scholarly journals Adesão ao protocolo de prevenção de infecção do trato urinário

2018 ◽  
Vol 12 (10) ◽  
pp. 2675
Author(s):  
Thelma Helena Anghinoni ◽  
Ligia Marcia Contrin ◽  
Isabela Shumaher Frutuoso ◽  
Alexandre Lins Werneck ◽  
Ana Maria Rodrigues Da Silveira ◽  
...  
Keyword(s):  
Escherichia Coli ◽  
Urinary Tract ◽  
Length Of Hospital Stay ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Nursing Team ◽  
High Adherence ◽  
Student’S T ◽  
High Level ◽  
Student’S T Test

RESUMOObjetivo: identificar a adesão ao protocolo de prevenção de infecção do trato urinário de acordo com as condições de higiene, identificação, fixação e localização da sonda vesical de demora. Método: trata-se de estudo quantitativo, de campo, analítico, explicativo e transversal, com dados coletados por meio de checklist à beira do leito em seis UTIs. Analisaram-se os resultados pelo Teste Estatístico de Regressão Linear Múltipla e teste t de Student, apresentados em tabelas. Resultados: identificaram-se que das 945 checagens, 403 homens e 346 mulheres necessitaram de SVD. Encontraram-se resultados estatisticamente significantes ao cruzar SVD fixada com tempo de internação e com o sexo; SVD/sujidade com o tempo de internação e com o sexo; SVD identificada com tempo de internação. Consideram-se o principal motivo da infecção o uso de SVD e o microrganismo mais prevalente, a Escherichia Coli. Conclusão: verificou-se alta adesão da equipe de enfermagem ao protocolo de prevenção de infecção do trato urinário, com baixo índice de infecção e alto nível de conformidades em relação à higiene, identificação, fixação e localização da SVD. Descritores: Equipe de Enfermagem; Infecção; Trato Urinário; Protocolos; Segurança Do Paciente; Unidades de Terapia Intensiva.ABSTRACT Objective: to identify the adherence to the protocol of prevention of infection of the urinary tract according to the conditions of hygiene, identification, fixation and location of the bladder catheter of delay. Method: this is a quantitative, field-based, analytical, and cross-sectional study with data collected through the bedside checklist at six ICUs. The results were analyzed by the Multiple Linear Regression Statistical Test and Student's t test, presented in tables. Results: it was identified that of the 945 checks, 403 men and 346 women required SVD. Statistically significant results were found when crossing SVD fixed with hospitalization time and with sex; SVD / soil with time of hospitalization and with sex; SVD identified with length of hospital stay. The main reason for the infection is the use of SVD and the most prevalent microorganism, Escherichia coli. Conclusion: there was a high adherence of the nursing team to the protocol for the prevention of urinary tract infection, with a low infection rate and a high level of compliance regarding hygiene, identification, fixation and location of SVD. Descriptors: Nursing Team; Infection; Urinary Tract; Protocols; Patient Safety; Intensive Care Units.RESUMEN Objetivo: identificar la adhesión al protocolo de prevención de infección del tracto urinario de acuerdo con las condiciones de higiene, identificación, fijación y localización de la sonda vesical de demora. Método: se trata de estudio cuantitativo, de campo, analítico, -explicativo y transversal, con datos recogidos por medio de checklist al borde del lecho en seis UTIs. Se analizaron los resultados por el Test Estadístico de Regresión Lineal Múltiple y test t de Student, presentados en tablas. Resultados:  se identificaron que de las 945 chequeos, 403 hombres y 346 mujeres necesitaron SVD. Se encontraron resultados estadísticamente significantes al cruzar SVD fijada con tiempo de internación y con el sexo; SVD / suciedad con el tiempo de internación y con el sexo; SVD identificada con tiempo de internación. Se considera el principal motivo de la infección el uso de SVD y el microorganismo más prevalente, la Escherichia Coli. Conclusión: se verificó alta adhesión del equipo de enfermería al protocolo de prevención de infección del tracto urinario, con bajo índice de infección y alto nivel de conformidades en relación a la higiene, identificación, fijación y localización de la SVD. Descriptores: Grupo de Enfermería; Infección; Sistema Urinario; Protocolos; Seguridad del Paciente; Unidades de Cuidados Intensivos.

