2Guimarães EER, Chianca TCM, Oliveira AC. Puerperal infection from the perspective of humanized delivery care at a public maternity hospital. Rev Latino-am Enfermagem 2007 julho-agosto; 15(4)

Introduction: Central line-associated bloodstream infections are the second most frequent infection in intensive care units. It represents an adverse event of significant magnitude, thus threatening the patient safety. The aim of this study was to analyze the historical trend of central line-associated bloodstream infections in patients in intensive care units, the rate of infection, central venous catheter utilization ratio, type of pathogen and their antimicrobial resistance pattern. Methodology: This ecological study was performed at 42 intensive care units from a state capital of the Midwest region of Brazil. Central line-associated bloodstream infections notifications were collected from two databases, the Municipal Coordination for Patient Safety and Infection Control at Healthcare Services, from 2012-2016, and the FormSUS (National Health System Data Processing Company), from 2014-2016. Results: The incidence of central line-associated bloodstream infections was high and stationary in the period (incidence rate of 2.3 to 3.2 per 1,000 catheter days, central venous catheter utilization ratio average 56,9%). The most frequent microorganisms were coagulase-negative Staphylococcus, Klebsiella pneumoniae, Acinetobacter spp. and Pseudomonas aeruginosa. Resistance to 3rd and 4th generation cephalosporins and carbapenems were detected among Gram-negative bacteria, and resistance to oxacillin among Gram-positive bacteria. Conclusions: Central line-associated bloodstream infections incidence rates were high, however the historical trend remained stationary in adult intensive care units. Infections were mostly caused by coagulase-negative Staphylococcus, K. pneumoniae, Acinetobacter spp. and Pseudomonas aeruginosa, including multi-drug resistant organisms. These findings point to the need of educational strategies addressing the adherence to established preventive measures and to the rational use of antimicrobials.

Objetivo: Analisar experiências de mulheres assistidas durante o parto pelo enfermeiro obstetra e médico, para verificar se a atuação desses profissionais modifica as representações sociais do parto normal. Método: Estudo descritivo fundamentado na Teoria das Representações Sociais, desenvolvido em unidades da estratégia de saúde da família, localizadas em Goiânia-Goiás, com mulheres no período puerperal tardio. Os dados foram tratados por meio do Software de Análise e Evocação e de Similitude, as análises estatísticas foram realizadas no Excel, versão 2016. Resultado: A experiência das mulheres assistidas no parto normal pelo enfermeiro obstetra são mais positivas e agradáveis em comparação às mulheres em que o parto foi realizado por médicos. As Representações Sociais do parto assistido por enfermeiro obstetra e médico são diferentes, bem como a experiência. Conclusão: A assistência proporcionada pelo enfermeiro obstetra é experienciada como saudável e tranquila, enquanto que a prestada pelo médico é tranquila, porém marcada pelo medo.

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