Epidemiología de las infecciones urinarias asociadas a catéter y no asociadas a catéter en un hospital universitario de tercer nivel

Baenas, Diego Federico; Saad, Emanuel José; Diehl, Fernando; Musso, D.; González, Jacqueline G.; Russo, Victoria; Vilaró, Mario; Albertini, Ricardo Arturo

doi:10.4067/s0716-10182018000300246

Cited by 3 publications

(3 citation statements)

References 17 publications

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“…Early removal of the catheter can therefore reduce these risks. It was reported that urinary catheterization is a major cause of CAUTI (Baenas et al., 2018 ; Wilde et al., 2017 ). Meanwhile, similar to our findings, many studies have shown that prolonged postoperative catheterization is considered to be a major factor in CAUTI (Doganay et al., 2017 ; Leihof et al., 2019 ).…”

Section: Discussionmentioning

confidence: 99%

The feasibility and advantages of immediate removal of urinary catheter after lobectomy: A prospective randomized trial

et al. 2021

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Section: Discussionmentioning

confidence: 99%

The feasibility and advantages of immediate removal of urinary catheter after lobectomy: A prospective randomized trial

et al. 2021

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“…The diagnostic criteria for urinary tract infection: urinalysis shows that WBC ≥10/high-magnification field of view, and the patient has irritating symptoms such as frequent urination, urgency, dysuria, or percussion pain in the renal area, lower abdominal pain, with or without fever and one of the following conditions: 1) Cleaning midstream urine culture suggests gram-positive bacteria or fungi >10 4 cfu/mL; 2) Bacterial culture of cleaning midstream urine showed gram-negative bacteria >10 5 cfu/mL; and 3) Cleaning midstream urine examination showed that WBC >5/high visual field. 7 …”

Section: Methodsmentioning

confidence: 99%

“… 6 In addition, preoperative urinary catheterization, tumor lesions eroding the bladder, surgical injury to bladder function nerves, and the application of anesthetic drugs can easily cause symptoms such as bladder paralysis or urinary retention, which may eventually lead to urinary tract infections. 7 Patients with epithelial ovarian cancer are mostly middle-aged and elderly, and there are many high-risk factors such as diabetes and obesity before surgery, and the incidence of postoperative incision infections is higher than that of other surgeries. 8 Therefore, it is of great clinical significance to effectively predict postoperative infectious complications and intervene as early as possible.…”

Section: Introductionmentioning

confidence: 99%

The Predictive Value of PCT and Other Infection Indicators in Postoperative Infection of Epithelial Ovarian Cancer

Kong¹,

Liu²

2023

IDR

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Purpose To study the early predictive value of WBC, CRP and PCT on infectious complications after epithelial ovarian cancer surgery, draw ROC curves, and construct a nomogram prediction model. Patients and Methods The clinical data of patients with epithelial ovarian cancer in Shengjing Hospital from August 2019 to August 2022 were included. The levels of WBC, CRP and PCT were statistically analyzed on the first, third and fifth days after surgery, and the ROC was plotted. Multivariate logistic regression analysis determined independent influencing factors, individualized nomogram model for predicting the occurrence of postoperative infectious complications was constructed, and the correction curve was used for verification. Results A total of 116 patients were enrolled. The postoperative test levels of WBC, CRP and PCT were compared between two groups, and the differences on POD3 and POD5 were statistically significant. The ROC area on POD5 was 0.739, 0.838 and 0.804, respectively, better than that on POD3. Among them, CRP has the greatest value; The predicted value of the combined test of WBC, CRP and PCT on POD5 was greater than that of a single index on POD5. The nomogram model on POD5 was constructed, and the ROC analysis showed that it had a good degree of differentiation. Conclusion WBC, CRP and PCT can effectively predict the occurrence of postoperative infectious complications, among which CRP alone has the greatest diagnostic value on POD5, and the combined test value of the three indicators is higher than that of a single index. The nomogram model constructed by the combined indicators on POD5 can assess the risk individually.

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Assistência multidisciplinar na prevenção de infecção do trato urinário associada à cateter vesical de demora em UTI: scoping review

Santos¹,

Santos²,

Borges³

et al. 2021

RSD

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Objetivo: mapear a produção cientifica acerca da atuação multidisciplinar no controle de infecção do trato urinário associada a cateter vesical de demora (ITU-AC) em Unidade de Terapia Intensiva (UTI). Método: Trata-se de uma Scoping Review elaborado conforme recomendação do instituto Joanna Briggs (JBI) e de acordo como quadro teórico recomendado por Arkseye O’Malley. A questão que norteou a pesquisa foi baseada na estratégia PCC (População, Conceito e Contexto). Sendo P: Estudos com pacientes submetidos ao cateter vesical de demora em UTI. C: Intervenções relacioandas a redução da ITU-AC. C: UTI. Foram consultadas as bases de dados: Embase®, Scopus e Biblioteca Virtual em Saúde (BVS). Para manter a coerência na busca dos artigos, os descritores e as palavras-chaves foram utilizados isoladamente e associados, de acordo com as características específicas de cada uma das bases de dados consultadas. Foram incluídos estudos publicados entre 2012 e 2021 sem restrição de idiomas. Resultados: Foram encontrados 157 artigos nas buscas nas bases de dados, no entanto, apenas 19 responderam a pergunta de pesquisa. Os resultados apontaram que a equipe multiprofissional deve implementar estratégias de controle das IRAS, pois significativamente reduzem a taxa de ITU-AC, realizar programas de treinamentos profissional, envolver os profissionais de saúde na unidade, as rodadas da equipe interdisciplinar têm impacto diretamente na redução dos dias de uso do Cateter Vesical de Demora (CVD). Conclusão: A equipe multidisciplinar necessita adotar atitudes como a capacitação dos profissionais, ultilizar da técnica correta de inserção do CVD e a sua manutenção, incentivar a importância da lavagem das mãos, revezamento nos atendimentos das equipes multiprofissionais, pois estão ligadas diretamente aos riscos e benefícios do procedimento de CVD direcionando assim a individualização dos cuidados multidisciplinares.

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Epidemiología de las infecciones urinarias asociadas a catéter y no asociadas a catéter en un hospital universitario de tercer nivel

Cited by 3 publications

References 17 publications

The feasibility and advantages of immediate removal of urinary catheter after lobectomy: A prospective randomized trial

The feasibility and advantages of immediate removal of urinary catheter after lobectomy: A prospective randomized trial

The Predictive Value of PCT and Other Infection Indicators in Postoperative Infection of Epithelial Ovarian Cancer

Assistência multidisciplinar na prevenção de infecção do trato urinário associada à cateter vesical de demora em UTI: scoping review

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