scholarly journals Nursing team knowledge on care for patients with fungating wounds

2020 ◽  
Vol 73 (1) ◽  
Author(s):  
Fernanda Mateus Queiroz Schmidt ◽  
Flávia Firmino ◽  
Nariman de Felício Bortucan Lenza ◽  
Vera Lúcia Conceição de Gouveia Santos
Keyword(s):  
Staff Training ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Orientation Data ◽  
Exact Test ◽  
Nursing Team ◽  
Student’S T ◽  
Educational Variables ◽  
Student’S T Test

ABSTRACT Objective: to evaluate the nursing team knowledge of a cancer hospital on care for patients with Malignant Fungating Wounds (MFW) and to analyze associated sociodemographic and educational factors. Method: an observational and cross-sectional study, conducted between September and October 2015, after approval by the Research Ethics Committee. A questionnaire was applied containing sociodemographic, educational and related components to the accomplishment of dressings, dressings choice and orientation. Data were analyzed by using Chi-square, Fisher’s exact test, Student’s t-Test and Pearson’s correlation. Results: 37 professionals participated in the study, most of whom were technicians (56.8%), women (91.9%) and with a mean age of 32 years. The professionals presented 56.5% of correct answers. There were no statistically significant associations between sociodemographic/educational variables and number of correct answers. Conclusion: there was a lack of important knowledge about care for patients with MFW, which should guide strategies for the oncology staff training.

scholarly journals Professional burnout of nursing team working to fight the new coronavirus pandemic

2022 ◽  
Vol 75 (suppl 1) ◽  
Author(s):  
Ana Maria Müller de Magalhães ◽  
Denilse Damasceno Trevilato ◽  
Daiane Dal Pai ◽  
Amanda da Silveira Barbosa ◽  
Natascha Monteiro Medeiros ◽  
...  
Keyword(s):  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Professional Burnout ◽  
Southern Brazil ◽  
Sectional Study ◽  
Cross Sectional ◽  
Team Working ◽  
Significant Difference ◽  
Nursing Team ◽  
High Level

ABSTRACT Objective: to identify burnout and associated factors among nursing workers working in coping with COVID-19. Methods: a cross-sectional study, developed in four hospitals in a capital in southern Brazil. Sample (n=499) composed of nurses and nursing technicians/assistants, who answered an online form containing socio-occupational characterization and the Maslach Burnout Inventory. Descriptive and inferential statistical analysis was performed, including multiple comparison tests. Results: burnout was identified in 60 (12%) workers, with no significant difference between hospitals, but with a difference in dimensions between them. In the emotional exhaustion dimension, a higher proportion (52.9%) was found at a moderate level. Prevalence of high level of professional achievement of 95.4% was identified. Conclusion: the presence of burnout was significantly prevalent among nurses and females. It reinforces the need to develop strategies to promote the health of nursing workers, providing improvement in health services and reduction of care and labor risks.

scholarly journals The nasal index in brazilian human skeletons

2018 ◽  
Vol 17 ◽  
pp. e18337 ◽  
Author(s):  
Larissa Chaves Cardoso Fernandes ◽  
Marcus Vitor Diniz de Carvalho ◽  
Eduardo Daruge Júnior ◽  
Luiz Francesquini Júnior ◽  
Patrícia Moreira Rabello ◽  
...  
Keyword(s):  
Mixed Race ◽  
Cross Sectional Study ◽  
Brazilian Population ◽  
Cross Sectional ◽  
Significance Level ◽  
Human Skulls ◽  
Student’S T ◽  
Digital Caliper ◽  
Student’S T Test

