Infecções associadas ao cuidado em saúde em um hospital oncológico brasileiro: análise de cinco anos
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2012-01
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Estudio epidemiológico retrospectivo realizado en 2009 a fin de analizar las tasas de infección asociada a los cuidados en la salud, en pacientes oncológicos, por topografía, letalidad y mortalidad de 2004 a 2008. Los datos se recogieron de registros archivados en el Servicio de Control de Infección Hospitalaria (SCIH) de la institución. Los aspectos éticos fueron observados. Referente a la tasa de infección asociada a los cuidados en
Enfermería Global Nº 25 Enero 2012 Página 19
salud se observó que ocurrió el 8,24% (5.821) de episodios en el período. Estas tasas presentaron variación
del 6,51% (1,017) en 2004 al 10,82% (1.790) en 2007 y desvío estándar = (± 1,91). Referente al número de
pacientes con infección se encontró el 5,75% (4.064) variando del 4,89% (765) en 2004 al 7,47% (1237) en
2007. Las topografías más acometidas fueron las de sitio quirúrgico con el 26,11%, corriente sanguínea con el
24,11% y el tracto respiratorio con el 18,50%. La tasa de letalidad y mortalidad asociadas a la infección fueron
el 23,86% y el 1,37% de óbitos respectivamente. Se considera necesaria la evaluación de los múltiples factores
involucrados en ese proceso para que la institución desarrolle estrategias de prevención y control de las
infecciones y pueda intervenir en tiempo hábil.
Retrospective epidemiological study, carried out in 2009, to analyze healthcare-associated infection rates in cancer patients, according to infection site, lethality and data were collected from records filed at the institution’s Hospital Infection Control Service (SCIH), between 2004 and 2008. The project was submitted and approved by the Research Ethics Committee. Regarding the healthcare infection rate, it was observed that 8.24% (5,821) of episodes occurred during the period. These rates ranged from 6.51% (1,017) in 2004 to 10.82% (1,790) in 2007, with a standard deviation of ± 1.91. Regarding the number of patients with infection, a rate of 5.75% (4.064) was found, ranging from 4.89% (765) in 2004 to 7.47% (1,237) in 2007. The most affected sites were surgical site (26.11%), bloodstream (24.11%) and respiratory tract (18.50%). Infection associated lethality and mortality rates corresponded to 23.86% and 1.37% of deaths, respectively. The multiple factors involved in this process need to be assessed, so that the institution can develop infection prevention and control strategies and can intervene timely.
Retrospective epidemiological study, carried out in 2009, to analyze healthcare-associated infection rates in cancer patients, according to infection site, lethality and data were collected from records filed at the institution’s Hospital Infection Control Service (SCIH), between 2004 and 2008. The project was submitted and approved by the Research Ethics Committee. Regarding the healthcare infection rate, it was observed that 8.24% (5,821) of episodes occurred during the period. These rates ranged from 6.51% (1,017) in 2004 to 10.82% (1,790) in 2007, with a standard deviation of ± 1.91. Regarding the number of patients with infection, a rate of 5.75% (4.064) was found, ranging from 4.89% (765) in 2004 to 7.47% (1,237) in 2007. The most affected sites were surgical site (26.11%), bloodstream (24.11%) and respiratory tract (18.50%). Infection associated lethality and mortality rates corresponded to 23.86% and 1.37% of deaths, respectively. The multiple factors involved in this process need to be assessed, so that the institution can develop infection prevention and control strategies and can intervene timely.
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Infecçao hospitalar, Serviço de oncologia do hospital, Controle de infecção, Enfermagem, Infección hospitalaria, Servicio de oncología del hospital, Control de Infecciones, Enfermería, Hospital infection, Oncology service hospital, Infection control, Nursing
Citação
SANTOS, S. L. V.; SOUSA, T. K.; COSTA, D. M.; LOPES, L. K. O.; PELEJA, E. B.; SOUSA, D. M.; PALOS, M. A. P.; PEREIRA, M. S. Infecções associadas ao cuidado em saúde em um hospital oncológico brasileiro: análise de cinco anos. Enfermería Global, Murcia, v. 11, n. 25, p. 18-27, jan. 2012.