Urinary tract infection associated with bladder catheter in intensive care unit

Detalhes bibliográficos
Autor(a) principal: Barbosa, Lorena Rodrigues
Data de Publicação: 2019
Outros Autores: Mota, Écila Campos, Oliveira, Adriana Cristina
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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spelling 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
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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)
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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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