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Evidência de eficácia de cobertura de sapatos e sapatos privativos no controle e prevenção de infecção do sítio cirúrgico: revisão sistemática de literatura

2005; UNIVERSIDADE DE SÃO PAULO; Volume: 13; Issue: 1 Linguagem: Inglês

10.1590/s0104-11692005000100014

1518-8345

Alice Medeiros Lutz Santos, Rúbia Aparecida Lacerda, Kazuko Uchikawa Graziano,

Reconstructive Surgery and Microvascular Techniques

The study is about shoe cover and private shoe usage and aimed to find scientific evidence on their direct relation in the control of surgical site contamination and/or infection transmitted by floor microorganisms. A systematic review of basic research on shoe covers and private shoes usage was carried out, covering the period from 1950 to 2003, by means of a search in electronic sources, bibliographies of relevant studies and proceedings of scientific events. The analysis was supported by two researchers, both of whom were experienced in this theme and one of them in research methodology. The research methods revealed a diverse range and various problems. Only 4 studies obtained a dispersion of floor microorganisms to the air environment, although not significant, and none of them was directly related to surgical site contamination and/or infection. Results do not suggest direct evidence on their efficacy but there is evidence, nonetheless, that barrier and microorganisms transfer from one specific area to another depend on the type of shoe cover, with lower transfer rates when private shoes and shoe covers are employed. Occupational contamination risk during shoe cover attire and removal is also evident and the decision about continuity of their usage needs to be technically and administratively controlled.