Resumo
Objetivo: identificar estratégias relacionadas à segurança na gestão de antimicrobianos pela enfermagem no ambiente hospitalar. Método: revisão integrativa, realizada de maio a junho de 2020 nas bases de dados da LILACS, MEDLINE e EMBASE. Foram selecionados artigos de 2015 a julho de 2020. Para a análise dos níveis de evidência foi adotado o método Grading of Recomendations Assessment, Developing and Evaluation. Resultados: a amostra foi constituída por oito artigos. Foram identificadas estratégias gerenciais e assistenciais de enfermagem, relacionadas a gestão de antimicrobianos. Conclusão: dentre as estratégias gerenciais destacam-se a capacitação dos enfermeiros para o uso racional de antimicrobianos; a criação de comitês multidisciplinares; e o monitoramento de indicadores de vigilância epidemiológica das infecções relacionadas a assistência a saúde. Entre as estratégias assistenciais: a triagem inicial e a avaliação diária do paciente direcionada para a gestão de antimicrobianos; utilização de protocolos e especificidades técnicas da administração de antimicrobianos.
Referências
Kabbani S, Palms D, Bartoces M, Stone N, Hicks LA. Outpatient Antibiotic Prescribing for Older Adults in the United States: 2011 to 2014. J amgeriatrsoc [Internet]. 2018[cited 2020 Oct 20];66(10):1998-2002. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/jgs.15518. doi: https://doi.org/10.1111/jgs.15518
Ferreira VM, Gonzaga LMO, Gonzaga LMC, Batista TB, Moreira ED, Oliveira MVM. Perfil de dispensação de antibióticos nos ambientes ambulatorial e hospitalar em Montes Claros, MG. Rev Unim Científica [Internet]. 2016 [cited 2020 Oct 20];18(1): 56-63. Available from: http://www.ruc.unimontes.br/index.php/unicientifica/article/view/459
World Economic Forum. The Global Risks Report 2019.[Internet]. 14.ed. World Economic Forum. 2019 [cited 2020 Oct 20] Available from: http://www3.weforum.org/docs/WEF_Global_Risks_Report_2019.pdf
World Health Organization (WHO). Antimicrobial resistance: global report on surveillance. [Internet]. 2014 [cited 2020 Oct 20] Available from:https://apps.who.int/iris/bitstream/handle/10665/112642/9789241564748_eng.pdf?sequence=1&isAllowed=y
O’Neill J. The Review on Antimicrobial Resistance. Tackling Drug-Resistant Infections Globally: Final Report and Recommendations. Reino Unido [Internet]. 2016 [cited 2020 Oct 20] Available from: https://amr-review.org/sites/default/files/160518_Final%20paper_with%20cover.pdf
Joint Commission International. Padrões de acreditação da Joint Commission International para hospitais. 4. ed. Oakbrook Terrace: JCI, 2011.
Alvim ALS. O enfermeiro no programa de gerenciamento do uso de antimicrobianos: uma revisão integrativa. Rev SOBECC [Internet]. 2019 [cited 2020 nov 05]; 24 (3): 154-60. Available from: https://sobecc.emnuvens.com.br/sobecc/article/view/497 doi:https://doi.org/10.5327/Z1414-4425201900030007.
