Pneumonia associada à ventilação mecânica: avaliação do conhecimento da equipe de enfermagem de uma terapia intensiva

Brabo, Bruna Christine Floriano; Zeitoun, Sandra Salloum

doi:10.26432/1809-3019.2017.62.3.130

Cited by 9 publications

(8 citation statements)

References 25 publications

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“…Regarding NGT and NET, it was realized that they are possible ways to acquire infections, by providing a gateway for the growth of microorganisms in the gastrointestinal tract and being a reservoir for pathogens resistant to antibiotics (20) .…”

Section: Discussionmentioning

confidence: 99%

Infection factors related to nursing procedures in Intensive Care Units: a scoping review

et al. 2021

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Objectives: to identify and map the invasive procedures performed by nursing that can cause Healthcare-Associated Infections in patients in Intensive Care Units. Methods: this is a scoping review carried out in the first half of 2018, based on search for studies in national and international databases, in which 2,209 studies were found, of which 35 constituted the final sample. The data were analyzed and organized by simple descriptive statistics. Results: among the invasive procedures performed by nursing that provide Healthcare-Associated Infections, delayed bladder catheter was indicated in 34 (66.67%) studies, the nasogastric catheter in 10 (19.61%) and the nasoenteral catheter in two (03.92%). Conclusions: in the face of such problems, better nursing planning and guidance for care in these invasive techniques becomes relevant and thus minimizes the incidence of infections.

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Section: Discussionmentioning

confidence: 99%

Infection factors related to nursing procedures in Intensive Care Units: a scoping review

et al. 2021

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“…Incluem-se o conhecimento, a habilidade da equipe de saúde e as técnicas associadas à prevenção de infecções, como por exemplo, a higienização das mãos. Nesse contexto, são necessários estudos que avaliem a assistência prestada ao indivíduo, a forma de acondicionamento dos dispositivos de oxigenoterapia nas unidades, qualidade da desinfecção química, assim como estudos que investiguem a presença de microrganismos nos ambientes hospitalares (19) .…”

Section: Discussionunclassified

Factors related to mortality by pneumonia unrelated to mechanical ventilation

et al. 2021

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Objective: to analyze the factors related to mortality by nosocomial pneumonia unrelated to mechanical ventilation. Methods: retrospective cohort study with a sample acquired using the 538 notification forms for health care-related infections. The relative risk was calculated and a multivariable analysis was carried out using Poisson regression with a significance level of 5%. Results: the multivariable analysis showed that being under 59 years old and taking only one antimicrobial drug were protective factors against death. The main microorganisms responsible for the increase in the risk of death were: Acinetobacter baumannii, Klebsiella pneumoniae and species of Candida (Candida spp). Conclusion: the factors related to mortality were being 60 years old or older, using two or more antimicrobial substances, and being affected by the microorganisms Acinetobacter baumannii, Klebsiella pneumonia, and species of Candida (Candida spp).

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“…8 Male sex is defined as both an independent risk factor and more susceptible to developing VAP, as it is only a risk factor in the hospital setting to develop infection. 18 It was demonstrated that VAP also showed statistical dependence with length of hospital stay in the first 15 days (p = 0.012). The VAP was statistically associated with the Hospital Nossa Senhora da Conceição de Santa Catarina and the Montes Claros Hospital, Minas Gerais, Brazil, with a hospital stay of 20.4 days ± 15.3 (p = 0.003) and hospitalization time greater than 15 days with relative risk (RR) of 7.29, respectively.…”

Section: Introductionmentioning

confidence: 94%

Adesão ao protocolo de pneumonia associado à ventilação mecânica

Zigart¹,

Contrin²,

Frutuoso³

et al. 2019

Rev enferm UFPE on line.

