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2.
Actual. SIDA. infectol ; 29(106): 85-102, jul 2021. fig
Article in Spanish | LILACS, BINACIS | ID: biblio-1348841

ABSTRACT

La resistencia a los antimicrobianos es un grave problema para la salud mundial. Es aún más crítico en los hospitales debido a la aparición de bacterias Gram negativas resistentes a múltiples fármacos, asociadas a una alta mortalidad. Las opciones de tratamiento en estos casos son escasas, en general de alto costo. La alta densidad de consumo de antibióticos y la transmisión cruzada en este entorno amplifican este problema.Hay más evidencia del impacto de las medidas de control de infecciones que de las intervenciones de comités de antimicrobianos para mitigarlo. Además, pocos países cuentan con programas sólidos de control de infecciones para enfrentar este problema. En la presente revisión se propone una serie de 12 pasos a adoptar para mitigar la prevalencia de resistencia antimicrobiana y reducir la incidencia de carbapenemasas en las instituciones de salud. Estas recomendaciones deben interpretase como un ̈bundle ̈o paquete de medidas, en el cual todas son importantes. Aquellas que involucran la prevención de infecciones y/o colonizaciones y su diseminación son las de mayor impacto demostrado hasta ahora. Es esencial que los programas de optimización de uso de antimicrobianos cuenten con el empoderamiento de la conducción de las instituciones donde se lleven a cabo, así como también que estén constituidos por un equipo multidisciplinario eficiente, sólidamente entrenado, con metas y métricas objetivas y auditorias periódicas. También es recomendable que se incluyan recomendaciones para los tratamientos en pacientes en cuidados de fin de vida.


Antimicrobial resistance is a serious global health problem. It is even more critical in hospitals due to the emergence of multi-drug resistant Gram negative bacteria, associated with high mortality. The treatment options in these cases are scarce, generally high cost. The high density of antibiotic consumption and cross-transmission in this environment amplifies this problem.There is more evidence of the impact of Infection Control measures than of Antimicrobial Committee interventions to mitigate it. Furthermore, few countries have solid Infection Control programs to deal with this problem.This review proposes a series of 12 steps to adopt to mitigate the prevalence of antimicrobial resistance and reduce the incidence of carbapenemases in health institutions. These recommendations should be interpreted as a ̈Bundle ̈ or package of measures, in which all are important. Those that involve the prevention of infections and / or colonizations and their dissemination are the ones with the greatest impact demonstrated so far. It is essential that antimicrobial use optimization programs have the empowerment of the leadership of the institutions where they are carried out, as well as that they are constituted by an efficient multidisciplinary team, solidly trained, with objective goals and metrics and periodic audits. It is also recommended that recommendations be included for treatments in patients in end-of-life care.


Subject(s)
Humans , Drug Resistance, Microbial , Cross Infection/prevention & control , Gram-Negative Bacterial Infections/therapy , Disease Transmission, Infectious/prevention & control
4.
Nursing (Säo Paulo) ; 24(272): 5098-5107, jan.2021.
Article in Portuguese | LILACS, BDENF | ID: biblio-1148425

ABSTRACT

A Covid-19 é causada pelo coronavírus e transmitida por contato próximo, gotículas e aerossóis. Para minimizar o risco de transmissão, profissionais de saúde devem fazer uso de equipamentos de proteção individual, como máscaras ou respiradores, aventais e luvas. Objetivou-se analisar a quantidade consumida destes equipamentos de proteção individual antes e durante a pandemia e também o impacto orçamentário causado para sua aquisição. Estudo retrospectivo, compreendendo os meses de janeiro/fevereiro de 2020 (antes da pandemia Covid ­ 19) e março/abril (durante a pandemia Covid ­ 19), em um hospital público. Realizado avaliação do consumo e custo de aquisição dos insumos considerados equipamento de proteção individual.Os dados foram coletados em sistema de informação próprio da instituição. Todos os itens analisados apresentaram aumento importante na quantidade utilizada e, principalmente, no valor de compra, chegando custar 525% mais caro comparado aos meses sem pandemia. O aumento dos custos estava relacionado à escassez dos produtos tanto no mercado nacional, quanto internacional. Entender os valores pagos e estabelecer controle de dispensação dos equipamentos, favorece o planejamento orçamentário.(AU)


