Manejo de Esterilidad del Personal de Enfermería en Intervenciones Quirúrgicas en el Quirófano Central del Hospital Teodoro Maldonado Carbo durante el Tercer

Abstract

In the conducted research, the management of sterility in the central operating room at Hospital Teodoro Maldonado Carbo was evaluated with the aim of identifying areas for improvement and ensuring the reduction of healthcare-associated infections (HAIs). The focus was on analyzing compliance with sterility protocols, the availability and use of supplies, the operating room infrastructure, and the level of staff training. The findings revealed that 71% of the staff comply with the appropriate use of sterile caps and footwear, while the use of gloves, masks, and sterile gowns demonstrates a high commitment to sterility practices. However, it was noted that 52% of the staff considers the operating room infrastructure to be adequate, suggesting that some facilities may not fully meet the optimal requirements for maintaining sterility standards. Although 94% of the staff is trained in sterility practices, only 32% participate in continuous updating workshops, indicating a need to improve ongoing education in this area. Additionally, despite the high availability of supplies and advanced technologies, deficiencies were observed in the documentation of practices and in the frequency of hand washing, which are critical for maintaining sterility. The research highlights that, despite the high level of compliance with the use of gloves, masks, and sterile gowns, and the adequate availability of supplies, there are important areas that require attention. The gaps in the use of sterile caps and footwear, the perceived limitations in the operating room infrastructure, the low participation in educational programs, and deficiencies in 3 documentation and hygiene practices are aspects that need to be addressed. To optimize sterility management and reduce the risk of surgical infections, it is essential to strengthen compliance with the use of sterile caps and footwear, update the operating room infrastructure according to the identified needs, and promote more active participation in educational programs. Additionally, it is crucial to improve the documentation of practices and reinforce the frequency and technique of hand washing among the staff. Implementing these recommendations will significantly contribute to enhancing patient safety and the effectiveness of infection prevention in the surgical environment.