Infecção em pacientes internados em UTI em unidade de terapia intensiva com base em medidas de enfermagem e médicas
DOI:
https://doi.org/10.17058/reci.v15i2.19999Palavras-chave:
Infecção. Prestação de Cuidados de Saúde. Equipe de Tratamento. Enfermeiros. Unidades de Terapia Intensiva.Resumo
Justificativa e Objetivos: A síndrome do intestino irritável (SII) é um distúrbio gastrointestinal comum, caracterizado por sintomas como diarreia, constipação, dor abdominal, estresse, fadiga crônica e distensão abdominal. Este estudo investiga a prevalência de infecção em pacientes tratados em unidade de terapia intensiva (UTI), com foco em medidas de enfermagem e médicas. Métodos: O presente estudo realizou uma revisão sistemática de 40 artigos publicados entre 2012 e 2024, utilizando palavras-chave como “UTI”, “Enfermagem”, “Equipe Médica”, “Assistência Médica” e “Infecção Hospitalar” em bases de dados como PubMed, Web of Science, Scopus, Science Direct, EBSCO, Wiley, Elsevier, Embase e Google Acadêmico. Resultados: Os achados indicam que as infecções do trato urinário são as mais comuns, enquanto a pneumonia é a infecção hospitalar mais letal. Em alguns centros, no entanto, as infecções nosocomiais do sistema circulatório são a principal causa de mortalidade dos pacientes. A meta-análise revelou uma prevalência de infecção entre pacientes de UTI de 82%. Conclusão: Dada a alta prevalência de infecções hospitalares, cuidados médicos e de enfermagem eficazes são essenciais para reduzir essas infecções.
Downloads
Referências
1. McSparron JI, Ricotta DN, Moskowitz A, Volpicelli FM, Roberts DH, Schwartzstein RM, et al. The PrOSTE: identifying key components of effective procedural teaching. Annals of the American Thoracic Society. 2015;12(2):230-4. https://doi.org/10.1513/annalsats.201406-237bc
2. Vincent J-L, Rello J, Marshall J, Silva E, Anzueto A, Martin CD, et al. International study of the prevalence and outcomes of infection in intensive care units. Jama. 2009;302(21):2323-9. https://doi.org/10.1001/jama.2009.1754
3. Baker RE, Mahmud AS, Miller IF, Rajeev M, Rasambainarivo F, Rice BL, et al. Infectious disease in an era of global change. Nature reviews microbiology. 2022;20(4):193-205. https://doi.org/10.1038/s41579-021-00639-z
4. Raoofi S, Pashazadeh Kan F, Rafiei S, Hosseinipalangi Z, Noorani Mejareh Z, Khani S, et al. Global prevalence of nosocomial infection: A systematic review and meta-analysis. PloS one. 2023;18(1):e0274248. https://doi.org/10.1371/journal.pone.0274248
5. Yuan C, Adeloye D, Luk TT, Huang L, He Y, Xu Y, et al. The global prevalence of and factors associated with Helicobacter pylori infection in children: a systematic review and meta-analysis. The Lancet Child & Adolescent Health. 2022;6(3):185-94. https://doi.org/10.1016/s2352-4642(21)00400-4
6. Naghavi M, Vollset SE, Ikuta KS, Swetschinski LR, Gray AP, Wool EE, et al. Global burden of bacterial antimicrobial resistance 1990–2021: a systematic analysis with forecasts to 2050. The Lancet. 2024;404(10459):1199-226. https://doi.org/10.1016/s0140-6736(24)01867-1
7. Hansen E, Belden K, Silibovsky R, Vogt M, Arnold WV, Bicanic G, et al. Perioperative antibiotics. The Journal of arthroplasty. 2014;29(2):29-48. https://doi.org/10.1016/j.arth.2013.09.030
8. Vincent J-L, Sakr Y, Singer M, Martin-Loeches I, Machado FR, Marshall JC, et al. Prevalence and outcomes of infection among patients in intensive care units in 2017. Jama. 2020;323(15):1478-87. https://doi.org/10.1001/jama.2020.2717
9. Grant J, Saux NL, Stewardship A, Microbiology RCotAoM, Canada ID. Duration of antibiotic therapy for common infections. Official Journal of the Association of Medical Microbiology and Infectious Disease Canada. 2022;6(3):181-97. https://doi.org/10.3138/jammi-2021-04-29