Covid-19 is caused by the coronavirus and transmitted by close contact, droplets and aerosols. To minimize the risk of transmission, healthcare professionals should use personal protective equipment, such as masks or respirators, aprons and gloves. The objective was to analyze the amount consumed of this personal protective equipment before and during the pandemic and also the budgetary impact caused for its acquisition. Retrospective study, comprising the months of January / February 2020 (before the Covid pandemic - 19) and March / April (during the Covid pandemic - 19), in a public hospital. Evaluation of consumption and cost of acquisition of inputs considered as personal protective equipment was performed. Data were collected in the institution's own information system. All the items analyzed showed an important increase in the quantity used and, mainly, in the purchase value, reaching 525% more expensive compared to the months without a pandemic. The increase in costs was related to the scarcity of products both in the national and international markets. Understanding the amounts paid and establishing equipment dispensing control, favors budgetary planning.(AU)


El covid-19 es causado por el coronavirus y se transmite por contacto cercano, gotitas y aerosoles. Para minimizar el riesgo de transmisión, los profesionales de la salud deben usar equipo de protección personal, como mascarillas o respiradores, delantales y guantes. El objetivo fue analizar la cantidad consumida de este equipo de protección personal antes y durante la pandemia y también el impacto presupuestario que ocasionó su adquisición. Estudio retrospectivo, que comprende los meses de enero / febrero de 2020 (antes de la pandemia Covid - 19) y marzo / abril (durante la pandemia Covid - 19), en un hospital público. Se realizó una evaluación de consumo y costo de adquisición de insumos considerados como equipo de protección personal, los datos fueron recolectados en el sistema de información propio de la institución. Todos los artículos analizados mostraron un aumento importante en la cantidad utilizada y, principalmente, en el valor de compra, llegando a ser un 525% más caro respecto a los meses sin pandemia. El aumento de costos estuvo relacionado con la escasez de productos tanto en el mercado nacional como internacional. Conocer los montos pagados y establecer el control de dispensación de equipos favorece la planificación presupuestaria.(AU)


Subject(s)
Humans , Health Personnel , Hospital Costs , Coronavirus Infections , Disease Transmission, Infectious/prevention & control , Personal Protective Equipment , Costs and Cost Analysis , Protection , Equipment and Supplies/supply & distribution , Pandemics
5.
Horiz. enferm ; 32(1): 28-40, 2021. tab
Article in Spanish | LILACS, BDENF | ID: biblio-1224697

ABSTRACT

INTRODUCCIÓN: Las precauciones estándar corresponden a un grupo de prácticas de prevención de infecciones que se aplican en la atención a todos los pacientes, tiene como objetivo prevenir la transmisión cruzada de microorganismos entre pacientes. OBJETIVO: Develar la opinión de las/os estudiantes de Kinesiología de la Universidad Mayor-Temuco con relación a las Precauciones Estándar. METODOLOGÍA: Estudio cualitativo, descriptivo y exploratorio, estudio intrínseco de caso, la muestra no probabilística, intencionada: 12 sujetos estudiante de kinesiología 2018; criterio de inclusión: haber aprobado la asignatura de Cuidados Básicos del Enfermo; recogida de datos: entrevistas en profundidad, se utilizaron notas de campo y se manejó el método de comparación constante, además esquema de la reducción progresiva. RESULTADOS: Para la categoría de significado de precauciones estándar surge medida de protección y seguridad para usuario y tratante; para precauciones estándar utilizadas en prácticas clínicas emerge las subcategorías de elementos y técnicas de barrera en forma análoga nace como categoría aplicabilidad de precauciones estándar de ella se desprenden campos clínicos, eventos clínicos del usuario y técnicas y procedimientos; para la categoría factores facilitadores: docente y estudiantes; en tanto factores obstaculizadores: curriculum. CONCLUSIONES: En los estudiantes existe un conocimiento deficiente y conceptos aislados sobre PE, utilizan principalmente guantes y lavado de manos; menor grado uso de mascarilla y pechera. Destaca positivamente conocimiento docente; factores obstaculizadores: aspectos teóricos deficientes curriculares; considerar modificaciones curriculares en aspectos conceptuales y procedimentales.


BACKGROUND: the standard precautions correspond to a group of infection prevention practices that are applied in the care of all patients, it aims to prevent the cross-transmission of microoganisms between patiens. OBJETIVE: to reveal the opinion of Kinesiology students at the Universidad Mayor-Temuco regarding standard precautions. METHODOLOGY: Qualitative, descriptive, and exploratory study, intrinsic case study, non-probabilistic sample, intentional: 12 subjects, kinesiology student of the year 2018; For data collection, in-depth interviews were used, field notes and the constant comparison method were used, in addition to the progressive reduction scheme. RESULTS: 173 units of meaning emerge, for the category of meaning of standard precautions, protection and security measure for user and trafficker arises; For standard precautions used in clinical practices, the subcategories of barrier elements and techniques emerge, the most mentioned, in an analogous way, the applicability of standard precautions is born as a category of clinical fields, clinical events of the user and techniques and procedures; for the category facilitating factors: teacher and student are the least mentioned; as impeding factors: curriculum. CONCLUSIONS: There is a deficient knowledge and isolated concepts about SP, mainly use gloves and hand washing; less degree the use of masks and scrubs. It is positively highlighted teacher's knowledge, and some of the hindering factors are the lack of theoretical aspects of the curriculum and the consideration for curriculum modifications to compensate conceptual and procedural aspects.


