{"id":144613,"date":"2025-07-17T11:50:01","date_gmt":"2025-07-17T14:50:01","guid":{"rendered":"http:\/\/ww16.ce.gov.br\/saude\/?p=144613"},"modified":"2025-07-17T11:56:23","modified_gmt":"2025-07-17T14:56:23","slug":"hgcc-protocolo-previne-infeccoes","status":"publish","type":"post","link":"https:\/\/ww16.ce.gov.br\/saude\/2025\/07\/17\/hgcc-protocolo-previne-infeccoes\/","title":{"rendered":"Hospital Geral Dr. C\u00e9sar Cals institucionaliza protocolo que previne infec\u00e7\u00f5es"},"content":{"rendered":"

\"\"Conjunto de processos reconhece primeiros sinais de infec\u00e7\u00e3o com rapidez e previne complica\u00e7\u00f5es<\/em><\/p>\n

O Hospital Geral Dr. C\u00e9sar Cals (HGCC)<\/strong>, unidade da Secretaria da Sa\u00fade do Cear\u00e1 (Sesa)<\/strong>, aprimora a assist\u00eancia hospitalar<\/strong> com a institucionaliza\u00e7\u00e3o de protocolo para prevenir infec\u00e7\u00f5es. A iniciativa tem como foco o atendimento a pacientes internados na Cl\u00ednica M\u00e9dica, Cl\u00ednica Cir\u00fargica e Unidade de Terapia Intensiva Adulto (UTI) e promove benef\u00edcios na redu\u00e7\u00e3o de complica\u00e7\u00f5es, tempo de interna\u00e7\u00e3o e custos hospitalares.<\/p>\n

O processo de implanta\u00e7\u00e3o do chamado \u201cProtocolo Sepse\u201d foi iniciado em 2023, a partir da elabora\u00e7\u00e3o de um projeto de pesquisa. \u201cA institucionaliza\u00e7\u00e3o de um protocolo n\u00e3o apenas fortalece os fluxos<\/strong>, como tamb\u00e9m unifica a linguagem entre as equipes<\/strong>. \u00c9 um trabalho coletivo que levou em considera\u00e7\u00e3o os desafios do dia a dia e as necessidades espec\u00edficas do nosso hospital\u201d, destaca Valcides Pio, enfermeiro e coordenador do Servi\u00e7o de Controle de Infec\u00e7\u00e3o Hospitalar (SCIH). A sepse \u00e9 uma infec\u00e7\u00e3o grave, comum em casos de interna\u00e7\u00f5es complexas.<\/p>\n

Personaliza\u00e7\u00e3o<\/h3>\n

O HGCC j\u00e1 adotava outros protocolos universais utilizados na \u00e1rea. O diferencial est\u00e1 na personaliza\u00e7\u00e3o do protocolo, desenvolvido com base na realidade observada dentro da institui\u00e7\u00e3o e fundamentada nas refer\u00eancias cient\u00edficas. \u201cA elabora\u00e7\u00e3o envolveu um esfor\u00e7o conjunto de profissionais da Medicina, Enfermagem, Farm\u00e1cia e Laborat\u00f3rio, com discuss\u00f5es interdisciplinares que garantiram a adequa\u00e7\u00e3o do instrumento \u00e0 rotina hospitalar e \u00e0s especificidades dos pacientes atendidos<\/strong>\u201d, complementa.<\/p>\n

Para o m\u00e9dico Orivaldo Alves Barbosa, chefe de Cl\u00ednica M\u00e9dica do HGCC, a estrat\u00e9gia \u00e9 fundamental. \u201cO protocolo orienta a equipe de sa\u00fade a reconhecer os primeiros sinais de sepse [infec\u00e7\u00e3o], como febre, taquicardia, hipotens\u00e3o e altera\u00e7\u00f5es do estado mental; e a agir de forma imediata com medidas baseadas em evid\u00eancias: coleta de exames, administra\u00e7\u00e3o de antibi\u00f3ticos em at\u00e9 uma hora, reposi\u00e7\u00e3o vol\u00eamica [aumento do volume do sangue] e monitoramento cont\u00ednuo\u201d.<\/p>\n

