Infecções bacterianas da pele e tecidos moles em pacientes hospitalizados em unidade de clínica médica
DOI:
https://doi.org/10.17267/2317-3378rec.2024.e5771Palavras-chave:
Pele, Enfermagem, Infecção dos Ferimentos, Infecções BacterianasResumo
OBJETIVO: conhecer o perfil de pacientes hospitalizados por infecções da pele e tecidos moles em unidade de clínica médica. MATERIAIS E MÉTODOS: Estudo descritivo e documental, com abordagem quantitativa, realizado em um hospital público de uma cidade do nordeste brasileiro. A amostra foi composta por 50 prontuários de pacientes hospitalizados, avaliados no período de setembro a novembro de 2019. A análise ocorreu por meio de estatística descritiva. RESULTADOS: A idade média foi de 64 anos (±9,2 anos). Prevaleceu mulheres (54%), solteiras (40%), analfabetas (72%), aposentadas (66%) e que possuíam comorbidades clínicas (68%). O tempo médio de hospitalização foi de 10 dias. Erisipela foi a infecção cutânea mais frequente (44%), os membros inferiores foi o local mais afetado (86%), 66% dos pacientes necessitaram de curativos com troca diária. CONCLUSÃO: As infecções da pele levaram a um período de hospitalização equivalente a 10 dias, principalmente em mulheres idosas, implicando em custos e em cuidados de saúde.
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(1) Blanes HR, Rodríguez PM, Fernández NJ, Salavert LM. Current approach to skin and soft tissue infections. Thinking about continuity of care. Rev Esp Quimioter. 2023;36(Suppl 1):37-45. http://dx.doi.org/10.37201/req/s01.10.2023 DOI: https://doi.org/10.37201/req/s01.10.2023
(2) Bouza E, Burillo A, Muñoz P. How to manage skin and soft-tissue infections in the emergency department. Curr Opin Infect Dis. 2023;36(2):81-8. http://dx.doi.org/10.1097/QCO.0000000000000906 DOI: https://doi.org/10.1097/QCO.0000000000000906
(3) Russo A, Vena A, Bassetti M. Antibiotic treatment of acute bacterial skin and skin structure infections. Curr Opin Infect Dis. 2022;35(2):120-7. http://dx.doi.org/10.1097/QCO.0000000000000822 DOI: https://doi.org/10.1097/QCO.0000000000000822
(4) Samannodi M. Hospital admissions related to infections and disorders of the skin and subcutaneous tissue in England and Wales. Healthcare. 2022;10(10):2028–44. http://dx.doi.org/10.3390/healthcare10102028 DOI: https://doi.org/10.3390/healthcare10102028
(5) Bekker MA, Rai S, Arbous MS, Georgousopoulou EN, Pilcher DV, van Haren FMP. Annual prevalence, characteristics, and outcomes of intensive care patients with skin or soft tissue infections in Australia and New Zealand: A retrospective cohort study between 2006-2017. Aust Crit Care. 2021;34(5):403-410. http://dx.doi.org/10.1016/j.aucc.2020.10.013 DOI: https://doi.org/10.1016/j.aucc.2020.10.013
(6) Malheiro LF, Magano R, Ferreira A, Sarmento A, Santos L. Skin and soft tissue infections in the intensive care unit: a retrospective study in a tertiary care center. Rev bras ter intensiva. 2017;29(2):195–205. https://doi.org/10.5935/0103-507X.20170019 DOI: https://doi.org/10.5935/0103-507X.20170019
(7) Long B, Gottlieb M. Diagnosis and Management of Cellulitis and Abscess in the Emergency Department Setting: An Evidence-Based Review. J Emerg Med. 2022;62(1):16-27. https://doi.org/10.1016/j.jemermed.2021.09.015 DOI: https://doi.org/10.1016/j.jemermed.2021.09.015
(8) Liedke DCF, Johann DA, Danski MTR. A nursing consultation for treatment of wounds in a teaching hospital. Cogitare Enfermagem. 2014;19(3):546-52. http://dx.doi.org/10.5380/ce.v19i3.34486 DOI: https://doi.org/10.5380/ce.v19i3.34486
(9) Macedo PKG, Anízio BKF, Brito FM, Freire FRMB, Costa MML. Data collection instrument for pressure ulcer prevention in institutionalized elderly [Internet]. Rev enferm UFPE on line. 2016;10(11):3977-88. Available from: https://periodicos.ufpe.br/revistas/index.php/revistaenfermagem/article/view/11480
(10) Resolução no. 466, de 12 de dezembro de 2012 (Brasil). Define o CEP e a CONEP, além de enfatizar o caráter de integralidade e de parceria do sistema CEPs/CONEP, o qual deve atuar num trabalho cooperativo e de inter-relação; Revoga as (RES. 196/96); (RES. 303/00) [Internet]. Diário Oficial da União. 2012 dez. 12. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/cns/2013/res0466_12_12_2012.html
(11) Leaper D, Assadian O, Edmiston CE. Approach to chronic wound infections. Br J Dermatol. 2015;173(2):351–8. https://doi.org/10.1111/bjd.13677 DOI: https://doi.org/10.1111/bjd.13677
