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1.
rev.cuid. (Bucaramanga.2010) ; 13(1): 1-14, 20221213.
Article in Spanish | LILACS, BDENF, COLNAL | ID: biblio-1369115

ABSTRACT

Introducción: Las Infecciones Asociadas a la Atención en Salud (IAAS) son un grave problema de salud pública, que puede ser prevenidas al identificar los factores de riesgo con el uso de escalas. Objetivo: Adaptar transculturalmente y realizar la validación de contenido y de face de la escala Rodríguez-Almeida-Cañon (RAC) de evaluación del riesgo de infección en adultos hospitalizados. Materiales y Métodos: Estudio metodológico de adaptación transcultural. La recolección de datos se realizó de junio a noviembre de 2020. La muestra estuvo compuesta por 11 especialistas. La escala RAC se evaluó en su conjunto, determinando su alcance, los ítems fueron evaluados individualmente, verificando su claridad, relevancia y pertinencia. Para evaluar cada ítem se utilizó una escala tipo Likert de cuatro niveles. La validez de contenido fue evaluada a través del índice de validez de contenido (IVC). Resultados: Por medio de la evaluación del comité de especialistas fue posible determinar que la escala RAC es apta para uso en el contexto cultural colombiano. Se realizaron ajustes para mejorar la interpretación de algunos ítems. El IVC de los ítems estuvo entre 0.90 a 1.0 y el IVC promedio de la escala fue de 0.98. Discusión: Esta escala permite medir el riesgo de IAAS a un bajo costo, con el fin de poder planear y ejecutar intervenciones por parte del equipo multidisciplinario que tiene a cargo la salud y el cuidado del paciente. Conclusiones: La escala RAC en su versión en español es un instrumento apropiado para la evaluación del riesgo de IAAS en el adulto hospitalizado en Colombia.


Introduction: Health care­associated infections (HAI) are a serious public health problem, which can be prevented by identifying risk factors with the use of scales. Objective: To adapt cross-culturally and perform content and face validation of the Rodríguez-Almeida-Cañon (RAC) scale for assessing the risk of infection in hospitalized adults. Materials and Methods: Methodological study of cross-cultural adaptation. Data collection was carried out from June to November 2020. The sample consisted of 11 specialists. The RAC scale was evaluated as a whole, determining its scope, the items were evaluated individually, verifying their clarity, relevance and pertinence. To evaluate each item, a four-level Likert-type scale was used. The content validity was evaluated through the content validity index (CVI). Results: Through the evaluation of the committee of specialists it was possible to determine that the RAC scale is suitable for use in the Colombian cultural context. Adjustments were made to improve the interpretation of some items. The CVI of the items was between 0.90 to 1.0 and the average CVI of the scale was 0.98. Discusión: This scale makes it possible to measure the HAI risk at a low cost, in order to be able to plan and execute interventions by the multidisciplinary team in charge of the health and care of the patient. Conclusions: The RAC scale in its Spanish version is an appropriate instrument for assessing the risk of HAI in hospitalized adults in Colombia.


Introdução: As infecções associadas à assistência à saúde (IAAS) são um grave problema de saúde pública, que pode ser prevenido por meio da identificação de fatores de risco com o uso de escalas. Objetivo: Adaptar transculturalmente e realizar a validação de conteúdo e de face da escala Rodríguez-Almeida-Cañon (RAC), de avaliação do risco de infecção em adultos hospitalizados. Materiais e Métodos: Estudo metodológico de adaptação transcultural. A coleta de dados foi realizada no período de junho a novembro de 2020. A amostra foi composta por 11 especialistas. A escala RAC foi avaliada como um todo, determinando seu escopo, os itens foram avaliados individualmente, verificando sua clareza, relevância e pertinência. Para avaliar cada item, foi utilizada uma escala do tipo Likert de quatro níveis. A validade de conteúdo foi avaliada por meio do índice de validade de conteúdo (IVC). Resultados: Por meio da avaliação do comitê de especialistas, foi possível constatar que a escala RAC é adequada para uso no contexto cultural colombiano. Ajustes foram feitos para melhorar a interpretação de alguns itens. O IVC dos itens ficou entre 0,90 a 1,0 e o IVC médio da escala foi de 0,98. Discussão: Esta escala permite mensurar o risco de IAAS a baixo custo, de forma a poder planejar e executar intervenções da equipe multiprofissional responsável pela saúde e cuidado do paciente. Conclusões: A escala RAC em sua versão em espanhol é um instrumento adequado para a avaliação do risco de IAAS em adultos hospitalizados na Colômbia.


Subject(s)
Humans , Male , Female , Cross-Cultural Comparison , Infection Control , Risk Assessment , Validation Study , Patient Safety
2.
Arq. ciências saúde UNIPAR ; 26(3): 764-781, set-dez. 2022.
Article in Portuguese | LILACS | ID: biblio-1399464

ABSTRACT

Objetivo: evidenciar os cuidados de enfermagem descritos na literatura nacional e internacional que são aplicados em pacientes queimados em terapia intensiva. Método: revisão integrativa, realizada no período de fevereiro a dezembro de 2020, nas bases de dados eletrônicas US National Library of Medicine, Medical Literature Analysis and Retrieval System Online e Biblioteca Virtual em Saúde. Resultados: foram selecionados oito artigos, os quais foram categorizados em Cuidados de Enfermagem com a pele em pacientes queimados, Cuidados de Enfermagem com a mobilidade em pacientes queimados e Cuidados de Enfermagem em pacientes queimados em relação à dor, dispositivos e prevenção de complicações. Conclusão: os cuidados de enfermagem para pacientes queimados em terapia intensiva estão intensamente atrelados aos cuidados com as lesões de pele e seus desdobramentos, assim como a prevenção de infecções.


Objective: to highlight the nursing care described in the National and International Literature that is applied to burned patients in intensive care. Methods: integrative review, carried out from February to December, 2020, using the following electronic bases: US National Library of Medicine, Medical Literature Analysis and Retrieval System Online and Biblioteca Virtual em Saúde. Results: it was selected eight articles, which were categorized into Nursing Care for skin in burned patients, Nursing Care for mobility in burned patients and Nursing Care for burned patients in relation to pain, devices and prevention of complications. Conclusion: nursing care for burned patients in intensive care is associated to the care of skin lesions and their consequences, as well as the prevention of infections.