\"\"Equipe de enfermagem tem papel fundamental nas etapas do protocolo<\/em><\/p>\n

Todo o processo se inicia em uma ficha de registro de sinais cl\u00ednicos do paciente. Ao perceber necessidade, a equipe de enfermagem aciona o m\u00e9dico, que avalia se deve abrir o protocolo. Caso seja aberto, iniciam-se imediatamente a coleta de exames laboratoriais, a administra\u00e7\u00e3o de antibi\u00f3ticos e as demais condutas assistenciais necess\u00e1rias para estabilizar o paciente. Inicialmente a primeira etapa dura cerca de uma hora, ao final da qual \u00e9 feita uma nova avalia\u00e7\u00e3o. Verifica-se se h\u00e1 necessidade de manter o protocolo ativo por at\u00e9 seis horas, conforme preconizado, com monitoramento cont\u00ednuo e realiza\u00e7\u00e3o das condutas previstas. Quando o paciente apresenta melhorias, o protocolo \u00e9 encerrado.<\/span><\/p>\n

Na pr\u00e1tica, a utiliza\u00e7\u00e3o do protocolo \u00e9 uma maneira de \u201cgarantir o reconhecimento precoce, o tratamento imediato e redu\u00e7\u00e3o das complica\u00e7\u00f5es e mortalidade associada \u00e0 condi\u00e7\u00e3o\u201d, destaca a enfermeira Mara Castelo Branco Ara\u00fajo.<\/p>\n

A profissional diz tamb\u00e9m que, por estar em contato direto e cont\u00ednuo com o paciente, a equipe de enfermagem desempenha um papel essencial. \u201cSomos os primeiros a identificar altera\u00e7\u00f5es nos sinais vitais e sintomas sugestivos do problema. Acompanhamos a evolu\u00e7\u00e3o cl\u00ednica do paciente e garantimos uma comunica\u00e7\u00e3o efetiva com os demais membros da equipe multidisciplinar\u201d, refor\u00e7a.<\/p>\n

\"\"<\/p>\n

O que \u00e9<\/h3>\n

A sepse \u00e9 uma situa\u00e7\u00e3o em que o organismo do paciente responde de maneira desregulada a uma infec\u00e7\u00e3o. Pode evoluir rapidamente para fal\u00eancia de m\u00faltiplos \u00f3rg\u00e3os e levar \u00e0 morte, especialmente se n\u00e3o for diagnosticada e tratada de forma precoce. Em hospitais de alta complexidade, como o HGCC, onde os pacientes costumam apresentar comorbidades e condi\u00e7\u00f5es cl\u00ednicas delicadas, o reconhecimento precoce da sepse \u00e9 essencial para a revers\u00e3o do quadro.<\/p>\n","protected":false},"excerpt":{"rendered":"

Conjunto de processos reconhece primeiros sinais de infec\u00e7\u00e3o com rapidez e previne complica\u00e7\u00f5es O Hospital Geral Dr. C\u00e9sar Cals (HGCC), unidade da Secretaria da Sa\u00fade do Cear\u00e1 (Sesa), aprimora a assist\u00eancia hospitalar com a institucionaliza\u00e7\u00e3o de protocolo para prevenir infec\u00e7\u00f5es. A iniciativa tem como foco o atendimento a pacientes internados na Cl\u00ednica M\u00e9dica, Cl\u00ednica Cir\u00fargica […]<\/p>\n","protected":false},"author":767,"featured_media":144616,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[501],"tags":[311,356,1461,236,1992,457],"class_list":["post-144613","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-hgcc","tag-assistencia","tag-diagnostico","tag-infeccao","tag-prevencao","tag-protocolo","tag-uti"],"acf":[],"yoast_head":"\nHGCC institucionaliza protocolo que previne infec\u00e7\u00f5es<\/title>\n<meta name=\"description\" content=\"O Hospital C\u00e9sar Cals utiliza protocolo desenvolvido pelos servi\u00e7os do hospital para os casos de suspeita de sepse, infec\u00e7\u00e3o grave comum em casos complexos.\" \/>\n<meta name=\"robots\" content=\"index, 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