Urinary tract infection associated with bladder catheter in intensive care unit
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , |
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/11579 |
Resumo: | Background and Objectives: The urinary tract infections (UTI) related to the use long-term urinary catheter (LUC) (ITU-LUC) shows high prevalence in the Intensive Care Units (ICU). Therefore, the objective is to determine the prevalence of the factors associated with UTILUC at ICU. Methods: documental research and transversal with quantitative approach was done by the analyses of medical records of all inpatients in all IC from a University Hospital in the north of the state of Minas Gerais in the period from January of 2013 to December of 2014. The gathering and analyses of data were based in the medical records and notification sheets of Healthcare-associated Infections (HAI). The Poisson Regression was adopted with the confidence interval of 95.0%. Results: from 169 analyzed patients, 145 (85.8%) were undergone bladder catheterization. The prevalence of UTI-LUC was 16.6%. The factors associated were time interval ≥ 15 days (Prevalence ratio: 4.6) and use of urinary catheter ≥ 10 days (prevalence ratio: 7.4) Conclusion: the time of hospitalization and permanence of the LUC was directly proportional to the occurrence of UTI-LUC, orienting the commitment of health professionals in the monitoring of hospitalized patients, continue evaluation and strict indication use of LUC. Keywords: hospital infections, Catheter related Infections, Intensive Care Units, Bladder Catheter, Nurse Role. |
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Urinary tract infection associated with bladder catheter in intensive care unitInfección del tracto urinario asociado al catéter vesical en unidad de terapia intensivaInfecção do trato urinário associada ao cateter vesical em unidade de terapia intensivaBackground and Objectives: The urinary tract infections (UTI) related to the use long-term urinary catheter (LUC) (ITU-LUC) shows high prevalence in the Intensive Care Units (ICU). Therefore, the objective is to determine the prevalence of the factors associated with UTILUC at ICU. Methods: documental research and transversal with quantitative approach was done by the analyses of medical records of all inpatients in all IC from a University Hospital in the north of the state of Minas Gerais in the period from January of 2013 to December of 2014. The gathering and analyses of data were based in the medical records and notification sheets of Healthcare-associated Infections (HAI). The Poisson Regression was adopted with the confidence interval of 95.0%. Results: from 169 analyzed patients, 145 (85.8%) were undergone bladder catheterization. The prevalence of UTI-LUC was 16.6%. The factors associated were time interval ≥ 15 days (Prevalence ratio: 4.6) and use of urinary catheter ≥ 10 days (prevalence ratio: 7.4) Conclusion: the time of hospitalization and permanence of the LUC was directly proportional to the occurrence of UTI-LUC, orienting the commitment of health professionals in the monitoring of hospitalized patients, continue evaluation and strict indication use of LUC. Keywords: hospital infections, Catheter related Infections, Intensive Care Units, Bladder Catheter, Nurse Role.Justificación y Objetivos: Las infecciones del tracto urinario (ITU) relacionadas con el uso del catéter vesical de demora (CVD) (ITU-RC) representan una elevada prevalencia de las infecciones en la unidad de terapia intensiva (UTI). De este modo, se objetivó determinar la prevalencia y factores asociados a la ITU-RC en la UTI. Métodos: Investigación documental y transversal de abordaje cuantitativo, realizada en un UTI estudio transversal, realizado en un hospital universitario del norte de Minas Gerais. La recolección y análisis de datos se basaron en los prontuarios de los pacientes internados en la UTI y fichas de notificación de las IRAS. Se adoptó Regresión de Poisson con intervalo de confianza del 95,0%. Resultados: De los 169 pacientes analizados, 145 (85,8%) fueron sometidos a cateterizaciones vesicales. La prevalencia de ITU-RC fue del 16,6%. Los factores asociados fueron tiempo de internación ≥15 días (Razón de prevalencia: 4,6) y uso del catéter vesical ≥10 días (Razón de prevalencia: 7,4). Conclusión: El tiempo de internación y permanencia del CVD fue directamente proporcional a la ocurrencia de ITU-RC, dirigiendo hacia el compromiso de los profesionales de la salud en el monitoreo de la permanencia, evaluación continua e indicación estricta del uso del CVD.Justificativa e Objetivos:As infecções do trato urinário (ITU) relacionadas ao uso do cateter vesical de demora (CVD) (ITU-RC) apresentam alta prevalência em unidades de terapia intensiva (UTI). Desse modo, objetivou-se determinar a prevalência e fatores relacionados à ITU-RC na UTI. Métodos: Pesquisa documental e retrospectiva de abordagem quantitativa, realizada por meio da análise dos prontuários de todos os pacientes internados em uma UTI de um hospital universitário do norte de Minas Gerais no período de janeiro de 2013 a dezembro de 2014. A coleta e análise de dados foram baseados nos prontuários e fichas de notificação das infecções relacionadas à assistência à saúde (IRAS). Adotou-se regressão de Poisson com intervalo de confiança de 95%. Resultados:Dos 169 pacientes analisados, 145 (85,8%) foram submetidos a cateterizações vesicais. A prevalência de ITU-RC foi de 16,6%. Os fatores associados foram tempo de internação ≥15 dias (Razão de prevalência: 4,6) e uso do cateter vesical ≥10 dias (Razão de prevalência: 7,4). Conclusão:O tempo de inter-nação e permanência do CVD está diretamente relacionado à ocorrência de ITU-RC, direcionando para o compromisso dos profissionais da saúde no monitoramento da permanência, avaliação contínua e indicação estrita do uso do CVD. Descritores:Infecção Hospitalar. Infecções Relacionadas a Cateter. Unidade de Terapia Intensiva. Cateterismo Urinário. Papel do Profissional de Enfermagem.Unisc2019-04-02info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/1157910.17058/reci.v9i1.11579Revista de Epidemiologia e Controle de Infecção; Vol. 9 No. 2 (2019)Revista de Epidemiologia e Controle de Infecção; v. 9 n. 2 (2019)2238-3360reponame: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/11579/8022Copyright (c) 2019 RECIinfo:eu-repo/semantics/openAccessBarbosa, Lorena RodriguesMota, Écila CamposOliveira, Adriana Cristina2019-07-10T14:29:04Zoai:ojs.online.unisc.br:article/11579Revistahttps://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:2019-07-10T14:29:04Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC)false |
dc.title.none.fl_str_mv |
Urinary tract infection associated with bladder catheter in intensive care unit Infección del tracto urinario asociado al catéter vesical en unidad de terapia intensiva Infecção do trato urinário associada ao cateter vesical em unidade de terapia intensiva |
title |
Urinary tract infection associated with bladder catheter in intensive care unit |
spellingShingle |
Urinary tract infection associated with bladder catheter in intensive care unit Barbosa, Lorena Rodrigues |
title_short |
Urinary tract infection associated with bladder catheter in intensive care unit |
title_full |
Urinary tract infection associated with bladder catheter in intensive care unit |
title_fullStr |
Urinary tract infection associated with bladder catheter in intensive care unit |
title_full_unstemmed |
Urinary tract infection associated with bladder catheter in intensive care unit |
title_sort |
Urinary tract infection associated with bladder catheter in intensive care unit |
author |
Barbosa, Lorena Rodrigues |
author_facet |
Barbosa, Lorena Rodrigues Mota, Écila Campos Oliveira, Adriana Cristina |
author_role |
author |
author2 |
Mota, Écila Campos Oliveira, Adriana Cristina |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Barbosa, Lorena Rodrigues Mota, Écila Campos Oliveira, Adriana Cristina |
description |
Background and Objectives: The urinary tract infections (UTI) related to the use long-term urinary catheter (LUC) (ITU-LUC) shows high prevalence in the Intensive Care Units (ICU). Therefore, the objective is to determine the prevalence of the factors associated with UTILUC at ICU. Methods: documental research and transversal with quantitative approach was done by the analyses of medical records of all inpatients in all IC from a University Hospital in the north of the state of Minas Gerais in the period from January of 2013 to December of 2014. The gathering and analyses of data were based in the medical records and notification sheets of Healthcare-associated Infections (HAI). The Poisson Regression was adopted with the confidence interval of 95.0%. Results: from 169 analyzed patients, 145 (85.8%) were undergone bladder catheterization. The prevalence of UTI-LUC was 16.6%. The factors associated were time interval ≥ 15 days (Prevalence ratio: 4.6) and use of urinary catheter ≥ 10 days (prevalence ratio: 7.4) Conclusion: the time of hospitalization and permanence of the LUC was directly proportional to the occurrence of UTI-LUC, orienting the commitment of health professionals in the monitoring of hospitalized patients, continue evaluation and strict indication use of LUC. Keywords: hospital infections, Catheter related Infections, Intensive Care Units, Bladder Catheter, Nurse Role. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-04-02 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://online.unisc.br/seer/index.php/epidemiologia/article/view/11579 10.17058/reci.v9i1.11579 |
url |
https://online.unisc.br/seer/index.php/epidemiologia/article/view/11579 |
identifier_str_mv |
10.17058/reci.v9i1.11579 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://online.unisc.br/seer/index.php/epidemiologia/article/view/11579/8022 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2019 RECI info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2019 RECI |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
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. 9 No. 2 (2019) Revista de Epidemiologia e Controle de Infecção; v. 9 n. 2 (2019) 2238-3360 reponame:Revista de Epidemiologia e Controle de Infecção instname:Universidade de Santa Cruz do Sul (UNISC) instacron:UNISC |
instname_str |
Universidade de Santa Cruz do Sul (UNISC) |
instacron_str |
UNISC |
institution |
UNISC |
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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1800218811189690368 |