ANTIMICROBIAL RESISTANCE IN HOSPITAL ENVIRONMENTS: THE ROLE OF HARI IN THE GLOBAL HEALTH CRISIS AND THE CHALLENGES FOR THE PREVENTION, CONTROL AND RATIONAL USE OF ANTIMICROBIALS
DOI:
https://doi.org/10.63330/aurumpub.061-005Keywords:
Antimicrobial resistance, Healthcare-associated infections, Infection control, Patient safety, Rational use of antimicrobialsAbstract
Antimicrobial resistance in hospital environments represents one of the main threats to global public health and is intensified by the high incidence of Healthcare-Associated Infections (HAIs). This study aimed to analyze the relationship between HAIs and the expansion of antimicrobial resistance, highlighting challenges related to prevention, control, and the rational use of antimicrobials in hospital settings. The methodology consisted of a narrative literature review based on national and international scientific publications indexed in databases such as SciELO, PubMed, and the Virtual Health Library (VHL), including institutional documents and recent studies on the topic. The results showed that factors such as inappropriate antimicrobial use, failures in hand hygiene practices, prolonged use of invasive devices, and weaknesses in epidemiological surveillance significantly contribute to the spread of resistant microorganisms. Furthermore, the implementation of healthcare protocols, antimicrobial stewardship programs, and educational interventions proved to be essential strategies for reducing resistance rates. It was concluded that addressing this global health crisis requires integrated measures, strengthened infection control policies, and institutional commitment focused on patient safety and preservation of antimicrobial therapeutic effectiveness.
Downloads
References
ANVISA. Agência Nacional de Vigilância Sanitária. Programa Nacional de Prevenção e Controle de Infecções Relacionadas à Assistência à Saúde (PNPCIRAS): 2021–2025. Brasília: Ministério da Saúde, 2021.
BARLAM, T. F.; COSGROVE, S. E.; ABBO, L. M.; et al. Implementing an antibiotic stewardship program: guidelines by the Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America. Clinical Infectious Diseases, v. 62, n. 10, p. e51–e77, 2016.
BARDIN, L. Análise de conteúdo. São Paulo: Edições 70, 2016.
GIL, A. C. Métodos e técnicas de pesquisa social. 7. ed. São Paulo: Atlas, 2019.
MAGIORAKOS, A. P.; SRINIVASAN, A.; CAREY, R. B.; et al. Multidrug-resistant, extensively drug-resistant and pandrug-resistant bacteria: an international expert proposal for interim standard definitions. Clinical Microbiology and Infection, v. 18, n. 3, p. 268–281, 2012.
MINAYO, M. C. S. O desafio do conhecimento: pesquisa qualitativa em saúde. 14. ed. São Paulo: Hucitec, 2014.
PADOVEZE, M. C.; FORTALEZA, C. M. C. B. Infecções relacionadas à assistência à saúde: desafios para a saúde pública no Brasil. Revista de Saúde Pública, São Paulo, v. 48, n. 6, p. 995–1001, 2014.
ROTHER, E. T. Revisão sistemática x revisão narrativa. Acta Paulista de Enfermagem, São Paulo, v. 20, n. 2, p. v–vi, 2007.
SEVERINO, A. J. Metodologia do trabalho científico. 24. ed. São Paulo: Cortez, 2017.
SOUZA, M. T.; SILVA, M. D.; CARVALHO, R. Revisão integrativa: o que é e como fazer. Einstein, São Paulo, v. 8, n. 1, p. 102–106, 2010.
VENTOLA, C. L. The antibiotic resistance crisis: causes and threats. Pharmacy and Therapeutics, v. 40, n. 4, p. 277–283, 2015.
WORLD HEALTH ORGANIZATION. Antimicrobial resistance. Geneva: World Health Organization, 2023.
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