10. Otaghvar HA, Mahdigholizad S, Kalkhoran MK, Motamedi T, Jafarian AA, Salehi R, et al. Investigating the Results of Amniocentesis in the Operating Room on Children's Acute Second Degree Burn Wounds in Patients Referred to Shahid Motahari Hospital in Tehran in 2021-2022. Eurasian Journal of Chemical, Medicinal and Petroleum Research. 2023;2(5):32-44. https://doi.org/10.5281/zenodo.8047614
11. Malekzadeh R, Assadi T, Mahmoudi E, Montazeriun F. Performance evaluation of the intensive care units in hospitals affiliated to Mazandaran University of Medical Sciences during the COVID-19 pandemic. Journal of Modern Medical Information Sciences. 2023;8(4):312-23. http://jmis.hums.ac.ir/article-1-377-en.html
12. Fathi E, Malekshahi Beiranvand F, Hatami Varzaneh A, Nobahari A. Health Care Workers Challenges during Coronavirus Outbreak: The Qualitative Study. Journal of Research in Behavioural Sciences. 2020;18(2):237-48. http://dx.doi.org/10.52547/rbs.18.2.237
13. Gazerani A, Aliakbari R, Habibzadeh M, Haresabadi M. Assessment of safety status in operating room by the World Health Organization standards for safety-friendly hospital. Journal of North Khorasan University of Medical Sciences. 2015;6(4):895-903. http://dx.doi.org/10.29252/jnkums.6.4.895
14. Malekzadeh R, Heydari K, Moosazadeh M, Assadi T. Incidence and severity of COVID-19 in hospital staff and their relationship with influenza vaccination in Mazandaran Province, 2020. Journal of Mazandaran University of Medical Sciences. 2021;31(199):12-9. http://jmums.mazums.ac.ir/article-1-16304-en.html
15. Mehrabian F. Quality of services in training and medical emergency centers. Journal of Guilan University of Medical Sciences. 2014;22(89). http://journal.gums.ac.ir/article-1-564-en.html
16. Masoud Y, Hossein AS, Mahshid M. Evaluation of Intensive Care Unit in terms of standards of care in selected hospitals in Tehran. 2015. https://www.magiran.com/p1491496
17. Shaw C, Wagg A. Urinary and faecal incontinence in older adults. Medicine (Baltimore). 2021;49(1):44-50. https://www.clinicalkey.es/#!/content/journal/1-s2.0-S135730392030270X
18. Isigi SS, Parsa AD, Alasqah I, Mahmud I, Kabir R. Predisposing factors of nosocomial infections in hospitalized patients in the United Kingdom: systematic review. JMIR public health and surveillance. 2023;9:e43743. https://doi.org/10.2196/43743
19. Prescott JF, Sykes JE, Daniels JB. Streptococcal and enterococcal infections. Greene's Infectious Diseases of the Dog and Cat: Elsevier; 2021. p. 597-610. https://doi.org/10.1016/b978-0-323-50934-3.00050-1
20. Mikus E, Fiorentino M, Sangiorgi D, Fiaschini C, Tenti E, Tremoli E, et al. Surgical treatment of active endocarditis pre-and post-COVID-19 pandemic onset. Biomedicines. 2024;12(1):233. https://doi.org/10.3390/biomedicines12010233
21. Hoertel N, Sánchez‐Rico M, Gulbins E, Kornhuber J, Carpinteiro A, Lenze EJ, et al. Association between FIASMAs and Reduced Risk of Intubation or Death in Individuals Hospitalized for Severe COVID‐19: an observational multicenter study. Clinical Pharmacology & Therapeutics. 2021;110(6):1498-511. https://doi.org/10.1002/cpt.2317
22. Dobrek Ł. Drug-related urinary tract infections. Wiad Lek. 2021;74:1728-36. https://wiadlek.pl/wp-content/uploads/archive/2021/WLek202107130.pdf
23. Kaur R, Kaur R. Symptoms, risk factors, diagnosis and treatment of urinary tract infections. Postgraduate medical journal. 2021;97(1154):803-12. https://doi.org/10.1136/postgradmedj-2020-139090
24. Kwok M, McGeorge S, Mayer‐Coverdale J, Graves B, Paterson DL, Harris PN, et al. Guideline of guidelines: management of recurrent urinary tract infections in women. BJU international. 2022;130:11-22. https://doi.org/10.1111/bju.15756
