HOSPITAL INFECTIONS IN THE POST-PARTUM PERIOD: A LITERATURE REVIEW OF THE MAIN RISK FACTORS, PREVENTION, AND INTERVENTION
Palavras-chave:
Risk factors, Hospital infections, Intervention, Postpartum, PreventionResumo
Postpartum infections are quite common and pose a serious risk to maternal life and health, contributing significantly to maternal mortality rates in Brazil and worldwide. The objective of this study is to conduct a literature review to identify the main risk factors associated with postpartum hospital infections, in addition to evaluating evidence-based prevention and intervention strategies to improve maternal health and the quality of hospital care. This is a narrative literature review study. The search will be conducted in the Scientific Electronic Library Online (SciELO), Latin American and Caribbean Health Sciences Literature (LILACS), Scientific Evidence in Health in Latin America and the Caribbean (BIREME/PAHO/WHO), and PubMed, as well as academic repositories and manuals from the Ministry of Health, published in full between 2019 and 2024. The results indicate that risk factors such as cesarean sections, prolonged rupture of membranes, and inadequate aseptic practices are determinants of postpartum hospital infections. It is concluded that collaboration among health professionals in the prevention of postpartum infections is of paramount importance for developing and applying effective prevention strategies and implementing these essential measures to reduce the incidence of puerperal infections and improve maternal health in the postpartum period.
Referências
ARAÚJO, B.S, OLIVEIRA, A.C. Adherence to surgical site infection prevention measures in hospitals. Acta Paul Enferm; v.36: eAPE01714, 2023. Available at: https://www.scielo.br/j/ape/a/KNFw5Srg4cmXdvgCQ7WbnzQ/?format=pdf&lang=pt. Accessed on: Mar. 13, 2024.
BATISTA, I. S., LEIDENTZ, E. C., & BERLET, L. J. Puerperal infection: risk factors and the importance of humanized nursing care. Rev. Saúde Viva Multidisciplinar da AJES. 2(2),1-15, 2019.
BRAZIL, Ministry of Health. Live Birth Information System – Sinasc. 2022. Available at: http:// sinasc.saude.gov.br/default.asp. Accessed on: May 10, 2024.
MOLDENHAUER, J.S. Infections after childbirth. MSD Manual, Children's Hospital of Philadelphia, Feb. 2022. https://www.msdmanuals.com/pt-br/casa/problemas-de-sa%c3%bade-feminina/per%c3%adodo-p%c3%b3s-parto/infec%c3%a7%c3%b5es-p%c3%b3s-parto. Accessed on: April 5, 2024.
NUNES, A.C.M et al. Puerperal infection: Risk factors and the importance of humanized nursing care. Research, Society and Development, v. 13, n. 2, e3213244987, 2024. Available at: https://rsdjournal.org/index.php/rsd/article/download/44987/35911/469610. Accessed on April 12, 2024.
PACHECO, J.M. et al. Impact of puerperal infection on maternal mortality indicators: a literature review. Rev. Brazilian Journal of Health Review. 6(4),14864-14876, 2023. Available at - https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/download/61392/44257. Accessed on: April 15, 2024.
PORTELLA, Talita Raquel Almeida. Institutional evaluation among nurses in relation to hospital infection. Dissertation (Master's Degree in Management), Polytechnic Institute of Tomar, Maranhão, 2021. Available at: https://comum.rcaap.pt/bitstream/10400.26/44166/1/DISSERTA%C3%87%C3%83O%20COMPLETA%2002.03.2021.pdf. Accessed on: June 12, 2024.
SANTOS, M.V. Summary of puerperal infection: diagnosis, treatment, and more! Published on June 11, 2023. Available at: https://med.estrategia.com/portal/conteudos-gratis/doencas/resumo-de-infeccao-puerperaldiagnosticotratamentoemais/#:~:text=Puerperal%20infection%20is%20any,after%20the%20postpartum%20period. Accessed on: March 17, 2024.
SANTOS, R.A; CARVALHO, S.S. Identification of puerperal infections in nursing care in the Family Health Strategy. Brazilian Journal of Health Research. 23(2) 108–116, 2022.
SOUSA, G.K.O et al. Maternal mortality due to puerperal infection in the state of Piauí: an epidemiological study. Research, Society and Development, [S. l.], v. 11, n. 11, p. e301111133678, 2022. Available at: https://rsdjournal.org/index.php/rsd/article/view/33678. Accessed on: May 12, 2024.
SOUSA, G.K.O et al. Maternal mortality from puerperal infection in the state of Piauí: an epidemiological study. Research, Society and Development, [S. l.], v. 11, n. 11, p. e301111133678, 2022. Available at: https://rsdjournal.org/index.php/rsd/article/view/33678. Accessed on: May 12, 2024.
