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Impactos de la implementación del programa Proadi-SUS en la reducción de infecciones en UCI
Impact of the implementation of the Proadi-SUS program on the reduction of 3 infections in ICUs
Impactos da implantação do programa Proadi-SUS na redução de infecções em UTI
DOI:
https://doi.org/10.15446/av.enferm.v41n1.101113Keywords:
Infección Hospitalaria, Enfermería, Seguridad del Paciente, Unidad de Cuidados Intensivos (es)Unidade de Terapia Intensiva, Infecção Hospitalar, Enfermagem, Segurança do Paciente (pt)
Intensive Care Unit, Cross Infection, Nursing, Patient Safety (en)
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Introducción: las infecciones relacionadas con la asistencia sanitaria (IRAS) son complicaciones frecuentes en los entornos de cuidados intensivos con alta morbilidad y mortalidad y altos costos para el sistema de salud, por lo que comprometen la seguridad del paciente y requieren medidas de prevención adecuadas.
Objetivo: analizar los resultados obtenidos en cuanto a la reducción de la incidencia de IRAS tras la ejecución del Programa de Apoyo al Desarrollo Institucional del Sistema Único de Salud (Proadi-SUS) en un hospital universitario.
Materiales y método: estudio retrospectivo, observacional y cuantitativo realizado en una unidad de cuidado intensivo general de 10 camas en un hospital universitario. El periodo evaluado fue de 2015 a 2019. Para el análisis estadístico se utilizó ANOVA y prueba de Kruskal Wallis.
Resultados: se reportó una reducción significativa en la incidencia media de IRAS (p = 0,000), muertes por IRAS (p = 0,042), neumonía asociada al ventilador (p = 0,000) e infección del tracto urinario asociado a sonda vesical (p = 0,004). Sin embargo, no hubo diferencias estadísticamente significativas en la incidencia media de infección del torrente sanguíneo asociada a catéter vascular central (p = 0,871).
Conclusiones: los cambios en la atención implementados durante el proyecto Proadi-SUS fueron efectivos para mejorar las tasas de IRAS y asegurar una mejor práctica de atención con mayor seguridad para el paciente.
Introduction: Health Care Related Infections (HAIs) are frequent complications in intensive care settings with high morbidity and mortality rates and high costs for the health system. Therefore, HAIs compromise patient safety and require adequate prevention measures.
Objective: To analyze the results obtained in the course of the Support Program for the Institutional Development of the Unified Health System (Proadi-SUS) in a university hospital in terms of the reduction of HAIs incidence.
Materials and method: Retrospective, observational, and quantitative study conducted in a 10-bed general intensive are unit (ICU) at a university hospital. The period evaluated was from 2015 to 2019. ANOVA and the Kruskal Wallis test were used for statistical analysis.
Results: There was a significant reduction in the mean incidence of HAIs (p = 0.000), HAI deaths (p = 0.042), ventilator-associated pneumonia (p = 0.000), and urinary tract infection associated with bladder catheters (p = 0.004). However, there were no statistically significant differences in the mean incidence of central vascular catheter-associated bloodstream infection (p = 0.871).
Conclusion: The care changes implemented during the Proadi-SUS project were effective in improving HAI rates and ensure better care practices and more patient safety.
Introdução: as infecções relacionadas à assistência à saúde (Iras) são complicações frequentes em ambientes de terapia intensiva, com alta morbidade e mortalidade, altos custos para o sistema de saúde que comprometem a segurança do paciente e requerem medidas de prevenção adequadas.
Objetivo: analisar os resultados obtidos na redução da incidência de Iras, durante o Programa de Apoio ao Desenvolvimento Institucional do Sistema Único de Saúde (Proadi-SUS) em um hospital universitário.
Materiais e método: estudo retrospectivo, observacional, quantitativo, realizado em uma unidade de terapia intensiva geral de 10 leitos de um hospital universitário. O período avaliado foi de 2015 a 2019. Para a análise estatística, foram utilizados ANOVA e teste de Kruskal Wallis.
Resultados: houve uma redução significativa na incidência média de Iras (p = 0,000), mortes por Iras (p = 0,042), pneumonia associada à ventilação mecânica (p = 0,000) e infecção do trato urinário associada a cateteres vesicais (p = 0,004). No entanto, não houve diferenças estatisticamente significativas na incidência média de infecção da corrente sanguínea associada ao cateter vascular central (p = 0,871).
Conclusões: as mudanças assistenciais implantadas durante o projeto Proadi-SUS foram efetivas em melhorar os índices de Iras e garantir uma melhor prática assistencial com mais segurança ao paciente.
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Copyright (c) 2022 Enzo Marin Veronese , MARTIM RECHE PÉRICLES, Simonei Bonatto, Carla Luiza Silva, MARIA DAGMAR DA ROCHA GASPAR, ANA PAULA GARBUIO CAVALHEIRO , DYENILY ALESSI SLOBODA , Divonei GIBALA, Ricardo ZANETTI
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