Aim: To investigate the percentage of correctness (PC) of the Nasal Index (NI) in human skeletons for determination of sex, ancestry and estimation of age in the Brazilian population. Methods: This was a cross-sectional study of 173 human skulls belonging to the Piracicaba Dental School. 93 skeletons were males and 80 females; 34 were aged up to 39 years, 56 between 40 and 59 years, and 83 60 years or older; 96 were from white individuals, 49 were from mixed-race and 28 from black individuals. High-precision digital caliper was used to measure nasal height (NH=ANS-nasion) and the maximum nasal width (NW) values, which were applied into the formula NI=NW/NHx100. The data were submitted to discriminant analysis and Student’s t test with equal variances, Mann-Whitney, F (ANOVA), Tukey and Kruskal Wallis, 5% significance level. Results: Dominant nasal type in the Brazilian population was the mesorine. Males showed nasal height and width values greater than those of females, with statistically significant differences in all measurements (p≤0.021) and PC of 76.6%. Similar nasal measurements were found regardless of age (p>0.05), with PC of 41.7%. Ancestral analysis revealed that black individuals have greater nasal width (26.35) and nasal index (53.67) than white ones (24.60 and 49.25), while mixed-race individuals showed intermediate values (25.36 and 52.13) (p<0.05). Nevertheless, these measurements presented an estimated PC of 54.3%. Conclusion: The Nasal Index can be better used for sex determination than for estimation of age and ancestry in the Brazilian population, as the latter showed intermediate and low percentage of correctness, respectively.

scholarly journals Craniometric study of the Orbital Index in brazilian skulls

2021 ◽  
Vol 69 ◽  
Author(s):  
Larissa Chaves Cardoso FERNANDES ◽  
Patrícia Moreira RABELLO ◽  
Bianca Marques SANTIAGO ◽  
Marcus Vitor Diniz de CARVALHO ◽  
Manoel Raimundo de SENA JÚNIOR ◽  
...  
Keyword(s):  
Mixed Race ◽  
Cross Sectional Study ◽  
Southeastern Brazil ◽  
Cross Sectional ◽  
Significance Level ◽  
Brazilian Sample ◽  
Significant Difference ◽  
Student’S T ◽  
The Right ◽  
Student’S T Test

ABSTRACT Objetive To determine the percentage of correctness of the Orbital Index (OI) for estimation of sex, ancestry and age in Brazilian skulls. Methods Cross-sectional study of 183 human dry skulls from the southeastern Brazil. A total of 100 skeletons were males and 83 females; of which 36 were aged up to 39 years, 60 aged between 40 and 59 years, and 87 aged 60 years or older. As for ancestry, 103 were from white, 51 mixed race, and 29 black individuals. The OI was calculate by the formula = height/width x 100. The data were submitted to Student’s t test, F (ANOVA), Tukey and Kruskal Wallis tests as well as to discriminant analysis, with a 5% significance level. Results The sample was characterized as mesoseme, with a mean age of 56.62 (±19.97) years. No significant difference was observed (p=0.511) between the OI in females (right: 86.43 ± 6.58 and left: 86.70 ± 5.93) and males (right: 85.78 ± 6.69 and left: 86.37 ± 6.20). There were no significant differences between age, ancestry and the variables analyzed (p>0.05). The right and left orbital widths were significantly dimorphic between sexes (p<0.001). The percentage of correctness of the method for estimation of sex, age and ancestry was found to be 65.6%, 43.7%, and 43.6%, respectively. Conclusions The OI is not an appropriate method for estimation of sex, ancestry and estimation of age in this Brazilian sample. The methodology should be expanded to other population groups so that it can be improved.