Objetivo: destacar los cuidados de enfermería descritos en la literatura nacional e internacional que se aplican en pacientes quemados en cuidados intensivos. Método: revisión integradora, realizada de febrero a diciembre de 2020, en las bases de datos electrónicas US National Library of Medicine, Medical Literature Analysis and Retrieval System Online y Virtual Health Library. Resultados: se seleccionaron ocho artículos, los cuales se clasificaron en Cuidados de Enfermería con la Pelea en Pacientes Enfermos, Cuidados de Enfermería con la Movilidad en Pacientes Enfermos y Cuidados de Enfermería en Pacientes Enfermos en relación con el dolor, los dispositivos y la prevención de complicaciones. Conclusión: los cuidados de enfermería a los pacientes quemados en cuidados intensivos están intensamente ligados al cuidado de las lesiones cutáneas y sus desdoblamientos, así como a la prevención de infecciones.


Subject(s)
Burn Units/statistics & numerical data , Burns/diagnosis , Intensive Care Units/statistics & numerical data , Nursing Care/methods , Pain/diagnosis , Infection Control/methods , Critical Care , Libraries, Digital , Degloving Injuries/diagnosis
3.
Med. infant ; 29(3): 190-193, Septiembre 2022. tab
Article in Spanish | LILACS, BINACIS, UNISALUD | ID: biblio-1399567

ABSTRACT

Introducción: a partir de la pandemia por Covid19 se reportó variabilidad en la incidencia de las infecciones asociadas al cuidado de la salud (IACS). Con el objetivo de describir y comparar las tasas de IACS en la Unidad de Quemados de un hospital pediátrico de tercer nivel, antes y después del inicio de la pandemia se llevó a cabo este estudio. Material y métodos: estudio de cohorte, retrospectivo, descriptivo, de vigilancia epidemiológica. Se registraron todos los eventos de IACS en la Unidad de Quemados desde el 01/07/2018 hasta el 31/06/2021. Se compararon las tasas de las IACS entre el período I (PI) previo a la pandemia (07/2018-12/2019) y el período II (PII) posterior al inicio de la misma (01/2020- 06/2021). Resultados: se registraron 74 episodios de IACS, en un total de 8232 pacientes-día. Se registró una tasa global de IACS similar en ambos períodos, 10,08 ‰ pacientes-día (PI) vs 7,34 ‰ pacientes-día (PII), sin encontrarse diferencias estadísticamente significativas en las tasas de bacteriemia asociada a catéter venoso central (BSI-CVC) 3,32 ‰ días uso de CVC (PI) vs 3,20 ‰ (PII), neumonía asociada a ARM 1.43 ‰ días de uso de ARM (PI) vs un 2.02 ‰ (PII), ni infección urinaria asociada a sonda vesical (SV) 7,36 ‰ días de uso de SV (PI) vs 3,64 ‰ (PII). Conclusiones: no se observaron diferencias estadísticamente significativas en las tasas de IACS entre ambos períodos, lo cual podría justificarse con el estricto protocolo en control de infecciones implementado previo al inicio de la pandemia (AU)


Introduction: since the start of the Covid19 pandemic, variability in the incidence of healthcare-associated infections (HAIs) has been reported. This study was conducted to describe and compare the rates of HAIs in the burn unit of a tertiary pediatric hospital before and after the onset of the pandemic. Material and methods: a retrospective, descriptive, epidemiological surveillance cohort study was conducted. All HAI events in the burn unit from 01/07/2018 to 31/06/2021 were recorded. HAI rates between the pre-pandemic period I (PI) (07/2018- 12/2019) and post-pandemic period II (PII) (01/2020-06/2021) were compared. Results: 74 episodes of HAI were recorded in a total of 8232 patient-days. There was a similar overall rate of HAIs in both periods, 10.08 ‰ patient-days (PI) vs 7.34 ‰ patient-days (PII), with no statistically significant differences found in the rates of central venous catheter-related bloodstream infections (CVC-BSI) 3.32 ‰ days CVC use (PI) vs 3.20 ‰ (PII), ventilator-associated pneumonia 1. 43 ‰ days MV use (PI) vs a 2.02 ‰ (PII), or catheter-associated urinary tract infection 7.36 ‰ days catheter use (PI) vs 3.64 ‰ (PII). Conclusions: no statistically significant differences were observed in the rates of HAIs between both periods, which may be explained by the strict infection control protocol implemented prior to the onset of the pandemic (AU)


Subject(s)
Humans , Infant , Child, Preschool , Child , Adolescent , Burn Units/statistics & numerical data , Burns/complications , Burns/epidemiology , Cross Infection/epidemiology , Infection Control , Epidemiological Monitoring , COVID-19/epidemiology , Retrospective Studies , Cohort Studies
4.
Rev. bras. ortop ; 57(4): 689-696, Jul.-Aug. 2022. tab, graf
Article in English | LILACS | ID: biblio-1394867

ABSTRACT

Abstract Objective To evaluate the sensitivity and specificity of the quantitative real-time polymerase chain reaction (qPCR) for 16S rDNA gene screening using sonicated fluid from orthopedic implants. Methods A retrospective study was conducted on 73 sonicated fluids obtained from patients with infection associated with orthopedic implants. The samples were subjected to conventional culture and molecular testing using matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) and qPCR for 16S rDNA. The cycle threshold values were used to define a cut-off of the qPCR of the 16S rDNA for negative and positive cultures. Results No statistical differences were observed between the positive and negative culture groups based on the time from the first surgery to infection (p= 0.958), age (p =0.269), or general comorbidities. Nevertheless, a statistical difference was found between the mean duration of antibiotic use before device removal (3.41 versus 0.94; p =0.016). Bacterial DNA was identified in every sample from the sonicated fluids. The median cycle thresholds of the positive and negative cultures were of 25.6 and 27.3 respectively (p< 0.001). As a diagnostic tool, a cycle threshold cut-off of 26.89 demonstrated an area under the curve of the receiver operating characteristic of 0.877 (p≤ 0.001). Conclusion The presence of antimicrobial agents for more than 72 hours decreased culture positivity, but did not influence the qPCR results. Despite this, amplification of the 16S rDNA may overestimate infection diagnosis.