Subject(s)
Humans , Nursing/standards , Universal Precautions , Infection Control/standards , Disease Transmission, Infectious/prevention & control , Security Measures , Students, Health Occupations , Health Knowledge, Attitudes, Practice , Kinesiology, Applied/education
6.
Article in English | WPRIM | ID: wpr-922194

ABSTRACT

Antimicrobial resistance (AMR) is increasingly becoming a threat to global public health, not least in low- and middle-income countries (LMICs) where it is contributing to longer treatment for illnesses, use of higher generation drugs, more expenditure on antimicrobials, and increased deaths attributed to what should be treatable diseases. Some of the known causes of AMR include misuse and overuse of antimicrobials in both humans and animals, unnecessary use of antimicrobials in animals as growth promoters, and lack of awareness among the public on how to protect antimicrobials. As a result, resistant organisms are circulating in the wider environment, and there is a need to consider the One Health approach to minimise the continuing development of AMR. Environmental Health, specifically water, sanitation and hygiene (WASH), waste management, and food hygiene and safety, are key components of One Health needed to prevent the spread of antimicrobial-resistant microorganisms particularly in LMICs and reduce the AMR threat to global public health. The key Environmental Health practices in the prevention of AMR include: (1) adequate WASH through access and consumption of safe water; suitable containment, treatment and disposal of human excreta and other wastewater including from health facilities; good personal hygiene practices such as washing hands with soap at critical times to prevent the spread of resistant microorganisms, and contraction of illnesses which may require antimicrobial treatment; (2) proper disposal of solid waste, including the disposal of unused and expired antimicrobials to prevent their unnecessary exposure to microorganisms in the environment; and (3) ensuring proper food hygiene and safety practices, such as sale and consumption of animal products in which adequate antimicrobial withdrawal periods have been observed, and growing vegetables on unpolluted soil. Environmental Health is therefore crucial in the prevention of infectious diseases that would require antimicrobials, reducing the spread of resistant organisms, and exposure to antimicrobial residues in LMICs. Working with other professionals in One Health, Environmental Health Practitioners have a key role in reducing the spread of AMR including health education and promotion, surveillance, enforcement of legislation, and research.


Subject(s)
Developing Countries , Disease Transmission, Infectious/prevention & control , Drug Resistance, Microbial , Environmental Health/standards , Food Safety , Health Personnel/standards , Humans , Hygiene/standards , Role , Sanitation/standards , Waste Management/standards
8.
Rev. bras. ginecol. obstet ; 42(7): 415-419, July 2020. tab
Article in English | LILACS | ID: biblio-1137852

ABSTRACT

Abstract It is estimated that around 28 million surgeries will be postponed or canceled worldwide as a result of this pandemic, causing a delay in the diagnosis and treatment of more than 2 million cancer cases. In Brazil, both the National Health Agency (ANS) and National Health Surveillance Agency (ANVISA) advised the postponement of elective and non-essential surgeries, causing a considerable impact on the number of surgical procedures that decreased by 33.4% in this period. However, some women need treatment for various gynecological diseases that cannot be postponed. The purpose of this article is to present recommendations on surgical treatment during the COVID-19 pandemic.


Resumo Estima-se que cerca de 28 milhões de cirurgias sejam postergadas ou canceladas nomundo em decorrência desta pandemia, causando atraso no diagnóstico e tratamento de mais de 2 milhões de casos oncológicos. No Brasil, tanto a ANS (Agencia Nacional de Saúde) comoa ANVISA (Agencia Nacional de Vigilância Sanitária) orientaram o adiamento das cirurgias eletivas e não essenciais, tendo um impacto considerável no número de procedimentos cirúrgicos comdiminuição de 33,4% neste período no Brasil.No entanto, algumasmulheres necessitam de tratamento para várias doenças ginecológicas, algumas das quais não podem ser adiadas. O objetivo deste artigo é apresentar recomendações sobre o tratamento cirúrgico durante a pandemia de COVID-19.


