INFECTION OF
TREATMENT URINÁRIO IN CTI/UTIA infection is a great problem of public health and that it represents one of the root causes of deaths in hospitalized patients. we Sabemos that, all professionals of health must to share with responsibility to assure environment exempt of risks for patient, especially when we speak of areas of
hospital that is part of the
intensive treatment of these patients, who are the Centers of Intensive Therapy (C.T.I.s) and Units of Intensive Therapy (U.T.I.s), therefore in these sectors has a great probability of if acquiring the call Hospital Infection (I.H.) which had to the biggest number of invasive procedures. This, rank the purpose of the unit of intensive therapy in accordance with Regenga (2000), the main objective of the unit of intensive treatment is to provide well-taken care of intensive of high quality the serious patients, whose condition of these, can come to recover or at least having an improvement. Esses well-taken care of is developed by a team specialized of doctors, nurses, physiotherapists, technician of nursing, nutritionists whom, working in set, they aim at to keep the vital signals of the critical patients, steady. However, the hospital infections in intensive therapy, bringing presently (BOLICK, 2000, P. 05) = “hospital Infection is an infectious process that was not present or evident in the occasion where the patient was interned in the hospital or the institution of assistance to the health”. The hospital infections are the most frequent and important occured complications in hospitalized patients. Although the total of stream beds in intensive therapy represents less than 10% of the available hospital stream beds in Brazil, it contributes more than with 25% of the global one of hospital infections, with strong impact in the morbidade and mortality of this group of patients. Signaled now for Levy (2006), the main and frequent small farms of hospital infections comumente reached, are: the urinário treatment, surgical wounds and respiratory treatment. These infections are transmitted by patógenos to the patient in such a way for the endogenous way (normal flora of the patient), or for the exógena way. In the exógenas ways we can cite the hands, as vehicles of bigger importance for the sprouting of the hospital infections. The corporeal secretion to salivar, fluids, contaminated air and materials, equipment and instruments used in evasivos procedures that penetrate the barriers of protection of the human body, in order to raise the infection risk are other important sources. Levy (2004), says that, the main involved patógenos in the hospital infections are negative Gram bacteria, as: Escherichia coli, Pseudomonas sp, Klebsiella sp, Proyours sp, Serratia sp, Enterobacter sp (they reach the urinário treatment, surgical wounds, sanguine chain and respiratory treatment) and the Gram negative Streptococcus sp, (urinário treatment, respiratory treatment, surgical wounds), Staphylococcus aureus (surgical skin, wounds, blood), surgical Staphylococcus epidermitis (skin, wounds, blood. The fungos also are gifts in the IH, as Cândida albicans in the urinário treatment and blood. According to Lopes and Tavares (2006), the infection of the nosocomial urinário treatment is responsible for 40%, of the hospital infections, the risk increases mainly when they are about patients with advanced age, serious illnesses, malnutrition, use of acamados vesicais and patient catheters. The use of vesical catheter of delay is responsible for about 80% of the ITU, being considered the conducting greater of this infection in hospitals. Another factor of great relevance is the existence of potentially pathogenic microrganismos in the periuretral region. In accordance with Couto and Pedrosa (2001), one of the main important factors for the risk of urinária infection in the centers of intensive therapy is without a doubt the cateterismo of the urinário treatment, where its prevalence in accordancewith increases the time of permanence of the catheter and the nosocomial origin. It is consideradaimportante in such a way for its frequency how much for the biggest probability of prevention. Becoming universal around the thirtieth day, exactly with the use of the closed system. In accordance with Couto and Pedrosa (2001), one of the main important factors for the risk of urinária infection in the centers of intensive therapy is without a doubt the cateterismo of the urinário treatment, where its prevalence in accordance with increases the time of permanence of the catheter and the nosocomial origin. It is considered important in such a way by its frequency how much for the biggest probability of prevention. Becoming universal around the thirtieth day, exactly with the use of the closed system. Karla Tatiana Enrique Mélo
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