Resumo Objetivo Avaliar a sensibilidade e a especificidade da reação em cadeia de polimerase em tempo real quantitativa (quantitative real-time polymerase chain reaction, qPCR, em inglês) para a triagem do gene rDNA 16S, com a utilização do fluido sonicado de implantes ortopédicos. Métodos Um estudo retrospectivo foi realizado em 73 fluidos sonicados obtidos de pacientes com infecção associada aos implantes ortopédicos. As amostras foram submetidas a cultura convencional e a teste molecular utilizando ionização e dessorção a laser assistida por matriz com espectrometria de massa por tempo de voo (matrix-assisted laser desorption/ionization time-of-flight mass spectrometry, MALDI-TOF MS, em inglês) e qPCR para o gene rDNA 16S. Os valores limiares do ciclo foram usados para definir um ponto de corte para a qPCR do gene rDNA 16S para culturas negativas e positivas. Resultados Não foram observadas diferenças estatísticas entre os grupos de cultura positiva e negativa com base no tempo desde a primeira cirurgia até a infecção (p= 0,958), na idade (p= 0,269), ou nas comorbidades em geral. No entanto, uma diferença estatística foi encontrada entre a duração média do uso de antibióticos antes da remoção do dispositivo (3,41 versus 0,94; p= 0,016). O DNA bacteriano foi identificado em todas as amostras dos fluidos sonicados. Os limiares do ciclo médio de culturas positivas e negativas foram de 25,6 e 27,3, respectivamente (p< 0,001). Como uma ferramenta de diagnóstico, um corte do limite do ciclo de 26,89 demonstrou uma área sob a curva da característica de operação do receptor de 0,877 (p ≤ 0,001). Conclusão A presença de agentes antimicrobianos por mais de 72 horas diminuiu a positividade da cultura, mas não influenciou os resultados da qPCR. Apesar disso, a amplificação do rDNA 16S pode sobrestimar o diagnóstico de infecção.


Subject(s)
Humans , Prostheses and Implants/microbiology , Sonication , Polymerase Chain Reaction , Retrospective Studies , Infection Control , Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization , Anti-Infective Agents
5.
Bol. malariol. salud ambient ; 62(1): 100-107, jun, 2022. ilus, tab
Article in Spanish | LILACS, LIVECS | ID: biblio-1381303

ABSTRACT

Los estudiantes de medicina pueden estar expuestos a infecciones graves relacionadas con la atención de la salud si no siguen las medidas de prevención y control. Hay información limitada sobre el conocimiento y la percepción de los estudiantes de medicina con respecto a la bioseguridad y los enfoques educativos utilizados para enseñarles estas prácticas. El objetivo fue evaluar el conocimiento y la percepción de los estudiantes de medicina hacia las prácticas básicas de bioseguridad. Una encuesta descriptiva y transversal basada en entrevistas incluyó a 120 estudiantes de medicina de la Universidad Regional Autónoma de los Andes, Ecuador. Los estudiantes completaron un cuestionario sobre el conocimiento y la percepción con respecto a las prácticas de bioseguridad. El conocimiento de los estudiantes se evaluó por sus respuestas correctas a las preguntas del instrumento. El 57,5% de los estudiantes cumplen con las medidas de bioseguridad. La mayoría de los estudiantes perciben alto de riesgo de exposición a través de diferentes rutas con distintos patógenos, el argumento mayormente reportado fue el que puede ocurrir un accidente. Se observó que 81(67,5%) de los estudiantes mostraron tener conocimiento adecuado sobre bioseguridad, mientras que 39 demostraron lo contrario. El conocimiento sobre la bioseguridad fue bueno aunque se necesita más énfasis para mejorar su conocimiento en secciones como la técnica de colocación de guantes, momento de colocarse el gorro y qué es una sustancia antiséptica. Los cursos de Prevención y Control de Infecciones se pueden impartir a partir de su primer año de educación universitaria(AU)


Medical students can be exposed to serious health care-associated infections, if they are not following prevention and control measures. There is limited information on medical students' knowledge and perception of biosafety and the educational approaches used to teach these practices. The objective was to evaluate the knowledge and perception of medical students towards basic biosafety practices. A descriptive and cross-sectional, interview-based survey included 120 medical students from the Autonomous Regional University of the Andes, Ecuador. The students completed a questionnaire on knowledge and perception regarding biosafety practices. The knowledge of the students was evaluated by their correct answers to the questions of the instrument. 57.5% of students comply with biosafety measures. Most of the students perceive a high risk of exposure through different routes with different pathogens, the most reported argument was that an accident can occur. It was observed that 81 (67.5%) of the students showed adequate knowledge about biosafety, while 39 showed the opposite. Biosafety knowledge was good although more emphasis is needed to improve their knowledge in sections such as gloving technique, time to put on the cap and what is an antiseptic substance. Infection Prevention and Control courses can be taught beginning in your first year of college education(AU)


Subject(s)
Humans , Male , Female , Infection Control , Containment of Biohazards/methods , Education, Medical, Undergraduate , Personal Protective Equipment , Students, Medical , Universities , Surveys and Questionnaires , Ecuador
6.
REME rev. min. enferm ; 26: e1440, abr.2022. tab, graf
Article in English, Portuguese | LILACS, BDENF | ID: biblio-1394544

ABSTRACT

RESUMO Objetivo: identificar métodos de desinfecção de hubs e conectores sem agulha dos cateteres intravenosos em pacientes hospitalizados e verificar a efetividade das intervenções para a prevenção de infecções de corrente sanguínea associada a cateter intravenoso. Método: revisão de escopo seguindo as recomendações de Joanna Briggs Institute. Busca realizada em bases de dados eletrônicas Pubmed, Embase, Cochrane Library, Literatura Latino-Americana e do Caribe em Ciências da Saúde, Base de Dados Enfermagem e Bibliografía Nacional en Ciencias de la Salud Argentina, e estudos indicados por experts. A busca foi atemporal até setembro de 2020. Protocolo registrado na Open Science Framework. Resultados: foram incluídos 27 estudos, sendo que cinco foram Guidelines e 22 foram artigos publicados em periódicos. Existe grande variedade de métodos de desinfecção de hubs e de conectores. Para a desinfecção ativa, foram indicados Gluconato de Clorexedina, Isopropanol e Iodopovedina; para a desinfecção passiva, Gluconato de Clorexedina e Isopropanol. A quantidade do agente desinfetante variou de 0,25 mL a 0,6 mL. O tempo de fricção na desinfecção ativa variou de cinco segundos a 30 segundos, e o tempo de contato na desinfecção passiva variou de três minutos a sete dias. O tempo de secagem de agentes desinfetantes foi superior a cinco segundos. Conclusão: verifica-se variedade de métodos de desinfecção; no entanto, não há consenso sobre a melhor indicação. Necessita-se de estudos que evidenciem a quantidade de desinfetante, a pressão e o tempo de fricção e o tempo de secagem. Pesquisas com práticas de desinfecção utilizadas no Brasil e ensaios clínicos randomizados são necessários.


