ABSTRACT
In order to increase safety culture about hand hygiene by means of messages and reminders about its importance in preventing nosocomial infections, we developed a new set of materials in the Complejo Hospitalario Universitario Insular Materno-Infantil of Las Palmas, Gran Canaria, constitued by two centres with 450 beds each and acredited for medical internal residents training. We hired a well-known caricaturist, who adapted the messages to the local way of speaking, by using characters that used to appear in his artwork in the local newspaper. Also, we continued to work with other graphic design professionals. We monitored adherence and consumption of products for hand rubbing. We noted an increase in both indicators in the following months after the implementation of this strategy. Moreover, we revised the infrastructures for hand hygiene, and were able to demonstrate improvements in most of the patient care areas. The material was well accepted by professionals, patients and visitors. No other interventions were made, so we think improvements can be attributable to this strategy in our setting.
Subject(s)
Cross Infection/prevention & control , Hand Hygiene , Health Promotion/methods , Safety Management , Teaching Materials , Cartoons as Topic , Cross Infection/transmission , Guideline Adherence , Hand Hygiene/methods , Hand Hygiene/standards , Hand Sanitizers , Health Personnel/psychology , Health Promotion/organization & administration , Hospitals, Maternity , Hospitals, Pediatric , Hospitals, University , Humans , Patient Compliance , Patient Safety , Posters as Topic , Tertiary Care CentersSubject(s)
Colitis, Ulcerative/complications , Intracranial Hypertension/etiology , Acetazolamide/administration & dosage , Acetazolamide/therapeutic use , Adult , Anti-Inflammatory Agents, Non-Steroidal/administration & dosage , Anti-Inflammatory Agents, Non-Steroidal/adverse effects , Anti-Inflammatory Agents, Non-Steroidal/therapeutic use , Carbonic Anhydrase Inhibitors/administration & dosage , Carbonic Anhydrase Inhibitors/therapeutic use , Colitis, Ulcerative/drug therapy , Diplopia/etiology , Emergencies , Female , Follow-Up Studies , Headache/etiology , Humans , Intracranial Hypertension/chemically induced , Intracranial Hypertension/diagnosis , Mesalamine/administration & dosage , Mesalamine/adverse effects , Mesalamine/therapeutic use , Time FactorsABSTRACT
No disponible
Subject(s)
Female , Adult , Humans , Pseudotumor Cerebri/complications , Colitis, Ulcerative/complications , Crohn Disease/physiopathologySubject(s)
Subclavian Artery/abnormalities , Adult , Female , Humans , Incidental Findings , Radiography , Subclavian Artery/diagnostic imagingABSTRACT
No disponible
Subject(s)
Humans , Deglutition Disorders , Subclavian Artery , Incidental Findings , Subclavian Artery/abnormalities , Esophagus/abnormalitiesABSTRACT
Tuberculosis (TB) is a common disease in Spain, whose incidence has increased due to AIDS, immunotherapy and immigration. Intestinal disease is rare and can be difficult to diagnose because its symptoms and laboratory results are nonspecific. In addition, endoscopic lesions resemble those of other diseases such as Crohns disease (CD). Differentiating between intestinal TB and CD is very important since steroid treatment con be life saving in CD and lethal in intestinal TB. Colonoscopy plays an important role in establishing a suspected diagnosis. The endoscopic findings most characteristic of intestinal TB are circular ulcers, small diverticula (3-5 mm), and sessile firm polyps. The suspected diagnosis must be confirmed by the presence of caseating granulomas and/or acid fast bacilli. Polymerase chain reaction is currently recommended for assessing the presence of tubercle bacilli in tissue specimens obtained by endoscopic biopsy. We report a case of intestinal TB in a female renal transplant recipient that demonstrates the difficulty of making this diagnosis.
