Prevention of catheter-associated urinary tract infection: what is the gap in clinical practice?
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFMG |
Texto Completo: | https://doi.org/10.1590/1980-265X-TCE-2018-0050 http://hdl.handle.net/1843/55906 https://orcid.org/0000-0002-0283-6472 https://orcid.org/0000-0002-4821-6068 |
Resumo: | Objective: to identify the gap in the prevention of catheter-associated urinary tract infection. Method: an observational study conducted by an audit of process indicators in relation to the recommendations for preventing catheter-associated urinary tract infection during its maintenance and handling. The collection was carried out between July and September of 2017 in an adult intensive care unit located in the State of Minas Gerais, Brazil. The observations were made with the help of a developed instrument for the present study and the data were analyzed by means of descriptive statistics. Results: 451 evaluations were performed related to maintenance of the urinary catheter with a focus on its fixation, the collector bag maintenance, and volume and urinary flow of the drainage system. Regarding clinical practice gaps, inadequate fixation of the urinary catheter and drainage pocket were found, with more than three-quarters of its capacity filled (97.7% and 3.5%, respectively). Regarding the handling of 556 urinary catheters, there was non-conformity in the hygiene of the urethral meatus in 22.9% of the situations, and nonadherence to hands hygiene before and after handling the urinary catheter was 94.2% and 66.5%, respectively (p=0.002). Conclusion: isolated measures had good adherence rates, but prevention of catheter-associated urinary tract infection should be based on adherence to several measures simultaneously. The prevention gap is in the awareness of health professionals that the recognized prevention measures of catheter – associated urinary tract infection should be adopted collectively in order to guarantee patient and clinical practice safety. |
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2023-07-06T20:17:04Z2023-07-06T20:17:04Z201928https://doi.org/10.1590/1980-265X-TCE-2018-00501980-265Xhttp://hdl.handle.net/1843/55906https://orcid.org/0000-0002-0283-6472https://orcid.org/0000-0002-4821-6068Objective: to identify the gap in the prevention of catheter-associated urinary tract infection. Method: an observational study conducted by an audit of process indicators in relation to the recommendations for preventing catheter-associated urinary tract infection during its maintenance and handling. The collection was carried out between July and September of 2017 in an adult intensive care unit located in the State of Minas Gerais, Brazil. The observations were made with the help of a developed instrument for the present study and the data were analyzed by means of descriptive statistics. Results: 451 evaluations were performed related to maintenance of the urinary catheter with a focus on its fixation, the collector bag maintenance, and volume and urinary flow of the drainage system. Regarding clinical practice gaps, inadequate fixation of the urinary catheter and drainage pocket were found, with more than three-quarters of its capacity filled (97.7% and 3.5%, respectively). Regarding the handling of 556 urinary catheters, there was non-conformity in the hygiene of the urethral meatus in 22.9% of the situations, and nonadherence to hands hygiene before and after handling the urinary catheter was 94.2% and 66.5%, respectively (p=0.002). Conclusion: isolated measures had good adherence rates, but prevention of catheter-associated urinary tract infection should be based on adherence to several measures simultaneously. The prevention gap is in the awareness of health professionals that the recognized prevention measures of catheter – associated urinary tract infection