Pub Date : 2020-07-07DOI: 10.17058/reci.v10i3.15109
Rafiza de Joseane Mendes do Lago, Isaura Danielli Borges de Sousa, Layana Pachêco de Araújo Albuquerque, Francyelle Costa Moraes, Dorlene Maria Cardoso de Aquino
{"title":"Aspectos de uma área endêmica para leishmaniose visceral em um município no Maranhão, Brasil","authors":"Rafiza de Joseane Mendes do Lago, Isaura Danielli Borges de Sousa, Layana Pachêco de Araújo Albuquerque, Francyelle Costa Moraes, Dorlene Maria Cardoso de Aquino","doi":"10.17058/reci.v10i3.15109","DOIUrl":"https://doi.org/10.17058/reci.v10i3.15109","url":null,"abstract":"","PeriodicalId":42212,"journal":{"name":"Revista de Epidemiologia e Controle de Infeccao","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48171948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-07DOI: 10.17058/reci.v10i3.15413
Estelita Lima Cândido, Milena Silva Costa, Jucier Gonçalves Junior, M. Moreira
Background and Objectives: In 2009, Brazil faced the influenza A/H1N1pdm09 pandemic that infected at least 50 thousand people. In 2020, it faces another pandemic caused by the SARS-Cov-2 virus (COVID-19). Because it is a new disease, there is much speculation about it and comparison with other scenarios, often based on fake news. This study compares the impacts and epidemiological differences of Influenza A / H1N1 and COVID-19 in Brazil. Methods: Quantitative, descriptive, epidemiological study, based on documents, whose data were collected on the information platforms of the Ministry of Health of Brazil and the World Health Organization, in addition to scientific articles. The data on Influenza A/H1N1 refer to the year 2009 and the data on COVID-19 to the period from March to April 30, 2020. Results: It appears that in Brazil, in just two months the number of cases of COVID-19 (85,380) has already exceeded the total cases of influenza A/H1N1pdm09 (50,482) that occurred in the whole year of 2009 and caused a triple of deaths. Therefore, COVID-19 presents itself more severely, given the proportions reached in lethality, due to the lack of vaccine and specific treatment of cases. Conclusion: The COVID-19 pandemic is more impactful for Brazil than the influenza A/H1N1pdm09 pandemic.
{"title":"Influenza A/H1N1 e COVID-19 no Brasil: impactos e diferenças epidemiológicas","authors":"Estelita Lima Cândido, Milena Silva Costa, Jucier Gonçalves Junior, M. Moreira","doi":"10.17058/reci.v10i3.15413","DOIUrl":"https://doi.org/10.17058/reci.v10i3.15413","url":null,"abstract":"Background and Objectives: In 2009, Brazil faced the influenza A/H1N1pdm09 pandemic that infected at least 50 thousand people. In 2020, it faces another pandemic caused by the SARS-Cov-2 virus (COVID-19). Because it is a new disease, there is much speculation about it and comparison with other scenarios, often based on fake news. This study compares the impacts and epidemiological differences of Influenza A / H1N1 and COVID-19 in Brazil. Methods: Quantitative, descriptive, epidemiological study, based on documents, whose data were collected on the information platforms of the Ministry of Health of Brazil and the World Health Organization, in addition to scientific articles. The data on Influenza A/H1N1 refer to the year 2009 and the data on COVID-19 to the period from March to April 30, 2020. Results: It appears that in Brazil, in just two months the number of cases of COVID-19 (85,380) has already exceeded the total cases of influenza A/H1N1pdm09 (50,482) that occurred in the whole year of 2009 and caused a triple of deaths. Therefore, COVID-19 presents itself more severely, given the proportions reached in lethality, due to the lack of vaccine and specific treatment of cases. Conclusion: The COVID-19 pandemic is more impactful for Brazil than the influenza A/H1N1pdm09 pandemic.","PeriodicalId":42212,"journal":{"name":"Revista de Epidemiologia e Controle de Infeccao","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49346119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-07DOI: 10.17058/JEIC.V10I3.14674
Filipe Melo da Silva, Marijany da Silva Reis, Matheus Halex Ferreira De Matos, Dais Nara Silva Barbosa, Dênio Rafael Matos Soares, Emanuel Thomaz de Aquino Oliveira, A. M. D. Dos Santos, Jailson Alberto Rodrigues
