ADHESION OF ICU STAFF TO THE PACKAGE OF GOOD PRACTICES FOR PREVENTING URINARY TRACT INFECTION

Abstract

Introduction: Urinary tract infection associated with the use of urinary catheters (UTI) is one of the most common infections in intensive care units (ICUs) and is an important risk factor for morbidity and mortality among patients in these hospital units. Objective: To evaluate the adherence of ICU staff at a reference institution in infectious diseases to the care guidelines implemented to prevent urinary tract infection related to indwelling urinary catheters. Methodology: Retrospective, descriptive, quantitative study in which the data used were taken from the CCIH database of a reference hospital in infectious diseases in Amazonas. Results: From January to December 2024, 63 healthcare-associated infections (IRAS) were reported, of which 7 (11.1%) were urinary tract infections related to the handling of indwelling urinary catheters in ICU patients. The professional class that least adhered to hand hygiene was the physician (only 22.8% of every 100 opportunities adhered). The most frequent non-compliance was the lack of care in aseptic techniques during the insertion of the indwelling urinary catheter (38.9%) and the contamination of sterile fields and gloves during the insertion of indwelling urinary catheters (23.2%). Conclusion: Probing should be avoided and the catheter removed as quickly as possible. Optimizing aseptic technique and maintaining a closed drainage system also reduce risks.