Construction of infection prevention bundle related to health care in a health unit adult intensive theraphy

Hospitalization, which today is known as the best way to assistance to patients in critical health situations and imminent risk to life, was once synonymous with of environments designed to isolate the sick from society. Throughout human history, the man sought to find out how the infectious process occurred, thus advancing technologically. In this panorama, the Intensive Care Unit (ICU) emerged and the factors related to this hospitalization, such as long periods of hospitalization and exercise failures professional, which is directly related to Healthcare-Associated Infections (IRAS). Four types of HAIs are catalogued, namely: Pneumonia Associated with Mechanical Ventilation (PAV), Urinary Tract Infection (UTI), Chain Infections Blood Disease (BSI) and Surgical Site Infections (SSI). And, one of the biggest recommendations To prevent these infections is the use of prevention bundles. Objective: Build a Prevention bundle for HAIs in an adult Intensive Care Unit. Methodology: This is a methodological research with a quantitative approach. Building the bundle will be carried out through Scoping Review to identify measures to prevent Evidence-based HAIs. The participants, concept and context (PCC) strategy was used to construct research questions and identify key topics for the search, defined as follows: What elements are needed to build a Bundle that integrates the prevention of VAP, UTI and BSI in an Intensive Care Unit?. The first The search stage will be carried out in Scopus; Virtual Health Library (VHL) and Web of Science. The second step on Google® Scholar and the third via reverse search in the list parallel references. Studies that have their full version available will be included in data sources between the years 2017 to 2023 and, which contain at least one data with contribute to HAI prevention measures, with articles of the type of expert opinion, letter to the editor and case report. All studies identified by through the strategy will be initially evaluated based on the analysis of titles and abstracts. In The publication will then be read in full. . To carry out the mapping and For data extraction, an instrument prepared with methodological information will be used studies and specific items related to the elements necessary to construct the Prevention Bundle. Expected results: Promote improvements from the perspective of health care, in which professionals can follow primary prevention measures for safer and more efficient way

Dry Eye Syndrome in Intensive Care Units: a concept analysis

ABSTRACT Purpose: To analyse the concept of Dry Eye Syndrome in patients admitted to Intensive Care Units (ICU). Method: This is a concept analysis, according to Walker’s and Avant’s method, conducted using an integrative review, through search in the database. Science Direct, Scopus, Cinahl, Pubmed, Lilacs, Cochrane and Web of Science. The following keywords were used: “Keratoconjuntivite Sicca”, “Risk Factors”, “Dry eye Syndromes” and “Intensive Care Units”. After selection, 85 articles have been kept. Results: Antecedents found: age, lagophthalmos, environmental factors, use of medications, systemic diseases, mechanical ventilation and eye surgeries. Attributes: Tear Break-up Time < 10 s, Schirmer’s test I < 10 mm, Schirmer’s test II < 5 mm and signs and symptoms. Consequents: eye damage and discomfort; unstable vision. The Model Case and the Contrary Case were used to illustrate it. Conclusion: The research provided clarification of the concept and consequent understanding of the Dry Eye Syndrome, which is preventable especially in ICU