 and August 2020 and the technical specifications of NIV devices, published by the manufacturers, were also analyzed. NIV devices require a high level of disinfection using chemical disinfectants. It is necessary to clean and disinfect the surface of the ventilator daily, while the rest of the components should be cleaned and disinfected with a weekly frequency. It should avoid active humidification when possible, favoring passive humidification. Using a bacteriological filter is extremely important in a hospital environment and should be considered. In patients with COVID-19, it is also recommended to use non-ventilated interfaces and 2 filters, one bacteriological at the outlet of the ventilator and another preferably Heat and Moisture Exchanging Filter (HMEF) in the interface. The cleaning and disinfection instructions for NIV are based on recommendations for decontamination of semi-critical material and basic infection control precautions. This document provides an orientation guide of the main procedures to be implemented in the prevention and control of infection in NIV that must be adapted to each hospital.

https://doi.org/10.51249/hs.v3i05.1682
RECOMMENDATIONS

Referências

Ferreira, S., Nogueira, C., Conde, S., & Taveira, N. Ventilação Não Invasiva. Rev Port Pneum 2009, Vol 15(4), 655-667.

World Health Organization. Prevencion de las Infecciones Nosocomiales. Guia Practica. Aviable online: https://www.who.int/csr/resources/publications/ES_WHO_CDS_CSR_EPH_2002_12.pdf (accessed on 1 march 2019).

Rutala, W. A., Weber, D. J., & Committee, H. C. Guideline for Disinfection and Sterilization in Healthcare Facilities. Avaliable online: www.cdc.gov/infectioncontrol/guidelines/disinfection/ (accessed on 1 may 2019).

Rodriguez González-Moro, J. M., Andrade Vivero, G., Miguel Díez, j., López Martín, S., Sánchez, C., Izquierdo Alonso, J. L., & Lucas Ramosa, P. Bacterial Colonization and Home Mechanical Ventilation: Prevalence and Risk Factors. Arch de Bronconeumol 2004, Vol 40(9), 392-396. Doi:10.1016/S1579-2129(06)60341-8.

Singh, P., & Sterk, P. J. Non Invasive Ventilation and the Potencial Risk of Transmission of Infection. Eur Respir J 2008, Vol 32, 816. Doi:10.1183/09031936.00052208.

Toussaint, M., & Gregory, R. Recomendations for Hygiene of Masks and Circuits in Mechanically Home Ventilated Patients. Braz J of Infect Dis, 2010, vol 14(4), pag 380-384. Doi:10.1590/S1413-86702010000400013

Farre, R., Lloyd-Owen, S. J., N, A., Donaldson, G., Escarrabill, B., Faurouxl, D and Wedzicha, J. A. Quality Control of Equipment in Home Mechanical Ventilation: a European Survey. Eur Resir J, 2005, vol 26, 86-94. Doi:10.1183/09031936.05.00066904

Narciso, A., Gonçalves, L., Costa, A., Godinho, A., Fernandes, F., & Duarte, A. Ventilator touchscreen as source of ESBL-producing Klebsiella pneumoniae outbreak. International Conference on Prevention & Infection Control. Geneva – Switzerland, 2011. Avaliable online: http://www.biomedcentral.com/1753-6561/5/S6/O78 (accessed in 2 May 2019)

European Centre for Disease Prevention and Control. Core Competencies for Infection Control and Hospital Hygiene Professionals in the European Union. March 2013. Doi 10.2900/7778. Avaliable online: https://www.ecdc.europa.eu/en/publications-data/core-competencies-infection-control-and-hospital-hygiene-professionals-european (accessed on 20 April 2019).

Forum of International Respiratory Societies. The Global Impact of Respiratory Disease – Second Edition. Sheffield, European Respiratory Society, 2017, pp 13-33.

