Abstract:-INTRODUÇÃOEstima-se que 5 a 15% dos pacientes internados anualmente no Brasil (cerca de 7 milhões de indivíduos) contraem infecção hospitalar 6 . Aproximadamente 30% dessas infecções localizam-se no trato urinário e têm como causa prioritária o cateterismo vesical 5015 .
“…The present study corroborates the literature fi ndings that show that UC is overused in clinical and surgical pati ents, oft en without a clear indicati on and for too long. This reveals that the issue is present in most nursing units and not only in ICUs, as more commonly observed (22) . Furthermore, it shows the importance of using process indicators to characterize and understand the modifi able variables associated with CU-UTI, indenti fying opportuniti es to improve.…”
This cohort study included 254 adult patients who used a urinary catheter (UC) during their hospitalization in a university hospital ward. The following were evaluated: catheter use, indication, time of permanence, urinary infection density, mortality, and hospital stay. Throughout the studied period, 14% of the hospitalized patients received UC, totaling 1735 UC-day. In 23% of cases, the procedure had not been prescribed, and neither was its indication documented. The average time of UC use was 6.8 days. Among clinical patients, the indication for UC was inadequate in 29%; time of permanence was considered inadequate in 49% of clinical patients and in 66.9% of surgical patients. Patients with inadequate UC use had more urinary tract infections (RR 1.86 IC95% 1.4 to 3.04) and longer hospital stay (11.9 and 8.9 days, p=0.002). This study permitted to identify flaws in the care process that are potentially changeable and important to avoid urinary tract infection by urinary catheter use.
“…The present study corroborates the literature fi ndings that show that UC is overused in clinical and surgical pati ents, oft en without a clear indicati on and for too long. This reveals that the issue is present in most nursing units and not only in ICUs, as more commonly observed (22) . Furthermore, it shows the importance of using process indicators to characterize and understand the modifi able variables associated with CU-UTI, indenti fying opportuniti es to improve.…”
This cohort study included 254 adult patients who used a urinary catheter (UC) during their hospitalization in a university hospital ward. The following were evaluated: catheter use, indication, time of permanence, urinary infection density, mortality, and hospital stay. Throughout the studied period, 14% of the hospitalized patients received UC, totaling 1735 UC-day. In 23% of cases, the procedure had not been prescribed, and neither was its indication documented. The average time of UC use was 6.8 days. Among clinical patients, the indication for UC was inadequate in 29%; time of permanence was considered inadequate in 49% of clinical patients and in 66.9% of surgical patients. Patients with inadequate UC use had more urinary tract infections (RR 1.86 IC95% 1.4 to 3.04) and longer hospital stay (11.9 and 8.9 days, p=0.002). This study permitted to identify flaws in the care process that are potentially changeable and important to avoid urinary tract infection by urinary catheter use.
“…(36) Uma série de medidas, no entanto, poderia minimizar a ocorrência das IRAS. De acordo com Penteado (39) , para a evolução do controle das IRAS, em suma, deve-se caminhar para uma conscientização mais profunda a respeito da importância do preparo da equipe hospitalar, que inclui desde conhecimentos mais avançados até a execução de um procedimento mais simples.…”
Section: Discussionunclassified
“…T Trauma 38,39,40,41,43,45,46,47,48,49,69,105,116,136,137,138,139,140,204 U Unidade de terapia intensiva 10,11,12,13,14,15,16,17,18,19,55,64,72,112,113,119,141,158,164,177,178,187,188,193,194,197 Urgência 20,21,22,23,24,25,26,27,29,48,62,64,72,…”
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“…Siendo así, la muestra de esta revisión fue constituida por 16 publicaciones (2)(3)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22) representadas a través de los cuadros que siguen. El cuadro I presenta las especificaciones de las producciones científicas numeradas de 01 a 08.…”
Section: Enfermería Globalunclassified
“…Cuadro I -Tabla de las Producciones científicas (2,(9)(10)(11)(12)(13)(14)(15) levantadas en las bases de datos de la BVS, numeradas de 1 a 8. Cuadro II -Tabla de las Producciones científicas (3,(16)(17)(18)(19)(20)(21)(22) planteadas en las bases de datos de la BVS, numeradas de 9 a 16. Destaca la importancia de implementar el proceso de enfermería.…”
Palabras clave: Medidas de prevención de infección hospitalaria; enfermería; Educación continuada em control de infección; adhesión Palavras-chave: Medidas de prevenção de infecção hospitalar; enfermagem; Educação permanente em controle de infecção; adesão.
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