Epidemiological profile of the healthcare-associated infections in an Intensive Care Unit from 2019 to 2020

Authors

DOI:

https://doi.org/10.33448/rsd-v10i17.24926

Keywords:

Epidemiology; Infections; Healthcare.

Abstract

Introduction: Healthcare-associated infections (HAI) are a severe problem to the healthcare worldwide, raising internment costs e mortality rates. Therefore, the need for monitoring and evaluation of incidence density and epidemiological profile of the HAI occurred in the Hospital Universitário de Sergipe (HU-UFS) grows. Objective: To evaluate if there is a significant difference between incidence/prevalence of HAI on patients admitted to the intensive care unit (ICU) in association with predisposing factors. Methodology: This study was realized with bibliographic research and data survey from the epidemiological vigilance records made by the service of hospital infections control of the patients admitted to the ICU from 2019 to 2020. Patients who meet the criteria for a minimum stay of 24 hours in the unit are included, and those who do not meet this criterion are excluded. Results: There has been a higher density of HAI in the third trimester of 2020, with 26,44. As for invasive devices, it was observed a higher rate of venous central line in the fourth trimester of 2020, with 83,9, but there was not elevation of HAI in this site. It was also observed a higher frequency of ventilator-associated pneumonia (VAP), within the topographies, corresponding to 47,22% of all cases. Conclusion: The rates found in this study are in consonance with the numbers published by Anvisa about other institutions with the same profile.

References

Agência Nacional de Vigilância Sanitária (2017). Boletim de segurança do paciente e qualidade em Serviços de Saúde nº16: Avaliação dos indicadores nacionais de IRAS e Resistência microbiana, em 2016. Disponível em: https://www.gov.br/anvisa/pt-br/centraisdeconteudo/publicacoes/servicosdesaude/publicacoes/boletim-seguranca-do-paciente/boletim-seguranca-do-paciente-e-qualidade-em-servicos-de-saude-no-16/view. Brasília.

Agência Nacional de Vigilância Sanitária (2018). Boletim segurança do paciente e qualidade em Serviços de Saúde nº17: Avaliação dos indicadores nacionais de IRAS e Resistência microbiana, em 2017. Disponível em: https://www.gov.br/anvisa/pt-br/centraisdeconteudo/publicacoes/servicosdesaude/boletim-seguranca-do-paciente/boletim-seguranca-do-paciente-e-qualidade-em-servicos-de-saude-n-17.pdf/view. Brasília.

Agência Nacional de Vigilância Sanitária (2021). Programa Nacional de Prevenção e Controle de Infecções Relacionadas à Assistência à Saúde (PNPCIRAS) 2021 – 2025. Disponível em: https://www.gov.br/anvisa/pt-br/centraisdeconteudo/publicacoes/servicosdesaude/publicacoes/pnpciras_2021_2025.pdf. Brasília.

Brito, I. L. P., Pereira, E.A., Souza, A.L. (2016). Prevalência de microrganismos isolados de hemoculturas em uma UTI adulta de um hospital de ensino da região norte do Ceará. Revista Brasileira de Análises Clínicas, 48(2):1-61.

Calil, K., Cavalcanti Valente, G. S., & Silvino, Z. R. (2014). Acciones y/o intervenciones de enfermería para la prevención de infecciones hospitalarias en pacientes gravemente enfermos: una revisión integrativa. Enfermería Global. 13, 2 (mar. 2014), 406–443. https://doi.org/10.6018/eglobal.13.2.156491

Centers for disease control and prevention (2016). Healthcare-associated Infections (HAI) Progress Report. Disponível em: https://gis.cdc.gov/grasp/PSA/HAIreport.html

Centers for Disease Control and Prevention (2020). National and State Healthcare-Associated Infections (HAI) Progress Report. Disponível em: https://www.cdc.gov/hai/data/portal/progress-report.html

Centers for Disease Control and Prevention (2020). United States COVID-19 pandemic vulnerability index by county. Disponível em: https://stacks.cdc.gov/view/cdc/92735

Chastre, J., & Fagon, J. Y. (2002). Ventilator-associated pneumonia. American journal of respiratory and critical care medicine, 165(7), 867–903. https://doi.org/10.1164/ajrccm.165.7.2105078

European centre for disease prevention and control (2018). Healthcare-associated infections acquired in intensive care units. Annual epidemiological report for 2016. Disponível em: https://www.ecdc.europa.eu/en/publications-data/healthcare-associated-infections-intensive-care-units-annual-epidemiological-0

Ferreira, L. de L., Azevedo, L. M. N. de, Salvador, P. T. C. de O., Morais, S. H. M. de, Paiva, R. de M., & Santos, V. E. P. (2019). Nursing Care in Healthcare-Associated Infections: A Scoping Review. Revista Brasileira de Enfermagem, 72(2), 476–483. https://doi.org/10.1590/0034-7167-2018-0418

