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The Intensive Care Unit (ICU) offers continuous and rigorous surveillance for patients with a higher degree of complexity through professionals and advanced technologies. About 20 to 30% of the patients in the ICU evolve with Acute Kidney Injury (AKI), considering other risk factors such as age, gender, comorbidities, sepsis and use of nephrotoxic drugs. The role of Nursing together with the multiprofessional team is the monitoring of renal function, as well as the prevention and/or early detection of AKI in order to reduce mortality in the intensive care unit associated with AKI. Objective: To monitor the renal function of patients admitted to the ICU, submitted to antimicrobial therapy. Method: This is a prospective, descriptive field study with a quantitative approach. The research was carried out in four ICUs of a teaching hospital in the city of São Paulo, in a total of 42 beds. The sample was composed by individuals older than 18 years, in use of antimicrobials, clinical or surgical. Individuals with previous renal injury were excluded from the survey. The survey complied with Resolution 466/2012 under CAAE 03704918.9.0000.5479. A sociodemographic and clinical data collection form was used, with information recorded in medical records. Results: The sample consisted of 29 patients, monitored for 30 consecutive days. The variables analyzed were gender, age, personal and family comorbidities, use of previous medications, clinical diagnosis, use of antimicrobials and their classes, which were correlated with the values of Creatinine and Urea on the day of admission, 3rd, 7th and 10th day of ICU stay, being the increase of serum Creatinine the main KDIGO criterion for diagnosis

arquivos médicos dos hospitais e da faculdade de ciências médicas da santa casa de são paulo

Monitorização da função renal de pacientes internados em Unidades de Terapia Intensiva em uso de antimicrobianos / Renal function monitoring of patients admitted to Intensive Care Units using antimicrobials