Epidemiologia das infecções relacionadas à assistência à saúde em pacientes com diagnóstico de Covid-19: revisão narrativa

Abstract

Justification: Covid -19 or Sars cov 2 affected the world significantly between the end of 2019 until today, however, such vulnerability that we have gone through for these almost three years has considerably affected the whole world, thousands of people hospitalized suffering complications and most patients dying. Covid-19 aggravated an issue that for the health team has always been present, infections related to health care, IRAS together with the sars cov 2 virus provided a significant aggravation of patients.This narrative review helps us to understand a little about the impact of patient treatment on covid since in 2020 it was a totally new disease because it suffered genetic variations. This narrative review was developed to understand how the SARS Cov 2 virus influences the development of infection related to health care taking into account the most common types establishing the following steps: patient in treatment of Covid 19 who acquired an infection related to assistance to investigate what was the cause, identify causative agent (microorganism) and appropriate treatment. Objectives: From these analyzes, several articles were compiled that demonstrate how the patient undergoing SARScov 2 treatment becomes more vulnerable to acquiring a health care-related infection. For this, an observational study was developed and described along the methods worked on. Methods: narrative review with searches performed on the Scielo, Schoolar Google, Descs BVS and CAPES databases. Content and conclusion: The search for data started in April 2022, four groups of keywords were elaborated using the Boolean operators OR and AND: (SARS-CoV-2 and Drug resistance or covid -19 and Severe acute respiratory syndrome). Still for our understanding, the studies were divided into: pre-pandemic (2017-2019) and pandemic (2019-2023) and, during the research, high resistance rates were observed for the microorganisms studied, highlighting the following agents: Acinetobacter baumannii which showed resistance to carbapenems to Klebsiella pneumoniae. These three microorganisms were found in the lower airway and, found in patients in the ICU using a mechanical ventilator, and many of the patients were being treated for VAP (ventilator-associated pneumonia).