Analysis of the profile of individuals with mechanical ventilator-associated pneumonia in an intensive care unit
Análise do perfil dos indivíduos com pneumonia associada à ventilação mecânica de uma unidade de cuidados intensivos
Palavras-chave:
Pneumonia; Ventilação Mecânica; Epidemiologia; Pneumonia Associada à Ventilação Mecânica.Resumo
Introduction: Ventilator-associated pneumonia (VAP) is one of the causes that increases morbidity and mortality, accounting for 25% of all infections acquired in an intensive care unit (ICU). Objective: To describe the epidemiological profile of patients diagnosed with VAP in an ICU of a University Hospital. Methods: This is a descriptive and retrospective study, of sociodemographic data and clinical characteristics such as length of mechanical ventilation (MV), length of ICU and hospital stay, collected from electronic medical records. Results: The sample consisted of 77 patients, 53.2% male and 46.8% female. 80.5% were brown, 7.7% white and 11.8% did not declare their ethnicity. The mean MV time was 35.83(48.08), ICU time was 50.54(63.01), and the mean hospital stay was 61.10(73.66). Conclusion: In this study, the prevalence of VAP cases was predominant in brown, black and male individuals, as well as, the MV time, ICU and hospital stay were expressive.
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Referências
AGÊNCIA NACIONAL DE VIGILÂNCIA SANITÁRIA. Medidas de prevenção relacionadas à assistência à saúde. Brasil; 2017.
AGÊNCIA NACIONAL DE VIGILÂNCIA SANITÁRIA. Critérios de Diagnósticos de Infecção Relacionada à Assistência à Saúde da Agência Nacional de Vigilância Sanitária. Brasil, 2017.
ALECRIM, R.X et al. Strategies for preventing ventilator-associated pneumonia: an integrative review. Ver Bras Enferm, v 72, nº2, p. 521-530, Mar- Apr, 2019.
CARVALHO, C. R. R. D. Pneumonia associada à ventilação mecânica, 2006.
GARCIA, Alays Pereira et al. Incidência de infecção pulmonar hospitalar associada à ventilação mecânica invasiva na unidade de terapia intensiva adulto de um hospital em Governador Valadares. Univale, 2010.
GUIMARÃES M.M, ROCCO J.R. Prevalence of ventilator-associated pneumonia in a university hospital and prognosis for the patients affected. J Bras Pneumol, v 32, nº4, p. 339-46, 2006.
IBGE, Diretoria de Pesquisas, Coordenação de Pesquisas por Amostra de Domicílios, Pesquisa Nacional por Amostra de Domicílios Contínua 2012/2021.
JEAN, Shio-Shin et al. Epidemiology, treatment, and prevention of nosocomial bacterial pneumonia. Journal of clinical medicine, v. 9, nº1, p. 275, 2020.
KALLET, R.H. Ventilator Bundles in Transition: From Prevention of Ventilator-Associated Pneumonia to Prevention of Ventilator-Associated Events. Respir Care, v 64, nº8, p. 994-1006, Aug, 2019.
LEE, S et al. Chlorhexidine-Related Mortality Rate in Critically Ill Subjects in Intensive Care Units: A Systematic Review and Meta-Analysis. Respir Care. v, 64, n° 3, p.337-349, Mar,2019.
MALHAN, N et al. Oral Care and Ventilator-Associated Pneumonia. , v 26, nº5, p. 604-607, Sep/Oct, 2019.
OSMAN, S et al. The incidence of ventilator-associated pneumonia (VAP) in a tertiary-care center: Comparison between pre- and post-VAP prevention bundle. J Infect Public Health, v 13, nº 4, p. 552-557, Apr, 2020.
PARAJULI, N.P. Epidemiology of device-associated infections in an intensive care unit of a teaching hospital in Nepal: a prospective surveillance study from a developing country. Am J Infect Control, v 45, n° 9, p. 1024-9, 2017.
TORRES, A et al. International ERS/ESICM/ESCMID/ALAT guidelines for the management of hospital-acquired pneumonia and ventilator-associated pneumonia: guidelines for the management of hospital-acquired pneumonia (HAP)/ventilator-associated pneumonia (VAP) of the European Respiratory Society (ERS), European Society of Intensive Care Medicine (ESICM), European Society of Clinical Microbiology and Infectious Diseases (ESCMID) and Asociación Latinoamericana del Tórax (ALAT). European Respiratory Journal, v 50, nº3, 2017.