Justificativa e Objetivos: analisar o Golden time desenvolvido pelo servico de atendimento movel de urgencia (SAMU) da cidade de Floriano, Piaui, Brasil. Justifica-se por haver poucas producoes que enfatizam primordialmente o tempo (Golden Hour), tornando-se imprescindivel aos estudantes e profissionais da area, mostrando que ter dominio e conhecimento do mesmo, pode salvar vidas. Metodos: Trata-se de um estudo descritivo, documental e, abordagem quantitativa realizado a partir dos registros na ficha de atendimento referente ao ano de 2018, a partir do levantamento das variaveis das etapas do Golden time, natureza e tempo do evento, e analisados por meio de estatistica descritiva e inferencial.O presente estudo atendeu a todos os preceitos eticos com base no parecer de aprovacao do comite de etica (n° 96443518.4.0000.5660) Resultados: O Golden time mais frequentemente, em 58,5% dos casos, desenvolvido pelo SAMU foi de 15 a 30 minutos. As urgencias e emergencias clinicas em adultos foram os tipos de eventos mais comumente atendidos (35,50%). Conclusao O atendimento de maior frequencia do SAMU de Floriano foi os casos de urgencia e emergencias clinicas em adultos, juntamente com o tempo de 15 a 30min.
{"title":"Golden time: Analysis of the response time of the Mobile Urgency Care Service (Samu)","authors":"Filipe Melo da Silva, Marijany da Silva Reis, Matheus Halex Ferreira De Matos, Dais Nara Silva Barbosa, Dênio Rafael Matos Soares, Emanuel Thomaz de Aquino Oliveira, A. M. D. Dos Santos, Jailson Alberto Rodrigues","doi":"10.17058/JEIC.V10I3.14674","DOIUrl":"https://doi.org/10.17058/JEIC.V10I3.14674","url":null,"abstract":"Justificativa e Objetivos: analisar o Golden time desenvolvido pelo servico de atendimento movel de urgencia (SAMU) da cidade de Floriano, Piaui, Brasil. Justifica-se por haver poucas producoes que enfatizam primordialmente o tempo (Golden Hour), tornando-se imprescindivel aos estudantes e profissionais da area, mostrando que ter dominio e conhecimento do mesmo, pode salvar vidas. Metodos: Trata-se de um estudo descritivo, documental e, abordagem quantitativa realizado a partir dos registros na ficha de atendimento referente ao ano de 2018, a partir do levantamento das variaveis das etapas do Golden time, natureza e tempo do evento, e analisados por meio de estatistica descritiva e inferencial.O presente estudo atendeu a todos os preceitos eticos com base no parecer de aprovacao do comite de etica (n° 96443518.4.0000.5660) Resultados: O Golden time mais frequentemente, em 58,5% dos casos, desenvolvido pelo SAMU foi de 15 a 30 minutos. As urgencias e emergencias clinicas em adultos foram os tipos de eventos mais comumente atendidos (35,50%). Conclusao O atendimento de maior frequencia do SAMU de Floriano foi os casos de urgencia e emergencias clinicas em adultos, juntamente com o tempo de 15 a 30min.","PeriodicalId":42212,"journal":{"name":"Revista de Epidemiologia e Controle de Infeccao","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67622384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-07DOI: 10.17058/JEIC.V10I3.14984
P. Teixeira, W. C. Vital, A. A. Lima, N. Silva, C. Carneiro, L. F. Teixeira, G. N. da Silva
Background and Objectives: Bacterial vaginosis (BV) is the most common cause of vaginal discharge in the world. The study aimed to estimate the prevalence and to identify risk factors associated with bacterial vaginosis. Methods: A cross-sectional study was conducted in Ouro Preto, Brazil, between February and December 2017. Three hundred and forty-one women aged 18 years or older, users of the Brazilian Unified Health System, participated in this study. Women who used oral or topical antibiotics in the four weeks prior to the sample collection and women who had undergone a total hysterectomy were excluded from the study. After signing the Informed Consent Form and filling out a questionnaire containing sociodemographic, behavioral and sexual data, the participants were directed to the collection room, where the nurse collected the samples for the preventive examination of the cervix and also two vaginal swabs. Vaginal swabs and cervical samples were analyzed for cytological abnormalities and BV using Gram staining and