Catheter – associated urinary tract infection: process indicators for analysis of prevention practices in critical patients

Detalhes bibliográficos
Autor(a) principal: Ferreira, Caroline Cury
Data de Publicação: 2017
Outros Autores: Cauduro, Fernanda Leticia Frates
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista de Epidemiologia e Controle de Infecção
Texto Completo: https://online.unisc.br/seer/index.php/epidemiologia/article/view/9043
Resumo: Background and objective: Urinary tract infections have a significant impact on the patient's clinical evolution. In this way, the objective of this study was to analyze, through two process indicators. The conformities and nonconformities related to the practices of control and prevention of urinary tract infection related to delayed bladder catheterization in sectors with critical patients. Methods: Documental, observational and cross-sectional research of quantitative approach, performed in an Intensive Care Center and an Emergency unit of a public hospital in Curitiba. The data collection and analysis were based on process indicators elaborated and validated by Fernandez (2006). The indicators are evaluated accordingly when values between 73 – 87 % and 75 – 85 %, respectively. Results: For Indicators 1 and 2, the overall compliance rate was 68.8 % and 29.5 %, respectively. When the items that subsided the numerator of both indicators were registered, the indication for use of the device was more satisfactory in the Emergency (80.6 %) and the adequate fixation presented nonconformity in the two sectors evaluated (67.5 % in the Center for Intensive Care and 96.8 % in Emergency).Conclusion: In general, the indicators revealed nonconformities with regard to the prevention practices for urinary tract infection related to delayed bladder catheterization and address the need for the implementation of guidance strategies for care teams and continuous monitoring of catheter use. KEYWORDS: Indicators. Quality indicators, Health care. Urinary Tract Infections. Catheters, Indwelling.
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spelling Catheter – associated urinary tract infection: process indicators for analysis of prevention practices in critical patientsInfeccióndeltractourinarioasociado a catéter: indicadores de proceso para revisión de prevención de prácticaen pacientes críticosInfecção do trato urinário associado ao cateter: Indicadores de Processo para análise das práticas de prevenção em pacientes críticosBackground and objective: Urinary tract infections have a significant impact on the patient's clinical evolution. In this way, the objective of this study was to analyze, through two process indicators. The conformities and nonconformities related to the practices of control and prevention of urinary tract infection related to delayed bladder catheterization in sectors with critical patients. Methods: Documental, observational and cross-sectional research of quantitative approach, performed in an Intensive Care Center and an Emergency unit of a public hospital in Curitiba. The data collection and analysis were based on process indicators elaborated and validated by Fernandez (2006). The indicators are evaluated accordingly when values between 73 – 87 % and 75 – 85 %, respectively. Results: For Indicators 1 and 2, the overall compliance rate was 68.8 % and 29.5 %, respectively. When the items that subsided the numerator of both indicators were registered, the indication for use of the device was more satisfactory in the Emergency (80.6 %) and the adequate fixation presented nonconformity in the two sectors evaluated (67.5 % in the Center for Intensive Care and 96.8 % in Emergency).Conclusion: In general, the indicators revealed nonconformities with regard to the prevention practices for urinary tract infection related to delayed bladder catheterization and address the need for the implementation of guidance strategies for care teams and continuous monitoring of catheter use. KEYWORDS: Indicators. Quality indicators, Health care. Urinary Tract Infections. Catheters, Indwelling.Antecedentes y objetivo: El impacto infecciones del tracto urinario em gran medida de la evolución clínica del paciente, por lo que está dirigido en este estudio para analizar, a través de dos indicadores de procesos, Las conformidades y no conformidades relacionadas con las prácticas de control y prevención de infección del tracto urinario relacionado al cateterismo vesical de demora en sectores con pacientes críticos. Métodos: documental, observacional y transversal, conun enfoque cuantitativo, realizado en una unidad de cuidados intensivos y una unidad de emergencia de un hospital público de Curitiba. La recopilación y elanálisis de losdatos se basanen indicadores de proceso elaborados y validados por Fernández (2006). Los indicadores se evalúan enconsecuencia cuando los valores entre 73-87 % y 75-85 %, respectivamente. Resultados: Para los indicadores 1 y 2, el porcentaje global de cumplimiento em la Unidad de Cuidados Intensivos fue de 68,8 % y 29,5 %, respectivamente. Cuando se evaluólos elementos que so porta nel numerador de ambos indicadores, el registro de laindicación para el uso del dispositivo es el más adecuadoenlaemergencia (80,6 %) y adecuadafijacióninconformidad presentado ambos dos sectores (67,5 % enunidad de cuidados intensivos y el 96,8 % en estados de emergencia). Conclusión:En general, los indicadores revelan una no conformidadconlasprácticas de prevención de infecciones del tracto urinario relacionadas con retardo cateterismo urinario y impulsanlanecesidad de estrategias de orientación aplicación de los equipos de atención y vigilancia continúa e nel uso del catéter. PALABRAS CLAVE: Indicadores. Indicadores de Calidad de laAtención de Salud. Infecciones urinarias. Catéteres de Permanencia.Justificativa e Objetivos: as infecções do trato urinário (ITU) impactam de forma significativa na evolução clínica do paciente. Desse modo, objetivou-se analisar, por meio de Indicadores de Processo, as conformidades e não conformidades relacionadas às práticas de controle e prevenção de ITU relacionada ao cateterismo vesical de demora em setores com pacientes críticos. Métodos: pesquisa documental, observacional e transversal de abordagem quantitativa, realizada em um Centro de Terapia Intensiva (CTI) e uma unidade de Emergência de um hospital público de Curitiba. A coleta e