Accession to preventive measures of pneumonia associated with mechanical ventilation.
Autor(a) principal: | |
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Data de Publicação: | 2015 |
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/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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Revista de Epidemiologia e Controle de Infecção |
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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 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/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 |
language |
por |
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 |
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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1800218810016333824 |