Lymphoscintigraphic findings: delayed oedema after great saphenous vein harvesting

2011 ◽  
Vol 26 (5) ◽  
pp. 185-190 ◽  
Author(s):  
C E Q Belczak ◽  
J M P de Godoy ◽  
A F Cruz ◽  
A L Tyszca ◽  
H J G Neto ◽  
...  
Keyword(s):  
Saphenous Vein ◽  
Coronary Bypass ◽  
Cross Sectional Study ◽  
Lower Limbs ◽  
Water Displacement ◽  
Chi Square ◽  
Cross Sectional ◽  
Student’S T ◽  
Alpha Error ◽  
Student’S T Test

Objective The aim of this study was to identify lymphoscintigraphic changes associated with lower-extremity oedema after the harvesting of the saphenous vein using a series of short Q2 incisions for coronary bypass. Method Forty-four patients (32 males and 12 females) with a mean age of 62.7 ± 7.8 (47–75 years old) were evaluated in a retrospective, quantitative, cross-sectional study from June 2007 to January 2008, three to 188 months (mean: 46 months) after the surgical procedure. Assessment was by water displacement volumetry and lymphoscintigraphy of the lower limbs. Results expressed as means with standard deviations were compared employing the Student's t-test and the chi-square or Fisher's exact tests were used to compare data expressed as frequencies. An alpha error of 5% was considered acceptable ( P ≤ 0.05). Results The presence of dermal backflow, as identified by lymphoscintigraphy with an accumulation of radiotracer in the thoracic duct and popliteal lymph nodes was significantly greater on the operated side. Conclusion There was a significant association between dermal backflow and delayed oedema.

Local characteristics associated with higher prevalence of ESBL-producing Escherichia coli in community-acquired urinary tract infections: an observational, cross-sectional study

2020 ◽  
Author(s):  
Stéphanie Larramendy ◽  
Aurélie Gaultier ◽  
Jean-Pascal Fournier ◽  
Jocelyne Caillon ◽  
Leïla Moret ◽  
...  
Keyword(s):  
Escherichia Coli ◽  
Urinary Tract ◽  
Agricultural Land ◽  
Cross Sectional Study ◽  
Urine Samples ◽  
Sectional Study ◽  
Cross Sectional ◽  
E Coli ◽  
Animal Farming ◽  
Tract Infections

Abstract Objectives The prevalence of ESBL-producing Escherichia coli (ESBL-E. coli) in community-acquired urinary tract infections (UTI) has been increasing worldwide since 2000, but with large geographical variations. The aim of this study was to determine whether the ESBL-E. coli rate in urine samples from individuals with community-acquired UTI was associated with the local socio-economic, environmental, agricultural and healthcare characteristics. Methods This was a cross-sectional study in western France using data on antibiotic susceptibility of E. coli isolated from urine samples of individuals with community-acquired UTI analysed in non-hospital laboratories from 2015 to 2017. The ESBL-E. coli rate was calculated for each laboratory. Data on socio-economic characteristics, human antibiotic consumption, hospital bed density, animal farming density and percentage of agricultural land and surface water were retrieved at the municipality level and aggregated by study area. Their association with ESBL-E. coli prevalence was quantified using multivariate linear regression models with a backward selection. Results From 358 291 E. coli isolates from urine samples tested in 92 laboratories, the mean ESBL-E. coli prevalence for the study period was 3.30%. In an adjusted model, the ESBL-E. coli rate was significantly (P &lt; 0.05) and positively associated with the local percentage of people &gt;65 years old, third-generation cephalosporin use (DDD/1000 inhabitants), number of hospital beds/km2, poultry density, pig density and percentage of agricultural land. Lower deprivation was associated with a higher ESBL-E. coli rate. Conclusions Several anthropogenic factors (primary care, hospitals and animal farming) are associated with the local ESBL-E. coli rate in community-acquired UTI. These results could contribute to improve risk management, including identification of at-risk patient groups.

scholarly journals Haptoglobin study in myasthenia gravis

2008 ◽  
Vol 66 (2a) ◽  
pp. 229-233 ◽  
Author(s):  
Leonardo H. Mendonça Oliveira ◽  
Marcondes C. França Jr ◽  
Anamarli Nucci ◽  
Denise Madureira de Oliveira ◽  
Elza Myiuki Kimura ◽  
...  
Keyword(s):  
Linear Regression ◽  
Myasthenia Gravis ◽  
Disease Severity ◽  
Disease Status ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Functional Scale ◽  
Cross Sectional ◽  
Student’S T ◽  
Student’S T Test

