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801 Infection Control Programs in Psychiatric Hospitals

Sunday, March 21, 2010
Grand Hall (Hyatt Regency Atlanta)
Regina C. Almeida, PhD , Fundação Hospitalar do Estado de Minas Gerais, Belo Horizonte, Brazil
Denise S. Lourenço, RN , Fundação Hospitalar do Estado de Minas Gerais, Belo Horizonte, Brazil
Ana Paula G. Macedo, Occup, Therapist , Fundação Hospitalar do Estado de Minas Gerais, Belo Horizonte, Brazil
Mara H. Faria, Psychologist , Fundação Hospitalar do Estado de Minas Gerais, Belo Horizonte, Brazil
Roberta P. Morais, Occup, Therapist , Fundação Hospitalar do Estado de Minas Gerais, Belo Horizonte, Brazil
Juliana G. Menicucci, Psychologist , Fundação Hospitalar do Estado de Minas Gerais, Belo Horizonte, Brazil
Flávia A. Guimarães, Occup, Therapist , Fundação Hospitalar do Estado de Minas Gerais, Belo Horizonte, Brazil
Vanessa F. Costa, Psychologist , Fundação Hospitalar do Estado de Minas Gerais, Belo Horizonte, Brazil
Background: A Joint Commission for Healthcare Organizations (JCAHO) suggests that an infection control program must be guided by two basic premises: it must be suitable for the serviced population and have its main epidemiological aspects determined by the institution. The challenge facing the infection control services is to associate these recommendations to the scientific knowledge, to the available resources and to the creativity to elaborate prevention programs for the differentiated mental health services.

Objective: To develop activities and technical scientific materials to be utilized as a support to the infection control program in psychiatric hospitals

Methods: A descriptive study of the activities and technical scientific materials developed for the infection control program in a public psychiatric hospital from November, 2003 to August, 2009.

Results: The systematic data collection of the Infection Control Service of the Instituto Raul Soares, were utilized to identify the local necessities. For the patients, the following were selected: basic hygiene care, vaccinations for tetanus, diphtheria, pneumococcal pneumonia, influenza and hepatitis B for long term elderly inpatients and bearers of clinical comorbities such as mellitus diabetes, and orientations for sexually transmitted diseases, birth control, breast nodules and prostate pathologies. Vaccinations were recommended and training in biosecurity was elaborated for the employees and social care workers. Recently, approaches related to the Influenza A pandemics were developed with patients, visitors and professionals. The activities were carried out through workshops, classes, lectures, specific materials and the assembling of kits; they were adapted to the patients by utilizing the local patios, football field and beauty parlor.

Conclusions: The programs, activities and technical scientific materials utilized were welcome by the patients, professionals and individuals involved in the service activities.The ones elaborated with the objective of approaching pediculosis and scabies are shown with the infestation rates, the accidents involving blood and body fluids are monitored and the vaccinations are re-evaluated annually. It is believed that prevention programs will always be necessary, must be dynamic and, whenever possible, must be re-evaluated.