PERFIL EPIDEMIOLÓGICO DOS PACIENTES EM USO DE CATETERISMO INTERMITENTE LIMPO NO HOSPITAL INFANTIL JOANA DE GUSMÃO
DOI:
https://doi.org/10.63845/k39qn334Palavras-chave:
Cateterismo intermitente; Bexiga neurogênica; Transtornos urinários; Infecções urinárias.Resumo
Introdução: O Cateterismo Intermitente Limpo (CIL) é uma técnica amplamente usada em disfunções vesicais pediátricas, especialmente em casos de bexiga neurogênica, com o objetivo de preservar a função renal e evitar complicações como infecções do trato urinário (ITU), refluxo vesicoureteral e insuficiência renal crônica Objetivos: Analisar o perfil de pacientes em uso do CIL, considerando parâmetros relacionados ao paciente, à técnica do cateterismo, intercorrências e complicações. Método: Estudo clínico, transversal, observacional e retrospectivo, com análise de prontuários de pacientes do serviço de urologia pediátrica do Hospital Infantil Joana de Gusmão (HIJG), no período de outubro de 2023 a junho de 2024. Resultados: O estudo analisou 104 prontuários de pacientes pediátricos em uso do CIL no HIJG. A maioria dos pacientes eram do sexo feminino (51%) e a média de idade foi de 6,95 anos. A mielomeningocele foi a principal doença de base (69,2%), seguida por válvula de uretra posterior (12,5%). O CIL foi realizado principalmente pela uretra (86,4%), com adesão regular em 84,6% dos casos. As complicações mais frequentes incluíram infecções urinárias sintomáticas, com 44,3% dos pacientes relatando 1 a 3 episódios, e complicações como sangramento uretral e estenose (2,85% cada). Anticolinérgicos foram usados por 86,5% dos pacientes, e 46,2% estavam em uso de antibioticoprofilaxia. Conclusão: O CIL é uma intervenção eficaz no manejo de disfunções urinárias pediátricas. A análise realizada neste trabalho mostra que o CIL é bem aceito pelos pacientes e familiares e apresenta bons resultados com poucas complicações.
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