Subject(s)
Humans , Female , Patient Care Planning , Pneumonia, Viral/epidemiology , Gynecologic Surgical Procedures/statistics & numerical data , Coronavirus Infections/epidemiology , Pandemics , Pneumonia, Viral/diagnosis , Pneumonia, Viral/transmission , Brazil/epidemiology , Cross Infection/prevention & control , Risk Factors , Elective Surgical Procedures/statistics & numerical data , Coronavirus Infections/diagnosis , Coronavirus Infections/transmission , Disease Transmission, Infectious/prevention & control , Betacoronavirus , SARS-CoV-2 , COVID-19
9.
Int. braz. j. urol ; 46(supl.1): 215-221, July 2020. tab, graf
Article in English | LILACS | ID: biblio-1134295

ABSTRACT

ABSTRACT Known laparoscopic and robotic assisted approaches and techniques for the surgical management of urological malignant and benign diseases are commonly used around the World. During the global pandemic COVID-19, urology surgeons had to reorganize their daily surgical practice. A concern with the use of minimally invasive techniques arose due to a proposed risk of viral transmission of the coronavirus disease with the creation of pneumoperitoneum. Due to this, we reviewed the literature to evaluate the use of laparoscopy and robotics during the pandemic COVID-19. A literature review of viral transmission in surgery and of the available literature regarding the transmission of the COVID-19 virus was performed up to April 30, 2020. We additionally reviewed surgical society guidelines and recommendations regarding surgery during this pandemic. Few studies have been performed on viral transmission during surgery. No study has been made regarding this area during minimally invasive urology cases. To date there is no study that demonstrates or can suggest the ability for a virus to be transmitted during surgical treatment whether open, laparoscopic or robotic. There is no society consensus on restricting laparoscopic or robotic surgery. However, there is expert consensus on modification of standard practices to minimize any risk of transmission. During the pandemic COVID-19 we recommend the use of specific personal protective equipment for the surgeon, anesthesiologist and nursing staff in the operating room. Modifications of standard practices during minimally invasive surgery such as using lowest intra-abdominal pressures possible, controlled smoke evacuation systems, and minimizing energy device usage are recommended.


Subject(s)
Pneumonia, Viral/complications , Urologic Surgical Procedures/methods , Urology/standards , Urology/trends , Laparoscopy/methods , Coronavirus Infections/complications , Disease Transmission, Infectious/prevention & control , Pandemics , Robotic Surgical Procedures/methods , Urologists , Pneumonia, Viral/prevention & control , Pneumonia, Viral/transmission , Pneumonia, Viral/epidemiology , Urologic Surgical Procedures/trends , Coronavirus Infections/prevention & control , Coronavirus Infections/transmission , Coronavirus Infections/epidemiology , Workflow , Robotic Surgical Procedures/trends , Betacoronavirus , SARS-CoV-2 , COVID-19
11.
Rev. bras. ginecol. obstet ; 42(6): 349-355, June 2020. tab
Article in English | LILACS | ID: biblio-1137837

ABSTRACT

Abstract The new coronavirus (severe acute respiratory syndrome-related coronavirus 2, SARSCoV- 2) is a virus that causes a potentially serious respiratory disease that has spread in several countries, reaching humans in all age groups, including pregnant women. The purpose of this protocol is to provide technical and scientific support to Brazilian obstetricians regarding childbirth, postpartum and abortion care during the pandemic.


Resumo O novo coronavírus (severe acute respiratory syndrome-related coronavirus 2, SARS-CoV- 2) é umvírus que causa uma doença respiratória potencialmente grave que se espalhou por vários países, acometendo seres humanos de todas as faixas etárias, incluindo gestantes. O propósito deste protocolo é fornecer apoio técnico e científico aos obstetras brasileiros com relação aos cuidados no parto, pós-parto e aborto durante a pandemia.


Subject(s)
Humans , Female , Pregnancy , Pneumonia, Viral/diagnosis , Pneumonia, Viral/prevention & control , Pneumonia, Viral/therapy , Pneumonia, Viral/epidemiology , Infection Control/methods , Infection Control/organization & administration , Coronavirus Infections/diagnosis , Coronavirus Infections/prevention & control , Coronavirus Infections/drug therapy , Coronavirus Infections/therapy , Coronavirus Infections/epidemiology , Perinatal Care/methods , Disease Transmission, Infectious/prevention & control , Clinical Laboratory Techniques/methods , Delivery, Obstetric/methods , Pandemics/prevention & control , Pregnancy Complications, Infectious/diagnosis , Pregnancy Complications, Infectious/prevention & control , Pregnancy Complications, Infectious/therapy , Pregnancy Complications, Infectious/epidemiology , Brazil , Comorbidity , Abortion, Legal/methods , Risk Assessment/methods , Betacoronavirus/isolation & purification , COVID-19 Testing , SARS-CoV-2 , COVID-19
12.
Washington; Organización Panamericana de la Salud; jun. 8, 2020. 17 p.
Non-conventional in Spanish | LILACS | ID: biblio-1099669

