Search

Introduction: Health care-associated infections (HAIs) contribute to morbidity and mortality and to the dissemination of multidrug-resistant organisms. Children admitted to the intensive care unit undergo invasive procedures that increase their risk of developing HAIs and sepsis. The aim of the study was to analyse factors associated with mortality due to sepsis arising from HAIs. Patients and methods: We conducted a case-control study in a 7-bed multipurpose paediatric intensive care unit in a tertiary care teaching hospital. The sample consisted of 90 children admitted between January 2014 and December 2018. The case group consisted of patients who died from sepsis associated with the main health care-associated infections; the control group consisted of patients who survived sepsis associated with the same infections. Results: Death was associated with age less than or equal to 12 months, presence of comorbidity, congenital disease, recurrent ventilator-associated pneumonia and septic shock. In the multiple regression analysis, heart disease (OR, 12.48; CI 2.55–60.93; P = .002), infection by carbapenem-resistant bacteria (OR, 31.51; CI 4.01–247.25; P = .001), cancer (OR, 58.23; CI 4.54–746.27; P = .002), and treatment with adrenaline (OR, 13.14; CI 1.35–128.02; P = .003) continued to be significantly associated with death. Conclusions: Hospital sepsis secondary to carbapenem-resistant bacteria contributed to a high mortality rate in this cohort. Children with heart disease or neoplasia or who needed vasopressor drugs had poorer outcomes. Resumen: Introducción: Las infecciones relacionadas con la asistencia sanitaria (IRAS) contribuyen a la morbimortalidad y a la diseminación de organismos multirresistentes. Los niños ingresados en la unidad de cuidados intensivos son sometidos a procedimientos invasivos que aumentan su riesgo de desarrollar IRAS y sepsis. El objetivo de este estudio fue analizar los factores asociados a la letalidad por sepsis derivada de IRAS. Pacientes y métodos: Estudio de casos y controles, en una unidad de cuidados intensivos pediátricos polivalente de 7 camas de un hospital universitario de tercer nivel. La muestra consistió en 90 niños ingresados entre enero de 2014 y diciembre de 2018. Los casos se definieron como fallecimientos por sepsis asociada a infecciones asistenciales principales; los controles fueron los pacientes supervivientes que presentaron sepsis asociada a las mismas infecciones. Resultados: La muerte se asoció a edad menor o igual a 12 meses, presencia de comorbilidad, enfermedad congénita, neumonía recurrente asociada a ventilación mecánica y shock séptico. En el análisis múltiple, la cardiopatía (OR 12,48; IC 2,55–60,93; p = 0,002), la infección por bacterias resistentes a carbapenémicos (OR 31,51; IC 4,01–247,25; p = 0,001), el cáncer (OR 58,23; IC 4,54–746,27; p = 0,002) y el uso de adrenalina (OR 13,14; IC 1,35–128,02; p = 0,003) siguieron asociados a la muerte. Conclusiones: La sepsis hospitalaria secundaria a bacterias resistentes a carbapenémicos contribuyó a una elevada tasa de mortalidad. Los niños con cardiopatía o neoplasia o que necesitaron fármacos vasopresores tuvieron peores desenlaces.

Copyright of Arquivos de Ciências da Saúde da UNIPAR is the property of Associacao Paranaense de Ensino e Cultura and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Arquivos de Ciências da Saúde da UNIPAR is the property of Associacao Paranaense de Ensino e Cultura and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Arquivos de Ciências da Saúde da UNIPAR is the property of Associacao Paranaense de Ensino e Cultura and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: to describe the perception of the nursing technician regarding their performance in the bundle of prevention of pneumonia associated with mechanical ventilation in an Intensive Care Unit. Methodology: a descriptive, qualitative study conducted with nursing technicians from an Adult Intensive Care Unit in Porto Alegre. Data collection performed through recorded interviews, following a semi-structured script. Data analyzed from the perspective of thematic analysis of Minayo. Results: the participants were 40 nursing technicians. Four categories emerged: a) the role of the Nursing Technician in the bundle for the prevention of ventilator-associated pneumonia (VAP); b) items that make up the bundle for the prevention of VAP; c) weaknesses in the implementation of the bundle for the prevention of VAP; and d) continuing education on VAP. Final considerations: participants know the prevention measures, recognize their importance and execute them directly and indirectly. The team uses its own mnemonic to memorize the bundle items. [ABSTRACT FROM AUTHOR]

Copyright of Enfermagem Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Health care-associated infections (HAIs) contribute to morbidity and mortality and to the dissemination of multidrug-resistant organisms. Children admitted to the intensive care unit undergo invasive procedures that increase their risk of developing HAIs and sepsis. The aim of the study was to analyse factors associated with mortality due to sepsis arising from HAIs., Patients and Methods: We conducted a case-control study in a 7-bed multipurpose paediatric intensive care unit in a tertiary care teaching hospital. The sample consisted of 90 children admitted between January 2014 and December 2018. The case group consisted of patients who died from sepsis associated with the main health care-associated infections; the control group consisted of patients who survived sepsis associated with the same infections., Results: Death was associated with age less than or equal to 12 months, presence of comorbidity, congenital disease, recurrent ventilator-associated pneumonia and septic shock. In the multiple regression analysis, heart disease (OR, 12.48; CI 2.55-60.93; P = .002), infection by carbapenem-resistant bacteria (OR, 31.51; CI 4.01-247.25; P = .001), cancer (OR, 58.23; CI 4.54-746.27; P = .002), and treatment with adrenaline (OR, 13.14; CI 1.35-128.02; P = .003) continued to be significantly associated with death., Conclusions: Hospital sepsis secondary to carbapenem-resistant bacteria contributed to a high mortality rate in this cohort. Children with heart disease or neoplasia or who needed vasopressor drugs had poorer outcomes., (Copyright © 2024 Asociación Española de Pediatría. Published by Elsevier España, S.L.U. All rights reserved.)

This article aims to identify the regulatory strategies, individual and collective, adopted by a nursing team in an Intensive Care Unit (ICU), to manage the variability and achieve the productive and health and safety management objectives in the sector and in the analyzed context. The methodology used in the study is based on the Ergonomic Analysis of Work (EAW) and Ergology. As a result, it became evident that individual and collective strategies are carried out at all times to supply the variability imposed by the environment, to manage the risks of the process, which is complex and demands a necessary cooperation from the collective, whose regulation is effective in resingularization in the face of local standards, necessary for the construction and updating of knowledge in view of the risk and constraints imposed, in addition to the excess of turnover that causes impacts on the sector, such as loss of knowledge, values and the destructuring of this collective, which is structuring. [ABSTRACT FROM AUTHOR]

Taking into account the morbidity and mortality of patients with CKD in the ICU, the incidence of renal dysfunction in these patients, and the rate of progression to an end-stage, an integrated multidisciplinary effort should be advocated. The general objective of this study was to analyze the practice of nursing care for critically ill renal patients. An integrative literature review of articles collected in the Virtual Health Library (VHL) and in the databases: Latin American and Caribbean Literature in Health Sciences (LILACS), Scielo, and Online System for Search and Analysis of Literature was carried out. Medical (MEDLINE). The research showed that nursing care in hemodialysis for patients in the ICU is related to handling the extracorporeal machine; vascular access and the patient. With this, professional nurses work in the handling, maintenance and control of the machine, carrying out the control of water and electrolytes, as well as the observation of complications that may arise. [ABSTRACT FROM AUTHOR]

To assess the prevalence and timing of complications related to the maintenance of central venous catheters in a pediatric patients. Cohort, observational, prospective study, carried out at the Hospital de Clínicas Complex of the Federal University of Paraná. The study population consisted of children and adolescents who had a central venous catheter inserted, totaling a sample of 79 participants. Data collection was carried out from June 2018 to October 2019, daily, through an instrument with data from the participants and the catheters. The analysis was performed using descriptive statistics. Non-elective removals accounted for 41.77%, with infection (13.92%) and obstruction (11.39%) being predominant. The time between insertion of the devices and the occurrence of the complication occurred mostly between the 8th and 14th day (35.44%). The study rates correspond to those found in the literature and allow more assertive action for pediatric patients. [ABSTRACT FROM AUTHOR]

Introduction: Acinetobacter baumanni is a Gram-negative coccobacillus responsible for high rates of healthcare-related infections (HAI). It has a high level of intrinsic resistance to antimicrobials, in addition to the ability to acquire resistance to carbapenems and polymyxins. Furthermore, A. baumannii has the ability to produce biofilms on abiotic and biotic surfaces, which favors the infection of critically ill patients admitted to intensive care units (ICU). It should be noted that bacteria involved in biofilms have greater resistance to antimicrobials, attributed to biochemical and molecular factors and the conditions of the hosts, which makes the treatment of these infections difficult. Objectives: To evaluate the biofilm production by A. baumannii isolates recovered from ICU patients, as well as the antimicrobial susceptibility profile (aminoglycosides, tigecycline, carbapenems and polymyxins) among these isolates. Methods: A systematic review was performed according to PRISMA criteria in the PUBMED/MEDLINE, Scopus, LILACS, SciELO, and Web of Science databases. Results: A total of 12 articles that evaluated 1006 clinical isolates of A. baumannii, all of which were resistant to carbapenems, were included. However, most isolates remained sensitive to polymyxins B and E (94.46%). The percentage of biofilm-producing isolates was high (96.3%), and in this study the relationship between the ability to produce biofilms and resistance to the analyzed antimicrobials is not clear. Conclusion: More studies should be conducted to monitor antimicrobial resistance in A. baumannii, especially in biofilm producers, as the therapeutic management of infections caused by these strains becomes more complex and challenging. [ABSTRACT FROM AUTHOR]

Copyright of Revista Argentina de Terapia Intensiva is the property of Sociedad Argentina de Terapia Intensiva (SATI) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The hospital environment is based on the integrality of care. Critically ill patients are treated in the Intensive Care Unit (ICU). The physiotherapist is part of the multiprofessional team and actively participates in the care of critically ill patients. To analyze the integrated practice of the physiotherapist as a member of the multiprofessional team in an Intensive Care Unit. Quantitative cross-sectional field study, carried out from August 2020 to September 2021, using an electronic questionnaire with 49 physiotherapists from two hospitals in Fortaleza. Descriptive analysis of the collected data was used. Multiprofessional integration happened mainly in multidisciplinary visits, and the main impacts generated from multidisciplinary integration were: Improved communication, effectiveness of care and reduction of complications. Acting in COVID-19 promoted greater interprofessional contact. The physiotherapist plays an important active role as a member of the multiprofessional team in the ICU, offering individualized assistance and ensuring the effectiveness of multiprofessional care. [ABSTRACT FROM AUTHOR]

Copyright of Revista de Pesquisa: Cuidado é Fundamental is the property of Revista de Pesquisa: Cuidado e Fundamental Online and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Texto & Contexto Enfermagem is the property of Universidade Federal de Santa Catarina, Programa de Pos-Graduacao de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This article aims to know the palliative care developed by health professionals in the intensive care unit and its implications in the humanization of assistance. A bibliographic study of the type of narrative review of the literature was conducted using descriptors related to palliative care, intensive care unit, humanization of assistance, totalizing 12 articles. The electronic database Pubmed were searched from the articles in the last five years. The review pointed out a series of conclusive studies on the repercussion of palliative care in intensive care unit aiming at a holistic care to the patient and his family that must achieve quality in the humanization of assistance, technical and vocational knowledge to the professionals, to be aware of the process of communication in the interactions, to act with clarity and objectivity, and later offer palliative care through a team of specialized in the field as an integrated part of care. It is believed that these findings could be of great values for health teams, could contribute with a better practice, improvement of the competences that results in professionals who are more and more qualified and able to the service and satisfaction of the human being in their basic human needs besides the satisfaction of the relatives in the hospital scenario. [ABSTRACT FROM AUTHOR]

Introduction: acute kidney injury in the intensive care unit in the General Teaching Hospital ¨Dr. Agostinho Neto¨ in Guantanamo has not been characterized. Objective: to characterize this disease in patients in the intensive care unit in the mentioned institution in the period 2018-2019. Method: a descriptive, retrospective and longitudinal study was undertaken, all approved by the ethics committee. The study population was made out of the total amount of the patients diagnosed according to the classification of the Acute Kidney Injury Network (AKIN). The variables taken into account were: age, gender, comorbidity, etiology, time in the intensive care unit, requirement for hemodialysis and status of the patient at the time of discharge, plus the stages of the acute kidney injury according to the AKIN scale. Results: acute kidney injury was diagnosed in the 35.6% of the patients, especially in male patients (56.7%) with ages between 66.3 ± 24.3 years. 41.4% of the patients suffered of systemic arterial hypertension. Stage 1 was found in the 48.9% of the cases, and sepsis was the main cause in 69.4%. Mortality at the time of discharge represented the 16.4%; and after the following 30 days went up to 25.4%. Hemodialysis was required in the 13.8% of the patients; in wich the risk of death was significatively higher. Conclusions: there is a high number of patients with acute kidney injury in the intensive care unit, and it was really useful the scale implemented for diagnosis and evaluation of the severity of the condition and the prognosis of the patients.

Evaluate the knowledge of nurses on mechanical ventilation. Intensive care nurses from a university hospital participated, answered an instrument on identification, parameters, modalities, alarms, nursing interventions and cycling of the mechanical ventilator. The response rate was 36 (52.17%) nurses, 14 (38.88%) with up to 5 years of experience, 16 (44.44%) with specialization, 12 (33.33%) answered correctly the modalities of mechanical ventilators, 31 (86.11%) do not know the Adjusted Target Tidal Volume (PRVC) feature, 35 (97.22%) acknowledge the Low Volume Expired Minute (VME), High Positive Pressure on the Road alarms Aerial (PVA), 36 (100.00%) acknowledge the Low PVA alarm, 30 (83.33%) acknowledge the apnea alarm and 20 (55.55%) know the cycling of mechanical fans. The correlations between knowledge and length of experience, time in the institution and specialization did not show a statistically significant difference (p <0.05, Fisher's exact test and chi-square). The most cited nursing intervention was aspiration of the orotracheal tube and airways 21 (58.33%). Nurses have knowledge in mechanical ventilation, which needs to be continually improved considering that mechanical ventilation care is an important area of expertise for a multidisciplinary team specialized and proficient in these specific mechanical ventilation care. [ABSTRACT FROM AUTHOR]

Objective: To evaluate the effectiveness of educational intervention in the intensive care process, at the level of knowledge of the nursing team about the prone position in patients with acute respiratory distress syndrome. Methods: This is a quasi-experimental quantitative study, with a sample of 62 professionals from the intensive sector. Data was collected on the variable knowledge of professionals during the pre- and post-educational intervention phase, for a week, through the application of multiple choice forms. For data analysis and evaluation of the effectiveness of educational intervention, descriptive statistics and Kolmogorov-Smirnova and Shapiro Wilk tests were used to prove normality and the Student T test to compare the averages obtained. Results: When comparing the averages obtained in the pre and post educational intervention phases, it was observed that the average of correct answers before intervention was 6.12, while in the post intervention 9.43. Conclusion: The effectiveness of the educational intervention in the intensive care process was found to be about the knowledge of nursing professionals about the prone position, considering a significant increase in the score of correct answers obtained in the post-intervention phase. Thus, continuing education in intensive sectors, becomes essential for the purposes of professional development. [ABSTRACT FROM AUTHOR]

