Characterization of pressure lesions in adults with multidrug resistant germs

Authors

DOI: https://doi.org/10.6018/eglobal.405051
Keywords: Pressure Lesion, Drug Resistance, Multiple Drugs, Nursing Cares

Abstract

Objective: To describe the characteristics of the pressure lesions in adult patients with multiresistant germs.
Method: This is a cross-sectional study conducted with patients admitted to the inpatient unit for multidrug resistant germs in a public hospital in Brazil. Patients with pressure lesions from stage II were selected. Data collection took place in 2017, in a sample of 110 injuries, in patients, through the Pressure Ulcer State Assessment Instrument (Bates-Jensen Wound Assessment Tool - BWAT). Results: The average age of the individuals was 45.4 (± 21.3) years old and 89.1% had already suffered pressure lesions, such as those that occurred at home or in other health institutions. The mean BWAT value was 35.5 ± 8.9 points and there was a weak positive correlation (r = 0.228 p = 0.017) with lesion size, moderate positive correlation with lesion stage (r = 540 p <0.001), and with the result of the Braden scale (r = 0.44 p = 0.651).
Conclusion: The results indicated the illness of young patients. Patients with multiresistant germs suffered pressure lesions with greater involvement of structures, which suggests the need for home support.

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Author Biographies

Ariane Graciotto, Hospital de Clínicas de Porto Alegre

Enfermeira, Especialista em Saúde do Trabalhador

Deborah Bulegon Mello, Hospital de Clinicas de Porto Alegre

Enfermeira. Mestre em Enfermagem

Leandro Augusto Hansel, Hospital de Clínicas de Porto Alegre

Enfermeiro

Carolina Severo Lopes Cortelini, Hospital de Clínicas de Porto Alegre

Enfermeira

Neíse Schöninger, Hospital de Clinicas de Porto Alegre

Enfermeira

References

Borghardt AT, Prado TN do, Bicudo SDS, Castro DS de, Bringuente ME de O. Pressure ulcers in critically ill patients: incidence and associated factors. Rev Bras Enferm [Internet]. 2016 Jun [cited 2019 Oct 4];69(3):460–7. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672016000300460&lng=pt&tlng=pt

Vasconcelos J de MB, Caliri MHL. Nursing actions before and after a protocol for preventing pressure injury in intensive care. Esc Anna Nery - Rev Enferm [Internet]. 2017 [cited 2019 Oct 6];21(1). Available from: http://www.gnresearch.org/doi/10.5935/1414-8145.20170001

Furini ACA, Nunes AA, Dallora MEL do V. Notificação de eventos adversos: caracterização dos eventos ocorridos em um complexo hospitalar. Rev Gauch Enferm [Internet]. 2019 [cited 2019 Oct 4];40(spe):e20180317. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1983-14472019000200419&tlng=pt

Moraes JT, Borges EL, Lisboa CR, Cordeiro DCO, Rosa EG, Rocha NA. Conceito e classificação de lesão por pressão: atualização do National Pressure Ulcer Advisory Panel. Rev Enferm do Centro-Oeste Min [Internet]. 2016 Jun 29 [cited 2019 Oct 6];6(2). Available from: http://www.seer.ufsj.edu.br/index.php/recom/article/view/1423

Palagi S, Severo IM, Menegon DB, Lucena A de F. Laser therapy in pressure ulcers: Evaluation by the Pressure Ulcer Scale for Healing and Nursing Outcomes Classification. Rev da Esc Enferm [Internet]. 2015 Oct [cited 2019 Oct 6];49(5):826–33. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342015000500826&lng=en&tlng=en

Brasil. Agencia Nacional de Vigilância Sanitária. Boletim Segurança do Paciente e Qualidade em Serviços de Saúde no 15: Incidentes Relacionados à Assistência à Saúde - 2016 [Internet]. Brasília; 2017 [cited 2018 Aug 12]. 20 p. Available from: https://www20.anvisa.gov.br/segurancadopaciente/index.php/publicacoes/item/boletim-seguranca-do-paciente-e-qualidade-em-servicos-de-saude-n-15-incidentes-relacionados-a-assistencia-a-saude-2016?category_id=28.

Souza NR de, Freire D de A, Souza MA de O, Melo JT da S, Santos L de V dos, Bushatsky M. Fatores predisponentes para o desenvolvimento da lesão por pressão em pacientes idosos: uma revisão integrativa. Rev Estima [Internet]. 2017 Dec 25 [cited 2019 Aug 6];15(4):229–39. Available from: https://www.revistaestima.com.br/index.php/estima/article/view/442/pdf

Gul A, Andsoy II, Ozkaya B, Zeydan A. A descriptive, cross-sectional survey of Turkish nurses’ knowledge of pressure ulcer risk, prevention, and staging. Ostomy Wound Manag [Internet]. 2017 [cited 2019 Aug 6];63(6):40–6. Available from: www.o-wm.comFEATURE

Andrade CCD, de Almeida CF dos SC, Pereira WE, Alemão MM, Brandão CMR, Borges EL. Costs of topical treatment of pressure ulcer patients. Rev da Esc Enferm [Internet]. 2016 Apr [cited 2019 Oct 6];50(2):292–8. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342016000200295&lng=en&tlng=en