RESUMEN Objetivo: identificar los métodos de desinfección de los hubs y conectores sin aguja de los catéteres intravenosos en pacientes hospitalizados, y verificar la eficacia de las intervenciones para la prevención de las infecciones del torrente sanguíneo asociadas a los catéteres intravenosos. Método: revisión del alcance siguiendo las recomendaciones del Instituto Joanna Briggs. Búsqueda realizada en las bases de datos electrónicas Pubmed, Embase, Biblioteca Cochrane, Literatura Latinoamericana y del Caribe en Ciencias de la Salud, Base de Datos de Enfermería y Bibliografía Nacional en Ciencias de la Salud Argentina, y estudios indicados por expertos. La búsqueda era atemporal hasta septiembre de 2020. Protocolo registrado en el Open Science Framework. Resultados: se incluyeron 27 estudios, cinco de los cuales eran Guidelines y 22 eran artículos publicados en revistas. Existe una gran variedad de métodos para la desinfección de hubs y conectores, siendo el gluconato de clorhexedina, el isopropanol y la yodopovedina los indicados para la desinfección activa, y el gluconato de clorhexedina y el isopropanol para la desinfección pasiva. La cantidad del agente desinfectante osciló entre 0,25 mL y 0,6 mL. El tiempo de fricción para la desinfección activa osciló entre cinco segundos y 30 segundos, y el tiempo de contacto para la desinfección pasiva osciló entre tres minutos y siete días. El tiempo de secado de los agentes desinfectantes fue superior a cinco segundos. Conclusión: se comprueba la variedad de métodos de desinfección, aunque no hay consenso sobre la mejor indicación. Se necesitan estudios que evidencien la cantidad de desinfectante, la presión y el tiempo de fricción, y el tiempo de secado. Es necesario investigar las prácticas de desinfección utilizadas en Brasil y realizar ensayos clínicos aleatorios.


ABSTRACT Objective: to identify disinfection methods for intravenous catheter hubs and needleless connectors in hospitalized patients, as well as to verify the effectiveness of the interventions to prevent bloodstream infections associated with intravenous catheters. Method: a scoping review following the Joanna Briggs Institute recommendations. The search was conducted in the following electronic databases: PubMed, Embase, Cochrane Library, Literatura Latino-Americana e do Caribe em Ciências da Saúde, Base de Dados Enfermagem and Bibliografía Nacional en Ciencias de la Salud Argentina, as well as in studies indicated by experts. The search was conducted until September 2020. The review protocol was registered in the Open Science Framework. Results: a total of 27 studies were included, of which five were Guidelines and 22 were articles published in journals. There is a significant variety of disinfection methods for hubs and connectors. Chlorhexidine Gluconate, Isopropanol and Povidone-iodine were indicated for active disinfection; and Chlorhexidine Gluconate and Isopropanol, for passive disinfection. The disinfectant volume varied from 0.25 mL to 0.6 mL. Friction time in active disinfection ranged from five to 30 seconds, and contact time in passive disinfection varied from three minutes to seven days. The disinfectants' drying time was over five minutes. Conclusion: a variety of disinfection methods is verified, although with no consensus on the best indication. Studies that show the amount of disinfectant, pressure, friction and drying time are required. There is a need to conduct research studies with disinfection practices used in Brazil and randomized clinical trials.


Subject(s)
Humans , Hospital Services , Disinfection , Catheters , Infection Control , Disinfectants , Catheter-Related Infections/prevention & control , Nursing, Practical/standards
8.
Rev. cir. traumatol. buco-maxilo-fac ; 22(1): 22-25, jan.-mar. 2022. ilus
Article in Portuguese | LILACS, BBO | ID: biblio-1391412

ABSTRACT

Introdução: A paracoccidioidomicose é uma infecção micótica sistêmica com manifestações pulmonares primária que podem apresentar lesões cutâneas e orais. É mais comum no Brasil e em alguns outros países da América Latina, representando um importante problema de saúde pública devido às suas características potencialmente fatais. Relato de caso: Trabalhador rural de 53 anos, fumante e etilista, apresentando lesão ulcerada de aspecto moriforme em mucosa bucal direita. Realizou-se biópsia incisional cujo laudo histopatológico foi de paracoccidioidomicose. O paciente foi encaminhado ao médico infectologista para tratamento por meio de itraconazol (200mg por dia) por 18 meses. Após 03 meses de tratamento já apresentava regressão da lesão. Considerações Finais: Portanto, o objetivo deste trabalho é enfatizar a importância do cirurgião-dentista no reconhecimento das lesões oral e realização da biópsia para o correto diagnóstico e manejo desta doença por meio de um relato de caso clínico... (AU)


Paracoccidioidomycosis is a systemic mycotic infection with primary pulmonary manifestations that can present cutaneous and oral lesions. It is more common in Brazil and some other Latin American countries, representing an important public health problem due to its potentially fatal characteristics. Case report: 53-year-old rural worker, smoker and drinker, presenting an ulcerated lesion with a moriform aspect in the right oral mucosa. An incisional biopsy was performed, and the histopathological report was of paracoccidioidomycosis. The patient was referred to the infectious disease physician for treatment with itraconazole (200mg per day) for 18 months. After 03 months of treatment, he already had regression of the lesion. Final Considerations: Therefore, the objective of this paper is to emphasize the importance of the dentist in recognizing oral lesions and performing a biopsy for the correct diag... (AU)


La paracoccidioidomicosis es una infección micótica sistémica con manifestaciones pulmonares primarias que pueden presentar lesiones cutáneas y bucales. Es más común en Brasil y algunos otros países de América Latina, lo que representa un importante problema de salud pública debido a sus características potencialmente fatales. Caso clínico: trabajador rural de 53 años, fumador y bebedor, con lesión ulcerada de aspecto moriforme en mucosa oral derecha. Se realizó biopsia incisional y el informe histopatológico fue de paracoccidioidomicosis. El paciente fue remitido al médico de enfermedades infecciosas para tratamiento con itraconazol (200 mg al día) durante 18 meses. Después de 03 meses de tratamiento, ya tenía regresión de la lesión. Consideraciones finales: Por lo tanto, el objetivo de este trabajo es enfatizar la importancia del odontólogo en el reconocimiento de las lesiones bucales y la realización de una biopsia para el correcto diagnóstico y manejo de esta enfermedad a través de la presentación de un caso clínico... (AU)


Subject(s)
Humans , Male , Middle Aged , Paracoccidioidomycosis , Biopsy , Infection Control , Oral Ulcer , Wounds and Injuries , Communicable Diseases , Lobomycosis
9.
Rev. Inst. Adolfo Lutz ; 81(Único): e37824, mar.1, 2022. tab, graf
Article in English | LILACS, ColecionaSUS, SES-SP, VETINDEX, CONASS, SESSP-ACVSES, SESSP-IALPROD, SES-SP, SESSP-IALACERVO | ID: biblio-1410399

ABSTRACT

In this article, the actions developed by the Hospital Infection Control Service (HICS) and Occupational Medicine (OM) to face the COVID-19 pandemic and track cases of infection among employees of a large hospital in Belo Horizonte, Minas Gerais, Brazil. Training actions, guidelines on how to collect a swab sample, Code 19 (COVID-19) simulation, dressing/undressing, hand hygiene, the definition of flows, and the quantification of cases infected by COVID-19 among employees in care areas were highlighted. The engagement of HICS and OM in the prevention and promotion of health were fundamental to facing the pandemic. It is estimated that SARS-CoV-2 infection rates among staff at the study hospital were similar to those at other hospitals. The experience report is important for expanding knowledge about action planning in the context of a large hospital (AU).


