As infecções nosocomiais em instituições de assistencia de longa permanencia : noticias do Brasil

AUTOR(ES)
DATA DE PUBLICAÇÃO

2004

RESUMO

The human population has being aged. The health services have been adjusted to this new epidemiological reality. With advancing of age, chronic-degenerative illnesses and the dependence for the activities of daily living become ftequent. The long-term care facilities are institutions destined to take care of these new necessities. These establishments are destined to rehabilitation, palliative care, terminal care, psychiatric hospitals, chronic hospitals and nursing homes. These institutions have been object of studies of nosocomial infection in last the two decades, mainly in countries as United States of America, Canada, United Kingdom, Japan, Netherlands and Norway. The epidemiology, the clinical presentation, the natural history of these infections are exclusive of this scenario. The environment, the peculiarities of the patients, the health cares offered in these establishments become the long-term care facilities a propitious place for the nosocomial infections and the development of microorganisms only found before in hospitals. lnvasive techniques, including feeding tubes, tracheotomies, solutions for enteral feeding are ftequently used in this contexto All these invasive techniques had already been pointed as risk factors for infections. Brazil, that presents a process of population aging characterized by the rapidity, makes use of long-term care facilities as asylurns, houses of rest and chronic hospitals. These Brazilian institutions had still not been object of systemized studies, which had been published, in that concem to the nosocomial infections. The present study, using the definitions of the Canadian consensus of infections in long-term care, fol1owedfor eight monthsa chronichospitalpopulationin São José dos Campos- São Paulo - Brazil. The more ftequent nosocomial infections had been: wound infections, gastroenteritis, others infections of the inferior respiratory tract and urinary tract infection. The rates are described as incidence densities. Urinary catheters were identified as a risk factor for urinarytract infectionswith a relativeriskof 8.63 (C.I. 95%:2.23- 33.36).Tube feeding was identified as a risk factor for gastroenteritis with a relative risk of 8.3 (C.I. 95%: 3.22 - 21.39). It was concludedthat the nosocomialinfectionsand its ftequencyin the institution studied are very similar to the described ones in world-wide literature

ASSUNTO(S)

serviços de saude para idosos saude do idoso controle de infecções infecções asilos

ACESSO AO ARTIGO

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