Dinh A, Bouchand F, Davido B, Duran C, Denys P, Lortat-Jacob A, et al. Management of established pressure ulcer infections in spinal cord injury patients [Internet]. Vol. 49, Medecine et Maladies Infectieuses. Elsevier Masson; 2019 [cited 2019 Oct 6]. p. 9–16. Available from: https://www.sciencedirect.com/science/article/pii/S0399077X1730728X?via%3Dihub

Amir Y, Lohrmann C, Halfens RJ, Schols JM. Pressure ulcers in four Indonesian hospitals: prevalence, patient characteristics, ulcer characteristics, prevention and treatment. Int Wound J [Internet]. 2017 Feb 2 [cited 2019 Oct 6];14(1):184–93. Available from: http://doi.wiley.com/10.1111/iwj.12580

Moro JV, Caliri MHL, Moro JV, Caliri MHL. Pressure ulcer after hospital discharge and home care. Esc Anna Nery - Rev Enferm [Internet]. 2016 [cited 2019 Oct 6];20(3). Available from: http://www.gnresearch.org/doi/10.5935/1414-8145.20160058

Macedo ABT, Souza SBC de, Funcke LB, Magalhães AMM de, Riboldi C de O. Systematization of an instrument for patient classification in a teaching hospital. REME Rev Min Enferm. 2018;22.

CALLEGARI-JACQUES SM. Bioestatística: princípios e aplicações. Porto Alegre: Editora Artmed. 255p. Artmed Editora; 2009.

Alves DF dos S, Almeida AO de, Silva JLG, Morais FI, Dantas SRPE, Alexandre NMC. Translation And Adaptation Of The Bates-Jensen Wound Assessment Tool For The Brazilian Culture. Texto Context - Enferm [Internet]. 2015 [cited 2019 Nov 10];24(3):826–33. Available from: http://www.scielo.br/scielo.php?pid=S0104-07072015000300826&script=sci_arttext

Paranhos W, Santos V. Avaliação de risco para úlceras de pressão por meio da escala de Braden, na língua portuguesa. Rev esc enferm USP. 1999;33(1):191–206.

Sousa, A.S.B., Silva, S.C., Cavalcante MFA. Mortalidade por causas externas em adultos jovens em Teresina-PI no período de 2001-2011. Rev Interdiscip [Internet]. 2016 [cited 2019 Nov 12];9(1):57–65. Available from: https://revistainterdisciplinar.uninovafapi.edu.br/index.php/revinter/article/view/594

Zakrasek EC, Creasey G, Crew JD. Pressure ulcers in people with spinal cord injury in developing nations. Vol. 53, Spinal Cord. Nature Publishing Group; 2015. p. 7–13.

Ribeiro AP, de Souza ER, de Sousa CAM. Lesões provocadas por armas de fogo atendidas em serviços de urgência e emergência Brasileiros. Cienc e Saude Coletiva. 2017 Sep 1;22(9):2851–60.

Sousa RG de, Oliveira TL de, Lima LR de, Stival MM. Fatores associados a úlcera por pressão (UPP) em pacientes críticos: Revisão Integrativa da Literatura - doi: 10.5102/ucs.v14i1.3602. Univ Ciências da Saúde. 2016 Jul 13;14(1).

Souto RMCV, Barufaldi LA, Nico LS, de Freitas MG. Perfil epidemiológico do atendimento por violência nos serviços públicos de urgência e emergência em capitais brasileiras, Viva 2014. Cienc e Saude Coletiva. 2017 Sep 1;22(9):2811–23.

National Pressure Ulcer Advisory Panel EPUAP and PPPI, Alliance. Prevenção e Tratamento de Úlceras por Pressão: Guia de Consulta Rápida [Internet]. Haesler E, editor. Cambridge Media. Austrália; 2014 [cited 2019 Nov 24]. Available from: www.nzwcs.org.nz

Sales MCM, Borges EL, Donoso MTV. Risco e prevalência de úlceras por pressão em uma unidade de internação de um hospital universitário de Belo Horizonte. Rev Min Enferm [Internet]. 2010 [cited 2019 Nov 25];14(4):566–75. Available from: http://reme.org.br/artigo/detalhes/152

Teixeira AKS, Nascimento T da S, Sousa ITL de, Sampaio LRL, Pinheiro ARM. Incidência de lesões por pressão em Unidade de Terapia Intensiva em hospital com acreditação. Rev Estima. 2017 Sep;15(2):152–60.

Bates-Jensen BM, McCreath HE, Harputlu D, Patlan A. Reliability of the Bates-Jensen wound assessment tool for pressure injury assessment: The pressure ulcer detection study. Wound Repair Regen [Internet]. 2019 Jul 18 [cited 2019 Nov 25];27(4):386–95. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/wrr.12714

Oliveira KDL de, Haack A, Fortes RC. Nutritional therapy in the treatment of pressure injuries: a systematic review. Rev Bras Geriatr e Gerontol [Internet]. 2017 [cited 2019 Nov 29];20(4):562–70. Available from: http://dx.doi.org/10.1590/1981-22562017020.160195

Published
18-06-2020
How to Cite
[1]
Macedo, A. et al. 2020. Characterization of pressure lesions in adults with multidrug resistant germs . Global Nursing. 19, 3 (Jun. 2020), 155–192. DOI:https://doi.org/10.6018/eglobal.405051.
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Section
ORIGINAL RESEARCH