cytology. Pathogens causing sexually transmitted infections (STIs) were identified by Polymerase Chain Reaction (PCR). For the analysis of the data, statistical package STATA version 10.0 was used. This study was approved by the Research Ethics Committee of the Federal University of Ouro Preto (UFOP). Results: During the study, 341 women were evaluated. The prevalence of BV using Gram staining (32.5% [CI95% 27.7=37.7%]) and cytology (27.7% [CI95% 23.0=32.8%]) was similar, however, the sensitivity of cytology was lower (77.8%). Risk factors associated with BV were smoking (IRR 1.5[CI95%: 1.1 = 2.1]), use of an intrauterine device (IRR 2.8 [CI95%: 1.2 = 6.5]), and past medical history of BV (IRR 1.5 [CI95%: 1.1 = 2.1]). Correlation between the presence of BV and Trichomonas vaginalis (TV) infection (r=0.24) was observed. Conclusion: The prevalence of BV was affected by life habits and was prevalent in women with TV. Thus, behavioral and social prevention approaches to women with diverse risk profiles may help mitigate TV/BV prevalence and recurrence of BV.
{"title":"Bacterial vaginosis: prevalence, risk profile and association with sexually transmitted infections","authors":"P. Teixeira, W. C. Vital, A. A. Lima, N. Silva, C. Carneiro, L. F. Teixeira, G. N. da Silva","doi":"10.17058/JEIC.V10I3.14984","DOIUrl":"https://doi.org/10.17058/JEIC.V10I3.14984","url":null,"abstract":"Background and Objectives: Bacterial vaginosis (BV) is the most common cause of vaginal discharge in the world. The study aimed to estimate the prevalence and to identify risk factors associated with bacterial vaginosis. Methods: A cross-sectional study was conducted in Ouro Preto, Brazil, between February and December 2017. Three hundred and forty-one women aged 18 years or older, users of the Brazilian Unified Health System, participated in this study. Women who used oral or topical antibiotics in the four weeks prior to the sample collection and women who had undergone a total hysterectomy were excluded from the study. After signing the Informed Consent Form and filling out a questionnaire containing sociodemographic, behavioral and sexual data, the participants were directed to the collection room, where the nurse collected the samples for the preventive examination of the cervix and also two vaginal swabs. Vaginal swabs and cervical samples were analyzed for cytological abnormalities and BV using Gram staining and cytology. Pathogens causing sexually transmitted infections (STIs) were identified by Polymerase Chain Reaction (PCR). For the analysis of the data, statistical package STATA version 10.0 was used. This study was approved by the Research Ethics Committee of the Federal University of Ouro Preto (UFOP). Results: During the study, 341 women were evaluated. The prevalence of BV using Gram staining (32.5% [CI95% 27.7=37.7%]) and cytology (27.7% [CI95% 23.0=32.8%]) was similar, however, the sensitivity of cytology was lower (77.8%). Risk factors associated with BV were smoking (IRR 1.5[CI95%: 1.1 = 2.1]), use of an intrauterine device (IRR 2.8 [CI95%: 1.2 = 6.5]), and past medical history of BV (IRR 1.5 [CI95%: 1.1 = 2.1]). Correlation between the presence of BV and Trichomonas vaginalis (TV) infection (r=0.24) was observed. Conclusion: The prevalence of BV was affected by life habits and was prevalent in women with TV. Thus, behavioral and social prevention approaches to women with diverse risk profiles may help mitigate TV/BV prevalence and recurrence of BV.","PeriodicalId":42212,"journal":{"name":"Revista de Epidemiologia e Controle de Infeccao","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67622896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-07DOI: 10.17058/jeic.v10i3.15020
Silvia Maria De Almeida
