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Infecções da corrente sanguínea em unidade de terapia intensiva: estudo retrospectivo em um hospital de ensino
| Content Provider | Semantic Scholar |
|---|---|
| Author | Brixner, Betina Bierhals, Nayanna Dias Oliveira, Caio Fernando De Renner, Jane Dagmar Pollo |
| Copyright Year | 2019 |
| Abstract | O objetivo deste estudo foi verificar os fatores de risco e perfil epidemiologico dos pacientes diagnosticados com infeccaode corrente sanguinea, bem como os microrganismos responsaveis pela infeccao. Estudo transversal, em que foi realizadoum levantamento das hemoculturas e dados dos pacientes internados em unidade de terapia intensiva adulto com diagnostico de infeccao de corrente sanguinea, durante o ano de 2016. Foram coletadas informacoes referente ao paciente esua internacao, bem como ao agente responsavel pela infeccao e seu perfil de resistencia. Foram incluidas 24 hemoculturaspositivas para crescimento bacteriano. A media de idade dos pacientes foi de 53,9±21,1 anos e 54,5% dos pacientes acometidos pela infeccao eram homens. Dos pacientes, 59,1% apresentavam historico de doenca cardiaca, sendo que destes,63,6% foram a obito. As bacterias Gram positivas foram mais relacionadas com a infeccao, em que 54,2% eram Staphylococcus coagulase negativa e destes, 76,9% foram resistentes meticilina. Identificou-se que o sexo masculino, individuos idosos e com historico de alguma comorbidades previa, com destaque para as doencas cardiacas, foram os mais acometidoscom bacteremia. Quanto ao agente bacteriano responsavel pela infeccao, o Staphylococcus coagulase negativa foi o maisrelacionado aos casos diagnosticados, bem como o seu alto perfil de resistencia deste microrganismo frente a meticilina.Palavras-chave: Bacteremia; Fatores de Risco; Diagnostico; Unidade de Terapia Intensiva. ABSTRACTThe objective of this study was to verify the risk factors and epidemiological profile of the patients diagnosed with bloodstream infection, as well as the microorganisms responsible for the infection. A cross-sectional study was carried out inwhich blood cultures were collected and data were collected from patients admitted to an adult intensive care unit with adiagnosis of bloodstream infection during the year 2016. Information about the patient and hospitalization was collected,as well as the agent responsible for the infection 'and its resistance profile. 24 blood cultures positive for bacterial growthwere included. The mean age of the patients was 53.9±21.1 years and 54.5% of the patients affected by the infection weremen. Of the patients, 59.1% had a history of heart disease, of which 63.6% died. Gram positive bacteria were more relatedto infection, in which 54.2% were coagulase negative Staphylococcus and of these, 76.9% were resistant to methicillin. Itwas identified that the male sex, elderly individuals and with history of some previous comorbidities, especially heart diseases, were the most affected with bacteremia. As for the bacterial agent responsible for the infection, Coagulase negativeStaphylococcus was the most related to the diagnosed cases, as well as its high resistance profile of this microorganismagainst methicillin.Keywords: Bacteremia; Risk factors; Diagnosis; Intensive Care Unit. |
| File Format | PDF HTM / HTML |
| Volume Number | 87 |
| Alternate Webpage(s) | https://revistaenfermagematual.com.br/index.php/revista/article/download/215/116 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |