Qualidade e segurança na gestão em saúde: Prevenção e controle da infecção urinária relacionada ao uso de dispositivos

Abstract

Introduction: Infections related to health care are of great importance in the management of quality and safety, and represent a considerable financial burden for the health system. Aim: To establish a plan of action for prevention and control of urinary tract infection related to indwelling catheters (ITU-CVD) by one adult intensive care unit (ICU-A). Method: It was executed a plan of action, starting in January 2012, which included clinical interventions in multi-level, organized and coordinated, related to the management of people and processes to reduce the ITU-CVD and the catheter utilization rate of bladder delay (Tx-CVD). The internal references were the annual median of the two years immediately preceding the intervention (2010 and 2011). External references were fifty percentiles presented annually by the Surveillance Coordination Health of São Paulo (COVISA). Results: The results for each indicator temporally were compared by paired t-test (p <0.05). The results, expressed by the median annual incidence density of ITU-CVD were as follows: 2010 = 15.3; 2011 = 13.6; 2012 = 6.6. (P <0.05) As for Tx-CVD, the annual median found was: 2010 = 81.3; 2011 = 85.5; 2012 = 61.6. (P <0.05). Conclusion: The obtained results were not studied for the intervention time sufficient to reach the external reference. The proposed interventions can bring positive impact in reducing the Tx-CVD and the incidence density of ITU-CVD ICU-A.