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Data are scarce regarding hospital infection control committees and compliance with infection prevention and control (IPC) recommendations in Brazil, a country of continental dimensions. We assessed the main characteristics of infection control committees (ICCs) on healthcare-associated infections (HAIs) in Brazilian hospitals.
Methods:
This cross-sectional study was conducted in ICCs of public and private hospitals distributed across all Brazilian regions. Data were collected directly from the ICC staff by completing an online questionnaire and during on-site visits through face-to-face interviews.
Results:
In total, 53 Brazilian hospitals were evaluated from October 2019 to December 2020. All hospitals had implemented the IPC core components in their programs. All centers had protocols for the prevention and control of ventilator-associated pneumonia as well as bloodstream, surgical site, and catheter-associated urinary tract infections. Most hospitals (80%) had no budget specifically allocated to the IPC program; 34% of the laundry staff had received specific IPC training; and only 7.5% of hospitals reported occupational infections in healthcare workers.
Conclusions:
In this sample, most ICCs complied with the minimum requirements for IPC programs. The main limitation regarding ICCs was the lack of financial support. The findings of this survey support the development of strategic plans to improve IPCs in Brazilian hospitals.
The Earth's urban population has increased dramatically over the past century, from 224 million in 1900 to 2.9 billion in 2000 (United Nations [UN] 2004). Currently, more than 50 percent of the world's population lives in urban areas (3.5 billion), and it is expected that this proportion will reach nearly 70 percent (6.3 billion) in 2050 (UN 2009). Although urbanized areas cover only approximately 1 to 6 percent of Earth's surface, they are major determinants of environmental change well beyond their city boundaries (Alberti et al. 2003; Grimm et al. 2008; Schneider, Friedl, and Potere 2009). Urbanization affects the Earth's ecosystems by changing the landscape, altering biophysical processes and habitat, and modifying major biogeochemical cycles (Grimm et al. 2000, Picket et al. 2001, Alberti et al. 2003, Foley et al. 2005). The expanding urban population will place increasing demand on both the productive and assimilative capacities of ecosystems (Folke et al. 1997; Luck et al. 2001).
Advancing the study of coupled human-natural systems in urbanizing regions requires understanding the underlying mechanisms linking patterns of urbanization to ecosystem function. Scholars of urban ecology hypothesize that the pattern of urbanization (i.e., clustered vs. dispersed development) will take in the future will determine to a great extent its impacts on ecosystems both locally and globally. However, empirical studies linking urbanization patterns to ecosystem function in support of such a hypothesis are limited. Direct measurements of the effects of different patterns on ecological processes are rare. For example, studies that link densities of metropolitan areas to their carbon (C) footprints rely on estimates of C emissions derived from predicted vehicle miles traveled (VMT). Understanding how patterns of urbanization affect C budgets requires testing hypotheses through direct observations in several urban areas across diverse environmental and socioeconomic settings. It also requires a robust comparative framework and common metrics and field-study protocols to conduct research.
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