Results after implementation of a protocol on the incidence of urinary tract infection in an intensive care unit

• Main Authors: Anna Letícia Miranda, Ana Lúcia Lyrio de Oliveira, Daiana Terra Nacer, Cynthia Adalgisa Mesojedovas Aguiar
• Format: Article
• Language: English
• Published: Universidade de São Paulo
• Series: Revista Latino-Americana de Enfermagem
• Subjects: Infecciones del Sistema Genital; Guía de Prática Clínica; Cuidados Críticos
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692016000100415&lng=en&tlng=en

ABSTRACT Objective: to compare the results of urinary tract infection incidence, by means of the rate of indwelling urethral catheter use, and to identify microorganisms in urine cultures and surveillance cultures before and after the implementation of a clinical protocol for intensive care unit patients . Method: urinary tract infection is defined as a positive urine culture > 105 CFU/mL, notified by the hospital infection control service, six months before and after the implementation of the protocol. The sample consisted of 47 patients, 28 reported before and 19 after implementation. The protocol established in the institution is based on the Ministry of Health manual to prevent healthcare-related infections; the goal is patient safety and improving the quality of health services. Results: a negative linear correlation was observed between the later months of implementation and the reduction of reported cases of urinary tract infection, using the Spearman rank order coefficient (p = 0.045), and a reduction in the number of urine culture microorganisms (p = 0.026) using the Fisher exact test. Conclusion: educational interventions with implementation protocols in health institutions favor the standardization of maintenance of the invasive devices, which may reduce colonization and subsequent infections.