OBJECTIVE: A cross-sectional study of haptoglobin (Hp) in myasthenia gravis (MG) was designed, with the objective to identify its values and correlate them with different disease status. METHOD: 46 patients were enrolled in the study, all having disease severity established according to the quantitative myasthenia gravis strength scores (QMGSS). Based on the functional scale determined by Myasthenia Gravis Foundation of America (MGFA) recommendations, patients were classified as having: complete stable remission (CSR; n=10); minimal manifestations-0 (MM0; n=6), minimal manifestations-1 (MM1; n=4); pharmacological remission (PR; n=6). Two other groups participated: thymomatous patients (T; n=10) and patients without imunosuppression or thymectomy, until the assessment for Hp (WIT; n=10). Hp dosage was done by immunonephelometry, blindly to clinical data. Student's t-test, Anova test and linear regression were employed for statistical analyses. RESULTS: Statistically significant differences occurred between CSR+MM0xWIT groups (86.62x157.57, p<0.001) and PR+MM1xWIT groups (73.93x157.57, p<0.001). Linear regression showed correlation between Hp levels and QMGSS (r=0.759, p<0.001). CONCLUSION: Our results suggest that Hp may be useful in clinical practice as a disease severity marker in MG.

scholarly journals Prevalence of E. Coli in Urinary Tract Infection of Children Aged 1-15 Years in A Medical College of Eastern Nepal

2020 ◽  
Vol 58 (221) ◽  
Author(s):  
Arun Giri ◽  
Raju Kafle ◽  
Ganesh Kumar` Singh ◽  
Niraj Niraula
Keyword(s):  
Escherichia Coli ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Tract Infections ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Female Ratio ◽  
Presenting Symptoms ◽  
Tract Infections

Introduction: Urinary tract infection is one of the commonest causes of childhood morbidity. Earlydiagnosis and appropriate choice of antimicrobials is essential. Hence, this study aims to identify theprevalence of Escherichia coli in childhood urinary tract infections. Methods: This was a hospital based descriptive cross-sectional study conducted in Nobel MedicalCollege, Biratnagar over a period of one year. A total of 163 cases aged 1-15 years were included andclinical profile, laboratory reports including bacterial isolates in urine cultures and their sensitivitypatterns were documented. Results: The prevalence of Escherichia coli is 45 (53.57%) C.I. Escherichia coli was the most commonorganism isolated in bacterial cultures followed by Klebsiella 12 (14.29%), Enterococcus 10 (11.90%).Urinary tract infection was common among females with male: female ratio of 1:2.3. Fever 152(93.2%) and abdominal pain 113 (69.3%) were the most common presenting symptoms. Escherichiacoli was found most sensitive to Nitrofurantoin 43 (95.5%) followed by Ciprofloxacin 41 (91.1%) andAmikacin 40 (88.8%). Conclusions: Urinary tract infections in childhood require prompt attention and treatment to preventsignificant morbidity and mortality. From this study it can be concluded that Escherichia coli is oneof the most common isolates in urine culture and Aminoglycosides and Fluoroquinolones can beaccepted as empirical treatment regimens for childhood Urinary tract infections.

scholarly journals Prevalence of urinary tract infection in 2-8-week-old infants with jaundice

2012 ◽  
Vol 52 (5) ◽  
pp. 304
Author(s):  
Partini Trihono ◽  
Arfianti Chandra Dewi ◽  
Hartono Gunardi ◽  
Hanifah Oswari
Keyword(s):  
Escherichia Coli ◽  
Birth Weight ◽  
Urinary Tract ◽  
Enterobacter Aerogenes ◽  
Cross Sectional Study ◽  
Weight Group ◽  
Cross Sectional ◽  
Indirect Bilirubin ◽  
Birth Weight Group ◽  
Tract Infections