ABSTRACT

En el marco de la emergencia producida por el nuevo Coronavirus, COVID-19, surgido en la ciudad de Wuhan, provincia de Hubei en la República Popular de China en el mes de diciembre del 2019 y declaración oficial de Pandemia el 11 de marzo de 2020 por el Director General de la Organización Mundial de la Salud (OMS), la Directora de la Organización Panamericana de la Salud (OPS), Dra. Carissa Etienne ha solicitado elevar el nivel de preparación de los servicios de salud. Ante este nuevo escenario el Centro de Operaciones de Emergencias (COE), activado desde enero, ha pasado a una fase en la cual es prioritario orientar esfuerzos a que los servicios de salud de los países en la región de las Américas puedan estar preparados para la respuesta a una trasmisión comunitaria sostenida. En respuesta a estas orientaciones el departamento de sistemas y servicios de salud (HSS), ha definido como lineamiento general responder a la emergencia del COVID-19 a través de las redes de servicios de salud y el enfoque estratégico de Atención Primaria en Salud en los países.


Subject(s)
Humans , Pneumonia, Viral/prevention & control , Primary Health Care/organization & administration , Coronavirus Infections/prevention & control , Coronavirus Infections/transmission , Coronavirus Infections/epidemiology , Disease Transmission, Infectious/prevention & control , Emergency Operations Center , Pandemics/prevention & control , Betacoronavirus , Americas/epidemiology , Health Personnel/organization & administration , Personal Protective Equipment/supply & distribution , Health Services Research/organization & administration
13.
Rev. Col. méd. cir ; 159(1): 10-17, abr 2020. graf
Article in Spanish | LILACS, LIGCSA | ID: biblio-1223158

ABSTRACT

La presentación de la infección por SARS-CoV2 en neonatos nacidos de madres positivas no está clara, pues aún no hay evidencia definitiva de transmisión vertical. El objetivo es presentar cinco casos de recién nacidos, hijos de madres con infección perinatal a SARS-CoV-2, describir las características clínicas y el éxito del uso de técnicas de aislamiento de contacto y gotas al momento de realizar apego madre-hijo y alimentación a seno materno para evitar transmisión horizontal. Se analizaron 5 neonatos durante el mes de abril 2020, obteniendo datos clínicos y de laboratorio del expediente y entrevista. Todas las madres fueron asintomáticas a SARS-Cov-2, con antecedentes de ruptura prematura de membranas, sufrimiento fetal, oligohidramnios y preeclampsia. En 3 recién nacidos, se evidenció alteración clínica secundaria a procesos aún no asociados a infección por SARS-CoV-2. Las pruebas de RT-PCR para SARS-CoV-2 realizadas en neonatos, en diferentes tipos de muestra, fueron negativas. Todos los neonatos recibieron leche materna y realizaron apego madre-hijo con medidas de aislamiento por transmisión de gotas y contacto con supervisión médica. En este reporte de casos, se demostró que, con el uso correcto de las técnicas de aislamiento por gotas y contacto, información, supervisión y acompañamiento a las madres, se disminuye considerablemente el riesgo de contagio al recién nacido. Se necesitan más estudios para determinar si existe transmisión vertical.


The presentation of SARS-CoV-2 infection in neonates born to positive mothers is not clear, there is still no definitive evidence of vertical transmission. The objective is to present five cases of neonate born to SARS-CoV-2 mothers with perinatal infection, in addition to describing the clinical characteristics and the success of using contact and drop isolation techniques at the time of motherchild attachment and maternal feeding to avoid horizontal transmission. Five infants were analyzed in April 2020, obtaining clinical and laboratory data from the clinical records and interviews. All mothers were asymptomatic to SARS-Cov-2 and had a history of premature rupture of membranes, fetal distress, oligohydramnios, and preeclampsia. In 3 newborns, clinical alterations not yet documented as related to SARS-CoV-2 infection were evident. RT-PCR tests for SARS-CoV-2 performed in neonates, on different types of samples, were negative. All neonates received breast milk and had mother-child attachment with isolation measures by drop transmission and contact with medical supervision. In this case report, it was demonstrated that, with the correct use of the techniques of isolation from drops and contact, information, supervision and accompaniment to the mothers, the risk of contact to the newborn was diminished. More studies are needed to determine if there is vertical transmission.


