Análisis del cumplimiento de normas de limpieza hospitalaria en PACU y su impacto en las IAAS
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Date
2026-04-05
Journal Title
Journal ISSN
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Publisher
Universidad Tecnológica Centroamericana UNITEC
Abstract
Las Infecciones Asociadas a la Atención en Salud (IAAS) son uno de los problemas más importantes en relación con la seguridad del paciente. Estas infecciones provocan aumentos de la mortalidad, del costo de las hospitalizaciones y de la resistencia a los antimicrobianos.
En Honduras, la magnitud del problema requiere el reforzamiento inmediato de los protocolos de prevención, pues en las unidades críticas puede llegar a más del 15% de las hospitalizaciones.
En este texto se presenta un estudio sobre el monitoreo del cumplimiento de las normas de limpieza hospitalaria en San Pedro Sula, el cual siguió un diseño multimodal a partir de listas de chequeo, encuestas y tinta fluorescente UV sobre superficies de alto contacto.
Los resultados mostraron un cumplimiento visual por encima del 70%, pero con deficiencias notorias en la eliminación de trazos fluorescentes, variando entre 45% y 68%.
Esto se complemento con la información de que el 62% de los encuestados expresó no haber recibido capacitación en la prevención de la IAAS.
Con la variación visual se sobreestima la efectividad de las labores de limpieza; la fluorescencia UV se encargó de detectar las fallas que podrían considerarse invisibles y, al mismo tiempo, de plantear soluciones correctivas que se podrían calificar como costo-efectivas.
La integración de auditorías multimodales y tácticas de capacitación debe ser considerada como prioritaria.
Healthcare-Associated Infections (HAIs) are among the most significant issues related to patient safety. These infections lead to increases in mortality, hospitalization costs, and antimicrobial resistance. In Honduras, the magnitude of the problem requires the immediate reinforcement of prevention protocols, as in critical units prevalence can exceed 15% of hospitalizations. This text presents a study on monitoring compliance with hospital cleaning standards in San Pedro Sula, which followed a multimodal design using checklists, surveys, and UV fluorescent dye applied to high-touch surfaces. The results showed visual compliance above 70%, but with notable deficiencies in the removal of fluorescent traces, ranging between 45% and 68%. This was complemented by information from 62% of respondents who reported not having received training in HAI prevention. Due to the variability of visual inspections, cleaning effectiveness tends to be overestimated; in contrast, UV fluorescence was able to detect failures that might otherwise remain invisible, while also suggesting corrective solutions that could be considered cost-effective. The integration of multimodal audits and training strategies should therefore be considered a priority.
Healthcare-Associated Infections (HAIs) are among the most significant issues related to patient safety. These infections lead to increases in mortality, hospitalization costs, and antimicrobial resistance. In Honduras, the magnitude of the problem requires the immediate reinforcement of prevention protocols, as in critical units prevalence can exceed 15% of hospitalizations. This text presents a study on monitoring compliance with hospital cleaning standards in San Pedro Sula, which followed a multimodal design using checklists, surveys, and UV fluorescent dye applied to high-touch surfaces. The results showed visual compliance above 70%, but with notable deficiencies in the removal of fluorescent traces, ranging between 45% and 68%. This was complemented by information from 62% of respondents who reported not having received training in HAI prevention. Due to the variability of visual inspections, cleaning effectiveness tends to be overestimated; in contrast, UV fluorescence was able to detect failures that might otherwise remain invisible, while also suggesting corrective solutions that could be considered cost-effective. The integration of multimodal audits and training strategies should therefore be considered a priority.
Keywords
IAAS, Limpieza Hospitalaria, Validación Multimodal, Fluorescencia UV