ABSTRACT
A sample of 194 Italian health care-givers working in HIV/AIDS units was assessed to investigate whether there was a correlation between individual variables (socio-demographic and occupational characteristics, personality traits, anxiety, depression, attitudes and emotional reactions) and burnout and job satisfaction. For this proposal were used the Maslach Burnout Inventory (MBI), a socio-demographic and occupational characteristics schedule. Sixteen Personality Factor Questionnaire, Ipat Anxiety Scale, Ipat Depression Scale and AIDS Impact Questionnaire. A principal component analysis on frequency subscales scores of MBI extracted two independent dimensions labelled 'burnout' and 'personal accomplishment'. The results suggested important correlations among 'burnout', 'personal accomplishment', anxiety and depression. Age of care-givers was negatively correlated with 'burnout' and practical nurses were less personally accomplished. Anxiety, depression, emotional reactions, attitudes, ego strength, and the aptitude for interpersonal relationships and to team work were significant factors in outlining a profile of highly 'burned out' and 'personally accomplished' HIV/AIDS health care-givers. These results suggest the development of precise strategies of prevention, intervention and treatment of burnout considering not only the importance of occupational and institutional characteristics but also of individuals ones.
Subject(s)
Burnout, Professional/psychology , HIV Infections/therapy , Health Personnel/psychology , Adult , Burnout, Professional/prevention & control , Female , Health Knowledge, Attitudes, Practice , Humans , Male , Personality Inventory , Predictive Value of Tests , Regression Analysis , Risk Factors , Surveys and QuestionnairesABSTRACT
PURPOSE: To evaluate clinical findings and etiology of bacterial infections diagnosed in 100 consecutive heart transplantations. METHODS: One hundred consecutive heart transplant patients were studied. Follow-up after heart transplantation varied from 3 to 90 (mean 25.38 +/- SD 25.97) months. Etiology of bacterial infection was established using the Centers for Disease Control criteria. RESULTS: Bacterial infection was the most common cause of infection after heart transplantation; diagnosis was difficult. Infection sites were skin, mucous, membranes, soft tissue, surgical scar, pericardial and pleural spaces, soft tissue around heart pacing devices, urinary tract; bacteremias and endocarditis were also found. All bacterial agents recovered were fully identified. CONCLUSION: Bacterial infections are the most common infections in the first month after heart transplantation. They are important and also common after the treatment of the rejection episodes. Rapid diagnosis and adequate treatment are essential to prevent morbidity and death.
Subject(s)
Bacterial Infections/etiology , Heart Transplantation/adverse effects , Adolescent , Adult , Aged , Bacterial Infections/drug therapy , Bacterial Infections/epidemiology , Child , Child, Preschool , Female , Follow-Up Studies , Humans , Male , Middle Aged , Postoperative Period , Prospective StudiesABSTRACT
Objetivo - analisar as ocorrências, os agentes etiológicos e a apresentaçäo clínica referentes às infecçöes bacterianas diagnosticadas em grupo de pacientes submetidos a transplante (Tx) cardíaco. Métodos - foram considerados 100 doentes, observados consecutivamente, após Tx cardíaco. O período de seguimento variou de 3 a 90 (média 25,38 + ou - 25,96) meses. O reconhecimento das infecçöes bacterianas levou em conta os critérios estabelecidos pelos Centers for Disease Control. Resultados - as infecçs pulmonares bacterianas comparecem em maior número, havendo dificuldade para diagnosticá-las depois do Tx. Ocorreram comprometimentos motivados por bactérias em pele, mucosas, partes moles, ferida operatória, pericárdio, pleura, loja do marcapasso e vias urinárias, tendo também sido constatadas bacteremias e endocardites. Os agentes etiológicos, quando reconhecidos, ficaram devidamente especificados. Conclusäo - o período pós-operatório inicial é crítico, pois nos 30 dias subsequentes a ele as infecçöe acterianas surgem com maior frequência. Elas também suscitam maior preocupaçäo nas fases de tratamento dos episódios de rejeiçöes. Diagnóstico precoce e rápida adoçäo de medidas coercitivas podem evitar gravidade e evoluçäo para óbito
Purpose - To evaluate clinical findings and etiology of bacterial infections diagnosed in 100 consecutive heart transplantations. Methods - One hundred consecutive heart transplant patients were studied. Follow-up after heart transplantation varied from 3 to 90 (mean 25.38± SD 25.97) months. Etiology of bacterial infection was established using the Centers for Disease Control criteria. Results - Bacterial infection was the most common cause of infection after heart transplantation; diagnosis was difficult. Infection sites were skin, mucous, membranes, soft tissue, surgical scar, pericardial and pleural spaces, soft tissue around heart pacing devices, urinary tract; bacteremias and endocarditis were also found. All bacterial agents recovered were fully identified Conclusion - Bacterial infections are the most common infections in the first month after heart transplantation. They are important and also common after the treatment of the rejection episodes. Rapid diagnosis and adequate treatment are essential to prevent morbidity and death
