RESUMO
BACKGROUND: For more than 30 years, deep brain stimulation (DBS) has been a therapeutic tool for Parkinson's disease (PD) treatment. DBS can ameliorate several motor and non-motor symptoms and improve the patients' quality of life. OBJECTIVES: To analyze the global scientific production of original and review articles on Parkinson's disease treatment using deep brain stimulation. DESIGN AND SETTING: Descriptive, bibliometric study with a quantitative approach. METHOD: The research protocol was conducted in March 2023 using the Web of Science database. Six hundred eighty-four articles were included in the analysis. Data were imported into RStudio Desktop Software, linked to R Software. The Bibliometrix R package, its Biblioshiny web interface, and VOSviewer software were used for the analysis. RESULTS: The international production began in 1998. Movement Disorders is the journal with the largest number of published articles and the most cited. Michael Okun and Andres Lozano are the authors who produced the most in this area. The University of Florida is the most active affiliated institution in Brazil. The United States has the largest number of collaborations and is mainly published by local researchers. In contrast, countries such as the United Kingdom and Canada have a high number of multi-country publications. The 15 most cited studies predominantly investigated subthalamic nucleus stimulation. CONCLUSION: DBS for Parkinson's disease is a relatively novel therapeutic approach, with studies that have expanded over the last twenty-five years. Most scientific production was quantitative and restricted to specialized journals. The United States, Europe, and China held the most articles.
Assuntos
Bibliometria , Estimulação Encefálica Profunda , Doença de Parkinson , Estimulação Encefálica Profunda/estatística & dados numéricos , Estimulação Encefálica Profunda/métodos , Humanos , Doença de Parkinson/terapiaRESUMO
ABSTRACT BACKGROUND: A bibliometric analysis covering only the production of original studies or considering world production until 2022 has yet to be conducted. The creation and advancement of vaccines have also influenced research priorities, demonstrating the need for a new approach to this subject. OBJECTIVES: To analyze worldwide scientific production related to coronavirus disease 2019 (COVID-19) and the aged and to describe what has already been produced. DESIGN AND SETTING: Bibliometric analysis with a quantitative approach. METHOD: The search terms "COVID-19," "SARS-CoV-2," "Aged," and "Elderly" were used to retrieve articles from the Web of Science database. A total of 684 articles were included in the analysis. Data were imported into RStudio Desktop Software and linked to R Software. The Bibliometrix R package and VOSviewer software were used for analysis. RESULTS: Most articles were published in 2020. These were produced by 4,937 authors and published in 379 journals. The keyword most used by the authors was "COVID-19." Publications from 77 countries were obtained. China had the highest article production ranking, and Spain collaborated the most. The articles addressed the implications of the pandemic on the aged, the relationship between vaccination in the aged, and the implications for the disease itself. CONCLUSION: Further research should be conducted, mainly concerning vaccines and vaccination of the aged, owing to the need for and importance of immunization in this risk group, including assessing the long-term effects of vaccines.
RESUMO
ABSTRACT BACKGROUND: For more than 30 years, deep brain stimulation (DBS) has been a therapeutic tool for Parkinson's disease (PD) treatment. DBS can ameliorate several motor and non-motor symptoms and improve the patients' quality of life. OBJECTIVES: To analyze the global scientific production of original and review articles on Parkinson's disease treatment using deep brain stimulation. DESIGN AND SETTING: Descriptive, bibliometric study with a quantitative approach. METHOD: The research protocol was conducted in March 2023 using the Web of Science database. Six hundred eighty-four articles were included in the analysis. Data were imported into RStudio Desktop Software, linked to R Software. The Bibliometrix R package, its Biblioshiny web interface, and VOSviewer software were used for the analysis. RESULTS: The international production began in 1998. Movement Disorders is the journal with the largest number of published articles and the most cited. Michael Okun and Andres Lozano are the authors who produced the most in this area. The University of Florida is the most active affiliated institution in Brazil. The United States has the largest number of collaborations and is mainly published by local researchers. In contrast, countries such as the United Kingdom and Canada have a high number of multi-country publications. The 15 most cited studies predominantly investigated subthalamic nucleus stimulation. CONCLUSION: DBS for Parkinson's disease is a relatively novel therapeutic approach, with studies that have expanded over the last twenty-five years. Most scientific production was quantitative and restricted to specialized journals. The United States, Europe, and China held the most articles.
