Healthcare-associated infections in patients admitted to a cardiological intensive care unit

Detalhes bibliográficos
Autor(a) principal: Farias, Carolina Huller
Data de Publicação: 2020
Outros Autores: Gama, Fabiana Oenning da
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Revista de Epidemiologia e Controle de Infecção
Texto Completo: https://online.unisc.br/seer/index.php/epidemiologia/article/view/15406
Resumo: Justification and Objectives: Healthcare-associated infections (HAI) affect thousands of people worldwide and are a major cause of complications among hospitalized patients. This study aimed to identify HAI characteristics among patients hospitalized at a cardiac intensive care unit (CICU) in a reference hospital in Santa Catarina from January to December 2017. Methods: This is a descriptive cross-sectional study conducted in the hospital infection control committee (HICC) and intensive care unit (ICU) of the institution. Data were collected from 86 HAI notification forms. All patients admitted to the CICU notified with HAI by the HICC in 2017 were included in the study. Demographic and clinical data were collected from patients’ medical records. Data were tabulated in Microsoft Excel and analyzed by the Statistical Package for the Social Sciences (SPSS) version 18.0. Results: In 2017, HAI incidence was 58.6% and mortality rate 44.8%. The infection was more prevalent among individuals aged between 71 and 80 years (39.6%), and mainly affected the respiratory tract (RTI) (58.1%), the urinary tract (43%), and the bloodstream (30.2%). Pseudomonas aeruginosa (27.9%), Klebsiella pneumoniae (26.7%) and Acinetobacter baumannii (19.8%) were the main etiological agents. Regarding the base pathology, congestive heart failure was the most frequent (19.8%). Conclusion: This study found similar results on the incidence of HAI in CICU to those reported in the literature. Studies have showed permanent education, prevention and control protocols (bundles), and appropriate hand hygiene to be effective actions in reducing infections.
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spelling Healthcare-associated infections in patients admitted to a cardiological intensive care unitPrevalência de infecção relacionada à assistência à saúde em pacientes internados em unidade de terapia intensivaPrevalênciaInfecção hospitalarUnidades de Terapia Intensiva.Incidence. Cross Infection. Intensive Care Units.Justification and Objectives: Healthcare-associated infections (HAI) affect thousands of people worldwide and are a major cause of complications among hospitalized patients. This study aimed to identify HAI characteristics among patients hospitalized at a cardiac intensive care unit (CICU) in a reference hospital in Santa Catarina from January to December 2017. Methods: This is a descriptive cross-sectional study conducted in the hospital infection control committee (HICC) and intensive care unit (ICU) of the institution. Data were collected from 86 HAI notification forms. All patients admitted to the CICU notified with HAI by the HICC in 2017 were included in the study. Demographic and clinical data were collected from patients’ medical records. Data were tabulated in Microsoft Excel and analyzed by the Statistical Package for the Social Sciences (SPSS) version 18.0. Results: In 2017, HAI incidence was 58.6% and mortality rate 44.8%. The infection was more prevalent among individuals aged between 71 and 80 years (39.6%), and mainly affected the respiratory tract (RTI) (58.1%), the urinary tract (43%), and the bloodstream (30.2%). Pseudomonas aeruginosa (27.9%), Klebsiella pneumoniae (26.7%) and Acinetobacter baumannii (19.8%) were the main etiological agents. Regarding the base pathology, congestive heart failure was the most frequent (19.8%). Conclusion: This study found similar results on the incidence of HAI in CICU to those reported in the literature. Studies have showed permanent education, prevention and control protocols (bundles), and appropriate hand hygiene to be effective actions in reducing infections.Justificativa e Objetivos: As Infecções Relacionadas à Assistência à Saúde (IRAS) acometem milhares de pessoas em todo o mundo e são uma das principais causas de complicações em indivíduos hospitalizados. O objetivo deste estudo foi conhecer as características das IRAS em pacientes internados em uma Unidade de Terapia Intensiva Cardiológica em um hospital de referência em Santa Catarina, no período de janeiro a dezembro de 2017. Métodos: Estudo descritivo, realizado de forma transversal na Comissão de Controle de Infecção Hospitalar (CCIH) e Unidade de Terapia Intensiva (UTI) da instituição. Os dados foram coletados em 86 fichas de notificação de IRAS. Fizeram parte deste estudo todos os pacientes internados na UTI Cardiológica que tiveram notificação de IRAS registrada pela CCIH em 2017, sendo coletadas nos prontuários as variáveis demográficas e clínicas. Os dados foram organizados no Excel e analisados por meio do Statistical Package for the Social Sciences (SPSS) versão 18.0. Resultados: O percentual de IRAS em 2017 foi de 58,6% e o índice de mortalidade foi de 44,8%. Verificou-se maior ocorrência de infecção em indivíduos com idade entre 71 e 80 anos (39,6%), principalmente infecção do trato respiratório (ITR) (58,1%), seguida de infecção do trato urinário (43%) e infecção da corrente sanguínea (30,2%). Os principais agentes etiológicos foram: Pseudomonas aeruginosa (27,9%), Klebsiella pneumoniae (26,7%) e Acinetobacter baumannii (19,8%). Quanto à patologia de base, a mais frequente foi a insuficiência cardíaca congestiva (19,8%). Conclusão: O