FATORES DE RISCO PARA INFECÇÃO DE CORRENTE SANGUÍNEA E INFLUÊNCIA NA TAXA DE MORTALIDADE
Resumo
Objetivo: avaliar os principais fatores de risco para infecção de corrente sanguínea relacionada ao cateter (ICSRC) e seus efeitos no desfecho de óbito, em pacientes internados em uma unidade de terapia intensiva (UTI) adulto. Métodos: Estudo retrospectivo, realizado em uma UTI. Foram coletados dados sobre os fatores de risco potenciais para ICSRC (perfil sociodemográfico, unidade e via de inserção, responsável pelo curativo) e avaliado o desfecho óbito. Resultados: 268 cateteres venosos centrais (CVC) foram inseridos em 209 pacientes, sendo 13,4% com pelo menos uma ICSRC e 36,36% dos pacientes evoluíram para óbito; 11,9% dos CVC puncionados na veia jugular e 13,8% na veia subclávia infectaram. O tempo de permanência maior que 14 dias e local de inserção do CVC fora da UTI aumentaram as chances de infecção nas vias subclávia e jugular (OR: 2,25 e 0,27). As chances de infecção na via jugular aumentaram com traqueostomia (OR: 3,83). O risco de óbito aumentou com ICSRC, internação por trauma e APACHE >22. Conclusão: A avaliação e intervenção nas condições de inserção e cuidados do CVC fora da UTI parece ser o ponto crucial para diminuição das infecções e mortalidade dos pacientes posteriormente admitidos na UTI.
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Referências
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DOI: https://doi.org/10.26694/repis.v3i3.6476
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