Risk factors associated with healthcare-associated infections during hospitalization in adult intensive care units.
“Intensive Care Unit” “Infection Control”, “Risk Factors”, “Nursing”.
Introduction: Healthcare-Associated Infections (HAIs) are recognized by the World Health Organization as a problem of broad magnitude. Brazil has approximately 6% of ARIs, triple the tolerance percentage stipulated by the WHO, worsening the situation in Brazilian hospitals. HAIs consist of infections with a direct link to the care provided by the healthcare team. Consisting of an ethical, epidemiological, legal and public health problem, since health services must offer quality and safe care to patients, and not cause, through professional practices and the health environment, an illness that could be avoided, representing a major impasse for patient safety. Florence Nightingale defined infections as a critical indicator of the quality of care, showing that changes in the environment and organization of the work process culminated in the reduction of patient mortality, having vital power to preserve the health of individuals, preventing diseases. Objetive: Indentify and map the risk factors associated with healthcare-related infections in people hospitalized in intensive care units. Method: This is a scoping review developed within the recommendations of the Joanna Briggs Institute and PRISMA Extension for Scoping Review, developed in five stages: 1) identification of the research question; 2) identification of relevant studies; 3) selection of studies; 4) data extraction, separation, summarization and reporting of results; 5) communication of results. A search was carried out in eight data sources and an academic search engine with no time limit (CINAHL, PubMed, Web of Science, Scientific Electronic Library Online (SciELO), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Base de Dados de Enfermagem (BDENF), Índice Bibliográfico Espanhol de Ciências de Saúde (IBECS), Catálogo de Teses e Dissertações da CAPES, WorldCat), using the following descriptors: Intensive Care Units OR (ICU Intensive Care Units OR Unit, Intensive Care) NOT Intensive Care Units, Pediatric AND NOT Intensive Care Units, Neonatal AND Infection Control OR (Nosocomial Infection OR Communicable Disease Control) AND Risk Factors, remotely from December 2022 to June 2023 on the Federated Academic Community (Café) platform. The present study was developed at the Universidade Rio Grande do Norte (UFRN), in Natal, Rio Grande do Norte. Results: 25,932 studies were found, 68 of which were included. Data were extracted regarding internal (genetics, age, sex, underlying diseases) and external risk factors (days of hospitalization, devices, invasive procedures, adherence to patient safety protocols, interpersonal relationship between the team and the patient, organization infrastructure). The highlighted target audience was: adults, and the health service was the Intensive Care Unit. Conclusion: Mapping the risk factors associated with Health-Related Infections is important for the development of health software to join efforts with existing national programs focused on the prevention of ARIs.