(12) Johnson J, Johnson AR, Andersen CA, Kelso MR, Oropallo AR, Serena TE. Skin Pigmentation Impacts the Clinical Diagnosis of Wound Infection: Imaging of Bacterial Burden to Overcome Diagnostic Limitations. J. Racial and Ethnic Health Disparities. 2024;11:1045–55. https://doi.org/10.1007/s40615-023-01584-8 DOI: https://doi.org/10.1007/s40615-023-01584-8
(13) Cavalcante VMV, Alexandre SG, Silva FAA, Santiago JCS, Coelho MMF, Avelino BMA, et al. Socioeconomic and clinical-epidemiological profile of people attended in an outpatient clinic for complex wounds. Rev Rene. 2020;21:e43918. https://doi.org/10.15253/2175-6783.20202143918 DOI: https://doi.org/10.15253/2175-6783.20202143918
(14) Squizatto RH, Braz RM, Lopes AO, Rafaldini BP, Almeida DB, Poletti NAA. Profile of users attended at a wound care outpatient clinic. Cogitare Enferm. 2017;22(1):1-9. http://dx.doi.org/10.5380/ce.v22i1.48472 DOI: https://doi.org/10.5380/ce.v22i1.48472
(15) Eckmann C, Tulkens PM. Current and future options for treating complicated skin and soft tissue infections: focus on fluoroquinolones and long-acting lipoglycopeptide antibiotics. J Antimicrob Chemother. 2021;76(Suppl4):9-22. https://doi.org/10.1093/jac/dkab351 DOI: https://doi.org/10.1093/jac/dkab351
(16) Mower WR, Kadera SP, Rodriguez AD, Vanderkraan V, Krishna PK, Chiu E, et al. Identification of clinical characteristics associated with high-level care among patients with skin and soft tissue infections. Ann Emerg Med. 2019;73(4):366-74. http://dx.doi.org/10.1016/j.annemergmed.2018.09.020 DOI: https://doi.org/10.1016/j.annemergmed.2018.09.020
(17) Albuquerque GSC, Nascimento B, Gracia DFK, Preisler L, Perna PO, Silva MJS. Hypertensive and diabetic patient drug use compliance based on the pictographic prescription. Trab educ saúde. 2016;14(2):611–24. https://doi.org/10.1590/1981-7746-sip00112 DOI: https://doi.org/10.1590/1981-7746-sip00112
(18) Brandão MGSA, Coelho EM, Araújo TM. Knowledge of the nursing team about products for cleaning wounds. HU Ver. 2022;48:1-8. https://doi.org/10.34019/1982-8047.2022.v48.38363 DOI: https://doi.org/10.34019/1982-8047.2022.v48.38363
(19) Montravers P, Soussan R, Tanaka S. Identifying patients with difficult-to-treat acute bacterial skin infections. Curr Opin Infect Dis. 2024;37(2):87-94. https://doi.org/10.1097/QCO.0000000000000991 DOI: https://doi.org/10.1097/QCO.0000000000000991
(20) Galdino H, Tipple AFV, Lima BR, Bachion MM. Nursing process in the care of patients with surgical wounds healing by secondary intention. Rev Cogitare Enferm. 2018;23(4):e56022. https://doi.org/10.5380/ce.v23i4.56022 DOI: https://doi.org/10.5380/ce.v23i4.56022
(21) Macedo EAB, Freitas CCS, Dionisio AJ, Torres GV. Knowledge of the care of wounded patients: evidence of validity of an instrument. Rev Bras Enferm. 2019;72(6):1562-70. http://dx.doi.org/10.1590/0034-7167-2018-0643 DOI: https://doi.org/10.1590/0034-7167-2018-0643
(22) Ferreira AM, Souza BMV, Rigotti MA, Loureiro MDR. The use of fatty acids in wound care: an integrative review of the Brazilian literature. Rev Esc Enferm USP. 2012;46(3):752-60. https://doi.org/10.1590/S0080-62342012000300030 DOI: https://doi.org/10.1590/S0080-62342012000300030
(23) Magalhães MSF, Fechine FV, Macedo RN, Monteiro DLS, Oliveira CC, Brito GA de C, et al.. Effect of a combination of medium chain triglycerides, linoleic acid, soy lecithin and vitamins A and E on wound healing in rats. Acta Cir Bras.2008;23(3):262–9. https://doi.org/10.1590/S0102-86502008000300009 DOI: https://doi.org/10.1590/S0102-86502008000300009
(24) EPUAP, NPIAP, PPPIA. Prevention and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guideline. The International Guideline. London: EPUAP/NPIAP/PPPIA; 2019.
(25) Oliveira AS, Santos VLCG. Use of topic iodine in acute wounds. Rev Esc Enferm USP. 2008;42(1):193–201. https://doi.org/10.1590/S0080-62342008000100026 DOI: https://doi.org/10.1590/S0080-62342008000100026
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Copyright (c) 2024 Samia Jardelle Costa de Freitas Maniva, Karene Oliveira da Silva, Huana Carolina Cândido Morais, Regina Kelly Guimarães Gomes Campos
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Esta obra está licenciada com uma Licença Creative Commons Atribuição 4.0 Internacional.