Background Urinary tract infections (UTI) in infants may manifest in various ways and often appear without symptoms. Previous studies have reported that j aundice has been observed in infants aged less than 8 weeks 'With UTIs. However, a prospective study on the prevalence of UTI in infants with jaundice aged 2􀁂8weeks is warranted in order to improve diagnosing capability and provide prompt treatment.Objective To investigate the prevalence and profiles of UTI in infants with jaundice aged 2􀁂8 weeks.Methods This cross􀁂sectional study was carried out in June-December 2011 in infants with jaundice aged 2􀁂8 weeks. Subjects were patients from the Department of Child Health, Cipto Mangunkusumo Hospital (CMS), as well as the Pediatric Polyclinics ofBudi Kemuliaan and Thamrin Hospitals. All subjects underwent total, direct and indirect bilirubin examinations, urinalyses and urine cultures.Results Of the 110 subjects recruited, the prevalence of UTI was 18.2%. More boys than girls had UTIs (13 boys, 7 girls). The microorganisms found in subjects v.ith UTIs were Escherichia coli (10/20), Klebsiella pneumoniae (8/20), and Enterobacter aerogenes (2120). Indirect hyperbilirubinemia was found in 5/20 subjects. There were more subjects with UTIs in the non􀁂exclusively breastfed (8/20) and non􀁂breastfed (8/20) groups than in the exclusively breastfed group (4/20), the full term gestational age (GA) group (17/20) than the pretenn GA group (3/20), and the normal birth weight group (15/20) than the low birth weight group (5/20). The median age of jaundice onset was 3.5 days (range lAO days), and the median duration of jaundice was 13.5 days (range 3-56 days).Conclusion The prevalence of UTI in infants aged 2􀁂8 weeks v.ith jaundice was 18.2%. More boys than girls had UTIs. The most common infecting microorganism found in our subjects was Escherichia coli. In daily medical practice, infants with prolonged jaundice of more than 2 weeks should be tested byurin alysis and urine cultures for the presence of UTIs. [Paediatr Indones.2012;52:304-8].

scholarly journals Cancer patients, emergencies service and provision of palliative care

2016 ◽  
Vol 62 (3) ◽  
pp. 207-211 ◽  
Author(s):  
Bruno Miranda ◽  
Suely Arruda Vidal ◽  
Maria Júlia Gonçalves de Mello ◽  
Jurema Telles de Oliveira Lima ◽  
Judith Correia Rêgo ◽  
...  
Keyword(s):  
Palliative Care ◽  
Home Care ◽  
Cancer Patients ◽  
Emergency Service ◽  
Length Of Hospital Stay ◽  
Cross Sectional Study ◽  
Minimum Length ◽  
Chi Square ◽  
Cross Sectional ◽  
Student’S T

SUMMARY Objective: To describe the clinical and sociodemographic profile of cancer patients admitted to the Emergency Center for High Complexity Oncologic Assistance, observing the coverage of palliative and home care. Method: Cross sectional study including adult cancer patients admitted to the emergency service (September-December/2011) with a minimum length of hospital stay of two hours. Student’s t-test and Pearson chi-square test were used to compare the means. Results: 191 patients were enrolled, 47.6% elderly, 64.4% women, 75.4% from the city of Recife and greater area. The symptom prevalent at admission was pain (46.6%). 4.2% of patients were linked to palliative care and 2.1% to home care. The most prevalent cancers: cervix (18.3%), breast (13.6%) and prostate (10.5%); 70.7% were in advanced stages (IV, 47.1%); 39.4% without any cancer therapy. Conclusion: Patients sought the emergency service on account of pain, probably due to the incipient coverage of palliative and home care. These actions should be included to oncologic therapy as soon as possible to minimize the suffering of the patient/family and integrate the skills of oncologists and emergency professionals.

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