25. Higgins T, Arastu AS, Auerbach PS. Medicine for the Outdoors E-Book: The Essential Guide to First Aid and Medical Emergencies: Elsevier Health Sciences; 2022. https://www.amazon.com/Medicine-Outdoors-Essential-Medical-Emergencies/dp/0323680569
26. Rafailova L. Features of nurse care and providing emergency care for patients with bleeding in the emergency department: Ternopil; 2021. https://repository.tdmu.edu.ua//handle/123456789/17604
27. Sekhar Reddy NV. Medical Emergencies in Oral and Maxillofacial Surgical Practice. Oral and Maxillofacial Surgery for the Clinician. 2021:49-58. https://doi.org/10.1007/978-981-15-1346-6_4
28. Steligo K. The Complete Guide to Breast Reconstruction: Choosing the Best Options After Your Mastectomy: JHU Press; 2023. https://www.amazon.com/Complete-Guide-Breast-Reconstruction-Mastectomy/dp/1421447592
29. Lieffering AS, Hommes JE, Ramerman L, Rakhorst HA, Mureau MA, Verheij RA, et al. Prevalence of local postoperative complications and breast implant illness in women with breast implants. JAMA Network Open. 2022;5(10):e2236519-e. https://doi.org/10.1001/jamanetworkopen.2022.36519
30. Heydari M, Lai KK, Fan Y, Li X. A review of emergency and disaster management in the process of healthcare operation management for improving hospital surgical intake capacity. Mathematics. 2022;10(15):2784. https://doi.org/10.3390/math10152784
31. Di Laura D, D'Angiolella L, Mantovani L, Squassabia G, Clemente F, Santalucia I, et al. Efficiency measures of emergency departments: an Italian systematic literature review. BMJ open quality. 2021;10(3):e001058. https://doi.org/10.1136/bmjoq-2020-001058
32. Tetteh LA, Agyenim‐Boateng C, Simpson SNY. Institutional pressures and accountability processes in pursuit of sustainable development goals: Insights from Ghanaian indigenous oil companies. Corporate Social Responsibility and Environmental Management. 2024;31(1):89-107. https://doi.org/10.1002/csr.2554
33. Elnahas M, Hübner J, Lang PM, Ahmadi E, editors. Job Satisfaction Among First-Generation Migrant Physicians in Anesthesiology and Intensive Care Medicine in Germany. Healthcare; 2024: MDPI. https://doi.org/10.3390/healthcare12212107
34. Jalal A, Iwamoto K, Gedik G, Ravaghi H, Kodama C. Health workforce capacity of intensive care units in the Eastern Mediterranean Region. Plos one. 2023;18(6):e0286980. https://doi.org/10.1371/journal.pone.0286980
35. Ngoc NM, Tien NH. Solutions for Development of High-Quality Human Resource in Binh Duong Industrial Province of Vietnam. International journal of business and globalisation. 2023;4(1):28-39. https://www.researchgate.net/publication/364994952_Solutions_for_development_of_high_quality_human_resource_in_Binh_Duong_Industrial_Province_of_Vietnam
36. Yarahmadi S, Soleimani M, Gholami M, Fakhr‐Movahedi A, Madani SMS. Health disparities in service delivery in the intensive care unit: A critical ethnographic study. Nursing in critical care. 2024. https://doi.org/10.1111/nicc.13170
Downloads
Publicado
Edição
Seção
Licença
Copyright (c) 2025 Nahid Mirzaei, Maryam Roham, Masoume Mesgarian
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
The author must state that the paper is original (has not been published previously), not infringing any copyright or other ownership right involving third parties. Once the paper is submitted, the Journal reserves the right to make normative changes, such as spelling and grammar, in order to maintain the language standard, but respecting the author’s style. The published papers become ownership of RECI, considering that all the opinions expressed by the authors are their responsibility. Because we are an open access journal, we allow free use of articles in educational and scientific applications provided the source is cited under the Creative Commons CC-BY license.
