La biblioteca de hospital en Portugal: la visión de los bibliotecarios / Hospital libraries in Portugal: a librarian's view

El objetivo de este trabajo fue identificar la perspectiva profesional de los bibliotecarios y de las bibliotecas de hospital en Portugal y su proyección futura. Se trata de un estudio descriptivo, por medio de una investigación no experimental, basada en un método de análisis cualitativo. Para este estudio se utilizó una muestra de 13 profesionales que, de alguna manera, tienen una conexión/conocimiento con el trabajo desarrollado en las bibliotecas hospitalarias. Se buscó disponer de una muestra que cubriera el país de norte a sur para que los resultados pudieran ser representativos de la realidad portuguesa. Los resultados indican que los profesionales que trabajan en las bibliotecas del área de salud en Portugal consideran que no existe una formación profesional específica para este campo con características muy particulares frente a otras realidades bibliotecarias. Además, estiman que los profesionales de la salud que trabajan en bibliotecas deberían estar integrados a los equipos clínicos y de investigación de sus instituciones. Por otra parte, dada la importancia que tiene hoy la medicina basada en la evidencia, se hace necesario el desarrollo de nuevos roles que los bibliotecarios deben asumir. También consideran que corresponde al bibliotecario de la salud asumir los desafíos, invertir en la actualización y adquisición continua de habilidades, fortalecer su papel en las instituciones en las que se inserta, y justificar, de este modo, el valor añadido de la profesión(AU)

The purpose of the study was to identify the professional perspective of hospital libraries and librarians in Portugal and their future projection. A qualitative non-experimental descriptive study was conducted of a sample of 13 professionals related to / acquainted with the work of hospital libraries. The sample was intended to cover the entire country from north to south, so that the results obtained would be representative of Portuguese reality. Results show that professionals from health libraries in Portugal consider that no specific professional training is available for this field, which is characterized by very particular features unique to this library type. They also think that health professionals working at libraries should be incorporated into the clinical and research teams of their institutions. On the other hand, and given the current importance of evidence-based medicine, it is necessary to develop new roles to be undertaken by librarians. They also consider that librarians should accept the challenges, invest time and energy in permanent skill acquisition and update, and strengthen their role at their institutions, thus justifying the added value of the profession(AU)

Suscetibilidade antimicrobiana de bactérias isoladas de infecções do trato urinário de pacientes atendidos no Hospital Universitário Bettina Ferro de Souza, Belém - PA / Antibiotic susceptibility antimicrobial of uropathogens isolated from culture of patients with urinary tract infections from the University Hospital Bettina Ferro de Souza, Belém - PA

As infecções do trato urinário (ITU) são causadas na maioria das vezes por bactérias da microbiota intestinal e os agentes antimicrobianos apresentam um papel importante no tratamento e prevenção destas infecções. Visando conhecer o perfil de suscetibilidade de bactérias causadoras de ITU em pacientes atendidos no Hospital Universitário Bettina Ferro de Souza (HUBFS), foram analisados os resultados de 919 uroculturas. A identificação das bactérias foi realizada por métodos bioquímicos tradicionais e o antibiograma pelo método de disco-difusão. Foram positivas 208(22,6%) uroculturas. Houve maior freqüência de ITU em mulheres (78,9%) e em adultos (47,6%). Escherichia coli (69,8%), Enterobacter sp (7,2%) e Klebsiella sp (5,8%) foram as bactérias Gram-negativas GN mais isoladas. Entre as Gram-positivas-GP, Staphylococcus coagulase negativa-SCN (4,8%) e S. saprophyticus (2,9%) foram as mais prevalentes. As bactérias GN demonstraram elevada resistência aos antibióticos ampicilina (69%), amicacina (67,4%); sulfametaxazol-trimetropina (61,5%) e alta sensibilidade à cefotaxima (92,5%), ceftazidima (89,8%), iprofloxacina (88,8%) e gentamicina (86,1%). Os cocos GP demonstraram boa sensibilidade apenas à oxacilina (90%) e ciprofloxacina (80%), apresentando resistência acimade 50% aos demais antibióticos testados. Os resultados reforçam a necessidade do conhecimento do perfil de suscetibilidade antimicrobiana das bactérias causadoras de ITU, para evitar o uso incorreto de antibióticos.

The major cause of tract infections (UTIs) are bacteria from the intestinal microbiota, and the antibiotic therapy is the mainstay of treatment and prevention of these infections. To establish the profile of bacteria susceptibility in patients with UTI from the University Hospital Bettina Ferro de Souza (HUBFS), 919 urine samples were cultured and assessed their susceptibility, to common antibiotics Uropathogens identification was done by traditional biochemical methods and antibiogram was determined by the disk-diffusion method. 208(22.6%) urine cultures were positive. There was higher UTI frequency in women (78.9%) and adults (47.6%). Escherichia coli (69.8%), Enterobacter sp (7.2%) and Klebsiella sp (5.8%) were the most frequently isolated Gram-negatives (GN) bacteria. Coagulase negative Staphylococcus (CNS) (4.8%) and S. saprophyticus (2.9%) were the most prevalent among the Gram-positive (GP) bacteria. GN bacteria demonstrated high resistance to ampicilin (69%), amicacin (67.4%); sulfametaxazol-trimetropin (61.5%) and high sensibility only for oxacilin (90%) and ciprofloxacin (80%), with resistance higher than the other tested antibiotics. The results sustain the need to establish a better knowledge of the antibiotic susceptibility profile of the bacteria that cause UTIs to avoid the abusive use of antibiotics.