Olans RD, Hausman NB, Olans RN. Nurses and Antimicrobial Stewardship: Past, Present, and Future. Infect dis clin North Am [Internet]. 2020 [cited 2020 Oct 20];34(1):67-82. Available from: https://www.sciencedirect.com/science/article/abs/pii/S089155201930087X?via%3Dihub doi:https://doi.org/10.1016/j.idc.2019.10.008
Mendes KDS, Silveira RCCP, Galvão CM. Revisão Integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto ContextoEnferm [Internet].2008 [cited 2020 Oct 20];17(4):758-764. Available from: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-07072008000400018&lng=pt&tlng=pt doi:https://doi.org/10.1590/S0104-07072008000400018
Moher D, Cook DJ, Eastwood S, Olkin I, Rennie D, Stroup DF. Improving the quality of reports of meta-analyses of randomised controlled trials: the QUOROM statement. The Lancet [Internet]. 1999 [cited 2020 Oct 20];354(9193):1896-900. Available from: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(99)04149-5/fulltext doi:https://doi.org/10.1016/S0140-6736(99)04149-5
Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med [Internet]. 2009 [cited 2020 Oct 20];6(6):e1000097. Available from: https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1000097doi: https://doi.org/10.1371/journal.pmed.1000097
Galvão TF, Pereira MG. Avaliação da qualidade da evidência de revisões sistemáticas. Epidemiol Serv Saude [Internet]. 2015 [cited 2020 Oct 20];24(1):173-5. Available from: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-96222015000100173
doi:https://doi.org/10.5123/S1679-49742015000100019
Brasil. Ministério da Saúde. Secretaria de Ciência, Tecnologia e Insumos Estratégicos. Departamento de Ciência e Tecnologia. Diretrizes metodológicas: sistema GRADE – manual de graduação da qualidade da evidência e força de recomendação para tomada de decisão em saúde. [Internet].2014 [cited 2020 Oct 20] Available from: https://bvsms.saude.gov.br/bvs/publicacoes/diretrizes_metodologicas_sistema_grade.pdf
Ha DR, Forte MB, Olans RD, OYong K, Olans RN, Gluckstein DP, et al. A Multidisciplinary Approach to Incorporate Bedside Nurses into Antimicrobial Stewardship and Infection Prevention. Joint Commi J Quality Patient Safety [Internet]. 2019 [cited 2020 Oct 21];45(9):600-5. Available from: https://www.sciencedirect.com/science/article/abs/pii/S155372501830391X doi: https://doi.org/10.1016/j.jcjq.2019.03.003 [included in the review]
Olans RD, Olans RN, Witt DJ. Good Nursing Is Good Antibiotic Stewardship. American J Nurs. [Internet] 2017. [cited 2020 Oct 21];117(8):58-63. Availablefrom: https://journals.lww.com/ajnonline/Abstract/2017/08000/Good_Nursing_Is_Good_Antibiotic_Stewardship.29.aspx doi:https://doi.org/10.1097/01.NAJ.0000521974.76835.e0[included in the review
Carter EJ, Greendyke WG, Furuya EY, Srinivasan A, Shelley AN, Bothra A et al. Exploring the nurses' role in antibiotic stewardship: A multisite qualitative study of nurses and infection preventionists. Am J Infect Control [Internet]. 2018 May[cited 2020 Oct 21];46(5):492-497. Available from: https://www.ajicjournal.org/article/S0196-6553(17)31337-8/fulltext doi: https://doi.org/10.1016/j.ajic.2017.12.016[included in the review]
Castro-Sánchez E, Gilchrist M, Ahmad R, Courtenay M, Bosanquet J, Holmes AH. Nurse roles in antimicrobial stewardship: Lessons from public sectors models of acute care service delivery in the United Kingdom. Antimicrob Resist Infect Control [Internet]. 2019 [cited 2020 Oct 21]; 8(162). Available from: https://aricjournal.biomedcentral.com/articles/10.1186/s13756-019-0621-4
doi: https://doi.org/10.1186/s13756-019-0621-4[included in the review]
Jump RLP, Gaur S, Katz MJ, Crnich CJ, Dumyati G, Ashraf MS et al. Template for an Antibiotic Stewardship Policy for Post-Acute and Long-Term Care Settings. J American Medic Direct Association [Internet]. 2017 [cited 2020 Oct 21]; 18(11):913-920. Available from:https://www.jamda.com/article/S1525-8610(17)30430-9/fulltext doi:https://doi.org/10.1016/j.jamda.2017.07.018 [included in the review]
Ierano C, Thursky K, Peel T, RajkhowaA, Marshall C, Ayton D. Influences on surgical antimicrobial prophylaxis decision making by surgical craft groups, anaesthetists, pharmacists and nurses in public and private hospitals. PloSONE [Internet]. 2019 [cited 2020 Oct 21];14(11):e0225011. Available from:https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0225011 doi:https://doi.org/10.1371/journal.pone.0225011 [included in the review]
