Infección hospitalaria en unidad de tratamiento intensivo de un hospital universitario brasileño

• Autor(a) principal: Oliveira, Adriana Cristina de
• Data de Publicação: 2010
• Outros Autores: Kovner, Christine Tassone, Silva, Rafael Souza da
• Tipo de documento: Artigo
• Idioma: eng; por; spa
• Título da fonte: Revista Latino-Americana de Enfermagem (Online)
• Texto Completo: https://www.revistas.usp.br/rlae/article/view/4146
• topic: Vigilância Epidemiológica; Infecção Hospitalar; Unidades de Terapia Intensiva; Vigilancia Epidemiológica; Infección Hospitalaria; Unidades de Terapia Intensiva; Epidemiologic Surveillance; Cross Infection; Intensive Care Units

This prospective study aimed to determine the nosocomial infection (NI) incidence in an Intensive Care Unit (ICU), its association with clinical characteristics and occurrence sites. It was carried out among 1.886 patients admitted in an ICU of a University Hospital, from August 2005 to January 2008. Data analysis was done using Fisher’s test and Relative Risk (RR). There were 383 NIs (20.3%). The infections were in the urinary tract (n=144; 37.6%), pneumonia (n=98; 25.6%), sepsis (n=58; 15.1%), surgical site (n=54; 14.1%) and others (n=29; 7.7%). Hospitalization average was 19.3 days for patients with NI and 20.2 days for those with colonization by resistant microorganisms. The mortality was 39.5% among patients with NI (RR: 4.4; 3.4-5.6). The NI was associated with patients originated from other units of the institution/emergency unit, more than 4 days of hospitalization, community infection, colonized by resistant microorganisms, using invasive procedures and deaths resulting from NI.