Incidence of Central Venous Catheter-Related Bloodstream Infections: Evaluation of Bundle Prevention in Two Intensive Care Units in Central Brazil.

BACKGROUND: Central venous catheter-associated bloodstream infections (CVC-BSIs) have been associated with increased length of hospital stay, mortality, and healthcare costs, especially in intensive care units (ICUs). The aim of this study was to evaluate the incidence density of CVC-BSIs before and after implementation of the bundle in a hospital of infectious and dermatological diseases in Central Brazil. METHODS: A retrospective cohort study was conducted in two ICUs (adult and pediatric) between 2012 and 2015. Two periods were compared to assess the effect of the intervention in incidence density of CVC-BSIs: before and after intervention, related to the stages before and after the implementation of the bundle, respectively. RESULTS: No significant reduction was observed in the incidence density of CVC-BSIs in adult ICU (incidence rate ratio [IRR]: 0.754; 95.0% CI: 0.349 to 1.621; p-value = 0.469), despite the high bundle application rate in the postintervention period. Similarly, significant reduction in the incidence density in pediatric ICU has not been verified after implementation of the bundle (IRR: 1.148; 95.0% CI: 0.314 to 4.193; p-value = 0.834). CONCLUSION: Not significant reduction in the incidence density of CVC-BSIs was observed after bundle implementation in ICUs, suggesting the need to review the use of process, as well as continuing education for staffs in compliance and correct application of the bundle. Further studies are needed to evaluate the effect of bundle in the reduction of incidence density of CVC-BSIs in Brazil.

[Stress among university teachers from the health care area]. / Estresse em professores universitários da área de saúde.

The objectives of this research are knowing the perception of stress within the university teaching staff from the health care area, determining the stress factors with higher impact on this population, identifying the referred symptoms and evaluating the level of stress they go through. 68 teachers were interviewed from 1999 to 2001 who revealed that they perceive stress through tiredness, anxiety and loss of balance. Regarding stress factors with higher impact, they mentioned: inadequate wage, payment deduction, lack of material and long meetings. The most frequent stress signs and symptoms were cold fingertips and anxiety, among others. The stress level, in general, varied from mild (61%) to moderate (32%).