should be adopted collectively in order to guarantee patient and clinical practice safety.Objetivo: identificar o gap para prevenção de infecção do trato urinário associada ao uso do cateter vesical. Método: estudo observacional conduzido por auditoria de indicadores de processo em relação às recomendações para prevenção da infecção do trato urinário associada ao uso de cateter vesical durante sua manutenção e manipulação. A coleta foi realizada entre julho e setembro de 2017, em uma unidade terapia intensiva adulto, localizada no Estado de Minas Gerais, Brasil. As observações foram realizadas com auxílio de um instrumento desenvolvido para o presente estudo e os dados foram analisados por meio de estatística descritiva. Resultados: foram realizadas 451 avaliações relacionadas à manutenção do cateter vesical com foco em sua fixação, manutenção da bolsa coletora e volume e fluxo urinário do sistema de drenagem. Como lacunas da prática clínica, foram verificadas fixação inadequada do cateter vesical e bolsa coletora de drenagem com mais de três quartos de sua capacidade preenchida (97,7% e 3,5%, respectivamente). No tocante à manipulação, de 556 cateteres vesicais, houve inconformidade na higiene do meato uretral em 22,9% das situações, e a não adesão à higienização das mãos antes e após o manuseio do cateter vesical foi de 94,2% e 66,5%, respectivamente (p=0,002). Conclusão: medidas isoladas apresentaram boas taxas de adesão, mas a prevenção da infecção do trato urinário associada ao uso do cateter vesical deve se basear na adesão a várias medidas de forma simultânea. O gap para prevenção está na conscientização dos profissionais de saúde de que as medidas reconhecidas para prevenção da infecção do trato urinário associada ao uso do cateter vesical devem ser adotadas de forma coletiva, visando garantir a segurança do paciente e da prática clínica.engUniversidade Federal de Minas GeraisUFMGBrasilENF - DEPARTAMENTO DE ENFERMAGEM BÁSICATexto & Contexto - EnfermagemCateteres UrináriosInfecções Relacionadas a CateterControle de InfecçõesAtenção à SaúdeSegurança do PacienteUrinary cathetersCatheter-related infectionsInfection controlDelivery of health carePatient safetyPrevention of catheter-associated urinary tract infection: what is the gap in clinical practice?Prevenção de infecção do trato urinário associada a cateter: qual o gap na prática clínica?Prevención de infección del trato urinario asociada a cateter: ¿qué gap en la práctica clínica?info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://www.scielo.br/j/tce/a/GLX8YF9NPKHMmMpjPxWWzHn/abstract/?lang=en#Écila Campos MotaAdriana Cristina de Oliveiraapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGORIGINALPrevention of catheter-associated urinary tract infection what is the gap in clinical practice.pdfPrevention of catheter-associated urinary tract infection what is the gap in clinical practice.pdfapplication/pdf386379https://repositorio.ufmg.br/bitstream/1843/55906/2/Prevention%20of%20catheter-associated%20urinary%20tract%20infection%20what%20is%20the%20gap%20in%20clinical%20practice.pdf91d5983ff12a49dd471ea2e2667f2ad3MD52LICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/55906/1/License.txtfa505098d172de0bc8864fc1287ffe22MD511843/559062023-07-10 18:12:01.428oai:repositorio.ufmg.br:1843/55906TElDRU7vv71BIERFIERJU1RSSUJVSe+/ve+/vU8gTu+/vU8tRVhDTFVTSVZBIERPIFJFUE9TSVTvv71SSU8gSU5TVElUVUNJT05BTCBEQSBVRk1HCiAKCkNvbSBhIGFwcmVzZW50Ye+/ve+/vW8gZGVzdGEgbGljZW7vv71hLCB2b2Pvv70gKG8gYXV0b3IgKGVzKSBvdSBvIHRpdHVsYXIgZG9zIGRpcmVpdG9zIGRlIGF1dG9yKSBjb25jZWRlIGFvIFJlcG9zaXTvv71yaW8gSW5zdGl0dWNpb25hbCBkYSBVRk1HIChSSS1VRk1HKSBvIGRpcmVpdG8gbu+/vW8gZXhjbHVzaXZvIGUgaXJyZXZvZ++/vXZlbCBkZSByZXByb2R1emlyIGUvb3UgZGlzdHJpYnVpciBhIHN1YSBwdWJsaWNh77+977+9byAoaW5jbHVpbmRvIG8gcmVzdW1vKSBwb3IgdG9kbyBvIG11bmRvIG5vIGZvcm1hdG8gaW1wcmVzc28gZSBlbGV0cu+/vW5pY28gZSBlbSBxdWFscXVlciBtZWlvLCBpbmNsdWluZG8gb3MgZm9ybWF0b3Mg77+9dWRpbyBvdSB277+9ZGVvLgoKVm9j77+9IGRlY2xhcmEgcXVlIGNvbmhlY2UgYSBwb2zvv710aWNhIGRlIGNvcHlyaWdodCBkYSBlZGl0b3JhIGRvIHNldSBkb2N1bWVudG8gZSBxdWUgY29uaGVjZSBlIGFjZWl0YSBhcyBEaXJldHJpemVzIGRvIFJJLVVGTUcuCgpWb2Pvv70gY29uY29yZGEgcXVlIG8gUmVwb3NpdO+/vXJpbyBJbnN0aXR1Y2lvbmFsIGRhIFVGTUcgcG9kZSwgc2VtIGFsdGVyYXIgbyBjb250Ze+/vWRvLCB0cmFuc3BvciBhIHN1YSBwdWJsaWNh77+977+9byBwYXJhIHF1YWxxdWVyIG1laW8gb3UgZm9ybWF0byBwYXJhIGZpbnMgZGUgcHJlc2VydmHvv73vv71vLgoKVm9j77+9IHRhbWLvv71tIGNvbmNvcmRhIHF1ZSBvIFJlcG9zaXTvv71yaW8gSW5zdGl0dWNpb25hbCBkYSBVRk1HIHBvZGUgbWFudGVyIG1haXMgZGUgdW1hIGPvv71waWEgZGUgc3VhIHB1YmxpY2Hvv73vv71vIHBhcmEgZmlucyBkZSBzZWd1cmFu77+9YSwgYmFjay11cCBlIHByZXNlcnZh77+977+9by4KClZvY++/vSBkZWNsYXJhIHF1ZSBhIHN1YSBwdWJsaWNh77+977+9byDvv70gb3JpZ2luYWwgZSBxdWUgdm9j77+9IHRlbSBvIHBvZGVyIGRlIGNvbmNlZGVyIG9zIGRpcmVpdG9zIGNvbnRpZG9zIG5lc3RhIGxpY2Vu77+9YS4gVm9j77+9IHRhbWLvv71tIGRlY2xhcmEgcXVlIG8gZGVw77+9c2l0byBkZSBzdWEgcHVibGljYe+/ve+/vW8gbu+/vW8sIHF1ZSBzZWphIGRlIHNldSBjb25oZWNpbWVudG8sIGluZnJpbmdlIGRpcmVpdG9zIGF1dG9yYWlzIGRlIG5pbmd177+9bS4KCkNhc28gYSBzdWEgcHVibGljYe+/ve+/vW8gY29udGVuaGEgbWF0ZXJpYWwgcXVlIHZvY++/vSBu77+9byBwb3NzdWkgYSB0aXR1bGFyaWRhZGUgZG9zIGRpcmVpdG9zIGF1dG9yYWlzLCB2b2Pvv70gZGVjbGFyYSBxdWUgb2J0ZXZlIGEgcGVybWlzc++/vW8gaXJyZXN0cml0YSBkbyBkZXRlbnRvciBkb3MgZGlyZWl0b3MgYXV0b3JhaXMgcGFyYSBjb25jZWRlciBhbyBSZXBvc2l077+9cmlvIEluc3RpdHVjaW9uYWwgZGEgVUZNRyBvcyBkaXJlaXRvcyBhcHJlc2VudGFkb3MgbmVzdGEgbGljZW7vv71hLCBlIHF1ZSBlc3NlIG1hdGVyaWFsIGRlIHByb3ByaWVkYWRlIGRlIHRlcmNlaXJvcyBlc3Tvv70gY2xhcmFtZW50ZSBpZGVudGlmaWNhZG8gZSByZWNvbmhlY2lkbyBubyB0ZXh0byBvdSBubyBjb250Ze+/vWRvIGRhIHB1YmxpY2Hvv73vv71vIG9yYSBkZXBvc2l0YWRhLgoKQ0FTTyBBIFBVQkxJQ0Hvv73vv71PIE9SQSBERVBPU0lUQURBIFRFTkhBIFNJRE8gUkVTVUxUQURPIERFIFVNIFBBVFJPQ++/vU5JTyBPVSBBUE9JTyBERSBVTUEgQUfvv71OQ0lBIERFIEZPTUVOVE8gT1UgT1VUUk8gT1JHQU5JU01PLCBWT0Pvv70gREVDTEFSQSBRVUUgUkVTUEVJVE9VIFRPRE9TIEUgUVVBSVNRVUVSIERJUkVJVE9TIERFIFJFVklT77+9TyBDT01PIFRBTULvv71NIEFTIERFTUFJUyBPQlJJR0Hvv73vv71FUyBFWElHSURBUyBQT1IgQ09OVFJBVE8gT1UgQUNPUkRPLgoKTyBSZXBvc2l077+9cmlvIEluc3RpdHVjaW9uYWwgZGEgVUZNRyBzZSBjb21wcm9tZXRlIGEgaWRlbnRpZmljYXIgY2xhcmFtZW50ZSBvIHNldSBub21lKHMpIG91IG8ocykgbm9tZXMocykgZG8ocykgZGV0ZW50b3IoZXMpIGRvcyBkaXJlaXRvcyBhdXRvcmFpcyBkYSBwdWJsaWNh77+977+9bywgZSBu77+9byBmYXLvv70gcXVhbHF1ZXIgYWx0ZXJh77+977+9bywgYWzvv71tIGRhcXVlbGFzIGNvbmNlZGlkYXMgcG9yIGVzdGEgbGljZW7vv71hLgo=Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2023-07-10T21:12:01Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
dc.title.pt_BR.fl_str_mv |
Prevention of catheter-associated urinary tract infection: what is the gap in clinical practice? |
dc.title.alternative.pt_BR.fl_str_mv |
Prevenção de infecção do trato urinário associada a cateter: qual o gap na prática clínica? Prevención de infección del trato urinario asociada a cateter: ¿qué gap en la práctica clínica? |
title |
Prevention of catheter-associated urinary tract infection: what is the gap in clinical practice? |
spellingShingle |
Prevention of catheter-associated urinary tract infection: what is the gap in clinical practice? Écila Campos Mota Urinary catheters Catheter-related infections Infection control Delivery of health care Patient safety Cateteres Urinários Infecções Relacionadas a Cateter Controle de Infecções Atenção à Saúde Segurança do Paciente |
title_short |
Prevention of catheter-associated urinary tract infection: what is the gap in clinical practice? |
title_full |
Prevention of catheter-associated urinary tract infection: what is the gap in clinical practice? |
title_fullStr |
Prevention of catheter-associated urinary tract infection: what is the gap in clinical practice? |
title_full_unstemmed |
Prevention of catheter-associated urinary tract infection: what is the gap in clinical practice? |
title_sort |
Prevention of catheter-associated urinary tract infection: what is the gap in clinical practice? |
