Profile of patients in private home care who developed ventilator-associated pneumonia.

IF 1.2 Q3 NURSING

Revista Brasileira De Enfermagem Pub Date : 2024-07-29 eCollection Date: 2024-01-01 DOI:10.1590/0034-7167-2023-0146

Fabiana Schimidt Cezar, Fabiana Camolesi Jacober, Heloísa Amaral Gaspar Gonçalves, Katia Vanessa Cantarini, Claudio Flauzino de Oliveira

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Abstract

Objectives: to analyze the profile and clinical outcomes of patients who developed Ventilator-Associated Pneumonia (VAP) in private home care and to compare the incidence with national data.

Methods: this was a retrospective study with data collected from July 2021 to June 2022 from patient records at a private clinic. Patients using intermittent ventilation or without ventilatory support were excluded.

Results: the utilization rate of mechanical ventilation was 15.9%. The incidence density of pneumonia in pediatrics was 2.2 cases per 1000 ventilation-days and in adults was 1.7 cases per 1000 ventilation-days, figures lower than those reported by the National Health Surveillance Agency. There were 101 episodes of pneumonia in 73 patients, predominantly male (65.8%), adults (53.4%), and those with neurological diseases (57.5%). The treatment regimen predominantly took place at home (80.2%), and there was one death.

Conclusions: patients in home care showed a low incidence and mortality rate from ventilator-associated pneumonia.

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私人家庭护理中患呼吸机相关肺炎患者的概况。

目的：分析在私人家庭护理中发生呼吸机相关肺炎（VAP）的患者的概况和临床结果，并将发生率与国家数据进行比较。方法：这是一项回顾性研究，从2021年7月至2022年6月在一家私人诊所的病历中收集数据。结果：机械通气的使用率为 15.9%。儿科肺炎发病率为每 1000 个通气日 2.2 例，成人肺炎发病率为每 1000 个通气日 1.7 例，均低于国家卫生监督局的报告数字。73 名患者共发生了 101 次肺炎，主要为男性（65.8%）、成人（53.4%）和神经系统疾病患者（57.5%）。治疗方案主要在家中进行（80.2%），有 1 例死亡病例。结论：家庭护理患者的呼吸机相关肺炎发病率和死亡率较低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista Brasileira De Enfermagem NURSING-

CiteScore

2.30

自引率

7.70%

发文量

477

审稿时长

21 weeks

期刊介绍： The Revista Brasileira de Enfermagem created in 1932, March 20 is the official publication of the Associação Brasileira de Enfermagem (Brazilian Nursing Association) has as purpose to disseminate the scientific production from different nursing interest areas of knowledge, including those which express the political project of the Association. The Revista Brasileira de Enfermagem is the oldest journal of the Brazilian nursing. Its first title was "Annaes de Enfermagem" from 1932 to 1941, being entitled Anais de Enfermagem" until 1955, when its title was changed to the current.