RESUMO
BACKGROUND: A bibliometric analysis covering only the production of original studies or considering world production until 2022 has yet to be conducted. The creation and advancement of vaccines have also influenced research priorities, demonstrating the need for a new approach to this subject. OBJECTIVES: To analyze worldwide scientific production related to coronavirus disease 2019 (COVID-19) and the aged and to describe what has already been produced. DESIGN AND SETTING: Bibliometric analysis with a quantitative approach. METHOD: The search terms "COVID-19," "SARS-CoV-2," "Aged," and "Elderly" were used to retrieve articles from the Web of Science database. A total of 684 articles were included in the analysis. Data were imported into RStudio Desktop Software and linked to R Software. The Bibliometrix R package and VOSviewer software were used for analysis. RESULTS: Most articles were published in 2020. These were produced by 4,937 authors and published in 379 journals. The keyword most used by the authors was "COVID-19." Publications from 77 countries were obtained. China had the highest article production ranking, and Spain collaborated the most. The articles addressed the implications of the pandemic on the aged, the relationship between vaccination in the aged, and the implications for the disease itself. CONCLUSION: Further research should be conducted, mainly concerning vaccines and vaccination of the aged, owing to the need for and importance of immunization in this risk group, including assessing the long-term effects of vaccines.
Assuntos
COVID-19 , Humanos , SARS-CoV-2 , Bibliometria , Vacinação , ChinaRESUMO
This bibliometric analysis aims to analyze the global scientific production of COVID-19 and vaccines. First, a search for scientific articles was performed using the advanced query in the Web of Science™ database, more precisely in its core collection, on 18 February 2023. Data from 7754 articles were analyzed using the Bibliometrix R package and the Biblioshiny application. The evaluated articles were published mainly in 2022 (60%). The scientific journals that published the most about COVID-19 and vaccines were "Vaccines", "Vaccine" and "Human Vaccines & Immunotherapeutics". The University of Oxford was the most productive institution, with the authors of the articles mainly originating from the United States, China and the United Kingdom. The United States, despite having carried out the most significant number of collaborations, published mainly with local researchers. The 15 most cited articles and the KeyWords Plus™ evidenced the focus of the published articles on the safety and efficacy of vaccines against COVID-19, as well as on the evaluation of vaccine acceptance, more specifically on vaccine hesitancy. Research funding came primarily from US government agencies.
Assuntos
COVID-19 , Vacinas , Humanos , COVID-19/prevenção & controle , Vacinas contra COVID-19/uso terapêutico , Bibliometria , VacinaçãoRESUMO
RESUMO Objetivo: apreender as representações sociais elaboradas por discentes de enfermagem sobre a prevenção da COVID-19. Método: pesquisa exploratória-descritiva e qualitativa. Os dados foram produzidos por meio de entrevistas com 32 participantes, realizadas no período de setembro de 2021 a julho de 2022. O Cenário do estudo foi uma instituição de ensino superior pública, localizada na região nordeste do Brasil. Os dados foram processados utilizando o software IRaMuTeQ. Resultados: a gênese das representações sociais da prevenção da COVID-19 apontou dois eixos: Organização de ideias sobre as medidas de prevenção da COVID-19; e a Eficiência, confiabilidade e fonte das informações obtidas. Considerações Finais: as representações sociais evidenciaram o saber sobre as medidas de prevenção da COVID-19, oportunizaram o esclarecimento sobre a origem dos saberes dos discentes e de especificidades que consideram importantes. Espera-se que esse estudo possa servir como alicerce para novas pesquisas e/ou intervenções com discentes de enfermagem.
ABSTRACT Objective: to understand the social representations elaborated by nursing students about the prevention of COVID-19. Method: exploratory-descriptive and qualitative research. Data were produced through interviews with 32 participants, conducted in the period from September 2021 to July 2022. The Study Setting was a public higher education institution, located in the northeastern region of Brazil. Data were processed using IRaMuTeQ software. Results: the genesis of the social representations of COVID-19 prevention pointed to two axes: Organization of ideas about COVID-19 prevention measures, and Efficiency, reliability and source of the information obtained. Final Considerations: the social representations showed the knowledge about the prevention measures of COVID-19, provided an opportunity to clarify the origin of the students' knowledge and the specificities they consider important. It is hoped that this study can serve as a foundation for further research and/or interventions with nursing students.