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RESUMOObjetivo: conhecer a adesão da equipe de enfermagem ao protocolo de pneumonia associada à ventilação mecânica nas Unidades de Terapia Intensiva. Método: trata-se de estudo quantitativo, descritivo, observacional, transversal, em seis Unidades de Terapia Intensiva de um hospital de ensino. Coletaram-se os dados por meio de um checklist à beira do leito. Utilizou-se para análise dos dados o teste de regressão linear multivariada e estatística descritiva e inferencial. Apresentaram-se os resultados em forma de tabelas e figura. Resultados: participaram 945 pacientes com prevalência do sexo masculino, faixa etária 61 a 80 anos, tempo de internação de até 15 dias e incidência de PAV foi 10,58%. A equipe de enfermagem manteve em acordo com o protocolo institucional aproximadamente 90,05% das cabeceiras elevadas de 30º a 45º. Demonstrou-se estaticamente a relação PAV com o sexo masculino, tempo de internação nos primeiros 15 dias e filtro HME. Houve a correlação de cabeceira elevada com idade e tempo de internação e filtro HME com tempo de internação. Conclusão: a equipe de enfermagem coloca em prática o protocolo de prevenção de PAV reduzindo a incidência dessa infecção na unidade. Descritores: Enfermagem; Protocolos; Pneumonia; Respiração Artificial; Unidades de Terapia Intensiva; Ensino.ABSTRACTObjective: to get to know the adherence of the nursing team to the pneumonia protocol associated with mechanical ventilation in the Intensive Care Units. Method: this is a quantitative, descriptive, observational, cross-sectional study in six Intensive Care Units of a teaching hospital. The data was collected through a checklist at the hospital beds. The multivariate linear regression test and the descriptive and inferential statistics were used for data analysis. Results were presented in the form of tables and figures. Results: 945 patients with a prevalence of males, aged 61 to 80 years, hospitalization time of up to 15 days and incidence of VAP were 10.58%. The nursing team maintained in agreement with the institutional protocol approximately 90.05% of the elevated headrests from 30º to 45º. Statistically, the VAP relationship with the male sex, length of hospital stay in the first 15 days and HME filter was demonstrated. There was a high bedside correlation with age and hospitalization time and HME filter with hospitalization time. Conclusion: the nursing team puts the protocol of prevention of VAP into practice, reducing the incidence of this infection in the unit. Descriptors: Nursing; Protocols; Pneumonia; Respiration, Artificial; Intensive Care Units; Teaching.RESUMENObjetivo: conocer la adhesión del equipo de enfermería al protocolo de neumonía asociada a la ventilación mecánica en las Unidades de Terapia Intensiva. Método: se trata de un estudio cuantitativo, descriptivo, observacional, transversal, en seis Unidades de Terapia Intensiva de un hospital de enseñanza. Se recolectaron los datos por medio de un checklist al borde del lecho. Se utilizó para análisis de los datos la prueba de regresión lineal multivariada y estadística descriptiva e inferencial. Se presentaron los resultados en forma de tablas y figura. Resultados: participaron 945 pacientes con prevalencia del sexo masculino, grupo de edad 61 a 80 años, tiempo de internación de hasta 15 días e incidencia de PAV fue 10,58%. El equipo de enfermería mantuvo de acuerdo con el protocolo institucional aproximadamente el 90,05% de las cabeceras elevadas de 30º a 45º. Se demostró estáticamente la relación PAV con el sexo masculino, tiempo de internación en los primeros 15 días y filtro HME. Hubo la correlación de cabecera elevada con edad y tiempo de internación y filtro HME con tiempo de internación. Conclusión: el equipo de enfermería pone en práctica el protocolo de prevención de PAV reduciendo la incidencia de esa infección en la unidad. Descriptores: Enfermería; Protocolos; Neumonía; Respiración Artificial; Unidades de Cuidados Intensivos; Enseñanza.

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Pneumonia associada à ventilação mecânica: avaliação do conhecimento da equipe de enfermagem de uma terapia intensiva

Cited by 9 publications

References 25 publications

Infection factors related to nursing procedures in Intensive Care Units: a scoping review

Infection factors related to nursing procedures in Intensive Care Units: a scoping review

Factors related to mortality by pneumonia unrelated to mechanical ventilation

Adesão ao protocolo de pneumonia associado à ventilação mecânica

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