ANÁLISE EPIDEMIOLÓGICA DAS UNIDADES HOSPITALARES NOTIFICADORAS DE INFECÇÕES ASSOCIADAS À ASSISTÊNCIA À SAÚDE (IRAS) NO BRASIL

Autores

  • Izabela Freitas Barros
  • Maria Flávia Rodrigues Dos Santos
  • Kauanny Wendy Paulino Reges
  • Luanne Eugênia Nunes
  • Patrícia Araújo Pedrosa Do Vale

DOI:

https://doi.org/10.51161/rems/1176

Palavras-chave:

INFECÇÃO HOSPITALAR, UTI, VIGILÂNCIA EPIDEMIOLÓGICA

Resumo

Introdução: Infecções Associadas à Assistência à saúde (IRAS) são causadas por micro-organismos em ambientes hospitalares, podem decorrer, entre outras circunstâncias, de métodos invasivos como: cateteres venosos, sondas, ventilação mecânica, com prevalência em UTIs. Cerca de 20% das mortes no mundo são por IRAS, portanto, há necessidade de medidas para prevenir a contaminação de pacientes. Dessa forma, os sistemas de vigilância epidemiológica se fazem necessários para avaliar a eficácia dessas medidas, como também descrever os principais patógenos envolvidos nas infecções. Objetivo: Avaliar o perfil de notificação de IRAS no Brasil entre 2012 e 2018. Metodologia: O estudo retrospectivo, de natureza descritiva e epidemiológica, embasou-se em dados disponibilizados pela Gerência de Vigilância e Monitoramento em Serviços de Saúde (GVIMS) da ANVISA, para descrever a situação das IRAS. Resultados: As IRAS são muito prevalentes em ambientes hospitalares, entretanto, nem todas as unidades de saúde efetuam corretamente as notificações dos casos, porém nos últimos anos o cenário apresenta mudança nas UTIs adulta. O número de hospitais que notificaram infecções primárias de corrente sanguínea com confirmação laboratorial (IPCSL) associados à cateter venoso central (CVC) passou de 832 hospitais em 2012 para 1361 em 2018, apresentando um aumento de 63,6%. Considerando que no período, o Brasil apresentava 1776 hospitais com UTI adulto, vê-se uma crescente atuação nas notificações, como também, um impacto significativo na densidade de incidência por ano: 5,75 em 2012 e 4,15 em 2018. Nesse contexto, os estados com número de serviços que mais relataram infecções em hospitais em 2018 foram São Paulo (419), Rio de Janeiro (210) e Minas Gerais (160). Entretanto, Roraima demonstrou menor índice de notificação, apenas um serviço realiza notificação, refletindo na segurança dos pacientes, pois, não se tem parâmetros para avaliar os casos de IRAS, bem como a evolução no combate aos micro-organismos mais patogênicos. Conclusão: De acordo com os resultados se observa que parâmetros devem ser seguidos para notificações de IRAS em UTIs, garantindo um tratamento eficaz, sem agravantes para os pacientes. Também é de fundamental importância que haja notificação por parte dos hospitais para que sejam avaliados tratamentos aplicados para o controle de IRAS.

Publicado

2021-06-11

Como Citar

Barros, I. F. ., Santos, M. F. R. D. ., Reges, K. W. P., Nunes, L. E. ., & Vale, P. A. P. D. (2021). ANÁLISE EPIDEMIOLÓGICA DAS UNIDADES HOSPITALARES NOTIFICADORAS DE INFECÇÕES ASSOCIADAS À ASSISTÊNCIA À SAÚDE (IRAS) NO BRASIL. Revista Multidisciplinar Em Saúde, 2(2), 19. https://doi.org/10.51161/rems/1176

Edição

v. 2 n. 2 (2021): Edição Especial: Anais de Eventos

Seção

Anais do I Congresso Nacional de Microbiologia Clínica On-Line

Licença

Creative Commons License
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.

O conteúdo desta revista foi migrado para https://editoraintegrar.com.br

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Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
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Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

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   PKPPageRouter.route(Object:Request) % line  143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

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                                                         SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[1], , null, null, 500, 1) % line  146, file: SubmissionSearch.inc.php
                                                      SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[4], , null, null, 500, 1) % line  194, file: SubmissionSearch.inc.php
                                                   SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[4], null, null, null, 500, 1) % line  146, file: SubmissionSearch.inc.php
                                                SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[3], null, null, null, 500, 1) % line  132, file: SubmissionSearch.inc.php
                                             SubmissionSearch._getMergedArray(Object:Journal, Array[1], null, null) % line  263, file: SubmissionSearch.inc.php
                                          SubmissionSearch.retrieveResults(Object:Request, Object:Journal, Array[1], null, null, null, Object:DBResultRange, Array[1]) % line   92, file: RecommendBySimilarityPlugin.inc.php
                                       RecommendBySimilarityPlugin.callbackTemplateArticlePageFooter(Templates::Article::Footer::PageFooter, Array[3]) % line  107, file: HookRegistry.inc.php
                                    HookRegistry.call(Templates::Article::Footer::PageFooter, Array[3]) % line 1267, file: PKPTemplateManager.inc.php
                                 PKPTemplateManager.smartyCallHook(Array[1], Object:Smarty_Internal_Template) % line   43, file: 42362804174f266c598cdb32c3208fc745b92101^1c372c95cd85572e0fbc9a53d0323a0b229cfc78_0.app.frontendpagesarticle.tpl.php
                              content_6781613650b432_13896783(Object:Smarty_Internal_Template) % line  123, file: smarty_template_resource_base.php
                           Smarty_Template_Resource_Base.getRenderedTemplateCode(Object:Smarty_Internal_Template) % line  114, file: smarty_template_compiled.php
                        Smarty_Template_Compiled.render(Object:Smarty_Internal_Template) % line  216, file: smarty_internal_template.php
                     Smarty_Internal_Template.render(false, 1) % line  232, file: smarty_internal_templatebase.php
                  Smarty_Internal_TemplateBase._execute(Object:Smarty_Internal_Template, null, 42362804174f266c598cdb32c3208fc745b92101, null, 1) % line  134, file: smarty_internal_templatebase.php
               Smarty_Internal_TemplateBase.display(frontend/pages/article.tpl, null, 42362804174f266c598cdb32c3208fc745b92101, null) % line  924, file: PKPTemplateManager.inc.php
            PKPTemplateManager.display(frontend/pages/article.tpl) % line  292, file: ArticleHandler.inc.php
         ArticleHandler.view(Array[1], Object:Request) % line  391, file: PKPRouter.inc.php
      PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false) % line  231, file: PKPPageRouter.inc.php
   PKPPageRouter.route(Object:Request) % line  143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

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