Colonização por micro-organismo resistente e infecção relacionada ao cuidar em saúde
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Data
2012
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Objetivo: Identificar los factores de riesgo para el desarrollo de colonización por microorganismo resistente (MR) y para la infección relacionada
al cuidar en salud (IRCS) en pacientes de la sala de emergencia (SE) de una unidad de Pronta Atención (PA) en un hospital universitario.
Métodos: estudio de abordaje cuantitativo, epidemiológico realizado entre agosto del 2009 y marzo del 2010, entre pacientes adultos de la SE
de una unidad de Pronta Atención de un Hospital Universitario de la ciudad de Belo Horizonte, Minas Gerais. Fueron acompañados 254 pacientes.
Resultados: Del total de 254 pacientes, el 6,3% fueron colonizados por MR y el 11,4% desarrollaron IRCS. Se identificó el tiempo de
permanencia en la SE > 9 días (OR=28,7) y la presencia de infección comunitaria (OR=5) para la colonización por MR y, para las IRCS apenas
el tiempo de permanencia en la SE > 5 días (OR:19,8), como factores de riesgo, siendo éste común tanto a la colonización del paciente por MR
como para IRCS. Conclusión: Se confirmó la inadecuación de la SE, cuya prioridad debe ser la primera atención calificada, resolutiva y/o el
encaminamiento del paciente a una unidad especializada.
Objective: To identify risk factors for the development of colonization by resistant microorganisms (MR) and for infections related to health care (IRCS) in patients from the emergency room (SE) of a unit of Urgent Care (PA) in a hospital university. Methods: An epidemiological study of quantitative approach, conducted between August 2009 and March 2010, among adult patients of a SE in a PA unit of a university hospital in the city of Belo Horizonte, Minas Gerais. 254 patients were followed. Results: Of 254 total patients, 6.3% were colonized with MR and 11.4% developed IRCS. We identified the time spent in the SE > 9 days (OR = 28.7) and the presence of community infection (OR = 5) for colonization by MR and, for IRCS only the time spent in the SE > 5 days (OR: 19.8), as risk factors, which is common to both the colonization of the patient for MR and to IRCS. Conclusion: This study confirmed the inadequacy of the SE, whose priority should be the qualified primary attention, resolving and / or referring patients to a specialty unit.
Objective: To identify risk factors for the development of colonization by resistant microorganisms (MR) and for infections related to health care (IRCS) in patients from the emergency room (SE) of a unit of Urgent Care (PA) in a hospital university. Methods: An epidemiological study of quantitative approach, conducted between August 2009 and March 2010, among adult patients of a SE in a PA unit of a university hospital in the city of Belo Horizonte, Minas Gerais. 254 patients were followed. Results: Of 254 total patients, 6.3% were colonized with MR and 11.4% developed IRCS. We identified the time spent in the SE > 9 days (OR = 28.7) and the presence of community infection (OR = 5) for colonization by MR and, for IRCS only the time spent in the SE > 5 days (OR: 19.8), as risk factors, which is common to both the colonization of the patient for MR and to IRCS. Conclusion: This study confirmed the inadequacy of the SE, whose priority should be the qualified primary attention, resolving and / or referring patients to a specialty unit.
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Palavras-chave
Cross infection, Infección hospitalaria, Emergency service, Risk factors, Hospital, Servicio de urgencia en hospital, Drug resistance, Microbial, Factores de riesgo, Farmacorresistencia microbiana, Infecção hospitalar, Resistência microbiana a medicamentos, Serviço hospitalar de emergência, Fatores de risco
Citação
OLIVEIRA, Adriana Cristina de et al. Colonização por micro-organismo resistente e infecção relacionada ao cuidar em saúde. Acta Paulista de Enfermagem, São Paulo, v. 25, n. 2, p. 183-189, 2012.