RESUMEN Objetivo: Apreciar las representaciones sociales elaboradas por discentes de enfermería sobre la prevención del COVID-19. Método: investigación exploratoria-descriptiva y cualitativa. Los datos fueron producidos a través de entrevistas con 32 participantes, realizadas en el período de septiembre de 2021 a julio de 2022. El escenario del estudio fue una institución pública de enseñanza superior, localizada en la región nordeste de Brasil. Los datos fueron procesados utilizando el software IRaMuTeQ. Resultados: la génesis de las representaciones sociales de la prevención del COVID-19 apuntaba a dos ejes: Organización de ideas sobre las medidas de prevención del COVID-19; y Eficacia, fiabilidad y fuente de las informaciones obtenidas. Consideraciones Finales: Las representaciones sociales mostraron el conocimiento sobre las medidas de prevención del COVID-19, proporcionando una oportunidad para aclarar el origen del conocimiento de los estudiantes y las especificidades que ellos consideran importantes. Se espera que este estudio pueda servir de base para futuras investigaciones y/o intervenciones con estudiantes de enfermería.
Assuntos
Psicologia Social , Prevenção de Doenças , SARS-CoV-2RESUMO
Objetivo: Estimar a prevalência de sífilis congênita e fatores associados em uma capital do Nordeste brasileiro. Métodos: Pesquisa analítica, de abordagem quantitativa, realizada entre 73 gestantes com diagnóstico de sífilis, de maio de 2019 a junho de 2020. Realizaram-se análise de frequência, teste Qui-quadrado e Odds ratio. Resultados: A prevalência da sífilis congênita foi de 30 (41,1%), com associação significativa ao uso do álcool (p=0.0056). A sífilis congênita prevaleceu entre os filhos de gestantes com faixa etária entre 18 e 25 anos (16, 53,3%), com menos de 12 anos de estudo (18, 62,1%), sem trabalho remunerado (24, 80,0%) e sem renda mensal (21, 70,0%). Conclusão: A elevada taxa de sífilis congênita esteve associada significativamente ao uso de álcool, principalmente, entre gestantes adultas jovens, com baixa escolaridade, sem renda social, sem trabalho remunerado e com parceiros. É prioritário o desenvolvimento de estratégias para controle e eliminação da sífilis gestacional.(AU)
Objective: To estimate the prevalence of congenital syphilis and associated factors in a capital city in Northeastern Brazil. Methods: An analytical, quantitative study was conducted with 73 pregnant women diagnosed with syphilis from May 2019 to June 2020. Frequency analysis, chi-square test, and odds ratio were performed. Results: The prevalence of congenital syphilis was 30 (41.1%), and the disease was significantly associated with alcohol use (p=0.0056). Congenital syphilis prevailed among the children of pregnant women aged 18 to 25 years (16, 53.3%), women with less than 12 years of education (18, 62.1%), those with no paid job (24, 80.0%), and those with no monthly income (21, 70.0%). Conclusion: The high rate of congenital syphilis was significantly associated with alcohol consumption, mainly among young women, with low education, without social income or paid work, and with partners. The development of strategies for the control and elimination of gestational syphilis is a priority.(AU)
Objetivo: Estimar la prevalencia de sífilis congénita y factores asociados en una ciudad capital del Nordeste de Brasil. Métodos: Investigación analítica, con enfoque cuantitativo, realizada entre 73 gestantes diagnosticadas con sífilis, de mayo de 2019 a junio de 2020. Se realizaron análisis de frecuencia, prueba de chi-cuadrado y odds ratio. Resultados: La prevalencia de sífilis congénita fue de 30 (41,1%), con asociación significativa con el consumo de alcohol (p=0,0056). La sífilis congénita predominó entre los hijos de gestantes de 18 a 25 años (16, 53,3%), con menos de 12 años de escolaridad (18, 62,1%), sin trabajo remunerado (24, 80, 0%) y sin ingresos (21, 70,0%). Conclusión: La alta tasa de sífilis congénita se asoció significativamente con el uso de alcohol, especialmente entre mujeres adultas jóvenes embarazadas con baja escolaridad, sin ingreso social, sin trabajo remunerado y con pareja. El desarrollo de estrategias para el control y eliminación de la sífilis gestacional es una prioridad.(AU)
Assuntos
Humanos , Feminino , Gravidez , Adulto , Cuidado Pré-Natal , Sífilis Congênita , Sífilis Congênita/epidemiologia , Transmissão Vertical de Doenças Infecciosas , Gestantes , Fatores Sociodemográficos , Centros de SaúdeRESUMO
ABSTRACT BACKGROUND: Methicillin-resistant Staphylococcus aureus (MRSA) infection is a worldwide concern given its presence even in non-hospitalized healthy individuals, such as university students. OBJECTIVE: To identify in the literature the prevalence of colonization by MRSA among healthcare students. DESIGN AND SETTING: Integrative review of the literature conducted in Universidade Federal do Piauí. METHOD: A search for primary studies was performed in the following databases: Medical Literature Analysis and Retrieval System on-line; Cumulative Index to Nursing and Allied Health Literature; Web of Science; Scopus; and LILACS. RESULTS: This review included 27 studies that demonstrated MRSA infection prevalence ranging from 0.0 to 15.3% among students. CONCLUSION: The prevalence of colonization of MRSA among healthcare students is high, and the nasal cavity was cited as an important reservoir location for these microorganisms.
