RESUMO
Intermediate care units are considered a solution for care of patients who require superior care than those in a normal hospitalization ward but are not amenable to intensive therapy. We present our experience with an open model, with a responsible person of the ward appointed to the Internal Medicine Department, that could be assumed in other hospitals without Intensive Care Unit in which these units would also avoid unnecessary transfers or make it possible to optimize them so that these are done under better conditions.
Assuntos
Unidades de Terapia Intensiva/normas , Medicina Interna , Cuidados Críticos/métodos , Mortalidade Hospitalar , Hospitais/normas , Hospitais/estatística & dados numéricos , Humanos , Unidades de Terapia Intensiva/estatística & dados numéricos , Tempo de Internação/estatística & dados numéricos , Admissão do Paciente/estatística & dados numéricos , EspanhaAssuntos
Antitireóideos/efeitos adversos , Doenças da Medula Óssea/induzido quimicamente , Metimazol/efeitos adversos , Adulto , Antibacterianos , Medula Óssea/patologia , Doenças da Medula Óssea/patologia , Quimioterapia Combinada/uso terapêutico , Feminino , Hemorragia Gengival/etiologia , Doença de Graves/tratamento farmacológico , Doença de Graves/cirurgia , Humanos , Pancitopenia/induzido quimicamente , Pancitopenia/patologia , Faringite/complicações , Faringite/tratamento farmacológico , Plasmócitos/patologia , Tireoidectomia , Tonsilite/complicações , Tonsilite/tratamento farmacológicoRESUMO
The usefulness of an enzyme-immunoassay (EIA) monotest (TESTPACK HIV-1/HIV-2, ABBOTT) was evaluated in the rapid diagnosis of anti-HIV antibodies in whole saliva in an intravenous drug abuser population (IVDA). Anti-HIV antibodies were simultaneous and prospectively measured in serum and whole saliva from 70 IVDA patients. To improve the sensitivity of the test 100 microliters of saliva were added instead of the recommended serum volume. In the 35 seropositive subjects saliva yielded a distinct positive result (Sensitivity=1), and in the 35 seronegative subjects a negative result (Specificity = 1). A statistically significant association between serum and saliva antibody levels was observed. These findings show the usefulness of a EIA monotest with whole saliva as an alternative sample to serum in the measurement of HIV-antibodies in high-risk patients.