Neste artigo, são relatadas as ações desenvolvidas pelo Serviço de Controle de Infecção Hospitalar (SCIH) e Medicina do Trabalho (MT) para o enfrentamento da pandemia de COVID-19 e rastreamento dos casos de infecção entre funcionários de um hospital de grande porte de Belo Horizonte, Minas Gerais, Brasil. Destacaram-se as ações de treinamentos, orientações de como coletar amostra de swab, simulação Código 19 (COVID-19), paramentação/desparamentação, higiene das mãos, definição de fluxos e quantificação dos casos infectados por COVID-19 entre funcionários de áreas assistenciais. O engajamento do SCIH e da MT na prevenção e promoção da saúde foi fundamental no enfrentamento da pandemia. Estima-se que os índices de infecção pelo SARS-CoV-2 entre os funcionários do hospital em estudo foram similares aos de outros hospitais. O relato de experiência é importante para a ampliação do conhecimento sobre o planejamento de ações no contexto de um hospital de grande porte (AU).


Subject(s)
Occupational Health , Infection Control , Pandemics , COVID-19 , Occupational Medicine
10.
Säo Paulo med. j ; 140(2): 297-304, Jan.-Feb. 2022. tab
Article in English | LILACS | ID: biblio-1366052

ABSTRACT

Abstract BACKGROUND: Standard precautions (SPs) are recommended safety measures for healthcare professionals to follow, with a view to preventing healthcare-related infections (HCRIs) and for their own protection. Inadequate adherence to these measures can lead to occurrences of occupational accidents and HCRIs. OBJECTIVES: To ascertain the knowledge of and adherence to SP measures among the nursing staff of a hemodialysis service and the relationship of these variables to occurrences of work accidents with biological material. DESIGN AND SETTING: Descriptive cross-sectional and correlational study with a quantitative approach developed in a hemodialysis clinic in Minas Gerais. METHODS: Data were collected through sociodemographic questionnaires and questionnaires on knowledge of and adherence to SPs. RESULTS: 29 professionals participated in the study. It is noteworthy that all of them had already participated in training related to SPs. However, no relationship was identified between knowledge of (15.17 points) and adherence to (71.86 points) SPs. In addition, inferential analysis showed that there was a relationship between suffering a work accident with biological material and the sociodemographic data and knowledge of and adherence to standard precautions. CONCLUSION: Knowledge of the SPs that had been established did not mean mastery of the subject. Despite positive results regarding adherence, factors requiring improvement were observed. It was possible to infer the characteristics that gave rise to greater risk of occurrences of accidents at work. Thus, this study showed the importance of assessing knowledge of and adherence to SP, in order to optimize and direct continuing education towards resolving occupational exposure.


Subject(s)
Humans , Guideline Adherence , Hemodialysis Units, Hospital , Health Knowledge, Attitudes, Practice , Cross-Sectional Studies , Surveys and Questionnaires , Renal Dialysis , Infection Control/methods
11.
Acta sci., Health sci ; 44: e58739, Jan. 14, 2022.
Article in English | LILACS | ID: biblio-1366303

ABSTRACT

To analyze the prevalence and characteristics of late postoperative complications of orthopedic surgeries by video arthroscopy.This was a descriptive cross-sectional study that evaluated, through its own instrument, local and systemic postoperative complications of patients undergoing orthopedic surgeries by video arthroscopy. The study included 270 patients, who were evaluated on days 30(without prosthesis) and 90(with prosthesis placement) of the postoperative period, by telephone service. The selection of participants occurred sequentially and population-based, within the data collection period, from February to July 2020, in a large hospital for medium and high complexity surgeries. Of the 270 procedures performed in the period, 4.4% (n = 12) presented late postoperative infection. The most frequent complications were erythema (83%), edema (75%) and secretion (67%) in the surgical wound. Most used antibiotic therapy (92%) and anti-inflammatory drugs (67%). Hospital readmission was not necessary concerning the complications. Only 50% required medical evaluation before the scheduled time.The need for practices that ensure the quality of perioperative care and improve the active search to assess surgical outcomes is reinforced.


Subject(s)
Humans , Postoperative Period , Arthroscopy/nursing , Arthroscopy/instrumentation , Infection Control/instrumentation , Orthopedic Procedures/nursing , Surgical Wound Infection/nursing , Bacterial Infections/nursing , Wounds and Injuries/nursing , Nursing , Bodily Secretions , Orthopedic Procedures/instrumentation , Edema/nursing , Erythema/nursing , Infections/complications
12.
Rev. eletrônica enferm ; 24: 1-11, 18 jan. 2022.
Article in English, Portuguese | LILACS, BDENF | ID: biblio-1411227

ABSTRACT

Objetivo: avaliar a presença de biofilme nas películas de smartphones de profissionais da saúde, investigar o padrão de uso e de descontaminação dos smartphones no ambiente de assistência à saúde em um hospital de médio porte. Métodos: estudo analítico e transversal, realizado com profissionais de saúde que possuíam smartphone. Foram realizadas entrevistas estruturadas e a presença de biofilme nas películas de vidro dos smartphones foi avaliada pela microscopia eletrônica de varredura. Resultados: todas as amostras de películas foram positivas para presença de biofilme, mesmo após descontaminação com álcool a 70%. Dos participantes, 96,4% utilizavam smartphone no ambiente de trabalho, a maioria utilizava o aparelho para fins pessoais e descontaminavam com álcool a 70% com frequência irregular. Conclusões: o smartphone pode servir como fômite, visto que biofilmes foram detectados na superfície das películas. Esses achados apontam para a necessidade de políticas de controle de infecção relacionadas ao uso dos smartphones.