Assuntos
Humanos , Infecções Estafilocócicas/epidemiologia , Staphylococcus aureus Resistente à Meticilina , Estudantes , Portador Sadio/epidemiologia , Prevalência , Atenção à SaúdeRESUMO
BACKGROUND: Methicillin-resistant Staphylococcus aureus (MRSA) infection is a worldwide concern given its presence even in non-hospitalized healthy individuals, such as university students. OBJECTIVE: To identify in the literature the prevalence of colonization by MRSA among healthcare students. DESIGN AND SETTING: Integrative review of the literature conducted in Universidade Federal do Piauí. METHOD: A search for primary studies was performed in the following databases: Medical Literature Analysis and Retrieval System on-line; Cumulative Index to Nursing and Allied Health Literature; Web of Science; Scopus; and LILACS. RESULTS: This review included 27 studies that demonstrated MRSA infection prevalence ranging from 0.0 to 15.3% among students. CONCLUSION: The prevalence of colonization of MRSA among healthcare students is high, and the nasal cavity was cited as an important reservoir location for these microorganisms.
Assuntos
Staphylococcus aureus Resistente à Meticilina , Infecções Estafilocócicas , Portador Sadio/epidemiologia , Atenção à Saúde , Humanos , Prevalência , Infecções Estafilocócicas/epidemiologia , EstudantesRESUMO
OBJECTIVE: To identify symptoms of COVID-19 in adults in the scientific literature. METHOD: Systematic review of studies published from December 1, 2019 to April 21, 2020 from the Scopus, Web of Science and PubMed databases, in order to answer the following research question: "What are the symptoms caused by COVID-19 in adults?" using the keywords "Symptoms", "Clinical Manifestations", "Coronavirus", "COVID-19". RESULTS: Of the total 105 references, 13 references that addressed the symptoms of COVID-19 were selected. Fever and normal or dry cough were symptoms present in all studies. CONCLUSION: The symptoms identified in adult patients were fever, normal or dry cough, headache, pharyngalgia, dyspnea, diarrhea, myalgia, vomiting, sputum or expectoration, anxiety or chest pain, fatigue, nausea, anorexia, abdominal pain, rhinorrhea, runny nose or nasal congestion, dizziness, chills, systemic pain, mental confusion, hemoptysis, asthma, taste disorder, smell disorder, belching and tachycardia.
Assuntos
COVID-19/diagnóstico , Avaliação de Sintomas , Adulto , COVID-19/complicações , Tosse/diagnóstico , Tosse/etiologia , Estudos Transversais , Diarreia/diagnóstico , Diarreia/etiologia , Dispneia/diagnóstico , Dispneia/etiologia , Fadiga/diagnóstico , Fadiga/etiologia , Febre/diagnóstico , Febre/etiologia , Humanos , Pessoa de Meia-IdadeRESUMO
BACKGROUND: The pandemic of the new coronavirus has culminated in a scientific race to seek knowledge about this virus and its treatments, vaccines and preventive strategies, in order to reduce its impact on healthcare and economics worldwide. Hence, it is important to recognize the efforts of researchers who are at the forefront of investigations relating to the new coronavirus. OBJECTIVE: The present study was carried out with the aim of analyzing the world scientific production relating to COVID-19. DESIGN AND SETTING: Exploratory and descriptive bibliometric study conducted in the city of Teresina (PI), Brazil. METHOD: ISI Web of Knowledge/Web of Science (WOS) was chosen as the database. Data-gathering was carried out in May 2020. The data analysis was performed using the HistCiteTM software, version 9.8.24, and the VOSviewer bibliometric analysis software, version 1.6.8. RESULTS: 2,625 published papers that included descriptors within the scope of this investigation were identified. These articles were published in 859 different journals that are indexed in WOS, by 9,791 authors who were linked to 3,365 research institutions, located in 105 countries. CONCLUSION: Ascertaining scientific production through a bibliometric analysis is important in order to guide researchers on what has already been produced and what is being researched, so as to be able to address gaps in knowledge through future research.