author |
Écila Campos Mota |
author_facet |
Écila Campos Mota Adriana Cristina de Oliveira |
author_role |
author |
author2 |
Adriana Cristina de Oliveira |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Écila Campos Mota Adriana Cristina de Oliveira |
dc.subject.por.fl_str_mv |
Urinary catheters Catheter-related infections Infection control Delivery of health care Patient safety |
topic |
Urinary catheters Catheter-related infections Infection control Delivery of health care Patient safety Cateteres Urinários Infecções Relacionadas a Cateter Controle de Infecções Atenção à Saúde Segurança do Paciente |
dc.subject.other.pt_BR.fl_str_mv |
Cateteres Urinários Infecções Relacionadas a Cateter Controle de Infecções Atenção à Saúde Segurança do Paciente |
description |
Objective: to identify the gap in the prevention of catheter-associated urinary tract infection. Method: an observational study conducted by an audit of process indicators in relation to the recommendations for preventing catheter-associated urinary tract infection during its maintenance and handling. The collection was carried out between July and September of 2017 in an adult intensive care unit located in the State of Minas Gerais, Brazil. The observations were made with the help of a developed instrument for the present study and the data were analyzed by means of descriptive statistics. Results: 451 evaluations were performed related to maintenance of the urinary catheter with a focus on its fixation, the collector bag maintenance, and volume and urinary flow of the drainage system. Regarding clinical practice gaps, inadequate fixation of the urinary catheter and drainage pocket were found, with more than three-quarters of its capacity filled (97.7% and 3.5%, respectively). Regarding the handling of 556 urinary catheters, there was non-conformity in the hygiene of the urethral meatus in 22.9% of the situations, and nonadherence to hands hygiene before and after handling the urinary catheter was 94.2% and 66.5%, respectively (p=0.002). Conclusion: isolated measures had good adherence rates, but prevention of catheter-associated urinary tract infection should be based on adherence to several measures simultaneously. The prevention gap is in the awareness of health professionals that the recognized prevention measures of catheter – associated urinary tract infection should be adopted collectively in order to guarantee patient and clinical practice safety. |
publishDate |
2019 |
dc.date.issued.fl_str_mv |
2019 |
dc.date.accessioned.fl_str_mv |
2023-07-06T20:17:04Z |
dc.date.available.fl_str_mv |
2023-07-06T20:17:04Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1843/55906 |
dc.identifier.doi.pt_BR.fl_str_mv |
https://doi.org/10.1590/1980-265X-TCE-2018-0050 |
dc.identifier.issn.pt_BR.fl_str_mv |
1980-265X |
dc.identifier.orcid.pt_BR.fl_str_mv |
https://orcid.org/0000-0002-0283-6472 https://orcid.org/0000-0002-4821-6068 |
url |
https://doi.org/10.1590/1980-265X-TCE-2018-0050 http://hdl.handle.net/1843/55906 https://orcid.org/0000-0002-0283-6472 https://orcid.org/0000-0002-4821-6068 |
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1980-265X |
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eng |
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eng |
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Texto & Contexto - Enfermagem |
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openAccess |
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Universidade Federal de Minas Gerais |
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UFMG |
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Brasil |
dc.publisher.department.fl_str_mv |
ENF - DEPARTAMENTO DE ENFERMAGEM BÁSICA |
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Universidade Federal de Minas Gerais |
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