RESUMO
A sífilis em gestante constitui uma importante causa evitável de morbimortalidade neonatal. O objetivo do estudo foi estimar a magnitude e características de gestantes com sífilis atendidas em um hospital universitário da região oeste do Paraná. Foi realizado um estudo descritivo, conduzido com revisão de prontuários e fichas de notificação de gestantes diagnosticadas com sífilis, no período de 2010 - 2016. Os resultados referem-se a 121 casos, a taxa de detecção de sífilis em gestantes foi 5,96 casos por mil nascidos vivos. Mostrou-se mais frequente em mulheres com idade ≥ 20 anos e escolaridade ≤ 8 anos. O tratamento foi inadequado em 68,7% das gestantes e 14,9% dos recém-nascidos foram notificados com sífilis congênita. Recomenda-se melhorar a qualidade do pré-natal, dos registros de notificação e providenciar educação continuada para os profissionais de saúde. (AU)
Syphilis in pregnant woman is an important preventable cause of neonatal morbidity and mortality. The objective of this study was to estimate the magnitude and characteristics of pregnant women with syphilis treated at a university hospital in the western region of the state of Paraná. A descriptive study was carried out with a review of medical records and reports of pregnant women diagnosed with syphilis in the period between 2010-2016. The results refer to 121 cases; the rate of detection of syphilis in pregnant women was 5.96 cases per a thousand live births. It was more frequent in women aged ≥ 20 years and with level of education of ≤ 8 years. The treatment was inadequate in 68.7% of the pregnant women, and 14.9% of the newborns were notified with congenital syphilis. The improvement of prenatal care quality, notification reports, and continuing education of health professionals are recommended. (AU)
Assuntos
Humanos , Feminino , Gravidez , Adulto , Cuidado Pré-Natal , Sífilis , Indicadores de Morbimortalidade , GestantesRESUMO
BACKGROUND: Trauma is a major cause of hospital admissions and is associated with manifold complications and high mortality rates. However, data on intensive care unit (ICU) admissions are scarce in developing and low-income countries, where its incidence has been increasing. OBJECTIVES: To analyze epidemiological and clinical factors and outcomes in adult trauma patients admitted to the ICU of a public teaching hospital in a developing country as well as to identify risk factors for complications in the ICU. PATIENTS AND METHODS: Retrospective cohort of adult trauma patients admitted to the general ICU of a public teaching hospital in southern Brazil in the year 2012. Demographic, clinical, and outcome data from the ICU were analyzed. RESULTS: During the study period, 144 trauma patients were admitted (83% male, Acute Physiology and Chronic Health Evaluation Score II =18.6±7.2, age =33.3 years, 93% required mechanical ventilation). Of these, 60.4% suffered a traffic accident (52% motorcycle), and 31.2% were victims of violence (aggressions, gunshot wounds, or stabbing); 71% had brain trauma, 37% had chest trauma, and 21% had abdominal trauma. Patients with trauma presented a high incidence of complications, such as infections, acute renal failure, acute respiratory distress syndrome, and thrombocytopenia. The ICU mortality rate was 22.9%. CONCLUSION: In a Brazilian public teaching ICU, there was a great variability of trauma etiologies (mainly traffic accidents with motorcycles and victims of violence); patients with trauma had a high incidence of complications and mortality in the ICU.