Background and Objectives: Knowledge about species diversity of non-tuberculous mycobacteria (NTM) and the frequency of tuberculosis (TB) is an important issue in rural-urban regions such as Piauí (northeast of Brazil), of low incidence rate of TB , can help to improve diagnosis and prevention strategies. The aim of this study is to examine some epidemiological aspects and the frequency of Mycobacterium tuberculosis (Mtb) and NTM isolated at the central public health reference laboratory, Dr. Costa Alvarenga, Piauí (LACEN-PI). Methods: Data records of all mycobacterosis and tuberculosis cases from January 2014 to March 2015 were analyzed. Results : Of the 20% (142/706) positive growths, 70% (99) were Mtb and 10% NTM. The remainde was of inadequate clinical samples, not allowing the identification of even the suspected NTM. The most frequent clinical form was pulmonary with TB patients younger than those infected with NTM (p = 0.001), the majority living in Teresina (52%). NTMs identified were M. abscessus (36%), M. avium, M. intracellulare, Mycobacterium sp. (14% each) and M. asiaticum, M. szulgai, M. kansasii 7% (each). Mtb drug resistance (7.8%) and TB co-infection with the human immunodeficiency virus (HIV-TB) found to be high (49%, 19/39) . Conclusion: The frequencies of Mtb infection, drug resistance and HIV-TB co-infection are still underestimated and failures in the identification of NTM may decrease the actual frequency of these infections. Therefore, there is a need for improvements in TB control and in the diagnosis of NTMs in Piauí.
{"title":"Laboratório Central de Saúde Pública do Piauí: frequência de espécies de micobactérias e aspectos epidemiológicos, 2014-2015","authors":"Silvia Maria De Almeida","doi":"10.17058/jeic.v10i3.15020","DOIUrl":"https://doi.org/10.17058/jeic.v10i3.15020","url":null,"abstract":"Background and Objectives: Knowledge about species diversity of non-tuberculous mycobacteria (NTM) and the frequency of tuberculosis (TB) is an important issue in rural-urban regions such as Piauí (northeast of Brazil), of low incidence rate of TB , can help to improve diagnosis and prevention strategies. The aim of this study is to examine some epidemiological aspects and the frequency of Mycobacterium tuberculosis (Mtb) and NTM isolated at the central public health reference laboratory, Dr. Costa Alvarenga, Piauí (LACEN-PI). Methods: Data records of all mycobacterosis and tuberculosis cases from January 2014 to March 2015 were analyzed. Results : Of the 20% (142/706) positive growths, 70% (99) were Mtb and 10% NTM. The remainde was of inadequate clinical samples, not allowing the identification of even the suspected NTM. The most frequent clinical form was pulmonary with TB patients younger than those infected with NTM (p = 0.001), the majority living in Teresina (52%). NTMs identified were M. abscessus (36%), M. avium, M. intracellulare, Mycobacterium sp. (14% each) and M. asiaticum, M. szulgai, M. kansasii 7% (each). Mtb drug resistance (7.8%) and TB co-infection with the human immunodeficiency virus (HIV-TB) found to be high (49%, 19/39) . Conclusion: The frequencies of Mtb infection, drug resistance and HIV-TB co-infection are still underestimated and failures in the identification of NTM may decrease the actual frequency of these infections. Therefore, there is a need for improvements in TB control and in the diagnosis of NTMs in Piauí.","PeriodicalId":42212,"journal":{"name":"Revista de Epidemiologia e Controle de Infeccao","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67622817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-07DOI: 10.17058/jeic.v10i3.15283
Camila Ribeiro Batista Rudnik, Jonatan Francisco Alves, Priscila Gabriella Cararo Merlos, Helbert do Nascimento Lima
{"title":"Achados Epidemiológicos de Neurocriptococose em Pacientes Imunocompetentes: Relato de Casos de um Hospital Público de Joinville, Brasil","authors":"Camila Ribeiro Batista Rudnik, Jonatan Francisco Alves, Priscila Gabriella Cararo Merlos, Helbert do Nascimento Lima","doi":"10.17058/jeic.v10i3.15283","DOIUrl":"https://doi.org/10.17058/jeic.v10i3.15283","url":null,"abstract":"","PeriodicalId":42212,"journal":{"name":"Revista de Epidemiologia e Controle de Infeccao","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67622915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-07DOI: 10.17058/JEIC.V10I3.15134
João Pedro Monteiro Cavalcante, G. V. B. Paulino, Leonardo Broetto, T. Morais, S. Ferreira, P. Valente, M. Landell
