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Advisor(s)
Abstract(s)
O stewardship antimicrobiano envolve estratégias (plano de ação geral) e intervenções (ações específicas a implementar), com o objetivo de otimizar a prescrição e os resultados clínicos dos antimicrobianos, bem como minimizar efeitos indesejados, como a resistência. A participação dos enfermeiros é crucial neste processo, embora a sua contribuição na gestão antimicrobiana ainda seja limitada.
Objetivo: Analisar as práticas de stewardship antimicrobiano realizadas por enfermeiros e identificar fatores que influenciam essas práticas.
Métodos: Estudo analítico transversal realizado numa amostra de 182 enfermeiros dos serviços de medicina interna, medicina intensiva e serviços cirúrgicos. Foi aplicado um questionário construído com base em Padigos et al. (2022). Cumpridos os pressupostos éticos. A análise dos dados foi realizada no IBM SPSS Statistics 24.0. Resultados: As práticas mais frequentes entre os enfermeiros incluíram a verificação da duração dos tratamentos antimicrobianos (40,9%), a consulta dos resultados microbiológicos (34,3%) e a discussão com a equipa sobre a mudança do antimicrobiano da via endovenosa para oral (35,6%). A consulta das orientações antimicrobianas do hospital foi realizada algumas vezes pelos enfermeiros (35,5%), assim como a “discussão” com o prescritor para rever a prescrição antimicrobiana (27,1%) e o questionamento sobre a necessidade do antibiótico (31,1%). Os enfermeiros do serviço de medicina interna, nomeadamente os enfermeiros homens, apresentaram uma maior frequência de práticas de stewardship antimicrobiano (p value <0,05).
Conclusão: O estudo destaca a necessidade de maior envolvimento dos enfermeiros na gestão de antimicrobianos, sugerindo a criação de protocolos específicos e a
Antimicrobial stewardship (AS) involves strategies and interventions aimed at optimizing antimicrobial prescription and clinical outcomes while minimizing adverse effects such as resistance. Nurses' participation is crucial in this process, although their contribution to antimicrobial management is still limited. Objective: Analyze the antimicrobial stewardship practices performed by nurses and identify factors that influence these practices. Methods: Cross-sectional analytical study with a sample of 182 nurses from internal medicine and intensive care services. A questionnaire was constructed and based on Padigos et al. (2022). Ethical guidelines were followed. Data were analyzed using IBM SPSS Statistics 24.0. Results: The most frequent practices among nurses included verifying the duration of antimicrobial treatments (40.9%), consulting microbiological results (34.3%), and discussing with the team about switching from IV to oral antimicrobials (35.6%). Hospital antimicrobial guidelines were consulted occasionally by nurses (35.5%), as well as discussing with prescribers to review antimicrobial prescriptions (27.1%) and questioning the necessity of antibiotics (31.1%). Nurses in internal medicine and male nurses showed higher frequencies of AS practices (p value <0.05). Conclusion: The study highlights the need for greater involvement of nurses in antimicrobial management, suggesting the creation of specific protocols and the importance of continuous training to ensure the effectiveness of AS and mitigate antimicrobial resistance.
Antimicrobial stewardship (AS) involves strategies and interventions aimed at optimizing antimicrobial prescription and clinical outcomes while minimizing adverse effects such as resistance. Nurses' participation is crucial in this process, although their contribution to antimicrobial management is still limited. Objective: Analyze the antimicrobial stewardship practices performed by nurses and identify factors that influence these practices. Methods: Cross-sectional analytical study with a sample of 182 nurses from internal medicine and intensive care services. A questionnaire was constructed and based on Padigos et al. (2022). Ethical guidelines were followed. Data were analyzed using IBM SPSS Statistics 24.0. Results: The most frequent practices among nurses included verifying the duration of antimicrobial treatments (40.9%), consulting microbiological results (34.3%), and discussing with the team about switching from IV to oral antimicrobials (35.6%). Hospital antimicrobial guidelines were consulted occasionally by nurses (35.5%), as well as discussing with prescribers to review antimicrobial prescriptions (27.1%) and questioning the necessity of antibiotics (31.1%). Nurses in internal medicine and male nurses showed higher frequencies of AS practices (p value <0.05). Conclusion: The study highlights the need for greater involvement of nurses in antimicrobial management, suggesting the creation of specific protocols and the importance of continuous training to ensure the effectiveness of AS and mitigate antimicrobial resistance.
Description
Keywords
Gestão de antimicrobianos Enfermeiras e enfermeiros Resistência microbiana a medicamentos
Citation
Linhares, Sandra Maria Carneiro Delgado; Baptista, Gorete (2025). Envolvimento dos enfermeiros no stewardship antimicrobiano: práticas e experiências. Millenium: Journal of Education, Technologies, and Health. ISSN 0873-3015. 16e, p. 1-7
Publisher
Instituto Politécnico de Viseu