Avaliação das infecções hospitalares em pacientes críticos em um Centro de Terapia Intensiva

CÂNDIDO¹, Rui Barbosa Rodrigues; de SOUZA, Walnéia Aparecida; PODESTÁ, Márcia Helena Miranda Cardoso; ROCHA, José Ricardo; de Souza SIQUEIRA, Vanessa Martins; de Cássia SOUZA, Walene; de Souza PEREIRA, Caroline Aparecida; FERREIRA2, Eric Batista
August 2012
Revista da Universidade Vale do Rio Verde;ago-dez2012, Vol. 10 Issue 2, p148
Academic Journal
Introduction: Hospital infection (HI), which primarily affects the Centers for Intensive Care Unit (ICU) of hospitals, is considered a public health problem by the World Health Organization. Thus, this study determined the prevalence of infection in a hospital Intensive Care Unit. Methodology: This is a descriptive epidemiological study, a cross-sectional and retrospective one in the ICU for adult patients of a public hospital in southern Minas Gerais state, Brazil. The study included 62 patients. Data were collected through the registration records from January to April 2009. Results: The prevalence of HI in the ICU was 19.35%. Regarding the underlying pathology it was found a high percentage of admissions due to cardiovascular disease (50%). The greatest prevalence of HI was pneumonia (50%) and urinary tract infection (33.3%). In cultures performed, Staphylococcus sp predominated (45.5%), followed by Acinectobacter sp, Klebsiella sp and Pseudomonas sp (27.3%). The most commonly used antimicrobial agents were ceftriaxone (58.3%) followed by sulbactam ampicillin, ciprofloxacin, metronidazole, clindamycin (25%). Risk factors strongly correlated with the occurrence of hospital infection in the ICU were the severity of underlying disease, invasive procedures and length of stay in ICU. Conclusions: The results of this study, despite having been held for a short period of time, help to show how is the prevalence of HI in public hospitals and to strengthen the importance of a program of hospital infection control effective with a greater involvement of health professionals.


Related Articles

  • Indwelling time and risk of colonization of peripheral arterial catheters in critically ill patients. Khalifa, Raphael; Dahyot-Fizelier, Claire; Laksiri, Leila; Ragot, Stéphanie; Petitpas, Franck; Nanadoumgar, Hodanou; Debaene, Bertrand; Mimoz, Olivier // Intensive Care Medicine;Oct2008, Vol. 34 Issue 10, p1820 

    Despite the lack of evidence to support routine scheduled replacement of peripheral arterial catheters this practice continues to be widely used in many intensive care units (ICU). This study evaluated whether additional risks of catheter colonization are incurred with a conservative attitude in...

  • Post-ICU mortality in critically ill infected patients: an international study. Azoulay, Élie; Alberti, Corinne; Legendre, Isabelle; Brun Buisson, Christian; Le Gall, Jean Roger; Azoulay, Elie; Buisson, Christian Brun; European Sepsis Group // Intensive Care Medicine;Jan2005, Vol. 31 Issue 1, p56 

    Objective: To determine the incidence and risk factors for post-ICU mortality in patients with infection.Design and Setting: International observational cohort study including 28 ICUs in eight countries.Patients: All 1,872 patients discharged alive from the...

  • Preventing Infections in the ICU One Size Does Not Fit All. Malani, Preeti N. // JAMA: Journal of the American Medical Association;10/16/2013, Vol. 310 Issue 15, p1567 

    The author discusses factors to consider in minimizing infections in the intensive care unit (ICU). He references the article "Universal Glove and Gown Use and Acquisition of Antibiotic-Resistant Bacteria in the ICU: A Randomized Trial" by A. D. Harris and colleagues, published within the issue....

  • Attitudes of health care workers towards waking a terminally ill patient in the intensive care unit for treatment decisions. Elger, Bernice S.; Chevrolet, Jean-Claude // Intensive Care Medicine;Mar2003, Vol. 29 Issue 3, p487 

    Objective: We examined whether health care workers would wake an intubated patient whose preferences are not known, and whether attitudes are influenced by how health care workers themselves would like to be treated if they were in the patient's place.Design, Setting, and...

  • Ten big mistakes in intensive care medicine. Vincent, Jean-Louis; Hall, Jesse; Slutsky, Arthur // Intensive Care Medicine;Mar2015, Vol. 41 Issue 3, p505 

    The article discusses the ten big mistakes that clinicians made in the field of intensive care medicine. These include the tendency to focus too much on syndromes, the failure to recognize the evolution of physiologic change that precedes admission of the patient to the intensive care units...

  • I Don't Want to Be the One Saying 'We Should Just Let Him Die': Intrapersonal Tensions Experienced by Surrogate Decision Makers in the ICU. Schenker, Yael; Crowley-Matoka, Megan; Dohan, Daniel; Tiver, Greer; Arnold, Robert; White, Douglas // JGIM: Journal of General Internal Medicine;Dec2012, Vol. 27 Issue 12, p1657 

    BACKGROUND: Although numerous studies have addressed external factors associated with difficulty in surrogate decision making, intrapersonal sources of tension are an important element of decision making that have received little attention. OBJECTIVE: To characterize key intrapersonal tensions...

  • The importance of word choice in the care of critically ill patients and their families. Curtis, J.; Sprung, Charles; Azoulay, Elie // Intensive Care Medicine;Apr2014, Vol. 40 Issue 4, p606 

    The authors identify some examples of phrases in the English language that are commonly used in communicating with patients, families, and colleagues, and which they believe can impart unintended negative messages. It discusses the importance for medical personnel to choose their words properly...

  • Invasive devices: no need? No use! Blot, Stijn I.; Peleman, Renaat; Vandewoude, Koenraad H. // Intensive Care Medicine;Feb2007, Vol. 33 Issue 2, p209 

    The article comments on the report published within the issue, which discusses the results of a four-year surveillance of nosocomial infections in 19 Dutch intensive care units. The authors observe that T. van der Kooi and colleagues did not found higher mortality among patients with...

  • ANTIMICROBIAL THERAPY IN CRITICALLY ILL PATIENTS WITH NOSOCOMIAL INFECTIONS. Makmor-Bakry, Mohd; Mustafa, Suzana; Omar, Marhanis Salihah // International Journal of Pharmacy & Pharmaceutical Sciences;Oct2011, Vol. 3 Issue 4, p340 

    Nosocomial infections in critically ill patients are associated with higher risk of mortality. Effective antimicrobial treatment is important to ensure a better overall outcome for the patients. This study evaluated the effect of initial antimicrobial therapy on the outcome of critically ill...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics