Revista Gaúcha de Enfermagem (Sep 2012)

Infecções relacionadas à assistência em saúde e gravidade clínica em uma unidade de terapia intensiva Infecciones relacionadas a la asistencia en salud y gravedad clínica en una unidad de cuidados intensivos Healthcare associated infections and severity of illness index of patients in Intensive Care Units

  • Adriana Cristina Oliveira,
  • Adriana Oliveira Paula,
  • Robert Aldo Iquiapaza,
  • Ana Clara de Souza Lacerda

DOI
https://doi.org/10.1590/S1983-14472012000300012
Journal volume & issue
Vol. 33, no. 3
pp. 89 – 96

Abstract

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Objetivou-se verificar a possível associação entre a severidade clínica e a ocorrência de infecções relacionadas à assistência em saúde. Conduziu-se uma coorte prospectiva em uma unidade de terapia intensiva de um hospital universitário de agosto de 2009 a fevereiro de 2010. Utilizou-se o Average Severity Index Score para avaliar a severidade clínica. Os dados foram coletados por vigilância ativa e processados no SPSS. Realizou-se análise univariada e considerou-se significância estatística pEste estudio evaluó la posible asociación entre la severidad clínica y la incidencia de infecciones relacionadas a asistencia en salud. Se realizó un estudio prospectivo en una unidad de cuidados intensivos de un hospital universitario, entre agosto/2009 y febrero/2010. Se utilizó el Average Severity Index Score para evaluar la severidad clínica. Los datos fueron recogidos por vigilancia activa y procesados ​​en SPSS. Se realizó análisis univariado, consideró significación estadística de p This study was aimed at verifying the relationship between the severity illness index and the occurrence of healthcare associated infections. A prospective cohort was conducted in an intensive care unit of a university hospital, between August 2009 and February 2010. The Average Severity Index Score was used to evaluate the severity of illness. Data was collected by active surveillance and processed in SPSS. Univariate analysis was carried out, statistical significance when p<0,05 and confidence interval of 95%. The severity illness index was related to the occurrence of healthcare associated infection, as well as the length of stay in the intensive care unit, patient type, use of invasive procedure, antimicrobials, colonization and patient outcome (p<0,05). The occurrence of infections was also a predictive factor for the occurrence of death (p=0,000). These findings reinforce the idea that the occurrence of healthcare associate infections is a complex multifactorial chain, with emphasis on the clinical severity of the patient.

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