Infecção do trato urinário associado ao cateter: Indicadores de Processo para análise das práticas de prevenção em pacientes críticos

Abstract

Exceto onde especificado diferentemente, a matéria publicada neste periódico é licenciada sob forma de uma licença Creative Commons -Atribuição 4. Indicadores, o registro da indicação para o uso do dispositivo (Indicador 1) foi mais satisfatório no setor a Emergência (80,6%) e a fixação adequada (Indicador 2) apresentou não conformidade nos dois setores avaliados (67,5 % no CTI e 96,8 % na Emergência). Conclusão: os Indicadores revelaram não conformidades frente às práticas de prevenção de ITU relacionada ao cateterismo vesical de demora e direcionam a necessidade da implementação de estratégias de orientação das equipes assistenciais e vigilância continua no uso do cateter. Descritores: Indicadores. Indicadores de Qualidade em Assistência à Saúde. Infecçõesurinárias. Cateteres de demora.Background and Objectives: urinary tract infections (UTIs) have a significant impact on patient clinical evolution. Thus, the objective was to analyze, through Process Indicators, the conformities and nonconformities relat-ed to UTI control and prevention practices associated with long-term bladder catheterization in sectors with critically-ill patients. Methods: this was a cross-sectional, observational, documen--tary study with a quantitative approach, performed in an Intensive Care Unit (ICU) and an Emer-gency Unit (EU) of a public hospital in Curitiba. The data collection and analysis were based on Process Indicators created and validated by Fernandez, Lacerda and Hallage (2006). The Indica-tors were evaluated accordingly when their values are between 73 -87% (Indicator 1) and 75 -85% (Indicator 2). Results: for Indicators 1 and 2, the overall conformity rate in the two ana-lyzed sectors was 68.8% and 29.5%, respectively. When the items that subsidized the numera-tors of both Indicators were assessed, the indication record for the device use (Indicator 1) was more satisfactory in the Emergency sector (80.6%) and the appropriate device fixation (Indicator 2) showed nonconformity in the two assessed sectors (67.5% in the ICU and 96.8% in the EU). Conclusion: the Indicators disclosed nonconformities regarding UTI prevention practices related to long-term bladder catheterization and addressed the need for the implementation of strategies to guide the healthcare teams and continued monitoring of catheter use. Keywords