Assuntos
Bibliometria , COVID-19 , Editoração/tendências , Humanos , PandemiasRESUMO
ABSTRACT BACKGROUND: The pandemic of the new coronavirus has culminated in a scientific race to seek knowledge about this virus and its treatments, vaccines and preventive strategies, in order to reduce its impact on healthcare and economics worldwide. Hence, it is important to recognize the efforts of researchers who are at the forefront of investigations relating to the new coronavirus. OBJECTIVE: The present study was carried out with the aim of analyzing the world scientific production relating to COVID-19. DESIGN AND SETTING: Exploratory and descriptive bibliometric study conducted in the city of Teresina (PI), Brazil. METHOD: ISI Web of Knowledge/Web of Science (WOS) was chosen as the database. Data-gathering was carried out in May 2020. The data analysis was performed using the HistCiteTM software, version 9.8.24, and the VOSviewer bibliometric analysis software, version 1.6.8. RESULTS: 2,625 published papers that included descriptors within the scope of this investigation were identified. These articles were published in 859 different journals that are indexed in WOS, by 9,791 authors who were linked to 3,365 research institutions, located in 105 countries. CONCLUSION: Ascertaining scientific production through a bibliometric analysis is important in order to guide researchers on what has already been produced and what is being researched, so as to be able to address gaps in knowledge through future research.
Assuntos
Humanos , Editoração/tendências , Bibliometria , COVID-19 , PandemiasRESUMO
Objetivo: estimar a prevalência de colonização por Staphylococcus resistente à meticilina entre profissionais de enfermagem conforme evidências científicas. Método: revisão integrativa da literatura, realizada em setembro de 2020, mediante acesso nas bases de dados LILACS, MEDLINE, CINAHL e Web of Science. Resultados: A prevalência de Staphylococcusaureus Resistente à Meticilina variou de 0 a 30,4%, com média de 8,4%; além disso, as pesquisas conduzidas mais recentemente (2015: 15,7%; 2016: 9,2%; 2017: 15,9%) e no continente asiático (14,57%) estimaram maiores prevalências médias. Conclusão: ainda são expressivas as prevalências de colonização por Staphylococcus resistente à meticilina entre profissionais de enfermagem verificadas nos diversos estudos realizados em âmbito nacional e internacional, o que reforça a necessidade de adoção de programas de vigilância ativa, como estratégia para detecção de casos assintomáticos e contribuição no rompimento da cadeia de transmissão das infecções.