Fram, D. S., Ferreira, D. B., Matias, L. de O., Coelho, W. E., Escudero, D. V., Antonelli, T. S., & Medeiros, E. A. (2021). Perfil epidemiológico das iras notificadas em um hospital universitário durante a pandemia da covid‐19. The Brazilian Journal of Infectious Diseases, 25, 101063. https://doi.org/10.1016/j.bjid.2020.101063

Guimarães, M. M. de Q., & Rocco, J. R. (2006). Prevalência e prognóstico dos pacientes com pneumonia associada à ventilação mecânica em um hospital universitário. Jornal Brasileiro de Pneumologia, 32(4), 339–346. https://doi.org/10.1590/S1806-37132006000400013

Leal, M. A., & Freitas-Vilela, A. A. de. (2021). Costs of healthcare-associated infections in an Intensive Care Unit. Revista Brasileira de Enfermagem, 74(1). https://doi.org/10.1590/0034-7167-2020-0275

Leoncio, J. M., Almeida, V. F. de, Ferrari, R. A. P., Capobiango, J. D., Kerbauy, G., & Tacla, M. T. G. M. (2019). Impacto das infecções relacionadas à assistência à saúde nos custos da hospitalização de crianças. Revista Da Escola de Enfermagem Da USP, 53. https://doi.org/10.1590/s1980-220x2018016303486

Lode, H., Raffenberg, M., Erbes, R., Geerdes-Fenge, H., & Mauch, H. (2000). Nosocomial pneumonia: epidemiology, pathogenesis, diagnosis, treatment and prevention. Current opinion in infectious diseases, 13(4), 377–384. https://doi.org/10.1097/00001432-200008000-00009

Nangino, G. de O., Oliveira, C. D. de, Correia, P. C., Machado, N. de M., & Dias, A. T. B. (2012). Impacto financeiro das infecções nosocomiais em unidades de terapia intensiva em hospital filantrópico de Minas Gerais. Revista Brasileira de Terapia Intensiva, 24(4), 357–361. https://doi.org/10.1590/S0103-507X2012000400011

Nogueira, L. de S., Ferretti-Rebustini, R. E. de L., Poveda, V. de B., Silva, R. de C. G. e, Barbosa, R. L., Oliveira, E. M. de, Andolhe, R., & Padilha, K. G. (2015). Carga de trabalho de enfermagem: preditor de infecção relacionada à assistência à saúde na terapia intensiva? Revista Da Escola de Enfermagem Da USP, 49(spe), 36–42. https://doi.org/10.1590/S0080-623420150000700006

Pereira, R. M. M., Oliveira, W. S., & Santiago, I. F. (2021). COVID-19 E INFECÇÕES RELACIONADAS À ASSISTÊNCIA À SAÚDE. Anais Do I Congresso Nacional de Microbiologia Clínica On-Line. https://doi.org/10.51161/rems/1200

Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica. UFSM. Disponível em: https://repositorio.ufsm.br/bitstream/handle/1/15824/LicComputacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1

Richards, M. J., Edwards, J. R., Culver, D. H., & Gaynes, R. P. (1999). Nosocomial infections in medical intensive care units in the United States. National Nosocomial Infections Surveillance System. Critical care medicine, 27(5), 887–892. https://doi.org/10.1097/00003246-199905000-00020

Strich, J. R., & Palmore, T. N. (2017). Preventing Transmission of Multidrug-Resistant Pathogens in the Intensive Care Unit. Infectious Disease Clinics of North America, 31(3), 535–550. https://doi.org/10.1016/j.idc.2017.05.010

World health organization (2014). Health care-associated infections Fact Sheet. Disponível em: https://www.who.int/gpsc/country_work/gpsc_ccisc_fact_ sheet_en.pdf.

World health organization (2016). Guidelines on Core Components of Infection Prevention and Control Programmes at the National and Acute Health Care. Disponível em https://apps.who.int/iris/bitstream/handle/10665/251730/9789241549929-eng.pdf

World health organization (2019). Minimum Requirements for infection prevention and control programmes. Disponível em: https://www.who.int/publications/i/item/9789241516945

Published

25/12/2021

How to Cite

EUZÉBIO, D. M.; SANTOS, W. M. V. dos; MENDONÇA, S. C. B. de; SILVA, C. E. P. da; RIBEIRO, L. C.; AMARANTE, R. S.; RAMALHO, K. M.; SOUZA, M. G. I. de; CONCEIÇÃO, D. B. da; SILVA, A. M. da. Epidemiological profile of the healthcare-associated infections in an Intensive Care Unit from 2019 to 2020. Research, Society and Development, [S. l.], v. 10, n. 17, p. e2101724926, 2021. DOI: 10.33448/rsd-v10i17.24926. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/24926. Acesso em: 12 nov. 2024.

Issue

Section

Health Sciences