análise dos dados foram baseadas em Indicadores de Processo elaborados e validados por Fernandez, Lacerda e Hallage (2006). Os Indicadores foram avaliados em conformidade quando seus valores estão entre 73 – 87 % (Indicador 1) e 75 – 85 % (Indicador 2). Resultados: para os Indicadores 1 e 2 o percentual geral de conformidade nos dois setores analisados foram de 68,8% e de 29,5%, respectivamente. Quando avaliados os itens que subsidiam os numeradores de ambos os 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.Unisc2017-07-04info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/904310.17058/reci.v7i3.9043Revista de Epidemiologia e Controle de Infecção; Vol. 7 No. 3 (2017); 146-153Revista de Epidemiologia e Controle de Infecção; v. 7 n. 3 (2017); 146-1532238-3360reponame:Revista de Epidemiologia e Controle de Infecçãoinstname:Universidade de Santa Cruz do Sul (UNISC)instacron:UNISCporhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/9043/6213Copyright (c) 2017 Revista de Epidemiologia e Controle de Infecçãoinfo:eu-repo/semantics/openAccessFerreira, Caroline CuryCauduro, Fernanda Leticia Frates2019-01-21T12:52:40Zoai:ojs.online.unisc.br:article/9043Revistahttps://online.unisc.br/seer/index.php/epidemiologia/indexONGhttp://online.unisc.br/seer/index.php/epidemiologia/oai||liapossuelo@unisc.br|| julia.kern@hotmail.com||reci.unisc@gmail.com2238-33602238-3360opendoar:2019-01-21T12:52:40Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC)false
dc.title.none.fl_str_mv Catheter – associated urinary tract infection: process indicators for analysis of prevention practices in critical patients
Infeccióndeltractourinarioasociado a catéter: indicadores de proceso para revisión de prevención de prácticaen pacientes críticos
Infecção do trato urinário associado ao cateter: Indicadores de Processo para análise das práticas de prevenção em pacientes críticos
title Catheter – associated urinary tract infection: process indicators for analysis of prevention practices in critical patients
spellingShingle Catheter – associated urinary tract infection: process indicators for analysis of prevention practices in critical patients
Ferreira, Caroline Cury
title_short Catheter – associated urinary tract infection: process indicators for analysis of prevention practices in critical patients
title_full Catheter – associated urinary tract infection: process indicators for analysis of prevention practices in critical patients
title_fullStr Catheter – associated urinary tract infection: process indicators for analysis of prevention practices in critical patients
title_full_unstemmed Catheter – associated urinary tract infection: process indicators for analysis of prevention practices in critical patients
title_sort Catheter – associated urinary tract infection: process indicators for analysis of prevention practices in critical patients
author Ferreira, Caroline Cury
author_facet Ferreira, Caroline Cury
Cauduro, Fernanda Leticia Frates
author_role author
author2 Cauduro, Fernanda Leticia Frates
author2_role author
dc.contributor.author.fl_str_mv Ferreira, Caroline Cury
Cauduro, Fernanda Leticia Frates
description Background and objective: Urinary tract infections have a significant impact on the patient's clinical evolution. In this way, the objective of this study was to analyze, through two process indicators. The conformities and nonconformities related to the practices of control and prevention of urinary tract infection related to delayed bladder catheterization in sectors with critical patients. Methods: Documental, observational and cross-sectional research of quantitative approach, performed in an Intensive Care Center and an Emergency unit of a public hospital in Curitiba. The data collection and analysis were based on process indicators elaborated and validated by Fernandez (2006). The indicators are evaluated accordingly when values between 73 – 87 % and 75 – 85 %, respectively. Results: For Indicators 1 and 2, the overall compliance rate was 68.8 % and 29.5 %, respectively. When the items that subsided the numerator of both indicators were registered, the indication for use of the device was more satisfactory in the Emergency (80.6 %) and the adequate fixation presented nonconformity in the two sectors evaluated (67.5 % in the Center for Intensive Care and 96.8 % in Emergency).Conclusion: In general, the indicators revealed nonconformities with regard to the prevention practices for urinary tract infection related to delayed bladder catheterization and address the need for the implementation of guidance strategies for care teams and continuous monitoring of catheter use. KEYWORDS: Indicators. Quality indicators, Health care. Urinary Tract Infections. Catheters, Indwelling.
publishDate 2017
dc.date.none.fl_str_mv 2017-07-04
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dc.identifier.uri.fl_str_mv https://online.unisc.br/seer/index.php/epidemiologia/article/view/9043
10.17058/reci.v7i3.9043
url https://online.unisc.br/seer/index.php/epidemiologia/article/view/9043
identifier_str_mv 10.17058/reci.v7i3.9043
dc.language.iso.fl_str_mv por
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dc.relation.none.fl_str_mv https://online.unisc.br/seer/index.php/epidemiologia/article/view/9043/6213
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Epidemiologia e Controle de Infecção
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Epidemiologia e Controle de Infecção
eu_rights_str_mv openAccess
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dc.publisher.none.fl_str_mv Unisc
publisher.none.fl_str_mv Unisc
dc.source.none.fl_str_mv Revista de Epidemiologia e Controle de Infecção; Vol. 7 No. 3 (2017); 146-153
Revista de Epidemiologia e Controle de Infecção; v. 7 n. 3 (2017); 146-153
2238-3360
reponame:Revista de Epidemiologia e Controle de Infecção
instname:Universidade de Santa Cruz do Sul (UNISC)
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instname_str Universidade de Santa Cruz do Sul (UNISC)
instacron_str UNISC
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reponame_str Revista de Epidemiologia e Controle de Infecção
collection Revista de Epidemiologia e Controle de Infecção
repository.name.fl_str_mv Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC)
repository.mail.fl_str_mv ||liapossuelo@unisc.br|| julia.kern@hotmail.com||reci.unisc@gmail.com
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