Background and Objectives: Oral candidiasis has a common occurrence in immunocompromised patients. However, other emergent infections have become increasingly common. The aim of this study was to investigate the prevalence, virulence determinants and the antifungal susceptibility of yeast colonizing the mucosa of immunocompromised patients in Northeastern Brazil. Methods: Samples from sixty HIV-positive patients seen at the Specialized Service / Hospital Dia - Hospital Universitario Prof. Alberto Antunes from the Federal University of Alagoas were collected from subgingival sites and seeded on CHROMagar for presumptive confirmation of Candida spp. followed by PCR and sequencing. In addition, we tested virulence determinants, phospholipase and protease and evaluated in vitro the Minimum Inhibitory Concentration of antifungals amphotericin B and fluconazole. This project was approved by the Research Ethics Committee of the Center for Higher Studies in Maceio. Results: Approximately 63% of the patients were colonized by yeasts, with C. albicans as the predominant species, while non-Candida albicans species accounted for 49% of the isolates, with C. dubliniensis and C. parapsilosis being the commonest, but C. intermedia, Bullera penniseticola and Naganishia liquefaciens were also found. The virulence determinants protease and/or phospholipase were also produced by Candida spp. and some uncommon opportunistic isolates such as Kodamaea ohmeri, N. liquefaciens and Saitozyma podzolica. Furthermore, most of Candida spp. strains and some uncommon opportunistic species showed high values of minimal inhibitory concentration. Conclusion: Results obtained indicate that C. albicans continues to be the predominant species in oral cavity of immunodeficient patients and along with other unusual species may present high resistance to the antifungals tested.
{"title":"Prevalence, antifungal susceptibility and virulence determinants of oral yeast species isolated from immunodeficient patients in Northeastern Brazil","authors":"João Pedro Monteiro Cavalcante, G. V. B. Paulino, Leonardo Broetto, T. Morais, S. Ferreira, P. Valente, M. Landell","doi":"10.17058/JEIC.V10I3.15134","DOIUrl":"https://doi.org/10.17058/JEIC.V10I3.15134","url":null,"abstract":"Background and Objectives: Oral candidiasis has a common occurrence in immunocompromised patients. However, other emergent infections have become increasingly common. The aim of this study was to investigate the prevalence, virulence determinants and the antifungal susceptibility of yeast colonizing the mucosa of immunocompromised patients in Northeastern Brazil. Methods: Samples from sixty HIV-positive patients seen at the Specialized Service / Hospital Dia - Hospital Universitario Prof. Alberto Antunes from the Federal University of Alagoas were collected from subgingival sites and seeded on CHROMagar for presumptive confirmation of Candida spp. followed by PCR and sequencing. In addition, we tested virulence determinants, phospholipase and protease and evaluated in vitro the Minimum Inhibitory Concentration of antifungals amphotericin B and fluconazole. This project was approved by the Research Ethics Committee of the Center for Higher Studies in Maceio. Results: Approximately 63% of the patients were colonized by yeasts, with C. albicans as the predominant species, while non-Candida albicans species accounted for 49% of the isolates, with C. dubliniensis and C. parapsilosis being the commonest, but C. intermedia, Bullera penniseticola and Naganishia liquefaciens were also found. The virulence determinants protease and/or phospholipase were also produced by Candida spp. and some uncommon opportunistic isolates such as Kodamaea ohmeri, N. liquefaciens and Saitozyma podzolica. Furthermore, most of Candida spp. strains and some uncommon opportunistic species showed high values of minimal inhibitory concentration. Conclusion: Results obtained indicate that C. albicans continues to be the predominant species in oral cavity of immunodeficient patients and along with other unusual species may present high resistance to the antifungals tested.","PeriodicalId":42212,"journal":{"name":"Revista de Epidemiologia e Controle de Infeccao","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67622874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-07DOI: 10.17058/RECI.V10I3.15402
L. E. Wagner, Kemberly Godoy Basegio, C. F. D. Dornelles, R. Foernges, M. Gaedke, A. D. da Silva, D. N. Paiva
