Diarreia nosocomial em unidade de terapia intensiva
Data
2003
Autores
Marcon, Ana Paula 
Orientadores
Vianna, Lucila Amaral Carneiro
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
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Resumo
Esta e uma pesquisa epidemiologica, com desenho caso - controle, realizada na Unidade de Terapia Intensiva (UTI) em um hospital publico em Santo Andre/ SP, no periodo de Janeiro a Outubro de 2002, com o objetivo de detectar os principais fatores de risco para diarreia adquirida na UTI. Foram eleitos 49 pacientes com diarreia (casos) e 49 pacientes sem diarreia (controles), pareados por sexo e idade. Realizou-se coprocultura e ensaio imunoenzimatico para toxinas AIB de Clostridium difficile nas fezes dos pacientes - caso. Foram encontrados 14 pacientes com coprocultura positiva para Pseudomonas aeruginosa e 22 pacientes com ELISA positivo para Clostridium difficile. Os resultados obtidos demonstraram que os fatores possivelmente associados a diarreia nosocomial sao: uso de antibioticos (p=0,001), uso de Ceftriaxone (p=0,001), presenca de infeccao hospitalar ou nao (p=0,010) e tempo de internacao (p=0,0001)
The objective of this case-control study was to detect risk factors for the development of diarrhea in the Intensive Care Unit (ICU). It was conducted at the ICU of a public hospital of Santo André, SP, from January to October 2002, with 49 ICU patients with diarrhea and 49 age and gender-matched controls without diarrhea. Coproculture and immunoenzime assays for Clostridium difficile A/B toxins were performed on fecal specimens from diarrhea patients. Fourteen subjects had positive culture for Pseudomonas aeruginosa and 22 patients had positive ELISA for Clostridium diffícile. Results from this study showed that nosocomial diarrhea can be associated with: use of antibiotics (p=0,001), use of Ceftriaxone (p=0,001), presence of infection (p=0,010) and length of inpatient stay (p=0,0001).
The objective of this case-control study was to detect risk factors for the development of diarrhea in the Intensive Care Unit (ICU). It was conducted at the ICU of a public hospital of Santo André, SP, from January to October 2002, with 49 ICU patients with diarrhea and 49 age and gender-matched controls without diarrhea. Coproculture and immunoenzime assays for Clostridium difficile A/B toxins were performed on fecal specimens from diarrhea patients. Fourteen subjects had positive culture for Pseudomonas aeruginosa and 22 patients had positive ELISA for Clostridium diffícile. Results from this study showed that nosocomial diarrhea can be associated with: use of antibiotics (p=0,001), use of Ceftriaxone (p=0,001), presence of infection (p=0,010) and length of inpatient stay (p=0,0001).
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Citação
MARCON, Ana Paula. Diarréia nosocomial em unidade de terapia intensiva. 2003. 80 f. Tese (Mestrado) – Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, 2003.