Objective: to evaluate the presence of biofilm on the protective glass films of smartphones of health professionals, to investigate the pattern of use and decontamination of smartphones in the health care environment of a medium-sized hospital. Methods: analytical and cross-sectional study, carried out with health professionals with smartphones. Structured interviews were carried out and the presence of biofilm on the protective glass films of smartphones was evaluated by scanning electron microscopy. Results: all film samples were positive for the presence of biofilm, even after decontamination with alcohol 70%. 96.4% of the participants used a smartphone in the work environment, most used the device for personal purposes and decontaminated it with alcohol 70% with irregular frequency. Conclusion(s): the smartphones can serve as a fomite, considering that biofilms were detected on the surface of the films. These findings point to the need for infection control policies related to the use of smartphones.


Subject(s)
Equipment Contamination/prevention & control , Infection Control , Health Personnel
13.
Acta sci., Health sci ; 44: e54648, Jan. 14, 2022.
Article in English | LILACS | ID: biblio-1363590

ABSTRACT

Healthcare services must be guided by biosafety practices and microbial control. This control is highly influenced by humidity, which directly impacts the maintenance of sterility of the materials used in the appointments. High concentration of moisture, in the form of aerosol, splashes and spills, is caused during dental care. During the COVID-19 times the contamination by aerosol and droplets worries greatly. Considering that it could cause harm to the sterility of an autoclaved material, especially in dental environments, the objective was to evaluate the behavior of SMS sterilization packages (Spunbonded / Meltblown / Spunbonded) against microbial penetration in an aqueous vehicle. SMS of three brands were challenged, equally divided into two groups: virgin and processed (subjected to a single autoclaving cycle). Each specimen was aseptically deposited on Macconkey agar. Subsequently, 5 µL of Escherichia coliATCC 25922 saline solution [108CFU mL-1] was deposited in center of the SMS specimen and the dish incubated at36°C/ 48h. Reading was performed by the presence or absence of bacterial growth typical of the species under the SMS, observed on the back of Petri dish. The lowest penetration rate observed was 60% for one of the brands in the virgin condition, and 75% for two brands in the processed condition. Statistical analysis showed an association between bacterial penetration and the evaluated group, this association being valid only in the virgin condition. The different SMS behave similarly in terms of resistance to bacterial penetration after being processed. The data show that moisture can assist in bacterial transport through sterilized SMS. Therefore, SMS packages are not able to prevent bacterial penetration, and possibly other microorganisms, when in aqueous vehicles, offering a potential risk of breaking the aseptic chain. Thus, care must be taken in routines for handling and storage sterile packaging.


Subject(s)
Product Packaging/instrumentation , Containment of Biohazards/instrumentation , Dental Offices/organization & administration , Humidity/prevention & control , Sterilization/instrumentation , Infection Control/instrumentation , Evaluation Study , Drug Packaging/instrumentation , Saline Solution/analysis , COVID-19/prevention & control , Microbiological Phenomena/immunology
14.
Rev. baiana enferm ; 36: e46564, 2022. tab
Article in Portuguese | LILACS, BDENF | ID: biblio-1387628

ABSTRACT

Objetivo: elaborar e validar instrumento para mensuração de conhecimento de profissionais de enfermagem sobre práticas seguras para prevenção de infecção em medicações injetáveis. Método: estudo metodológico, realizado em município paulista, entre março de 2018 e dezembro de 2019, conforme etapas: estabelecimento da estrutura conceitual e construção do instrumento; validação por especialistas com experiência assistencial ou controle de infecção ou pesquisadores na área, com taxa de concordância >80% e índice de validade de conteúdo ≥0,78; e análise semântica junto ao público-alvo, recrutado por meio da técnica bola de neve. Resultados: construiu-se instrumento com 27 itens, contemplando: preparo do ambiente, preparo e administração de medicações injetáveis e descarte de materiais perfurocortantes. Houve alta taxa de concordância entre os 10 especialistas e refinamento semântico após resposta de 34 participantes do público-alvo. Conclusão: consolidada ferramenta para mensurar, de forma padronizada, o conhecimento de profissionais de enfermagem sobre o tema, permitindo intervenções educativas específicas, conforme diagnóstico situacional.


Objetivo: desarrollar y validar un instrumento para medir el conocimiento de los profesionales de enfermería sobre prácticas seguras para la prevención de la infección en medicamentos inyectables. Método: estudio metodológico, realizado en un municipio de São Paulo, entre marzo de 2018 y diciembre de 2019, según etapas: establecimiento de la estructura conceptual y construcción del instrumento; validación por especialistas con experiencia en atención o control de infecciones o investigadores en el área, con >80% de tasa de concordancia e índice de validez de contenido ≥0,78; y análisis semántico con el público objetivo, reclutado a través de la técnica de bola de nieve. Resultados: se construyó un instrumento con 27 ítems, entre ellos: preparación del ambiente, preparación y administración de medicamentos inyectables y disposición de materiales de corte afilado. Hubo una alta tasa de acuerdo entre los 10 especialistas y refinamiento semántico después de la respuesta de 34 participantes del público objetivo. Conclusión: herramienta consolidada para medir, de manera estandarizada, el conocimiento de los profesionales de enfermería sobre el tema, permitiendo intervenciones educativas específicas, de acuerdo al diagnóstico situacional.


Objective: to develop and validate an instrument for measuring nursing professionals' knowledge about safe practices for infection prevention in injectable medications Method: methodological study, conducted in a municipality of São Paulo, between March 2018 and December 2019, according to stages: establishment of the conceptual structure and construction of the instrument; validation by specialists with experience of care or infection control or researchers in the area, with >80% agreement rate and content validity index ≥0.78; and semantic analysis with the target audience, recruited through the snowball technique. Results: an instrument was constructed with 27 items, including: preparation of the environment, preparation and administration of injectable medications and disposal of sharp-cutting materials. There was a high rate of agreement among the 10 specialists and semantic refinement after response from 34 participants from the target audience. Conclusion: consolidated tool to measure, in a standardized way, the knowledge of nursing professionals on the subject, allowing specific educational interventions, according to situational diagnosis.