Justification and objectives: In the search of strategies to treat acute respiratory failure caused by COVID-19, non-invasive ventilation (NIV) and the use of prone position in spontaneous breathing appear. The objective is to present the case of a patient with severe COVID-19 admitted to an intensive care unit (ICU) who used an adapted diving mask, which is configured as an innovative interface for NIV, and the prone position. Methods: Case report of a hospitalized patient diagnosed with COVID-19 who underwent early NIV by means of an adapted diving mask and the prone position during spontaneous breathing for 8 hours at night and 6 hours in the day. Results: Female patient, 56 years old, systemic arterial hypertension and obesity, with dry cough, odynophagia, fatigue and severe dyspnea on admission. Chest tomography with bilateral ground-glass opacities. Non-invasive ventilation was instituted 1-2.75 times/day, for 40-60 minutes, with positive pressure at the end of expiration of 8 (7.25-8.00) cmH2O and support pressure of 5.5 (4.00 -6.00) cmH2O. Air leaks of 6 to 30%, with good tolerance. The prone position during spontaneous breathing resulted in increased peripheral oxygen saturation and reduced respiratory discomfort 30 minutes later. Conclusion: The association of the use of NIV with an adapted diving mask and prone position during spontaneous breathing proved to be effective in preventing the orotracheal intubation of a patient with severe COVID-19, emphasizing the importance of the proposed intervention.
{"title":"Diving mask adapted for non-invasive ventilation and prone position in a patient with severe covid-19: case report","authors":"L. E. Wagner, Kemberly Godoy Basegio, C. F. D. Dornelles, R. Foernges, M. Gaedke, A. D. da Silva, D. N. Paiva","doi":"10.17058/RECI.V10I3.15402","DOIUrl":"https://doi.org/10.17058/RECI.V10I3.15402","url":null,"abstract":"Justification and objectives: In the search of strategies to treat acute respiratory failure caused by COVID-19, non-invasive ventilation (NIV) and the use of prone position in spontaneous breathing appear. The objective is to present the case of a patient with severe COVID-19 admitted to an intensive care unit (ICU) who used an adapted diving mask, which is configured as an innovative interface for NIV, and the prone position. Methods: Case report of a hospitalized patient diagnosed with COVID-19 who underwent early NIV by means of an adapted diving mask and the prone position during spontaneous breathing for 8 hours at night and 6 hours in the day. Results: Female patient, 56 years old, systemic arterial hypertension and obesity, with dry cough, odynophagia, fatigue and severe dyspnea on admission. Chest tomography with bilateral ground-glass opacities. Non-invasive ventilation was instituted 1-2.75 times/day, for 40-60 minutes, with positive pressure at the end of expiration of 8 (7.25-8.00) cmH2O and support pressure of 5.5 (4.00 -6.00) cmH2O. Air leaks of 6 to 30%, with good tolerance. The prone position during spontaneous breathing resulted in increased peripheral oxygen saturation and reduced respiratory discomfort 30 minutes later. Conclusion: The association of the use of NIV with an adapted diving mask and prone position during spontaneous breathing proved to be effective in preventing the orotracheal intubation of a patient with severe COVID-19, emphasizing the importance of the proposed intervention.","PeriodicalId":42212,"journal":{"name":"Revista de Epidemiologia e Controle de Infeccao","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67624568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-07DOI: 10.17058/RECI.V10I3.15406
Carolina Huller Farias, F. Gama
