Nursing Care in Healthcare-Associated Infections: A Scoping Review

Abstract

Objective: To identify and map nursing care to the adult patient with Healthcare-Associated Infections admitted to the Intensive Care Unit. Method: Scoping Review, conducted in January 2018, through the search of studies in national and international databases, journals, catalogs of theses and dissertations, and websites of Brazilian health institutions. We included full surveys published in the Portuguese, Spanish or English language; which had as object of study the researched subject, besides manuals and protocols. We analyzed the type of material, year, country, population, method, Level of Evidence, and nursing care. The final sample consisted of 33 publications. Results: Among the nursing care to the patient, hand hygiene was identified, general care in nursing procedures, use of protocols, effective communication and periodic training. Conclusion: Identifying patient care with infection was important in order to list methods and reorient nursing activities.

Hand hygiene determinants of informal caregivers in hospitals under Pender's perspective

“…The term "healthcare-associated infections" (HAIs) refers to infections that can be acquired as a result of health care, regardless of hospitalization (1) . The HAIs consist of adverse events present in health services, increasing the costs associated with patient care as well as prolonging hospital stay, morbidity, and mortality (2) .…”

Perfil de resistência microbiana das infecções relacionadas à assistência à saúde de um hospital de doenças infectocontagiosas de uma capital do Nordeste brasileiro

“…Em consequência da multirresistência, as opções de tratamento tornam-se reduzidas, aumentando o tempo de hospitalizações, o número de óbitos e os custos assistenciais (Prates, Silva, Fernandes & Cesar, 2020). Nesse contexto, verifica-se o aumento das IRAS nos serviços de saúde brasileiro, implicando no uso de diversos fármacos da classe dos antibióticos em amplo espectro, quando usado de forma indiscriminada, isto possibilita a ocorrência da resistência microbiana no Brasil e no mundo (Ferreira, Azevedo, Salvador, Morais, Paiva & Santos, 2019).…”

“…Dessa forma, destaca-se a efetivação de medidas de cuidados aos pacientes, como barreiras entre indivíduos infectados/colonizados e higienização frequente das mãos. Além disso, é de fundamental importância a existência de um laboratório de microbiologia preparado para identificar o mais breve possível uma infecção, apresentando o perfil de resistência aos antibióticos de forma eficaz e rápida, para que seja possível realizar a conduta correta por parte dos profissionais de saúde (Nere, Silva, Silva, Rodrigues, Pereira & Soares, 2017).…”

Fatores associados à infecção por Staphylococcus aureus resistente à meticilina em unidade de terapia intensiva

“…It is estimated that HAIs in critically ill patients represent 20% of all infections in hospitalized patients (6)(7) , 15% of primary bloodstream infections (8) and correspond to almost half a million cases per year in intensive care units (ICUs) (9) . Among these infections, contamination by Staphylococcus aureus is among the main causes of morbidity and mortality and is associated with high rates of health care-associated complications, especially in developing countries (10) .…”