Objective: to estimate the prevalence of colonization by methicillin-resistant Staphylococcus aureus among nursing professionals according to scientific evidence. Method: integrative literature review conducted in September 2020 through access to the LILACS, MEDLINE, CINAHL and Web of Science databases. Results: the prevalence of methicillin-resistant Staphylococcus aureus ranged from 0 to 30.4%, mean of 8.4%. In addition, surveys conducted more recently (2015: 15.7%; 2016: 9.2%; 2017: 15.9%) and in Asia (14.57%) estimated higher mean prevalence rates. Conclusion: the prevalence of colonization by methicillin-resistant Staphylococcus among nursing professionals found in the various national and international studies is still significant, which reinforces the need to adopt active surveillance programs as a strategy to detect asymptomatic cases and contribute to break the chain of transmission of infections
Assuntos
Transmissão de Doença Infecciosa do Profissional para o Paciente , Controle de Infecções , Pessoal de SaúdeRESUMO
Objetivo: estimar a prevalência de colonização por Staphylococcus resistente à meticilina entre profissionais de enfermagem conforme evidências científicas. Método: revisão integrativa da literatura, realizada em setembro de 2020, mediante acesso nas bases de dados LILACS, MEDLINE, CINAHL e Web of Science. Resultados: A prevalência de Staphylococcusaureus Resistente à Meticilina variou de 0 a 30,4%, com média de 8,4%; além disso, as pesquisas conduzidas mais recentemente (2015: 15,7%; 2016: 9,2%; 2017: 15,9%) e no continente asiático (14,57%) estimaram maiores prevalências médias. Conclusão: ainda são expressivas as prevalências de colonização por Staphylococcus resistente à meticilina entre profissionais de enfermagem verificadas nos diversos estudos realizados em âmbito nacional e internacional, o que reforça a necessidade de adoção de programas de vigilância ativa, como estratégia para detecção de casos assintomáticos e contribuição no rompimento da cadeia de transmissão das infecções
Objective: to estimate the prevalence of colonization by methicillin-resistant Staphylococcus aureus among nursing professionals according to scientific evidence. Method: integrative literature review conducted in September 2020 through access to the LILACS, MEDLINE, CINAHL and Web of Science databases. Results: the prevalence of methicillin-resistant Staphylococcus aureus ranged from 0 to 30.4%, mean of 8.4%. In addition, surveys conducted more recently (2015: 15.7%; 2016: 9.2%; 2017: 15.9%) and in Asia (14.57%) estimated higher mean prevalence rates. Conclusion: the prevalence of colonization by methicillin-resistant Staphylococcus among nursing professionals found in the various national and international studies is still significant, which reinforces the need to adopt active surveillance programs as a strategy to detect asymptomatic cases and contribute to break the chain of transmission of infections.
Assuntos
Staphylococcus aureus Resistente à Meticilina/patogenicidade , Profissionais de Enfermagem , Segurança do PacienteRESUMO
Objetivo: esta revisão buscou informar, por meio da literatura, pesquisas que abordassem a relação entre COVID-19 e os animais domésticos. Métodos: foram selecionados 29 trabalhos nas diferentes bases de dados, datados de 2003 a 2020, e os descritores utilizados foram: "coronavirus animals", "SARS-Cov-2 animals", "SARS-Cov-2 canine", "SARS-Cov-2 feline". Resultados: poucos trabalhos já foram realizados em animais com o objetivo de comprovar se eles podem se infectar com SARS-Cov-2 e transmitir a doença para outros animais e humanos. Os animais que já foram testados positivos com a COVID-19 não apresentaram sinais clínicos da doença, com exceção de alguns felinos, e, possivelmente, contaminaram-se por meio de humanos infectados. Conclusão: No momento, há alguns questionamentos sobre a possibilidade de transmissão humano-animal, não havendo, ainda, nenhuma informação científica comprovada de que cães e gatos sejam importantes transmissores na cadeia epidemiológica da COVID-19, sendo necessários mais estudos e o monitoramento contínuo de animais de estimação.
Objective: This review sought to inform, through the literature, research that addressed the relationship between COVID-19 and domestic animals. Methods: Twenty-nine works were selected in the different databases, dating from 2003 to 2020 and the descriptors used were: "coronavirus animals", "SARS-Cov-2 animals", "SARS-Cov-2 canine", "SARS-Cov-2 feline". Results: Few studies have been carried out on animals with the aim of proving whether they can become infected with SARS-Cov-2 and transmit the disease to other animals and humans. The animals that have already been tested positive with COVID-19 did not show clinical signs of the disease, except for a few felines, and possibly contaminated by infected humans. Conclusion: At the moment, there are some questions about the possibility of human-animal transmission, and there is still no proven scientific information that dogs and cats are important transmitters in the epidemiological chain of COVID-19, and further studies and ongoing monitoring of pets are required.
