公立医院重症监护室与医疗相关的感染概述

Marília Victória Nunes Garcez Garcez, Sônia Maria de Araújo Campelo, I. P. Ribeiro, Gabriel Martins de Barros Barros, Anneth Cardoso Basílio da Silva, Francimar Lima da Costa, Andréa Conceição Gomes Lima, Fernanda Valeria Silva Dantas Avelino
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引用次数: 0

摘要

导言:医疗相关感染是指患者入院后感染的疾病,在住院期间或出院后表现出来。目的:分析重症监护病房住院患者的医疗相关感染全景。概述:横断面回顾性研究,从一家公立医院的医院感染控制委员会数据库中收集资料,时间为 2022 年 7 月至 12 月。采用逻辑回归法计算粗略和调整后的几率比率。研究遵循了第 466/2012 号决议的伦理和法律规定。研究结果男性和 60 岁以上者居多。主要的临床问题是合并感染 COVID-19 和合并感染 HIV。在既往病症方面,系统性动脉高血压最为突出。在对病原体进行分析时,肺炎克雷伯氏菌的存在与死亡几率的增加略有关联。这意味着什么?使用侵入性设备、住院时间过长以及年龄、相关合并症等其他因素都是预测患者死亡率的因素,也是导致肺炎克雷伯氏菌碳青霉烯酶感染的风险因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Overview of Healthcare-Related Infections in Intensive Care Units of a public hospital
Introduction: Healthcare-Associated Infections are illnesses acquired after the patient's admission to the hospital unit and which manifest themselves during hospitalization or after discharge. Aim: To analyze the panorama of health-related infections in patients admitted to intensive care units. Outlining: Cross-sectional, retrospective study, collected from the Hospital Infection Control Commission database in a public hospital from July to December 2022. Crude and adjusted odds ratios were calculated using logistic regressions. The study followed the ethical and legal precepts of resolution 466/2012. Results: There was a predominance of males and those aged over 60 years. The main clinical problems were co infection with COVID-19 and co-infection with HIV. Regarding previous conditions, Systemic Arterial Hypertension stood out. When analyzing the etiological agents, the presence of Klebsiella pneumoniae showed a marginally significant association with an increase in the chances of death. Implications: The use of invasive devices, prolonged hospital stay and other factors such as age, associated comorbidities, were predictors of mortality among patients, as well as risk factors for the development of Klebsiella Pneumoniae Carbapenemase infection.
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