Abstract
to identify and map the invasive procedures performed by nursing that can cause Healthcare-Associated Infections in patients in Intensive Care Units. this is a scoping review carried out in the first half of 2018, based on search for studies in national and international databases, in which 2,209 studies were found, of which 35 constituted the final sample. The data were analyzed and organized by simple descriptive statistics. among the invasive procedures performed by nursing that provide Healthcare-Associated Infections, delayed bladder catheter was indicated in 34 (66.67%) studies, the nasogastric catheter in 10 (19.61%) and the nasoenteral catheter in two (03.92%). in the face of such problems, better nursing planning and guidance for care in these invasive techniques becomes relevant and thus minimizes the incidence of infections.
Highlights
A survey[1] found that of the 1,048 patients admitted to an Intensive Care Unit (ICU), about 17.65% had infectious events such as ventilation-associated pneumonia (VAP), urinary tract infection (UTI) related to bladder catheterization and primary bloodstream infection linked to the central catheter
It becomes pertinent to identify the risk factors that contribute to the development of Healthcare-Associated Infections (HAIS), associated with invasive procedures performed by nurses in ICUs, in order to encourage measures that may reduce the incidence of HAIS damage and impairment, and, reduce the number of adverse events (AE) and mortality due to AE
To identify and map the invasive procedures performed by nursing that can cause Healthcare-Associated Infections in patients in Intensive Care Units
Summary
Methodological proceduresCurrently, Healthcare-Associated Infections (HAIS) are considered a global health problem, due to rising hospital costs and morbidity and mortality rates[1].These consequences occur due to the length of hospital stay, the high rate of invasive procedures, both diagnostic and therapeutic, the severity of the underlying disease, the site of infection and the sensitivity to the antibiotics used[2,3].With that being said, a survey[1] found that of the 1,048 patients admitted to an Intensive Care Unit (ICU), about 17.65% had infectious events such as ventilation-associated pneumonia (VAP), urinary tract infection (UTI) related to bladder catheterization and primary bloodstream infection linked to the central catheter.it is clear that HAIS are associated with several factors, including invasive procedures, namely: insertion of central and/or peripheral venous catheters, bladder catheters (BCC), mechanical ventilation, tracheal aspiration, wound care, chest tube removal, among others[4,5].Among these techniques are those performed by nursing, which are performed with high frequency according to patients’ needs, presenting diagnostic and/or therapeutic purposes, in order to contribute to their recovery[4,6,7,8].it becomes pertinent to identify the risk factors that contribute to the development of HAIS, associated with invasive procedures performed by nurses in ICUs, in order to encourage measures that may reduce the incidence of HAIS damage and impairment, and, reduce the number of adverse events (AE) and mortality due to AE. Healthcare-Associated Infections (HAIS) are considered a global health problem, due to rising hospital costs and morbidity and mortality rates[1] These consequences occur due to the length of hospital stay, the high rate of invasive procedures, both diagnostic and therapeutic, the severity of the underlying disease, the site of infection and the sensitivity to the antibiotics used[2,3]. It is clear that HAIS are associated with several factors, including invasive procedures, namely: insertion of central and/or peripheral venous catheters, bladder catheters (BCC), mechanical ventilation, tracheal aspiration, wound care, chest tube removal, among others[4,5] Among these techniques are those performed by nursing, which are performed with high frequency according to patients’ needs, presenting diagnostic and/or therapeutic purposes, in order to contribute to their recovery[4,6,7,8].
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