Subject(s)
Humans , Male , Female , Infection Control , Validation Study , Disease Prevention , Injections , Nursing Care
15.
Curationis ; 45(1): 1-11, 2022. figures, tables
Article in English | AIM | ID: biblio-1377882

ABSTRACT

Background: The coronavirus disease 2019 (COVID-19) pandemic has had a far-reaching, negative impact on healthcare systems worldwide. Healthcare workers play a critical role in the country's healthcare delivery system, as they facilitate a continuum of care and containment of diseases such as the COVID-19 pandemic.Objectives: The aim of this study was to explore and describe the experiences of healthcare workers who provided care to COVID-19 patients at a central hospital in Zimbabwe.Method: The researchers used an interpretative phenomenological analysis design. In-depth interviews were conducted virtually with 10 frontline healthcare workers working at a COVID-19 centre in Zimbabwe. Data collection was guided by an interview guide. All audio-recorded interview data were transcribed verbatim into written text. Data analysis was conducted using an interpretative phenomenological analysis framework. An expert in qualitative research acted as an independent co-coder and conducted the open coding of each transcript. Results: Findings reveal inadequate preparation and training of healthcare providers before the commencement of duty, resources-related challenges and a lack of support as significant experiences of healthcare providers. Moreover, healthcare providers have been subjected to stigma and discrimination attached to COVID-19, resulting in psychological effects on frontline healthcare providers. Conclusion: The COVID-19 pandemic brings unique and challenging experiences for frontline healthcare workers, resulting in a physically and emotionally drained workforce. This study calls for comprehensive support in the form of counselling, reasonable work schedules, training and adequate provision of personal protective equipment.


Subject(s)
Infection Control , Delivery of Health Care , Diagnosis , Disease Prevention , COVID-19
16.
São Paulo; s.n; s.n; 2022. 77 p. graf, tab.
Thesis in Portuguese | LILACS | ID: biblio-1379350

ABSTRACT

A bactéria Gram-negativa Pseudomonas aeruginosa é um patógeno oportunista frequentemente associado a vítimas de queimaduras graves ou indivíduos com fibrose cística, sendo os isolados resistentes a carbepenêmicos dessa espécie considerados pela OMS como uma das maiores ameaças ao controle de infecções. O estabelecimento da infecção por esse patógeno é dependente de uma série de fatores de virulência, entre eles o pilus tipo IV (T4P), que possui papel importante na adesão a superfícies e motilidade do tipo twitching, essenciais para a colonização do hospedeiro. Uma das moléculas importantes na diferenciação entre as formas séssil e planctônica de P. aeruginosa é o segundo mensageiro bis-(3,5)-di-guanosina monofosfato cíclico (c-di-GMP), cuja síntese é feita enzimaticamente por diguanilato ciclases (DGCs). DgcP é uma DGC localizada nos polos da célula, que tem sua atividade de síntese de c-di-GMP aumentada na presença da proteína FimV, essencial para a montagem do T4P em P. aeruginosa. Neste trabalho, ensaios de microscopia de fluorescência, organização e expressão gênica foram realizados com o objetivo de aumentar a compreensão sobre o papel de DgcP em relação a sua expressão e aos fatores que regulam o T4P de P. aeruginosa. A proteína DgcP em fusão com mNeonGreen no C-terminal, expressa a partir do locus cromossômico, se localiza de maneira predominantemente bipolar tanto na linhagem selvagem quanto nos mutantes ΔpilA, ΔpilR e ΔchpA, evidenciando que seu padrão de localização não depende dos sistemas de regulação Pil-Chp e PilS-PilR. Ensaios de RT-PCRmostraram que dgcP se encontra em operon com PA14_72430 e dsbA1, indicando um papel celular conjunto entre esses genes, até o momento, desconhecido. Por fim, ensaios de qRT-PCR revelaram que os níveis de mRNA de dgcP são invariáveis nas linhagens WT, ΔpilA, ΔpilR, ΔchpA e ΔfimV, cultivadas em meio líquido ou meio sólido. Os resultados aqui mostrados, combinados com trabalhos prévios do nosso e de outros grupos, sugerem que DgcP é uma diguanilato ciclase responsável por geração constante de c-di-GMP nos polos da célula, possivelmente, atuando na sinalização local dependente do dinucleotídeo cíclico, cuja localização e atividade não são dependentes dos sistemas de regulação que atuam sobre o T4P


The Gram-negative bacterium Pseudomonas aeruginosa is an opportunistic pathogen often associated with severe burn victims or individuals with cystic fibrosis, which carbapenem-resistant isolates were classified by th World Health Organization classified one of the greatest threats to infection control. The establishment of infection by this pathogen is dependent on a series of virulence factors, including the type IV pilus (T4P), which plays an important role in adhesion to surfaces and twitching motility, essential features for host colonization. Bis-(3',5')-cyclic dimeric guanosine monophosphate (c-di-GMP) is a second messenger that involved in processes of biofilm formation, motility, and virulence. The diguanylate cyclase DgcP synthetizes cdi-GMP and it is located at the cell poles, and its activity depends on the scaffold protein FimV, essential for T4P assembly in P. aeruginosa. By increasing c-di-GMP levels, DgcP decreases flagellum-dependent motility and increases biofilm formation. In this work, fluorescence microscopy, gene organization and expression assays were performed to understand the whether DgcP localization and expression are under the control of T4P regulatory proteins. Fluorescence microscopy analysis showed that DgcP localizes predominantly at both cell poles in ΔpilA, ΔpilR, and ΔchpA mutants, showing that its localization pattern does not depend on the Pil-Chp and PilS-PilR systems. Furthermore, RT-PCR assays showed that dgcP is found in an operon with PA14_72430 and dsbA1, indicating an unknown putative related cellular role for these genes. Finally, qRT-PCR assays indicated that DgcP expression is invariant in ΔpilA, ΔpilR, ΔchpA, and ΔfimV mutants, either in liquid or solid medium. The results shownhere, combined with previous work by ours and other groups, suggest that DgcP is a diguanylate cyclase responsible for constant generation of c-di-GMP at the cell poles, possibly acting in local signaling dependent on the cyclic dinucleotide, but that is not under the control of the known T4P regulatory systems


Subject(s)
Operon , Pseudomonas aeruginosa/classification , Infection Control/instrumentation , World Health Organization , Burns , Gene Expression/genetics , Cells , Virulence Factors/adverse effects , Infections/complications , Microscopy, Fluorescence/methods
17.
Repert. med. cir ; 31(2): 101-111, 2022. ilus., tab.
Article in English, Spanish | LILACS, COLNAL | ID: biblio-1380994

ABSTRACT

Introducción: las infecciones generadas por microorganismos oportunistas (MO) o infecciones oportunistas (IO) son causa importante de morbimortalidad en pacientes oncológicos y se les atribuyen factores relacionados con los cuidados específicos de la atención en salud. Las alteraciones en el sistema inmunológico, la multirresistencia antimicrobiana, la neutropenia febril y la interrupción de la integridad cutánea son los factores más influyentes. Objetivo: describir las principales intervenciones y estrategias para reducir IO en pacientes oncológicos. Metodología: revisión integrativa de la literatura. Se incluyeron artículos en español, inglés y portugués indexados a los tesauros MeSH Y DeCS, en las bases de datos CINAHL, Nursing Ovid, Clinicalkey; el metabuscador de Google académico y la interfaz Pubmed. Resultados: se revisaron 56 estudios, fueron organizados en tres temáticas: factores de riesgo que influyen para adquirir una IO en pacientes oncológicos, infecciones por MO y cuidados de enfermería, los cuales se agruparon en subtemas como: educación, medidas estándar, de barrera, farmacológicas, nutrición, manejo de catéteres, cavidad bucal, piel y aspectos emocionales. Discusión: se evidencian factoresque influyen en la no adherencia por parte de los profesionales que están relacionados con sus posturas, el contexto social, el sistema sanitario y características de las GPC. Conclusión: fue posible describir las intervenciones y estrategias de prevención que permiten reducir de manera importante la morbimortalidad en pacientes oncológicos.


Introduction: infections caused by opportunistic microorganisms (OM) or opportunistic infections (OI) are an important source of morbidity and mortality in oncology patients and are attributed to factors related with specific procedures in health care. Alterations of the immune system, antimicrobial multidrug resistance, febrile neutropenia and impaired skin integrity are the most influential factors. Objective: to describe the main interventions and strategies to reduce OI in oncology patients. Methodology: integrative review of the literature. Articles in Spanish, English and Portuguese indexed in the MeSH and DeCS thesauri in the CINAHL, Nursing Ovid, Clinicalkey databases; the academic Google meta-search engine and the PubMed interface, were included. Results: 56 studies were reviewed and organized into three topics: risk factors associated with the development of OI in cancer patients, infections by OM and nursing care. These topics were grouped into subtopics such as: education, standard barrier and pharmacological measures, nutrition, IV catheter care, oral cavity, skin and emotional aspects. Discussion: factors influencing non-adherence of healthcare providers were found to be related with their attitude, social context, health system and characteristics of clinical practice guidelines. Conclusion: we describe the intervention and prevention strategies which allow a significant reduction in morbimortality in oncology patients.


Subject(s)
Nursing Care , Patients , Infection Control , Neoplasms
18.
Article in English | WPRIM | ID: wpr-927270

ABSTRACT

The complete picture regarding transmission modes of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is unknown. This review summarises the available evidence on its transmission modes, our preliminary research findings and implications for infection control policy, and outlines future research directions. Environmental contamination has been reported in hospital settings occupied by infected patients, and is higher in the first week of illness. Transmission via environmental surfaces or fomites is likely, but decontamination protocols are effective in minimising this risk. The extent of airborne transmission is also unclear. While several studies have detected SARS-CoV-2 ribonucleic acid in air samples, none has isolated viable virus in culture. Transmission likely lies on a spectrum between droplet and airborne transmission, depending on the patient, disease and environmental factors. Singapore's current personal protective equipment and isolation protocols are sufficient to manage this risk.


Subject(s)
COVID-19 , Hospitals , Humans , Infection Control/methods , Personal Protective Equipment , SARS-CoV-2
19.
Article in English | LILACS, BBO | ID: biblio-1365228

ABSTRACT

ABSTRACT Objective To evaluate knowledge and attitudes towards biosafety recommendations during the COVID-19 pandemic at a Brazilian dental school. Material and Methods A cross-sectional study was performed in 2020 with the clinical staff of a Brazilian dental school. The whole clinical staff was sent pre-tested self-administered online questionnaires about knowledge and attitudes towards the recommendations for biosafety in dental settings in the context of the COVID-19 pandemic. Descriptive statistical analyses were carried out for proportion calculation. Results Disposable head covering caps, isolation gowns, and gloves were the most frequently reported personal protective equipment (PPE). The rates ranged from 52.9% to 88.5% for N95 respirators, from 68.6% to 92.6% for face shields, from 47.4% to 67.5% for conventional eye protection shields, and 45.1% to 77.4% for eye protection with solid side shields. Chlorhexidine gluconate was the most frequent mouthwash indicated before clinical dental care. The percentage of agreement to provide clinical care to patients with suspected COVID-19 varied from 23.5% to 50.0%. The percentage of respondents who agreed that bioaerosol-generating procedures should be avoided was higher than 74.5%. Less than 50% knew the correct sequence for doffing of PPE. Conclusion This study revealed important gaps in knowledge and attitudes towards prevention and control measures against infection in dental environments in the context of COVID-19, indicating the need for improvements.


Subject(s)
Humans , Brazil , Health Knowledge, Attitudes, Practice , Containment of Biohazards/instrumentation , Education, Dental , Personal Protective Equipment , COVID-19 , Schools, Dental , Epidemiologic Studies , Cross-Sectional Studies/methods , Surveys and Questionnaires , Data Interpretation, Statistical , Infection Control
20.
Pesqui. bras. odontopediatria clín. integr ; 22: e210015, 2022. tab, graf
Article in English | LILACS, BBO | ID: biblio-1365235

ABSTRACT

ABSTRACT Objective To determine the level of knowledge of dentistry students regarding the COVID-19 outbreak and to evaluate whether the risk factors of the outbreak cause depression. Material and Methods This study was conducted with 516 dentistry students (3rd, 4th and 5th grades) who started clinical practice in their education. The first part of the questionnaires applied to the students includes questions about demographic information, while the second part contains questions to determine their knowledge levels on the COVID-19 pandemic and protection against it. In the third section, Beck Depression Inventory (BDI) was used to examine depression symptoms. The data were analyzed by frequency analyses and Chi-squared tests via the IBM SPSS 22.0 software. Results Of the 516 students, 150 (29%) participants were in the 3rd, 212 (41%) were in the 4th and 154 (30%) were in the 5th grade. 355 (69%) students stated that their knowledge level about COVID-19 was high. 30.9% were conscious of the importance of using masks. 29.6% were aware of the importance of using gloves, 30.3% of not shaking hands. According to BDI scores, 37.1% of the participants seemed to experience moderate to severe and very severe depression. Conclusion It was observed that the students didn't have a sufficient level of knowledge about the factors affecting the spread of the pandemic. New stress factors such as COVID-19 may increase the incidence of depression.


Subject(s)
Humans , Male , Female , Students, Dental , Health Knowledge, Attitudes, Practice , Risk Factors , Infection Control , Education, Dental , COVID-19 , Turkey/epidemiology , Chi-Square Distribution , Cross-Sectional Studies/methods , Surveys and Questionnaires , Data Interpretation, Statistical , Statistics, Nonparametric , Depression
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