Copyright of Saúde Coletiva is the property of MPM Comunicacao and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Pesquisa: Cuidado é Fundamental is the property of Revista de Pesquisa: Cuidado e Fundamental Online and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Enfermagem Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Parenteral Nutrition (PN) is an alternative of nutritional support, which contributes to patients' recovery and a greater chance of survival. The study aims to evaluate the adequacy of PN in terms of calories and macronutrients in patients admitted to an adult Intensive Care Unit (CTI, in the Portuguese acronym). This is a cross-sectional study, with secondary data collection from medical records. Data from 21 individuals were analyzed, with predominance of males and mean age of 62.05 ± 14.59 years. Considering the mean values and percentages of adequacy, only lipids were found to be inadequate, with insufficient lipid content in 52.6% of the patients. However, evaluation of PN prescriptions indicated excessive caloric intake in 19.0% of the population, protein deficit in 19.0%, and protein excess in 38.0% of cases. Thus, some nonconformities prevent adequate nutritional support, which highlights the need for patients' monitoring and reassessment of nutritional management. [ABSTRACT FROM AUTHOR]

Objective: to know the defensive strategies used by nursing workers to minimize the suffering resulting from the experience of the death of children hospitalized in a pediatric intensive care unit. Methods: descriptive-exploratory study of a qualitative approach. In Pediatric Intensive Care Unit of a university hospital. Data collection occurred between August and September 2016, through a semi-structured interview with 15 nursing workers. The data were submitted to content thematic analysis. Results: the data indicated as main strategies: denial, withdrawal at the time of death, attempt to separate work activities and personal life. The worker's family and co-workers constitute support for coping with these situations, as well as a feeling of accomplishment and seeking support in religious beliefs. Conclusion: workers use defensive strategies ranging from denial of suffering through different ways of acting in situations of suffering. [ABSTRACT FROM AUTHOR]

Copyright of SMAD Revista Electronica Salud Mental, Alcohol y Drogas is the property of Universidade de Sao Paulo, Escola de Enfermagem de Ribeirao Preto and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Pesquisa: Cuidado é Fundamental is the property of Revista de Pesquisa: Cuidado e Fundamental Online and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Pesquisa: Cuidado é Fundamental is the property of Revista de Pesquisa: Cuidado e Fundamental Online and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Pesquisa: Cuidado é Fundamental is the property of Revista de Pesquisa: Cuidado e Fundamental Online and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Pesquisa: Cuidado é Fundamental is the property of Revista de Pesquisa: Cuidado e Fundamental Online and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To implement and validate a bath protocol in patients admitted to an Adult Intensive Care Unit. Methodology: Implementation research, conducted in 2018, using the PDSA tool (Plan, Do, Study and Act), enabling the process to be re-evaluated at each stage. Validation by AGREE II by domains. The protocol adaptation followed the ADAPTE instrument. Results: Planning: technical visit to the site; composition of the working group (nurses, physician, physiotherapist and nursing technicians). Do: protocol analysis and evaluation (AGREE II). Study: Nonconformities between protocol and local reality reevaluated and corrected, based on the best scientific evidence. Act: pilot test; after adaptation, implanted in the morning shift. Final Considerations: Despite the benefit of the implementation of the bath protocol, it should be a frequent subject of discussion, as it comprises a central part of nursing care and should be practiced safely, seeking to minimize risks to patients. [ABSTRACT FROM AUTHOR]

CONCLUSIÓN: Se observó mejoría clínica importante en el caso en el que se realizó movilización pasiva temprana. No puede responsabilizarse solo a la movilización pasiva temprana de la mejoría de la paciente, pero abre un área de oportunidad a bajo costo para disminuir los días de ventilación mecánica y, con ello, los días de estancia en la unidad de terapia intensiva y, por tanto, los costos. CLINICAL CASES: A male and female patients, 47 and 48 years old, respectively, who required mechanical ventilation. In the case 2 early passive mobilization was done. CONCLUSION: An important clinical improvement was observed in the case where this mobilization was carried out. It can not be held responsible only for the early passive mobilization of the patient's improvement, but it opens an area of opportunity at low cost to reduce days of mechanical ventilation and thereby reduce days of stay in the intensive care unit and therefore costs. [ABSTRACT FROM AUTHOR]

