Perfil nutricional de pacientes oncológicos internados em um Hospital Universitário da Região Meio Oeste de Santa Catarina / Nutritional profile of cancer patients hospitalized at a University Hospital in the Midwest Region of Santa Catarina

Introdução: O câncer é considerado uma das doenças crônicas não transmissíveis que mais afeta a população mundial. Essa afecção crônica provoca muitas alterações relacionadas ao metabolismo, como o aumento na demanda nutricional causada pelo tumor e pelos tratamentos realizados. Objetivo: Avaliar o perfil nutricional de pacientes oncológicos internados no Hospital Universitário Santa Terezinha (HUST), localizado na Região Meio Oeste de Santa Catarina. Método: Este estudo é de natureza aplicada, transversal, de cunho quantitativo, descritivo, realizado no período de maio a dezembro de 2016. Os dados clínicos foram obtidos pela análise de prontuário e a avaliação do estado nutricional por meio da avaliação subjetiva global produzida pelo paciente (ASG-PPP), índice de massa corporal (IMC) e percentual de redução de peso corporal. A análise estatística foi realizada com o programa Statistical Package for the Social Sciences (SPSS) versão 21.0. Resultados: 57 pacientes oncológicos hospitalizados no HUST, portadores de neoplasias de cabeça e pescoço (31,6%) e do trato gastrointestinal, destacando-se cólon (28,1%), prevalência de homens 61,4%, a média de idade 60,1 anos, 75,4% dos pacientes estavam desnutridos. Os pacientes no estadiamento III foram os que mais tiveram o peso reduzido, sendo que os pacientes com redução superior a 20% encontravam-se nos estadiamentos III e IV. 90% não realizavam acompanhamento nutricional e 65% não faziam uso de terapia nutricional. Conclusões: A desnutrição é condição clínica prevalente nos pacientes oncológicos, portadores de neoplasias de cabeça e pescoço, e no trato gastrointestinal internados no HUST.(AU)

Introduction: Cancer is considered one of the chronic non-communicable diseases that most affects the world population. This chronic disease causes many changes related to metabolism such as increased nutritional demand caused by the tumor and the treatments performed. Objective: To evaluate the nutritional profile of cancer patients hospitalized at the Santa Terezinha University Hospital (HUST), located in the Midwest Region of Santa Catarina. Methods: This is a cross-sectional, quantitative, descriptive study from May to December 2016. Clinical data were obtained through chart analysis and evaluation of nutritional status through the global subjective evaluation produced by the patient (ASG-PPP), body mass index (BMI) and percentage of body weight reduction. Statistical analysis was performed using the Statistical Package for Social Sciences (SPSS) version 21.0. Results: 57 cancer patients hospitalized in HUST, with head and neck neoplasias (31.6%) and gastrointestinal tract, with colon (28.1%), men's prevalence 61.4%, mean age 60.1 years, 75.4% of the patients were malnourished, the patients in stage III were the ones that most reduced weight, and patients with a reduction greater than 20% were hiding in the III and IV stations. 90% did not perform nutritional monitoring and 65% did not use nutritional therapy. Conclusions: Malnutrition is a prevalent clinical condition in cancer patients with head and neck neoplasias and in the gastrointestinal tract admitted to HUST.(AU)

Impact of the International Nosocomial Infection Control Consortium (INICC) multidimensional hand hygiene approach in 3 cities in Brazil.

BACKGROUND: Hand hygiene (HH) is the main tool for cross-infection prevention, but adherence to guidelines is low in limited-resource countries, and there are not available published data from Brazil. METHODS: This is an observational, prospective, interventional, before-and-after study conducted in 4 intensive care units in 4 hospitals, which are members of the International Nosocomial Infection Control Consortium (INICC), from June 2006-April 2008. The study was divided into a 3-month baseline period and a follow-up period. A multidimensional HH approach was introduced, which included administrative support, supplies availability, education and training, reminders in the workplace, process surveillance, and performance feedback. Health care workers were observed for HH practices in each intensive care unit during randomly selected 30-minute periods. RESULTS: We recorded 4,837 opportunities for HH, with an overall HH compliance that increased from 27%-58% (P < .01). Multivariate analysis showed that some variables were associated with poor HH compliance: men versus women (49% vs 38%, P < .001), nurses versus doctors (55% vs 48%, P < .02), among others. CONCLUSIONS: With the implementation of the INICC approach, adherence to HH was significantly increased. Programs should be aimed at improving HH in variables found to be predictors of poor HH compliance.