Subject(s)
Humans , Female , Infant, Newborn , Breast Feeding , Infant, Newborn , Coronavirus Infections/prevention & control , Betacoronavirus , Infectious Disease Transmission, Vertical/prevention & control , Disease Transmission, Infectious/prevention & control , Fetal Distress/diagnosis , Mothers
15.
Rev. cuba. estomatol ; 57(1): e2171, ene.-mar. 2020. graf
Article in English | LILACS, CUMED | ID: biblio-1126493

ABSTRACT

ABSTRACT Introduction: Syphilis is classified as a sexually transmitted infectious-contagious disease with the causative agent Treponema pallidum (Tp). It presents distinct stages of evolution: The primary phase is characterized by the appearance of the hard chancre, the secondary phase by the spread of Tp through the bloodstream and systemic involvement, and the tertiary phase by organ infection and nervous system impairment. In congenital syphilis, the Tp is transmitted vertically from mother to child. Objective: Report a case in which the dental team participated in the diagnosis of syphilis. Case presentation: A male 26-year-old patient with leukoderma, HIV-positive and under regular antiretroviral treatment, with no other chronic systemic changes and no previous history of Tp infection, was referred for evaluation by the oral health team. The patient reported having had bisexual relations in recent months with a condom and orogenital contact without a condom. He had not noticed any type of "wound" on the body. Intraoral examination found multiple reddish macules scattered on the lingual dorsum, with a slight detachment and little pain. The quick test was a reagent for syphilis. The patient was referred for evaluation at the medical clinic. Treatment started by two applications of benzyl penicillin with a 7 days' separation between them. Complementary blood tests were also indicated, with special attention to VDRL, which eventually confirmed the Tp infection. Conclusions: Participation of the oral health team in the diagnosis of syphilis constitutes a complementary force for the improvement of health care processes(AU)


RESUMEN Introducción: La sífilis se clasifica como una enfermedad contagiosa infecciosa de transmisión sexual, con el agente causal Treponema pallidum (Tp). Presenta distintos estadios de evolución: la fase primaria caracterizada por la aparición del chancre duro; la fase secundaria, la diseminación de la Tp a través del torrente sanguíneo y la afectación sistémica; y la fase terciaria, en que hay infección de órganos y deterioro del sistema nervioso, además de sífilis congénita, forma esta en la que Tp es transmitida verticalmente por la mujer embarazada. Objetivo: Informar sobre un caso en el que la participación del equipo dental colaboró ​​en el proceso de diagnóstico de la sífilis. Presentación del caso: Paciente con 26 años de edad, leucodermia, VIH positivo y en tratamiento antirretroviral regular, sin otros cambios crónicos a nivel sistémico y sin antecedentes de infección por Tp. Se remitió para evaluación con el equipo de salud oral. Informó haber tenido relaciones bisexuales en los últimos meses con un condón y contacto orogenital sin condón. No notó ningún tipo de "herida" en el cuerpo. En el examen intrabucal, se encontraron múltiples máculas rojizas dispersas en el dorso lingual, con un ligero desprendimiento y con poco dolor. La prueba rápida fue un reactivo para sífilis. El paciente fue remitido para su evaluación a clínica médica. Comenzó el tratamiento con dos aplicaciones de penicilina bencilo, con un intervalo de 7 días y se solicitó análisis de sangre complementarios, con especial atención al VDRL, que posteriormente confirmó la infección por Tp. Conclusiones: La participación del equipo de salud bucal frente al diagnóstico de la sífilis, se constituye como una fuerza complementaria para la mejora de los procesos en salud(AU)


Subject(s)
Humans , Male , Adult , Penicillins/therapeutic use , Syphilis/diagnosis , Oral Health , Disease Transmission, Infectious/prevention & control
18.
Rev. Col. Bras. Cir ; 47: e20202558, 2020. graf
Article in Portuguese | LILACS | ID: biblio-1136582

ABSTRACT

RESUMO A infecção pelo coronavírus determinante da doença COVID-19, também conhecida como SARS-COV2 foi classificada nos últimos meses como pandemia. Essa é potencialmente fatal, representando enorme problema de saúde mundial. A disseminação, após provável origem zoonótica na cidade de Wuhan, China, resultou em colapso do sistema de saúde de diversos países, alguns com enorme impacto social e número grande de mortes descritas na Itália e Espanha. Medidas extremas intra e extra-hospitalares têm sido implementadas a fim de conter a transmissão e disseminação da COVID-19. No âmbito cirúrgico, enorme quantidade de procedimentos considerados não essenciais ou eletivos foram prorrogados ou suspensos até resolução da pandemia. No entanto, cirurgias de urgência e oncológicas não permitem que o paciente espere. Nesta publicação, sugerimos e ensinamos adaptação a ser feita com materiais de uso corriqueiro em laparoscopias para evitar a contaminação ou a disseminação entre as equipes assistenciais e os pacientes.