To identify the main occupational stress factors of the nursing team working in the Intensive Care Unit, as well as to know how stress is manifested in the nursing team. Bibliographic review. There are several factors that trigger stress within Intensive Care Units, such as inadequate working conditions; lack of teamwork; scarcity of material resources; excessive working hours; death of patients; dissatisfaction with work; professional devaluation, noise; and the environment. The importance of the understanding of the reality experienced by the nursing professionals who work in Intensive Care Units helps in the formulation of proposals for interventions and search for solutions of the factors that contribute to generate stress, such as the adoption of more humanized measures of work and mechanisms that facilitate the work of the nursing team, valuing their knowledge and their experience. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Enfermagem Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Enfermagem Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The theme hospital infection has many nuances and fundamental has acquired importance among subjects who competes at about the individual treatment that is in the process of institutionalization, especially when they are hospitalized in Intensive Care Units. Aimed to conduct a search on brazilian databases on the factors that contribute to this event. Discussion: by 19 indexed in LILACS and BDENF articles, was built to reflect on the major routes of entry of pathogens causing nosocomial infection in ICU. Conclusion: mechanical ventilation, central venous catheter and urinary catheter were identified as major factors of infection in this population. [ABSTRACT FROM AUTHOR]

Objective: To identify a relationship between the risk factors for pressure lesion development and to determine its incidence in critical patients. Methodology: This was a descriptive study of a quantitative approach, which evaluated patients hospitalized in an intensive care unit during the period from May 1st to October 30th, 2015. Results: 59 patients took part in the study, 29 of them developed pressure lesion, a 49,2% of incidence. As for demographic and clinical variables, there was a predominance of male gender, mean age (46.9 ± 19.8), statistical association (p = <0.001) for longer hospitalization, mechanical ventilation, sedation, positive water balance and use of antibiotics, Braden Scale, did not score high risk and light risk and simplified acute physiology score (p = 0.09). Conclusion: The lesion show multi-causality, it is suggested that prevention and treatment are carried out through education in services with strengthening protocols. [ABSTRACT FROM AUTHOR]

Sepsis is defined as a clinical syndrome that consisting of a systemic inflammatory response associated with a focus of infection and it's one of the main causes of death in the intensive care units in Brazil. Identify the main Sepsis site infection in the intensive care units. Integrative review of the literature, carried out in national studies in intensive care units in Brazil with septic patients, using the BIREME database. The site of infection with the highest prevalence in 100% of the research was respiratory one. The mean mortality rate was 47.4%. The male gender prevailed in 100% of the research. The average of patients was 61.3 years and the prevalence rate was 45.5%. The most frequent site in sepsis cases is respiratory one and there is a requirement for further research about sepsis. [ABSTRACT FROM AUTHOR]

Copyright of Revista de Pesquisa: Cuidado é Fundamental is the property of Revista de Pesquisa: Cuidado e Fundamental Online and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

RESUMO Objetivo: descrever as características sociodemográficas e epidemiológicas dos pacientes internados em uma UTI. Método: estudo epidemiológico, descritivo e retrospectivo. População: 695 pacientes admitidos de janeiro a dezembro de 2011. Os dados coletados foram analisados estatisticamente com distribuição de frequências absoluta e relativa. Resultados: 61,6% dos pacientes são do sexo masculino, idade de 40 a 69 anos, e maioria proveniente do centro cirúrgico. O motivo de internação foram as doenças do aparelho circulatório (23,3%). Dos pacientes ao receber alta da UTI, 72,4% foram encaminhados para outras unidades da instituição, 31,1% para unidade de tratamento semi-intensivo e 20,4% foram a óbito, dos quais 24,6% foram por doenças do aparelho circulatório. O turno de trabalho que ocorreram admissões e altas foi o vespertino, com 45,8% das admissões e 53,3% das altas. Conclusão: a descrição das características sociodemográficas e epidemiológicas norteia o planejamento das ações de enfermagem, fornecendo um atendimento de melhor qualidade.