levantamento dos dados acerca das IRAS em UTI Cardiológica evidenciou incidência semelhante aos achados com a literatura. Ações de educação permanente, elaboração de protocolos (bundles) de prevenção e controle, e técnicas de higienização correta das mãos têm se mostrado efetivos para reduzir as infecções.Unisc2020-07-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/1540610.17058/reci.v10i3.15406Revista de Epidemiologia e Controle de Infecção; Vol. 10 No. 3 (2020)Revista de Epidemiologia e Controle de Infecção; v. 10 n. 3 (2020)2238-3360reponame:Revista de Epidemiologia e Controle de Infecçãoinstname:Universidade de Santa Cruz do Sul (UNISC)instacron:UNISCengporhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/15406/9475https://online.unisc.br/seer/index.php/epidemiologia/article/view/15406/9476Copyright (c) 2020 Carolina Huller Farias, Fabiana Oenning da Gamainfo:eu-repo/semantics/openAccessFarias, Carolina HullerGama, Fabiana Oenning da2022-08-08T12:58:04Zoai:ojs.online.unisc.br:article/15406Revistahttps://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:2022-08-08T12:58:04Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC)false
dc.title.none.fl_str_mv Healthcare-associated infections in patients admitted to a cardiological intensive care unit
Prevalência de infecção relacionada à assistência à saúde em pacientes internados em unidade de terapia intensiva
title Healthcare-associated infections in patients admitted to a cardiological intensive care unit
spellingShingle Healthcare-associated infections in patients admitted to a cardiological intensive care unit
Farias, Carolina Huller
Prevalência
Infecção hospitalar
Unidades de Terapia Intensiva.
Incidence. Cross Infection. Intensive Care Units.
title_short Healthcare-associated infections in patients admitted to a cardiological intensive care unit
title_full Healthcare-associated infections in patients admitted to a cardiological intensive care unit
title_fullStr Healthcare-associated infections in patients admitted to a cardiological intensive care unit
title_full_unstemmed Healthcare-associated infections in patients admitted to a cardiological intensive care unit
title_sort Healthcare-associated infections in patients admitted to a cardiological intensive care unit
author Farias, Carolina Huller
author_facet Farias, Carolina Huller
Gama, Fabiana Oenning da
author_role author
author2 Gama, Fabiana Oenning da
author2_role author
dc.contributor.author.fl_str_mv Farias, Carolina Huller
Gama, Fabiana Oenning da
dc.subject.por.fl_str_mv Prevalência
Infecção hospitalar
Unidades de Terapia Intensiva.
Incidence. Cross Infection. Intensive Care Units.
topic Prevalência
Infecção hospitalar
Unidades de Terapia Intensiva.
Incidence. Cross Infection. Intensive Care Units.
description Justification and Objectives: Healthcare-associated infections (HAI) affect thousands of people worldwide and are a major cause of complications among hospitalized patients. This study aimed to identify HAI characteristics among patients hospitalized at a cardiac intensive care unit (CICU) in a reference hospital in Santa Catarina from January to December 2017. Methods: This is a descriptive cross-sectional study conducted in the hospital infection control committee (HICC) and intensive care unit (ICU) of the institution. Data were collected from 86 HAI notification forms. All patients admitted to the CICU notified with HAI by the HICC in 2017 were included in the study. Demographic and clinical data were collected from patients’ medical records. Data were tabulated in Microsoft Excel and analyzed by the Statistical Package for the Social Sciences (SPSS) version 18.0. Results: In 2017, HAI incidence was 58.6% and mortality rate 44.8%. The infection was more prevalent among individuals aged between 71 and 80 years (39.6%), and mainly affected the respiratory tract (RTI) (58.1%), the urinary tract (43%), and the bloodstream (30.2%). Pseudomonas aeruginosa (27.9%), Klebsiella pneumoniae (26.7%) and Acinetobacter baumannii (19.8%) were the main etiological agents. Regarding the base pathology, congestive heart failure was the most frequent (19.8%). Conclusion: This study found similar results on the incidence of HAI in CICU to those reported in the literature. Studies have showed permanent education, prevention and control protocols (bundles), and appropriate hand hygiene to be effective actions in reducing infections.
publishDate 2020
dc.date.none.fl_str_mv 2020-07-07
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
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status_str publishedVersion
dc.identifier.uri.fl_str_mv https://online.unisc.br/seer/index.php/epidemiologia/article/view/15406
10.17058/reci.v10i3.15406
url https://online.unisc.br/seer/index.php/epidemiologia/article/view/15406
identifier_str_mv 10.17058/reci.v10i3.15406
dc.language.iso.fl_str_mv eng
por
language eng
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dc.relation.none.fl_str_mv https://online.unisc.br/seer/index.php/epidemiologia/article/view/15406/9475
https://online.unisc.br/seer/index.php/epidemiologia/article/view/15406/9476
dc.rights.driver.fl_str_mv Copyright (c) 2020 Carolina Huller Farias, Fabiana Oenning da Gama
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2020 Carolina Huller Farias, Fabiana Oenning da Gama
eu_rights_str_mv openAccess
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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. 10 No. 3 (2020)
Revista de Epidemiologia e Controle de Infecção; v. 10 n. 3 (2020)
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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