Accession to preventive measures of pneumonia associated with mechanical ventilation.

Detalhes bibliográficos
Autor(a) principal: Bork, Luany Caroline Adamovicz
Data de Publicação: 2015
Outros Autores: Gaspar, Maria Dagmar da Rocha, Reche, Péricles Martim, Arcaro, Guilherme
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/4885
Resumo: Justification and Objective: Emphasizing the importance of adopting measures for infection preventive for the realization of a free tour of damage emerged the need to observe how the health team has been applying bundle. Aimed to investigate the adhesion of preventive measures for pneumonia by health professionals, the Intensive Care Unit of a general adult public hospital, Ponta Grossa - PR. Methods. Transversal research, quantitative, prospective and observational approach, carried out in the period April-July 2013. The sample consisted of 33 patients who were on mechanical ventilation, totaling a record 1522 times application of preventive measures for pneumonia ventilator-associated (VAP). Results: Of 33 patients, 13 developed pneumonia, the mean age was 59.72 years and the prevalence was female (44.44 %). It was found that health professional sattended high head board of bed averaged 69.89 %, and join ed the interruption of sedation in averaged 66.66 % , performed oral hygiene with chlorhexidine 94.61 % , keptthe cuff the endotracheal tube (between 20 and 25mmH2O) 64.44 % , have adapted filter nebulizerto staywithin the validity of 89.50 % and 93.4 % of the observation sleft the circuit free of condensate. Analyzed the average amount of day sonme chanical ventilation of patients who acquired infection was 15.85 (SD = 8.65). Conclusion: Reveal that when the team applies all preventive patientonme chanical ventilation measures are reduced the risko facquiringan infection in the respiratory tract. Keywords: Intensive Care, Pneumonia, Ventilator- Associated, Cross Infection, Patient Care Team
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spelling Accession to preventive measures of pneumonia associated with mechanical ventilation.Adesão às medidas preventivas de pneumonia associada à ventilação mecânica.Justification and Objective: Emphasizing the importance of adopting measures for infection preventive for the realization of a free tour of damage emerged the need to observe how the health team has been applying bundle. Aimed to investigate the adhesion of preventive measures for pneumonia by health professionals, the Intensive Care Unit of a general adult public hospital, Ponta Grossa - PR. Methods. Transversal research, quantitative, prospective and observational approach, carried out in the period April-July 2013. The sample consisted of 33 patients who were on mechanical ventilation, totaling a record 1522 times application of preventive measures for pneumonia ventilator-associated (VAP). Results: Of 33 patients, 13 developed pneumonia, the mean age was 59.72 years and the prevalence was female (44.44 %). It was found that health professional sattended high head board of bed averaged 69.89 %, and join ed the interruption of sedation in averaged 66.66 % , performed oral hygiene with chlorhexidine 94.61 % , keptthe cuff the endotracheal tube (between 20 and 25mmH2O) 64.44 % , have adapted filter nebulizerto staywithin the validity of 89.50 % and 93.4 % of the observation sleft the circuit free of condensate. Analyzed the average amount of day sonme chanical ventilation of patients who acquired infection was 15.85 (SD = 8.65). Conclusion: Reveal that when the team applies all preventive patientonme chanical ventilation measures are reduced the risko facquiringan infection in the respiratory tract. Keywords: Intensive Care, Pneumonia, Ventilator- Associated, Cross Infection, Patient Care TeamJustificativa e Objetivos: Ressaltando a relevância da adoção de medidas preventivas de infecção para a realização de uma assistência livre de danos emergiu a necessidade de observar como a equipe de saúde aplica o bundle. Objetivou-se verificar a adesão de medidas preventivas de pneumonia pelos profissionais de saúde, da Unidade de Terapia Intensiva geral adulta de um hospital público, Ponta Grossa-PR. Métodos: Pesquisa transversal, de abordagem quantitativa, prospectiva e observacional, realizada no período de abril a julho de 2013. A amostra constituiu-se de 33 pacientes que estavam em ventilação mecânica, totalizando o registro de 1522 momentos de aplicações das medidas preventivas de pneumonia associada à ventilação mecânica (PAVM). Resultados: Dos 33 pacientes, 13 desenvolveram pneumonia, a média de idade foi de 59,72 anos e a prevalência foi do gênero feminino (44,44%). Verificou-se que os profissionais de saúde atenderam a cabeceira elevada dos leitos em média 69,80%, assim como aderiram à interrupção da sedação em média 66,66%, realizaram a higiene oral com clorexidina 94,61%, mantiveram o cuff do tubo orotraqueal (entre 20 e 25 mmH20) 64,44%, adequaram o filtro de nebulizador para ficar dentro da validade 89,50% e em 93,4% das observações deixaram os circuitos livre de condensados. Analisou-se que o valor médio de dias passados em ventilação mecânica dos pacientes que adquiriram infecção foi de 15,85 (DP = 8,65) dias. Conclusão: Revela-se que quando a equipe aplica todas as medidas preventivas ao paciente sob ventilação mecânica há redução do risco de adquirir infecção no trato respiratório. DESCRITORES: Terapia intensiva; Pneumonia associada à ventilação mecânica; Infecção hospitalar; Equipe de assistência ao paciente.Unisc2015-01-04info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/488510.17058/reci.v5i1.4885Revista de Epidemiologia e Controle de Infecção; Vol. 5 No. 1 (2015); 12-16Revista de Epidemiologia e Controle de Infecção; v. 5 n. 1 (2015); 12-162238-3360reponame: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/4885/4122Bork, Luany Caroline AdamoviczGaspar, Maria Dagmar da RochaReche, Péricles MartimArcaro, Guilhermeinfo:eu-repo/semantics/openAccess2019-01-21T12:55:36Zoai:ojs.online.unisc.br:article/4885Revistahttps://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:2019-01-21T12:55:36Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC)false
dc.title.none.fl_str_mv Accession to preventive measures of pneumonia associated with mechanical ventilation.
