Evidence map›Paper›PMID 42058005›Full record

ArticleBelitung nursing journal2026

Risk factors and outcomes of healthcare-associated infections in a Brazilian intensive care unit: A cross-sectional study.

Andressa Maria de Sousa Moura, Álvaro Francisco Lopes de Sousa, Herica Emilia Félix de Carvalho, Maria Zélia de Araújo Madeira, Daniela Reis Joaquim Freitas, Ana Carolina de Macedo Lima, Liliane Moretti Carneiro, Marilia Duarte Valim, Aires Garcia Dos Santos Junior, Odinéa Maria Amorim Batista

Abstract read
In one paragraph

Article in Belitung nursing journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Andressa Maria de Sousa MouraFederal University of Piauí, Teresina, Piauí, Brazil.ORCID https://orcid.org/0000-0002-0363-8128
Álvaro Francisco Lopes de SousaCampus de Três Lagoas, Universidade Federal de Mato Grosso do Sul, Três Lagoas, MS, Brazil.ORCID https://orcid.org/0000-0003-2710-2122
Herica Emilia Félix de CarvalhoState University of Maranhão, Coroatá, Maranhão, Brazil.ORCID https://orcid.org/0000-0002-5913-8886
Maria Zélia de Araújo MadeiraFederal University of Piauí, Teresina, Piauí, Brazil.ORCID https://orcid.org/0000-0003-2877-2806
Daniela Reis Joaquim FreitasFederal University of Piauí, Teresina, Piauí, Brazil.ORCID https://orcid.org/0000-0002-5632-0332
Ana Carolina de Macedo LimaFederal University of Piauí, Teresina, Piauí, Brazil.ORCID https://orcid.org/0000-0002-9139-3350
Liliane Moretti CarneiroCampus de Três Lagoas, Universidade Federal de Mato Grosso do Sul, Três Lagoas, MS, Brazil.ORCID https://orcid.org/0000-0003-3195-8767
Marilia Duarte ValimFederal University of São Carlos (UFSCar), School of Nursing, SP, Brazil.ORCID https://orcid.org/0000-0002-2746-1865
Aires Garcia Dos Santos JuniorCampus de Três Lagoas, Universidade Federal de Mato Grosso do Sul, Três Lagoas, MS, Brazil.ORCID https://orcid.org/0000-0002-5946-0197
Odinéa Maria Amorim BatistaFederal University of Piauí, Teresina, Piauí, Brazil.ORCID https://orcid.org/0000-0002-4975-2727

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Healthcare-associated infections (HAIs) in intensive care units (ICUs) are frequent and are associated with sepsis, antimicrobial resistance, and high mortality, reinforcing the need for early risk stratification at admission. Objective: To analyze risk factors and clinical outcomes associated with HAIs in ICU patients. Methods: This cross-sectional study was conducted in the ICU of a public hospital with 141 patients (182 HAI cases). Medical records covered ICU admissions from August 1, 2022, to August 31, 2024, and data collection occurred from November 2024 to February 2025. Data were extracted from medical records and the Hospital Infection Control Committee database. Risk factors were assessed at admission using the Rodríguez-Almeida-Cañon (RAC) Scale, which stratifies HAI risk using intrinsic and extrinsic factors and classifies patients as low, moderate, or high risk. Clinical outcomes monitored during hospitalization included hospital discharge, sepsis, septic shock, and death. Results: By RAC, 53.9% were moderate risk and 45.4% high risk; lower educational level was associated with higher risk ( Conclusion: RAC screening revealed a high burden of predisposing factors at ICU admission, particularly among patients with lower educational levels, which was associated with worse outcomes. RAC-guided admission screening can support risk-proportional nursing surveillance and targeted prevention bundles, while institutional policies should reinforce microbiological surveillance and antimicrobial stewardship tailored to social vulnerability.

Indexed as

healthcare-associated infectionshospital infectionintensive care unitnursing

Identifiers

PMID42058005
PMCPMC13122469

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.