Infecciones asociadas a la atención en salud en unidades de cuidado intensivo durante la pandemia por COVID 19, una revisión narrativa
Share
Date
2023-06
Director(s)
Publisher
Universidad Antonio Nariño
Campus
Faculty
Program
Degree obtained
Document type
COAR type
http://purl.org/coar/resource_type/c_7a1f
Citation
Bibliographic Managers
Document Viewer
Select a file to preview:
item.page.resume
Abstract
Introduction: Healthcare-associated infections (HAIs) constitute an important public health
problem worldwide; they also generate high costs for the healthcare system, affecting the quality
of care. During the Covid-19 pandemic, many patients required hospitalization in intensive care
units (ICU), showing a progressive increase in HAI reports.
Objective: To describe, through a narrative review of the literature, healthcare-associated
infections in adult ICUs during the Covid-19 pandemic.
Methodology: A narrative review of the literature was carried out following the Whittermore
and Knafl five-phase model. Searches were performed by constructing algorithms based on
MeSH and DeSC terms linked by Boolean connectors in the Pubmed, ScienceDirect, LILACS
and Scielo databases, identifying 3768 studies to which selection filters and eligibility criteria
were applied, resulting in 9 studies for analysis.
Results: Most were retrospective studies, published between 2020 and 2022. A total of 45539
patients were included, highlighting that male patients over 70 years of age with chronic
comorbidities were the most affected by HAIs during their stay in the ICU. Infections were
associated with the respiratory tract, urinary tract and bloodstream, with Staphylococcus aureus,
Klebsiella pneumoniae and Enterococcus faecalis as the most prevalent etiologic agents.
Conclusions: During the Covid-19 pandemic the number of patients requiring ICU increased,
the presence of invasive devices for functional support, comorbidities and age represent risk
factors for developing HAIs, Staphylococcus aureus, was the bacterium most associated with
HAIs. Prevention strategies should be reinforced in ICUs.
item.page.subject.keyword
item.page.coverage.spatial
Neiva (Huila, Colombia)