Adesão às medidas preventivas de pneumonia associada à ventilação mecânica.
title Accession to preventive measures of pneumonia associated with mechanical ventilation.
spellingShingle Accession to preventive measures of pneumonia associated with mechanical ventilation.
Bork, Luany Caroline Adamovicz
title_short Accession to preventive measures of pneumonia associated with mechanical ventilation.
title_full Accession to preventive measures of pneumonia associated with mechanical ventilation.
title_fullStr Accession to preventive measures of pneumonia associated with mechanical ventilation.
title_full_unstemmed Accession to preventive measures of pneumonia associated with mechanical ventilation.
title_sort Accession to preventive measures of pneumonia associated with mechanical ventilation.
author Bork, Luany Caroline Adamovicz
author_facet Bork, Luany Caroline Adamovicz
Gaspar, Maria Dagmar da Rocha
Reche, Péricles Martim
Arcaro, Guilherme
author_role author
author2 Gaspar, Maria Dagmar da Rocha
Reche, Péricles Martim
Arcaro, Guilherme
author2_role author
author
author
dc.contributor.author.fl_str_mv Bork, Luany Caroline Adamovicz
Gaspar, Maria Dagmar da Rocha
Reche, Péricles Martim
Arcaro, Guilherme
description Justification and Objective: Emphasizing the importance of adopting measures for infection preventive for the realization of a free tour of damage emerged the need to observe how the health team has been applying bundle. Aimed to investigate the adhesion of preventive measures for pneumonia by health professionals, the Intensive Care Unit of a general adult public hospital, Ponta Grossa - PR. Methods. Transversal research, quantitative, prospective and observational approach, carried out in the period April-July 2013. The sample consisted of 33 patients who were on mechanical ventilation, totaling a record 1522 times application of preventive measures for pneumonia ventilator-associated (VAP). Results: Of 33 patients, 13 developed pneumonia, the mean age was 59.72 years and the prevalence was female (44.44 %). It was found that health professional sattended high head board of bed averaged 69.89 %, and join ed the interruption of sedation in averaged 66.66 % , performed oral hygiene with chlorhexidine 94.61 % , keptthe cuff the endotracheal tube (between 20 and 25mmH2O) 64.44 % , have adapted filter nebulizerto staywithin the validity of 89.50 % and 93.4 % of the observation sleft the circuit free of condensate. Analyzed the average amount of day sonme chanical ventilation of patients who acquired infection was 15.85 (SD = 8.65). Conclusion: Reveal that when the team applies all preventive patientonme chanical ventilation measures are reduced the risko facquiringan infection in the respiratory tract. Keywords: Intensive Care, Pneumonia, Ventilator- Associated, Cross Infection, Patient Care Team
publishDate 2015
dc.date.none.fl_str_mv 2015-01-04
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv https://online.unisc.br/seer/index.php/epidemiologia/article/view/4885
10.17058/reci.v5i1.4885
url https://online.unisc.br/seer/index.php/epidemiologia/article/view/4885
identifier_str_mv 10.17058/reci.v5i1.4885
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/4885/4122
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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. 5 No. 1 (2015); 12-16
Revista de Epidemiologia e Controle de Infecção; v. 5 n. 1 (2015); 12-16
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
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reponame_str Revista de Epidemiologia e Controle de Infecção
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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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