ABSTRACT The coronavirus infection, also known as SARS-COV2, has proven to be potentially fatal, representing a major global health problem. Its spread after its origin in the city of Wuhan, China has resulted in a pandemic with the collapse of the health system in several countries, some with enormous social impact and expressive number of deaths as seen in Italy and Spain. Extreme intra and extra-hospital measures have been implemented to decrease the transmission and dissemination of the COVID-19. Regarding the surgical practice, a huge number of procedures considered non-essential or elective were cancelled and postponed until the pandemic is resolved. However, urgent and oncological procedures have been carried out. In this publication, we highlight and teach adaptations to be made with commonly used materials in laparoscopy to help prevent the spread and contamination of the healthcare team assisting surgical patients.


Subject(s)
Humans , Pneumonia, Viral/prevention & control , Surgical Procedures, Operative/standards , Laparoscopy/methods , Coronavirus Infections/prevention & control , Aerosols/adverse effects , Pandemics/prevention & control , Robotic Surgical Procedures/methods , Operating Rooms/methods , Pneumoperitoneum, Artificial/standards , Protective Devices/standards , Surgical Instruments/standards , Punctures/methods , Disease Transmission, Infectious/prevention & control , Betacoronavirus , SARS-CoV-2 , COVID-19 , Intraoperative Period
19.
Bom Jesus do Tocantins; [S.n]; 2020. 37 p.
Non-conventional in Portuguese | ColecionaSUS, LILACS, ColecionaSUS, CONASS, SES-TO | ID: biblio-1123475

ABSTRACT

Orienta na campanha para ações de combate ao Coronavírus (Covid-19) no município de Bom Jesus do Tocantins. Ajuda a promover a prevenção e evitar a transmissão de casos de infecção pelo COVID-19 no município e ajuda a garantir a detecção, notificação, investigação de casos suspeitos de forma oportuna. Organiza o fluxo de ações de prevenção e controle do Coronavírus. Estabelece insumos estratégicos na utilização de casos suspeitos. Traça estratégias para redução da transmissão da doença, por meio do monitoramento e controle dos pacientes já detectado. Intensificar ações de capacitação dos profissionais de saúde da rede municipal de saúde. Garante adequada assistência ao paciente, com garantia de acesso e manejo clínico adequado. Monitora e avalia a situação epidemiológica para orientar a tomada de decisão. Define as atividades de educação, mobilização social e comunicação que serão implementadas.


He guides in the campaign for actions to combat the Coronavirus (Covid-19) in the municipality of Bom Jesus do Tocantins. It helps to promote the prevention and avoid the transmission of cases of COVID-19 infection in the municipality and helps to ensure the detection, notification, investigation of suspected cases in a timely manner. Organizes the flow of Coronavirus prevention and control actions. Establishes strategic inputs in the use of suspected cases. It outlines strategies to reduce disease transmission through monitoring and control of patients already detected. Intensify training actions for health professionals in the municipal health network. Ensures adequate patient care, with guaranteed access and adequate clinical management. Monitors and evaluates the epidemiological situation to guide decision making. Defines the activities of education, social mobilization and communication that will be implemented.


Orienta en la campaña de acciones para combatir el Coronavirus (Covid-19) en el municipio de Bom Jesus do Tocantins. Ayuda a promover la prevención y evitar la transmisión de casos de infección por COVID-19 en el municipio y ayuda a asegurar la detección, notificación, investigación de casos sospechosos de manera oportuna. Organiza el flujo de acciones de prevención y control del coronavirus. Establece insumos estratégicos en el uso de casos sospechosos. Describe estrategias para reducir la transmisión de enfermedades mediante el seguimiento y control de los pacientes ya detectados. Intensificar las acciones formativas de los profesionales sanitarios de la red sanitaria municipal. Asegura una adecuada atención al paciente, con acceso garantizado y un adecuado manejo clínico. Monitorea y evalúa la situación epidemiológica para orientar la toma de decisiones. Define las actividades de educación, movilización social y comunicación que se implementarán.


