Ocorrência de bactérias multiresistentes em um centro de Terapia Intensiva de Hospital brasileiro de emergências

Andrade, Denise de; Leopoldo, Vanessa Cristina; Haas, Vanderlei José

doi:10.1590/s0103-507x2006000100006

Cited by 34 publications

(42 citation statements)

References 9 publications

(10 reference statements)

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“…The rate of patients colonized with RM during their stay at the ER remained below that of other studies, which reported percentages between 12.98% and 54.3% (13,14) . In bivariate as well as multivariate analysis, colonization by resistant microorganisms was associated with the patient's admission to the ER with community infection and to time of stay at the unit ≥9 days.…”

Section: Discussioncontrasting

confidence: 58%

“…Colonization is a problem inherent in critically ill patients and a constant public health concern, as it entails severe economic, social and political consequences (12,13) .…”

Section: Discussionmentioning

confidence: 99%

“…In Brazil, it is estimated that between 5% and 17% of hospitalized patients catch some kind of infection (5,10) . These infections are even higher when referring to patients who need intensive care, representing 20% to 40% of all infections at a hospital (4,(12)(13)(14) .…”

Section: Discussionmentioning

confidence: 99%

“…These infections are even higher when referring to patients who need intensive care, representing 20% to 40% of all infections at a hospital (4,(12)(13)(14) . At the ER under analysis, 11.4% of hospitalized patients developed HAI.…”

Section: Discussionmentioning

confidence: 99%

“…The problem can be explained by the indiscriminate and inadequate use of antimicrobials, whether in hospitals or in the community (5,6) . The situation is aggravated as these bacteria contribute to increase patients' morbidity and mortality and hospitalization costs, and mainly because of the reduced technological arsenal or lack of therapeutic options for treatment in view of some microorganisms that cause infection (7,8) .…”

Section: Introductionmentioning

confidence: 99%

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Colonização por micro-organismo resistente e infecção relacionada ao cuidar em saúde

Oliveira

Andrade²,

Diaz

et al. 2012

Acta paul. enferm.

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Objective: To identify risk factors for the development of colonization by resistant microorganisms (MR) and for infections related to health care (IRCS) in patients from the emergency room (SE) of a unit of Urgent Care (PA) in a hospital university. Methods: An epidemiological study of quantitative approach, conducted between August 2009 and March 2010, among adult patients of a SE in a PA unit of a university hospital in the city of Belo Horizonte, Minas Gerais. 254 patients were followed. Results: Of 254 total patients, 6.3% were colonized with MR and 11.4% developed IRCS. We identified the time spent in the SE > 9 days (OR = 28.7) and the presence of community infection (OR = 5) for colonization by MR and, for IRCS only the time spent in the SE > 5 days (OR: 19.8), as risk factors, which is common to both the colonization of the patient for MR and to IRCS. Conclusion: This study confirmed the inadequacy of the SE, whose priority should be the qualified primary attention, resolving and / or referring patients to a specialty unit. Keywords: Cross infection; Emergency service, hospital; Risk factors; Drug resistance, microbial RESUMOObjetivo: Identificar os fatores de risco para o desenvolvimento de colonização por microrganismo resistente (MR) e para infecção relacionada ao cuidar em saúde (IRCS) em pacientes da sala de emergência (SE) de uma unidade de Pronto Atendimento (PA) em um hospital universitário. Métodos: estudo de abordagem quantitativa, epidemiológico realizado entre agosto de 2009 e março de 2010, entre pacientes adultos da SE de uma unidade de Pronto Atendimento de um Hospital Universitário da cidade de Belo Horizonte, Minas Gerais. Foram acompanhados 254 pacientes. Resultados: Do total de 254 pacientes, 6,3% foram colonizados por MR e 11,4% desenvolveram IRCS. Identificou-se o tempo de permanência na SE > 9 dias (OR=28,7) e a presença de infecção comunitária (OR=5) para a colonização por MR e, para as IRCS apenas o tempo de permanência na SE > 5 dias (OR:19,8), como fatores de risco, sendo este comum tanto à colonização do paciente por MR como para IRCS. Conclusão: Confirmou-se a inadequação da SE, cuja prioridade deve ser a primeira atenção qualificada, resolutiva e/ou o encaminhamento do paciente a uma unidade especializada. Descritores: Infecção hospitalar; Serviço hospitalar de emergência; Fatores de risco; Resistência microbiana a medicamentos RESUMEN Objetivo: Identificar los factores de riesgo para el desarrollo de colonización por microorganismo resistente (MR) y para la infección relacionada al cuidar en salud (IRCS) en pacientes de la sala de emergencia (SE) de una unidad de Pronta Atención (PA) en un hospital universitario. Métodos: estudio de abordaje cuantitativo, epidemiológico realizado entre agosto del 2009 y marzo del 2010, entre pacientes adultos de la SE de una unidad de Pronta Atención de un Hospital Universitario de la ciudad de Belo Horizonte, Minas Gerais. Fueron acompañados 254 pacientes. Resultados: Del total de 254 pacientes, el 6,3% fueron colonizados por MR y ...

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Section: Discussioncontrasting

confidence: 58%

“…Colonization is a problem inherent in critically ill patients and a constant public health concern, as it entails severe economic, social and political consequences (12,13) .…”

Section: Discussionmentioning

confidence: 99%