Assuntos
Infecções por Coronavirus , Betacoronavirus , Transmissão de Doença Infecciosa , Animais DomésticosRESUMO
OBJETIVO: discutir a forma correta de utilização, indicações de uso, eficácia e manejo de cada tipo de máscara, assim como sugerir, conforme evidências científicas e recomendações de órgãos de saúde, alternativas eficazes para aumentar a vida útil deste produto. MÉTODO: revisão narrativa utilizando artigos provenientes das bases de dados PubMed, Scopus e Web of Science, e recomendações de agências de saúde. Realizada em abril de 2020. RESULTADOS: máscaras de proteção respiratória podem ser reutilizadas se estiverem íntegras, limpas e secas. Para aumentar a durabilidade de máscaras cirúrgicas, sugere-se a utilização com papel toalha para absorver a umidade. Máscaras de tecido são recomendadas, desde que sejam lavadas adequadamente para reutilização. CONCLUSÃO: embora necessitem estudos sobre o reaproveitamento de máscaras, com a expansão da COVID-19 e a escassez mundial deste equipamento, torna-se essencial que os profissionais da saúde e a população se mantenham atualizados a respeito das suas recomendações de uso.
OBJETIVO: discutir la forma correcta de utilización, indicaciones de uso, eficacia y manejo de cada tipo de mascarilla, además de sugerir, de conformidad con las evidencias científicas y recomendaciones de los órganos de salud, alternativas eficaces para aumentar la vida útil de este producto. MÉTODO: revisión narrativa con utilización de artículos provenientes de las bases de datos PubMed, Scopus e Web of Science, y recomendaciones de agencias de salud, realizada en abril de 2020.Resultados: las mascarillas de protección respiratoria pueden ser reutilizadas siempre que se encuentren limpias y secas, en tanto y en cuanto mantengan su integridad. Para aumentar la durabilidad de las mascarillas quirúrgicas, se sugiere su utilización con papel absorbente para absorber la humedad. Las mascarillas de tela son recomendables, siempre y cuando se laven adecuadamente para reutilización. Conclusión: aunque sean necesarios estudios acerca del reaprovechamiento de los barbijos, con la expansión del COVID-19 y la escasez mundial de este producto, es imprescindible que, tanto los profesionales de la salud como la población en general, se mantengan actualizados sobre sus recomendaciones de uso.
OBJECTIVE: To discuss the correct use, indications for use, effectiveness and handling of the different types of mask, as well as suggest, based on scientific evidence and recommendations from health agencies, effective ways to increase the useful life of this product. METHOD: Narrative literature review using articles from the PubMed, Scopus and Web of Science databases, and recommendations from health agencies conducted in April 2020.Results: Protective respiratory devices (particulate respirators) can be reused if it is clean, dry and their layers and shape are intact. To increase the durability of surgical masks, the use of paper towels to absorb moisture is suggested. Cloth masks are recommended, as long as they are washed properly for reuse. CONCLUSION: Despite the scarce number of studies on the reuse of masks, given the expansion of COVID-19 and the worldwide shortage of this equipment, health professionals and the population must be constantly updated on the recommendations for use of these protective devices.
Assuntos
Humanos , Infecções por Coronavirus , Coronavirus , Prevenção de Doenças , Equipamento de Proteção Individual , Máscaras , PandemiasRESUMO
OBJECTIVE: To evaluate the colonisation rate of Staphylococcus aureus in the oropharynx and the insertion site of central venous catheters in intensive care unit patients. DESIGN: Cross-sectional study. SETTING: Brazilian intensive care unit. MEASUREMENTS: Samples were collected from October to December 2015 from the oropharyngeal cavity and central venous catheter insertion site of 110 patients. Samples that presented growth of Staphylococcus aureus were isolated and their sensitivity profiles were tested for several antimicrobials. FINDINGS: The study participants (110) were mostly females older than 60â¯years (53.6%). The mean length of hospitalisation was 15.5â¯days (±31.3). A total of 188 biological samples were collected: 110 collected from the oropharynx and 78 from the central venous catheter insertion site. A 35% (nâ¯=â¯38/110) S. aureus colonisation rate of the patients was observed in at least one collection site. In the oropharynx alone, a 31% rate (nâ¯=â¯34/110) was found, and a 12.8% rate (nâ¯=â¯10/78) at central venous catheter insertion sites only. MRSA colonisation in the oropharynx or at the central venous catheter occurred in 29 (26.4%) patients and vancomycin resistant Staphylococcus aureus was present in 24 (22.4%) of the patients studied. Patients hospitalised for seven days or more were 4.8 times more likely to be colonised compared to patients hospitalised less than seven days (95% CIâ¯=â¯1.2-28.5). CONCLUSION: The oropharynx and the central venous catheter are important reservoirs of this bacterium that in critical conditions may become pathogenic. The data showed a high degree of resistance of the bacterial populations isolated to different drugs, which may hinder the control of these organisms.
