Microbiological profile of the nasal cavity of professionals from the emergency sector and mobile urgency care service localized in a southwest municipality of Goiás

Abstract

The challenges concerning safety and quality at health institutions are phenomena documented by researchers the world over, such manifestations are the result of the newly found understanding in contemporary society of the rights attained by workers and/or users of such health-associated services. Thus, the detection of workers from Emergency Sectors and from the Mobile Urgency Care Service - SE/SAMU, carriers of pathogenic and multiresistant microorganisms, has been referred to as a possible strategy of prevention and reduction of Infections Related to Health Care - IRHC. The objective of this study was to analyze the microbiological profile of the nasal cavity of workers from the Emergency and Mobile Emergency Care Department of a municipality in the southwest of Goiás. A cross-sectional study of an epidemiological nature was performed, developed within the Emergency Services and the Mobile Urgency Care Services in a municipality situated in the southwest of Goiás. The collection of data occurred during the period of 07 May to 13 June of 2012 and was initiated with clarification as to the reasons for the project and later a form was given to the 51 participating workers. Following this, a sample was taken from the nasal cavity of each participant by means of a swab; these were collected in BHI tubes, and consequently incubated at 35ºC for 18/24 hours. Next, these samples were smeared in selective media cultures and processed by automation, the colonies that developed were previously identified and submitted to screening for the selection of identification evidence. Noteworthy was the fact that workers did not perform handwashing procedures correctly, which increased the possibility of infection by microorganisms, where the most frequent were S. epidermidis, followed by S. aureus. The pathogen S. hyicus, was also isolated, being that this pathogen is not natural to humans. Among the isolated microorganisms, the resistance profile to antimicrobials in 38 of these were analyzed. In light of such findings, it becomes necessary to produce clear projects of intervention and incorporation that are focused on the principles of safety and life quality of the worker from the area of health care. In particular, those from the Emergency Sector and Pre-Hospital Attendance of the municipal health network, which is in addition to providing feedback on teaching, research and care based on these principles.