Avaliação Da Prescrição De Antimicrobianos Para Infecção Relacionada À Assistência À Saúde Em Um Hospital Escola De Recife – Pe

Abstract

Exceto onde especificado diferentemente, a matéria publicada neste periódico é licenciada sob forma de uma licença Creative Commons -Atribuição 4. //dx.doi.org/10.17058/reci.v5i3.5496 Recebido em: 31/12/2014 Aceito Background and Objectives: in Intensive Care Units (ICU) are the highest rates of Healthcare-associated infections (HAI).Antimicrobial therapy for these infections has become increasingly challenging due to high rates of antimicrobial resistance.Thus arises the need for appropriate antibiotic therapy. Thus arises the need to assess the antimicrobial therapy for patients with IRAS The study aims to evaluate antimicrobials prescriptions for patients diagnosed with HAI in the Adult ICU of a teaching hospital in Recife-PE in 2010. Methods: cross-sectional, descriptive, and retrospective study using the HAI reporting forms, prescriptions and medical records of patients aged from 18 years, in Adult ICU of the Instituto de Medicina IntegralProf. Fernando Figueira (IMIP). The variables analyzed in the study were gender, age, admission diagnosis, etiologic agent, Infection Related to Health Care, antibiotics, high and óbto. Data were collected from the analysis of HAI reporting forms, data collection form of HAI reporting forms and records and / or prescriptions. Results: the study population consisted of 31 notifications. The respiratory tract infections were the most frequent (80.6%). The microbiological confirmation was 83.9%, totaling 11 species of microorganisms, one of which being multiresistant. The use of 14 different antimicrobials was observed with monotherapy in a minority of cases. Only two patients underwent five schemes. Mistake regarding prescription was not observed, but misconceptions about some doses, intervals and as an association were highlighted.Conclusion: the indicators analyzed showed no significant discrepancies when compared with other national or international studies. One perceives the need for further studies on the use of antimicrobials. RESUMO ABSTRACT ARTIGO ORIGINALAvaliação da prescrição de antimicrobianos para infecção relacionada à assistência à saúde em um Hospital Escola de Recife -PE

Analysis of the correctly filling in the request form for Antimicrobials in an Oncology Reference Hospital in the State of Pará

“…Furthermore, Oliveira et al, (2015) verified a high prescription of vancomycin (69.4%), emphasizing that there was no great difference between the groups analyzed for any class of antimicrobials empirically prescribed. Nevertheless, Tavares et al, (2015), in a Teaching Hospital in Recife (state of Pernambuco), detected differences between the prescribed classes, in which the most prevalent in the ICU were piperacillin-tazobactam (Tazocin -19.4%), followed by meropenem (9.7%), justifying that the use of meropenem was linked to the lack of response to Tazocin, since only one carbapenem should be used in infections resistant to all other beta-lactams.…”

Análise de sobrevida de pacientes com pneumonia associada à ventilação mecânica invasiva

“…Destacou-se a ceftriaxona, que é uma cefalosporina usada na pneumonia hospitalar, uma vez que apresenta boa atividade contra cocos Gram-positivos, exceto Staphylococcus aureus resistente à oxacilina e Enterococcus sp, e boa atividade contra alguns Gram-negativos, como Klebsiella sp e Proteus sp. 16 Entre os diagnósticos médicos dos pacientes notificados com PAVM, o mais prevalente foi neoplasia maligna, com sete (16,7%). Na comparação com outra pesquisa, as principais causas de internação foram envenenamento (28,5%), doenças neurológicas (16,5%), doenças respiratórias (12%) e doenças infecciosas (9,5%).…”

A Importância Dos Registros Das Infecções Relacionadas À Assistência À Saúde No Sumário De Alta.

“…ISSN 1980-7341 resultados, um estudo realizado no hospital escola de Recife os autores encontraram valores relativamente superiores aos encontrados em diversos trabalhos, 80,6% para infecção do trato respiratório com a ventilação mecânica com fator fortemente associado ao seu desenvolvimento (TAVARES, 2015).…”