Justificativa e Objetivos: As Infeccoes Relacionadas a Assistencia a Saude (IRAS) acometem milhares de pessoas em todo o mundo e sao uma das principais causas de complicacoes em individuos hospitalizados. O objetivo deste estudo foi conhecer as caracteristicas das IRAS em pacientes internados em uma Unidade de Terapia Intensiva Cardiologica em um hospital de referencia em Santa Catarina, no periodo de janeiro a dezembro de 2017. Metodos: Estudo descritivo, realizado de forma transversal na Comissao de Controle de Infeccao Hospitalar (CCIH) e Unidade de Terapia Intensiva (UTI) da instituicao. Os dados foram coletados em 86 fichas de notificacao de IRAS. Fizeram parte deste estudo todos os pacientes internados na UTI Cardiologica que tiveram notificacao de IRAS registrada pela CCIH em 2017, sendo coletadas nos prontuarios as variaveis demograficas e clinicas. Os dados foram organizados no Excel e analisados por meio do Statistical Package for the Social Sciences (SPSS) versao 18.0. Resultados: O percentual de IRAS em 2017 foi de 58,6% e o indice de mortalidade foi de 44,8%. Verificou-se maior ocorrencia de infeccao em individuos com idade entre 71 e 80 anos (39,6%), principalmente infeccao do trato respiratorio (ITR) (58,1%), seguida de infeccao do trato urinario (43%) e infeccao da corrente sanguinea (30,2%). Os principais agentes etiologicos foram: Pseudomonas aeruginosa (27,9%), Klebsiella pneumoniae (26,7%) e Acinetobacter baumannii (19,8%). Quanto a patologia de base, a mais frequente foi a insuficiencia cardiaca congestiva (19,8%). Conclusao: O levantamento dos dados acerca das IRAS em UTI Cardiologica evidenciou incidencia semelhante aos achados com a literatura. Acoes de educacao permanente, elaboracao de protocolos (bundles) de prevencao e controle, e tecnicas de higienizacao correta das maos tem se mostrado efetivos para reduzir as infeccoes.
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Pub Date : 2020-07-07DOI: 10.17058/JEIC.V10I3.14376
V. Somavilla, Milena Klix Klix De Abreu Pereira
Justificativa e Objetivos: A avaliacao do perfil de mortalidade e um importante indicador de saude, sua analise permite identificar situacoes de desigualdade e tendencias que demandam acoes e estudos especificos. Sendo assim, esse estudo tem objetivo identificar o perfil de mortalidade em mulheres na idade fertil (MIF) no municipio de Santa Cruz do Sul, no periodo entre 2013 a 2017. Metodos: Estudo epidemiologico, abordagem quantitativa de carater descritivo exploratorio do tipo documental. Os dados foram produzidos por meio da analise de Declaracoes de Obito no Sistema de Informacoes sobre Mortalidade do municipio. Resultados: O perfil da mortalidade das MIF e de mulheres de raca branca, com idade entre 40 e 49 anos, tendo de 8 a 11 anos de estudo, que desempenhavam algum tipo de atividade laboral e residiam em area urbana. A principal causa de mortalidade foi a neoplasia, com destaque para a de bronquios de pulmoes. Conclusao: Os dados mostram a importância de investir na promocao da saude das mulheres e na prevencao do câncer, principalmente o de bronquios e pulmoes.
{"title":"Mortalidade Feminina – Perfil de Óbitos na Idade Fértil Não Associados à Maternidade","authors":"V. Somavilla, Milena Klix Klix De Abreu Pereira","doi":"10.17058/JEIC.V10I3.14376","DOIUrl":"https://doi.org/10.17058/JEIC.V10I3.14376","url":null,"abstract":"Justificativa e Objetivos: A avaliacao do perfil de mortalidade e um importante indicador de saude, sua analise permite identificar situacoes de desigualdade e tendencias que demandam acoes e estudos especificos. Sendo assim, esse estudo tem objetivo identificar o perfil de mortalidade em mulheres na idade fertil (MIF) no municipio de Santa Cruz do Sul, no periodo entre 2013 a 2017. Metodos: Estudo epidemiologico, abordagem quantitativa de carater descritivo exploratorio do tipo documental. Os dados foram produzidos por meio da analise de Declaracoes de Obito no Sistema de Informacoes sobre Mortalidade do municipio. Resultados: O perfil da mortalidade das MIF e de mulheres de raca branca, com idade entre 40 e 49 anos, tendo de 8 a 11 anos de estudo, que desempenhavam algum tipo de atividade laboral e residiam em area urbana. A principal causa de mortalidade foi a neoplasia, com destaque para a de bronquios de pulmoes. Conclusao: Os dados mostram a importância de investir na promocao da saude das mulheres e na prevencao do câncer, principalmente o de bronquios e pulmoes.","PeriodicalId":42212,"journal":{"name":"Revista de Epidemiologia e Controle de Infeccao","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2020-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67622249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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