Courtenay M, Burnett E, Castro-Sánchez E, MoralezF R, DuToit B, Gallagher R, et al. Preparing nurses for COVID-19 response efforts through involvement in antimicrobial stewardshipprogrammes. Journal of Hospital Infection.[Internet]. 2020 [cited 2020 Oct 21]; 106:176-178. Available from: https://www.journalofhospitalinfection.com/article/S0195-6701(20)30296-6/fulltext doi:https://doi.org/10.1016/j.jhin.2020.06.011.[included in the review]
Lane MA, Hays AJ, Newland H, Zack JE, Guth RM, Newland JG. Development of an antimicrobial stewardship program in an integrated healthcare system. American J Health-System Pharma [Internet]. 2019[cited 2020 Oct 21]; 76(1): 34-43. Available from:https://academic.oup.com/ajhp/article-abstract/76/1/34/5257108?redirectedFrom=fulltext doi:https://doi.org/10.1093/ajhp/zxy002[included in the review]
Sánchez EC, Veny MB, Smith M, Singleton S, Bennett E, Appleton J, et al. European Commission guidelines for the prudent use of antimicrobials in human health: a missed opportunity to embrace nursing participation in stewardship. Clin Microbiol Infect [Internet]. 2018 [cited 2020 Oct 21];24(8):914-915. Available from: https://www.clinicalmicrobiologyandinfection.com/article/S1198-743X(18)30205-2/fulltext doi:https://doi.org/10.1016/j.cmi.2018.02.030
Bernardes A. Contemporary perspectives on leadership and management in nursing. Rev Gaúcha Enferm [Internet]. 2018 [cited 2020 Oct 21];39(1):e2018-0247. Available from:https://www.scielo.br/scielo.php?script=sci_arttext&pid=S1983-14472018000100200 doi: https://doi.org/10.1590/1983-1447.2018.2018-0247
Felix MAS, Toffolo SR. O enfermeiro nos programas de gerenciamento do uso de antimicrobianos: revisão integrativa. Cogitare Enferm [Internet] 2019 [Cited 2020 oct 21]; 24 (1): e59324. vailable from: https://revistas.ufpr.br/cogitare/article/view/59324 doi:http://dx.doi.org/10.5380/ce.v24i0.59324.
Arnemann CT, Lavich CRP, Terra MG, Mello AL, Raddatz M. Health education and permanent education: actions integrating the educational process of nursing. Rev Baiana Enferm [Internet]. 2018 [cited 2020 Oct 21];32(1):e24719. Available from: https://portalseer.ufba.br/index.php/enfermagem/article/view/24719
doi: http://dx.doi.org/10.18471/rbe.v32.24719
Courtenay M, Lim R, Sanchez EC, Hodson K, Morris G, Rout J, et al. Development of consensus based international antimicrobial stewardship competencies for undergraduate nurse education. J Hosp Infection [Internet]. 2019 [cited 2020 Oct 21];103(3):244-250. Available from:https://www.journalofhospitalinfection.com/article/S0195-6701(19)30313-5/fulltext
doi: https://doi.org/10.1016/j.jhin.2019.08.001
Falkenberg MB, Mendes TPL, Moraes EP, Souza EM. Educação em saúde e educação na saúde: conceitos e implicações para a saúde coletiva. Ciênc Saúde Colet [Internet]. 2014 [cited 2020 Oct 21];19(3): 847-852. Available from: https://www.scielo.br/scielo.php?pid=S1413-81232014000300847&script=sci_arttext doi:https://doi.org/10.1590/1413-81232014193.01572013.
Giordani JN, Bisogno SBC, Silva LAA. Nurses' perception of managerial activities in user assistance. Acta Paul Enferm [Internet]. 2012[cited 2020 Oct 21];25(4): 511-516.Available from: Available from: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-21002012000400005&lng=pt&tlng=ptdoi: http://doi.org/10.1590/S0103-21002012000400005
Sousa JBA, Brandão MJM, Cardoso ALB, Archer ARR, Belfort IKP. Comunicação efetiva como ferramenta de qualidade: Desafio na segurança do paciente. Braz J Hea Rev [internet]. 2020 [cited 2020 Oct 21];3(3): 6467-6479.Available from: https://www.brazilianjournals.com/index.php/BJHR/article/view/11713 doi: https://doi.org/10.34119/bjhrv3n3-195
Singer M, Deutschman CS, Seymour CW, Hari MS, Annane D, Bauer M, et al. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA.[Internet]. 2016 [cited 2020 Oct 21];315(8):801-810. Available from: https://jamanetwork.com/journals/jama/fullarticle/2492881 doi: https://doi.org/10.1001/jama.2016.0287.
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