Rodriguez-Baño, J., Del Toro, M. D., J, L.-M., Mutters, N. T., & Pascual, A. (2015). Minimum Requirements in Infection Control. Clin Microbiol Infect, 2005, Vol 21, 1072-1076. http://dx.doi.org/10.1016/j.cmi.2015.08.025

Minimum requirements for infection prevention and control. Geneva: World Health Organization; 2019. Licence: CC BY-NC-SA 3.0 IGO. Avaliable online: https://apps.who.int/iris/bitstream/handle/10665/330080/9789241516945-eng.pdf / (accessed on 15 May 2019).

European Parliament and of the Council of the European Union. Biocidal Products Regulation. O J European Union, 2012, L 167/1-167/121, 528.

Jarillo Quijada, A. Humidificación y Filtrado de la Via Aerea Artificiall; V. L. Guzman, Ed; Mexico, 2015. Avaliable online: http://himfg.com.mx/descargas/documentos/planeacion/guiasclinicasHIM/Humidiffiltrado_vaartificial.pdf (accessed on 12 April 2019).

National Health Service .Guidance for the role and use of non-invasive respiratory support in adult patients with COVID19 (confirmed or suspected). NHS England and NHS Improvement(001559). England, 2020. Avaliable online: https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/specialty-guide-NIV-respiratory-support-and-coronavirus-v3.pdf (accessed on 2 June 2020).

Harari S. A.; Vitacca M.; Blasi F.; Centanni S.; Santus P. A.; Tarsia P. Managing the respiratory care of patients with COVID-19: Italian recommendations, March 2020. Avaliable online: http://www.aiponet.it/ (accessed on 15 June 2020).

European Center for Disease Prevention and Control. (March 2020). Disinfection of environments in healthcare and nonhealthcare settings potentially contaminated with SARS-CoV-2., March 2020. Avaliable online: https://www.ecdc.europa.eu/en/publications-data/disinfection-environments-covid-19 (accessed on 7 May 2020).

Sociedade Portuguesa de Pneumologia. Terapias Respiratórias Não Invasivas em Contexto de Doente Agudo/Cronico agudizado na Covid-19-Algumas Notas Practicas no Adulto, 2020. Avaliable online: https://www.sppneumologia.pt/uploads/subcanais2_conteudos_ficheiros/terapias_spp.pdf ( accessed on 9 May 2020).

Intersurgical, Product Catalogue. Avaliable online: https://www.intersurgical.com/ (Accessed on 14 June 2020).

Medtronic, Specifications of manufacter: Avaliable online: https://www.medtronic.com/covidien/en-us/products/mechanical-ventilation/filters/dar-filters.html (Accessed online 10 June 2020).

Draeger, Accessory Catalogue. Avaliable online: https://www.draeger.com/Library/Content/accessory-ca-9066485-en-1811-11.pdf (Accessed on 12 June 2020).

Torres, A., Niederman, M. S., & Chastre, J. International ERS/ESICM/ESCMID/ALAT guidelines for the management of hospital-acquired pneumonia and ventilator-associated pneumonia: Guidelines for the management of hospital-acquired pneumonia (HAP)/ventilator-associated pneumonia (VAP) of the European. Eur Respir J, 2017, Vol 50(3). Doi:10.1183/13993003.00582-2017

Ergan, B., Oczkowski, S., Rochwerg, B., Carlucci, A., Chatwin, M., Clint, E and Windisch, W. European Respiratory Society Guideline on Long-tern Home Non-invasive Ventilation for Management of Chronic Obstructive Pulmonary Disease. Eur Respir J, 2019, Vol 54(3). Doi:10.1183/13993003.01003-2019

Zunyou Wu, M. D., & McGoogam, J. M. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China. JAMA, 2020, Vol 323(13), 1229-1242. doi:10.1001/jama.2020.2648

Creative Commons License
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.

Copyright (c) 2023 Lucía Méndez, Cátia Caneiras, Carla Oliveira Reis, Viviana Bernardes

Downloads

Não há dados estatísticos.

Métricas

Carregando Métricas ...