RESUMEN
We report a fatal case of Rocky Mountain spotted fever (RMSF) in a man in Brazil without recent history of tick bites or environmental exposure. He received an accidental needlestick while working as a nurse. The nurse and his patient died. Both cases were confirmed as RMSF by molecular methods.
Asunto(s)
Transmisión de Enfermedad Infecciosa de Paciente a Profesional , Lesiones por Pinchazo de Aguja/diagnóstico , Enfermedades Profesionales/diagnóstico , Rickettsia rickettsii/aislamiento & purificación , Fiebre Maculosa de las Montañas Rocosas/diagnóstico , Adulto , Diagnóstico Diferencial , Resultado Fatal , Humanos , Masculino , Rickettsia rickettsii/genética , Fiebre Maculosa de las Montañas Rocosas/transmisiónAsunto(s)
Bacteriemia/etiología , Procedimientos Quirúrgicos Cardíacos/métodos , Lesiones Cardíacas/complicaciones , Ventrículos Cardíacos/lesiones , Lesiones por Pinchazo de Aguja/complicaciones , Infecciones por Pseudomonas/etiología , Pseudomonas aeruginosa/aislamiento & purificación , Adulto , Bacteriemia/diagnóstico , Bacteriemia/cirugía , Remoción de Dispositivos , Ecocardiografía , Lesiones Cardíacas/diagnóstico , Lesiones Cardíacas/cirugía , Ventrículos Cardíacos/diagnóstico por imagen , Humanos , Masculino , Lesiones por Pinchazo de Aguja/diagnóstico , Lesiones por Pinchazo de Aguja/cirugía , Infecciones por Pseudomonas/diagnóstico , Infecciones por Pseudomonas/cirugíaAsunto(s)
Cateterismo Periférico/efectos adversos , Catéteres de Permanencia/efectos adversos , Lesiones por Pinchazo de Aguja/epidemiología , Equipos de Seguridad/estadística & datos numéricos , Brasil/epidemiología , Hospitales Públicos/organización & administración , Humanos , Lesiones por Pinchazo de Aguja/diagnóstico , Lesiones por Pinchazo de Aguja/etiologíaRESUMEN
Introduction: the needle fracture during the inferior alveolar nerve block is not a common accident, but whenit occurs can cause great inconvenience to the professional and patient, because the surgical removal shouldonly be performed without risk of sequelae to the patient. Aim: relate a case of broken dental needle duringinferior alveolar nerve block and the needle fragment dislocation to the skull base becoming impossible itssurgical removal. Described preventive procedures to avoid that complication with anatomical considerationsrelated to the inferior alveolar nerve block. Case report: a young female, 18 years old required care afterfracture of the dental needle during inferior alveolar nerve anesthesia. She was submitted to CT scan thatdetermined the impossibility of surgical removal of the fragment because it has migrated to the skull basebecoming close to vital anatomic structures because its could produce irreparable sequelae such loss of tonguesensation and movement of the lip. A conservative treatment was offered. Conclusions: surgical removal ofits instrument should be correctly evaluated to avoided irreparable sequelae to the patient. The knowledgeof anatomical structures in the pterigomandibular region may reduce the risk of injury to nerves and anotherstructures and prevent further complications.
Asunto(s)
Humanos , Femenino , Adulto Joven , Bloqueo Nervioso Autónomo , Anestesia Dental/efectos adversos , Anestesia Dental/métodos , Lesiones por Pinchazo de Aguja/diagnóstico , Nervio Mandibular , Anestesiología , Base del Cráneo/lesiones , Músculos Pterigoideos/anatomía & histología , Tomografía Computarizada por Rayos XRESUMEN
Estudo descritivo, retrospectivo realizado com o objetivo de investigar os acidentes de trabalho com material biológico, que envolveram trabalhadores e estagiários, ocorridos em 2003 e 2004 num hospital universitário do Paraná. Na coleta dos dados foi utilizado o formulário eletrônico da Rede de Prevenção de Acidente de Trabalho-REPAT. Dentre os 586 trabalhadores do quadro funcional do hospital, houve registro de 20 (3,4%) trabalhadores acidentados em 2003 e 23 (3,8%) em 2004, o que representou acréscimo de 15% nas notificações de um ano para o outro
Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Accidentes de Trabajo/estadística & datos numéricos , Accidentes de Trabajo/prevención & control , Lesiones por Pinchazo de Aguja/complicaciones , Lesiones por Pinchazo de Aguja/diagnóstico , Lesiones por Pinchazo de Aguja/prevención & control , Riesgos Laborales , Salud LaboralRESUMEN
This paper emphasizes the creation and application of a KIT for the communication of occupational accidents with puncture-cutting objects to the Municipal Health Bureau from the city of Ribeirão Preto. It is an essential instrument for the health care services directed to all the employees of the Health Units. It also evidences the notification and the beginning of the prevention of occupational diseases, being a highly useful instrument whenever any accident occurs. The creation of this KIT enabled the use of prevention measures regarding occupational diseases, culminating with the mobilization of the chiefs and the staff in order to intensify preventive procedures.