Il guide dans la campagne d'actions de lutte contre le Coronavirus (Covid-19) dans la commune de Bom Jesus do Tocantins. Il aide à promouvoir la prévention et à éviter la transmission des cas d'infection au COVID-19 dans la municipalité et contribue à assurer la détection, la notification et l'enquête des cas suspects en temps opportun. Organise le flux des actions de prévention et de contrôle des coronavirus. Établit des apports stratégiques dans l'utilisation des cas suspects. Il décrit des stratégies pour réduire la transmission de la maladie par la surveillance et le contrôle des patients déjà détectés. Intensifier les actions de formation des professionnels de santé du réseau de santé municipal. Assure des soins adéquats aux patients, avec un accès garanti et une prise en charge clinique adéquate. Surveille et évalue la situation épidémiologique pour guider la prise de décision. Définit les activités d'éducation, de mobilisation sociale et de communication qui seront mises en œuvre.


Subject(s)
Humans , Pneumonia, Viral/prevention & control , Universal Precautions/methods , Coronavirus Infections/prevention & control , Disease Transmission, Infectious/prevention & control , Contingency Plans , Pandemics/prevention & control , Disease Notification/standards , Personal Protective Equipment/supply & distribution
20.
Aguiarnópolis; [s.n]; 2020. 25 p.
Non-conventional in Portuguese | ColecionaSUS, LILACS, ColecionaSUS, CONASS, SES-TO | ID: biblio-1122744

ABSTRACT

Trata de documento com diretrizes para promover a prevenção, proteção à saúde e evitar a transmissão de casos de infecção pelo COVID-19 no município de Aguiarnópolis no estado do Tocantins. Orienta as equipes de saúde quanto à infecção humana por vírus Covid19 e padronizar a rotina nos serviços quanto a identificação, investigação, notificação, e assistência a caso suspeito de Doença Respiratória Aguda pelo 2019 - nCoV, de modo a evitar e/ou mitigar os riscos de transmissão. Capacitar as equipes de saúde quanto as medidas de prevenção de contaminação por Covid 19. Evitar transmissão do vírus para profissionais de saúde, contatos próximos e população em geral. Orientar sobre a conduta na identificação e assistência a paciente suspeito de infecção por coronavírus. Disseminar informações epidemiológicas e sobre a infecção pelo vírus.


It deals with a document with guidelines to promote prevention, health protection and prevent the transmission of cases of infection by COVID-19 in the municipality of Aguiarnópolis in the state of Tocantins. Guides health teams about human infection by Covid virus19 and standardize the routine in services regarding the identification, investigation, notification, and assistance to a suspected case of 2019 Acute Respiratory Disease - nCoV, in order to avoid and / or mitigate the risks transmission. Train health teams on measures to prevent contamination by Covid 19. Avoid transmission of the virus to health professionals, close contacts and the general population. To advise on the conduct in identifying and assisting a patient suspected of having a coronavirus infection. Disseminate epidemiological and virus infection information.


Se trata de un documento con lineamientos para promover la prevención, protección de la salud y prevenir la transmisión de casos de infección por COVID-19 en el municipio de Aguiarnópolis en el estado de Tocantins. Orienta a los equipos de salud sobre la infección humana por virus Covid19 y estandariza la rutina en los servicios en cuanto a la identificación, investigación, notificación y asistencia a un caso sospechoso de Enfermedad Respiratoria Aguda 2019 - nCoV, con el fin de evitar y / o mitigar los riesgos. transmisión. Capacitar a los equipos de salud sobre las medidas para prevenir la contaminación por Covid 19. Evitar la transmisión del virus a profesionales de la salud, contactos cercanos y población en general. Asesorar sobre la conducta en la identificación y asistencia de un paciente sospechoso de tener una infección por coronavirus. Difundir información epidemiológica y sobre infecciones virales.


Il traite d'un document contenant des lignes directrices pour promouvoir la prévention, la protection de la santé et prévenir la transmission des cas d'infection par COVID-19 dans la municipalité d'Aguiarnópolis dans l'état de Tocantins. Guider les équipes de santé sur l'infection humaine par le virus Covid19 et normaliser la routine des services concernant l'identification, l'enquête, la notification et l'assistance d'un cas suspect de maladie respiratoire aiguë 2019 - nCoV, afin d'éviter et / ou d'atténuer les risques transmission. Former les équipes de santé aux mesures de prévention de la contamination par Covid 19. Éviter la transmission du virus aux professionnels de la santé, aux contacts étroits et à la population en général. Donner des conseils sur la conduite à suivre pour identifier et assister un patient suspecté d'avoir une infection à coronavirus. Diffuser des informations épidémiologiques et sur les infections virales.


Subject(s)
Humans , Coronavirus Infections/prevention & control , Contingency Plans , Pandemics/prevention & control , Blood Specimen Collection/methods , Disease Transmission, Infectious/prevention & control , Community Networks/organization & administration , Clinical Laboratory Techniques/methods , Infectious Disease Incubation Period , Housekeeping/organization & administration
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