Assuntos
Infecção Hospitalar/epidemiologia , Staphylococcus aureus Resistente à Meticilina/isolamento & purificação , Infecções Estafilocócicas/epidemiologia , Brasil/epidemiologia , Enfermagem de Cuidados Críticos , Infecção Hospitalar/microbiologia , Estudos Transversais , Feminino , Humanos , Controle de Infecções , Unidades de Terapia Intensiva , Masculino , Pessoa de Meia-Idade , Orofaringe/microbiologia , Infecções Estafilocócicas/microbiologia , Infecções Estafilocócicas/enfermagemRESUMO
Background: Leptospirosis is a cosmopolitan zoonosis caused by pathogenic spirochetes of the genus Leptospira spp. and it is considered one of the main causes of reproductive problems in cattle. Therefore, the aim of this study was to determine the occurrence of anti-Leptospira antibodies and identify the prevalent serovars and risk factors associated with infection in cattle herds, in the microregion of Floriano, Piaui State, Brazil.Materials, Methods & Results: A total of 414 bovine sera samples were collected (390 females aged over 24 months and 24 bulls) from 22 properties (farms) in the municipalities that compose the study area. The samples were analyzed using the Microscopic Agglutination Test (MAT) to detect anti-Leptospira antibodies from 23 pathogenic serovars. An epidemiological questionnaire was applied in each farm to evaluate the risk factors, using a univariate analysis of the variables of interest, by Pearsons Chi-square test (χ2 ) or Fishers exact test, when it was necessary. Then, each independent variable was crossed with the dependent variable and those that presented statistical significance 1: 100) in the 22 evaluated farms; all of them had at least one positive animal, resulting in a prevalence of 34.54%, with 32,8% females (136) and 1,7% males (07), and 8,93% (37) of co-agglutination. Nineteen of the 23 tested serovars were identified; among them, Icterohaemorrhagiae (42.48%), Hardjo (31.2%), Pomona (4.3%), and Castellonis (4.3%) stood out. Absence of quarantine (OR = 16.172, P = 0.024), vaccination (OR = 0.090, P = 0.037) and isolation of diseased animals (OR = 0.006, P = 0.030) were identified, by the multivariate logistic regression analysis, as risk factors for any serovar of Leptospira spp.[...]
Assuntos
Animais , Bovinos , Fatores de Risco , Fenômenos Reprodutivos Fisiológicos , Leptospira/isolamento & purificação , Leptospirose/epidemiologia , Leptospirose/veterinária , Brasil , Estudos Soroepidemiológicos , Testes de Aglutinação/veterináriaRESUMO
Background: Leptospirosis is a cosmopolitan zoonosis caused by pathogenic spirochetes of the genus Leptospira spp. and it is considered one of the main causes of reproductive problems in cattle. Therefore, the aim of this study was to determine the occurrence of anti-Leptospira antibodies and identify the prevalent serovars and risk factors associated with infection in cattle herds, in the microregion of Floriano, Piaui State, Brazil.Materials, Methods & Results: A total of 414 bovine sera samples were collected (390 females aged over 24 months and 24 bulls) from 22 properties (farms) in the municipalities that compose the study area. The samples were analyzed using the Microscopic Agglutination Test (MAT) to detect anti-Leptospira antibodies from 23 pathogenic serovars. An epidemiological questionnaire was applied in each farm to evaluate the risk factors, using a univariate analysis of the variables of interest, by Pearsons Chi-square test (χ2 ) or Fishers exact test, when it was necessary. Then, each independent variable was crossed with the dependent variable and those that presented statistical significance 1: 100) in the 22 evaluated farms; all of them had at least one positive animal, resulting in a prevalence of 34.54%, with 32,8% females (136) and 1,7% males (07), and 8,93% (37) of co-agglutination. Nineteen of the 23 tested serovars were identified; among them, Icterohaemorrhagiae (42.48%), Hardjo (31.2%), Pomona (4.3%), and Castellonis (4.3%) stood out. Absence of quarantine (OR = 16.172, P = 0.024), vaccination (OR = 0.090, P = 0.037) and isolation of diseased animals (OR = 0.006, P = 0.030) were identified, by the multivariate logistic regression analysis, as risk factors for any serovar of Leptospira spp.[...](AU)