Avaliação do processo de limpeza hospitalar : comparação do uso de diferentes desinfetantes

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Evaluation of terminal cleaning using ATP methodology: comparison of bleach and quaternary ammonium compound plus biguanide

Introduction: Distinct protocols can be used to clean the hospital environment. Methods: This study evaluated cleaning protocols composed of either a quaternary ammonium compound plus biguanide (QACB) or bleach only using the ATP too. Results: No statistical difference was found (P=0.450) between QACB and bleach protocols, both being effective in hospital wards cleaning. Conclusions: either the use of QACB or bleach protocols ensure appropriate cleaning in health care, promoting a safe environment for patient use

Evaluation of terminal cleaning using ATP methodology: comparison of bleach and quaternary ammonium compound plus biguanide

Introduction: Distinct protocols can be used to clean the hospital environment. Methods: This study evaluated cleaning protocols composed of either a quaternary ammonium compound plus biguanide (QACB) or bleach only using the ATP too. Results: No statistical difference was found (P=0.450) between QACB and bleach protocols, both being effective in hospital wards cleaning. Conclusions: either the use of QACB or bleach protocols ensure appropriate cleaning in health care, promoting a safe environment for patient use

Evaluation of terminal cleaning using ATP methodology: comparison of bleach and quaternary ammonium compound plus biguanide

Introduction: Distinct protocols can be used to clean the hospital environment. Methods: This study evaluated cleaning protocols composed of either a quaternary ammonium compound plus biguanide (QACB) or bleach only using the ATP too. Results: No statistical difference was found (P=0.450) between QACB and bleach protocols, both being effective in hospital wards cleaning. Conclusions: either the use of QACB or bleach protocols ensure appropriate cleaning in health care, promoting a safe environment for patient use

Over-the-counter drugs and drugs that act in the Central Nervous System: development of informative material on drug interactions

Resumo: Pacientes em tratamento com fármacos que atuam no sistema nervoso central (FarmSNC) são especialmente vulneráveis a interações medicamentosas pela prática de automedicação, mais provavelmente pelo uso de medicamentos isentos de prescrição (MIP’s). Objetivo: identificar as possíveis interações medicamentosas entre FarmSNC e MIP’s comumente utilizados e criar um guia de consulta rápida sobre estas interações para prescritores, farmacêuticos e outros profissionais de saúde. Metodologia: realizou-se uma revisão narrativa na literatura especializada, utilizando-se bases de dados e livros de referência em interações medicamentosas, buscando-se interações entre os FarmSNC da Relação Municipal de Medicamentos Essenciais de Porto Alegre e MIP’s identificados por ranking de venda e em uma pesquisa de base populacional em nível nacional sobre automedicação. Resultados: foram encontradas 58 possibilidades de interações entre os dois grupos de fármacos, manifestadas como risco de sangramento, síndrome serotoninérgica, efeitos anticolinérgicos, efeitos adrenérgicos, aumento de sedação, risco de toxicidade e perda de efeito. Três categorias de interação apresentaram sério risco de vida. Conclusão: o uso de MIP’s deve ser orientado para que seja realmente seguro. O farmacêutico é o profissional em maior contato com essas informações, e deve disseminá-las aos demais profissionais de saúde e aos pacientes, atentando, neste caso, para necessidades especiais dos pacientes com transtornos do sistema nervoso central.Abstract: Patients undergoing treatment with pharmaceuticals that act on the central nervous system (PharmCNS) are especially vulnerable to drug interaction due to the practice of self-medicating, characterized by the use of over-the-counter drugs (OTC’s). Objectives: identify the possible drug interaction between commonly used PharmCNS and OTC’s, and to create a brief guide about these interactions for the health care professional’s use. Methods: a narrated review of the specialized literature, using databases and reference books on drug interaction, searching for interactions between PharmCNS from the List of Essential Medicines of Porto Alegre city and OTC’s identified by sales ranking and by a national level survey on self-medicating. Results: 58 possibilities of interactions were found between the two groups of pharmaceuticals, manifested as risks of bleeding, serotonin syndrome, anticholinergic effects, increase of sedation, toxicity risk and loss of effect. Three categories of interactions present serious death risk. Conclusions: the use of OTC’s must be orientated in order to be actually safe. The pharmacist is the professional with the most knowledge on the matter, and must disseminate this information to other health care professionals, as well as patients, attempting, in this case, to the especial needs of the patients with central nervous system disorders

Evaluation of terminal cleaning using ATP methodology: comparison of bleach and quaternary ammonium compound plus biguanide

Introduction: Distinct protocols can be used to clean the hospital environment. Methods: This study evaluated cleaning protocols composed of either a quaternary ammonium compound plus biguanide (QACB) or bleach only using the ATP too. Results: No statistical difference was found (P=0.450) between QACB and bleach protocols, both being effective in hospital wards cleaning. Conclusions: either the use of QACB or bleach protocols ensure appropriate cleaning in health care, promoting a safe environment for patient use