ITU-RAS

Abstract

To analyze the epidemiological profile of urinary tract infection related to health care (ITU-RAS) in intensive care units (ICUs) of a Public State Hospital of Salvador. Material and methods: Epidemiological, descriptive, documental and retrospective study, performed at the ICUs of a Public State Hospital of Salvador, in the year 2017. All patients admitted to the ICUs who were notified with UTI in 2017 were included. Results: 23 patients with UTIs, 87% (20) of them in adult ICUs with an annual total of 17,437 patients / day; already in the pediatric ICU, 13% (03) of ITU was identified in a total of 3,060 patients / day. Of these patients with UTI, 56.5% were male in the adult ICU, and 100% in the pediatric ICU. The predictive risk factors for IYU were: ICU stay for more than 7 days and use of bladder catheter (SVD), both with (100%) and age above 65 years with (45%). The main microorganisms involved were Escherichia coli and Klebsiella Pneumoniae, both with 22.3%, followed by Enterobacter aerogenes and Enterococcus faecalis, both with 17.3%, and Pseudomonas aeroginosa 13.0%. Regarding bacterial resistance, Escherichia coli together with Klebsiella pneumoniae showed high resistance rates for the tested antibiotics. The most active against Escherichia coli were Aminoglycosides (gentamicin and amikacin) with 100% sensitivity. Conclusion: ITU is a frequent problem in critical environments, making it more urgent to implement safety measures and awareness of health professionals, such as the importance of hand hygiene in preventing infections.