ADESÃO DA EQUIPE MULTIPROFISSIONAL AO PROTOCOLO DE PREVENÇÃO DA PNEUMONIA ASSOCIADA À VENTILAÇÃO NA UNIDADE DE TERAPIA INTENSIVA

• Palavras-chave: Unidades de Terapia Intensiva; Pneumonia Associada à Ventilação Mecânica; Equipe de Assistência ao Paciente.

• Keywords: Intensive Care Units; Pneumonia, Ventilator-Associated; Patient Care Team.

• Abstract:

  Introduction: Health care associated infections are the most commonly

  acquired in hospitals and comorbidities are already considered a public health

  problem. Ventilator Associated Pneumonia (VAP) consists of an infectious process of

  the lung parenchyma that occurs in patients undergoing endotracheal intubation and

  mechanical ventilation (MV) for a period of 48-72 hours for which the infection has not

  led to the installation ventilatory support. Objective: To evaluate the adhesion of the

  multidisciplinary team of VAP prevention protocol in the Intensive Care Unit. Methods:

  Observational, systematic study with transversal and quantitative approach, conducted

  in two Intensive Care Units (ICU) of a public hospital. For the record the data used the

  Prevention bundle of VAP in ICU adopted by the institution and the structured form based

  on criteria established by the Institute for Healthcare Improvement and the National

  Health Surveillance Agency. Results: The sample consisted of protocol procedures

  performed in 30 patients, revealing that the membership of the team showed low

  values in Hygiene questions of hands (46.7%) and cuff pressure between 20-25cmH2O

  (16.7%). In addition, there was a statistically significant association between the time

  spent in VM and positive tracheal aspirate culture (p = 0.044, v Cramer = 0.878).

  Conclusion: It is necessary to the development of training programs, improvement and

  continuing education for the staff in order to ensure that an interdisciplinary healthcare

  care, prioritizing higher quality and patient safety.

• Número de páginas: 15