| Author | Silva, Marcus Tolentino | |
| Author | Galvão, Tais Freire | |
| Author | Chapman, Evelina | |
| Author | Silva, Everton Nunes da | |
| Author | Barreto, Jorge Otávio Maia | |
| Access date | 2022-05-02T13:47:43Z | |
| Available date | 2022-05-02T13:47:43Z | |
| Document date | 2021 | |
| Citation | SILVA, Marcus Tolentino et al. Dissemination interventions to improve healthcare workers’ adherence with infection prevention and control guidelines: a systematic review and meta-analysis. Implementation Science, [s.l.], v.16, n. 92, p. 1-15, oct. 2021. | pt_BR |
| ISSN | 1748-5908 | pt_BR |
| URI | https://www.arca.fiocruz.br/handle/icict/52498 | |
| Description | Os dados de pesquisa utilizados no artigo estão disponíveis em: http://osf.io/aqxnp. | pt_BR |
| Language | eng | pt_BR |
| Publisher | Springer Nature | pt_BR |
| Rights | open access | pt_BR |
| MeSH | COVID-19 | pt_BR |
| MeSH | Infection Control | pt_BR |
| MeSH | Severe Acute Respiratory Syndrome | pt_BR |
| MeSH | Implementation Science | pt_BR |
| MeSH | Health Personnel | pt_BR |
| Title | Dissemination interventions to improve healthcare workers’ adherence with infection prevention and control guidelines: a systematic review and meta-analysis | pt_BR |
| Type | Article | pt_BR |
| DOI | 10.1186/s13012-021-01164-6 | |
| Abstract | Background: The COVID-19 pandemic has challenged health systems worldwide since 2020. At the frontline of
the pandemic, healthcare workers are at high risk of exposure. Compliance with infection prevention and control
(IPC) should be encouraged at the frontline. This systematic review aimed to assess the effects of dissemination
interventions to improve healthcare workers’ adherence with IPC guidelines for respiratory infectious diseases in the
workplace.
Methods: We searched CENTRAL, MEDLINE, Embase, and the Cochrane COVID-19 Study Register. We included randomized controlled trials (RCTs) and cluster RCTs that assessed the effect of any dissemination strategy in any healthcare settings. Certainty of evidence was assessed using the GRADE approach. We synthesized data using randomeffects model meta-analysis in Stata 14.2.
Results: We identified 14 RCTs conducted from 2004 to 2020 with over 65,370 healthcare workers. Adherence to IPC
guidelines was assessed by influenza vaccination uptake, hand hygiene compliance, and knowledge on IPC. The most
assessed intervention was educational material in combined strategies (plus educational meetings, local opinion
leaders, audit and feedback, reminders, tailored interventions, monitoring the performance of the delivery of health
care, educational games, and/or patient-mediated interventions). Combined dissemination strategies compared to
usual routine improve vaccination uptake (risk ratio [RR] 1.59, 95% confidence interval [CI] 1.54 to 1.81, moderate-certainty evidence), and may improve hand hygiene compliance (RR 1.70; 95% CI 1.03 to 2.83, moderate-certainty). When
compared to single strategies, combined dissemination strategies probably had no effect on vaccination uptake (RR
1.01, 95% CI 0.95 to 1.07, low-certainty), and hand hygiene compliance (RR 1.16, 95% CI 0.99 to 1.36, low-certainty).
Knowledge of healthcare workers on IPC improved when combined dissemination strategies were compared with
usual activities, and the effect was uncertain in comparison to single strategy (very low-certainty evidence).
Conclusions: Combined dissemination strategies increased workers’ vaccination uptake, hand hygiene compliance,
and knowledge on IPC in comparison to usual activities. The effect was negligible when compared to single dissemination strategies. The adoption of dissemination strategies in a planned and targeted way for healthcare workers may
increase adherence to IPC guidelines and thus prevent dissemination of infectious disease in the workplace. | pt_BR |
| Affilliation | University of Sorocaba. Pharmaceutical Science Graduate Course. São Paulo, SP, Brazil. | pt_BR |
| Affilliation | University of Campinas. Faculty of Pharmaceutical Science. Campinas, SP, Brazil. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil. | pt_BR |
| Affilliation | University of Brasilia. Faculty of Ceilândia. Brasília, DF, Brazil. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil. | pt_BR |
| Subject | Infection prevention and control | pt_BR |
| Subject | Acute respiratory tract infections | pt_BR |
| Subject | Clinical practice guideline | pt_BR |
| Subject | Guideline adherence | pt_BR |
| Subject | Implementation strategies | pt_BR |
| Subject | Implementation outcomes | pt_BR |
| Subject | Health personnel | pt_BR |
| DeCS | COVID-19 | pt_BR |
| DeCS | Controle de Infecções | pt_BR |
| DeCS | Síndrome Respiratória Aguda Grave | pt_BR |
| DeCS | Ciência da Implementação | pt_BR |
| DeCS | Pessoal de Saúde | pt_BR |
