Global research trends related to coronavirus disease 2019 and the aged: a bibliometric analysis

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.

Global research trends related to coronavirus disease 2019 and the aged: a bibliometric analysis.

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.

Bibliometric Analysis of Global Scientific Production on COVID-19 and Vaccines.

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.

Representações sociais elaboradas por discentes de enfermagem sobre a prevenção da covid-19 / Social representations elaborated by nursing students about covid-19 prevention / Representaciones sociales elaboradas por estudiantes de enfermería sobre la prevención del covid-19

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.

Multidimensional context of technical nursing education: triangulation of meanings attributed by teachers.

OBJECTIVE: To unveil and discuss the meanings attributed by teachers to the teacher-student relationship in the multidimensional context of technical nursing education. METHOD: Qualitative research, supported by the representational theory of meaning, carried out with nine nurses who teach the technical nursing course at a technical school linked to a federal university in the northeastern region of Brazil. RESULTS: The following meanings were revealed: student profile; lack of preparation and financial resources; reduction in performance and even course interruption; students' disinterest and resistance; academic support and qualified structure; opportunity for grants; teachers' dedication and holistic view; respect, ethics, and interactivity; concern with student learning and performance, and heterogeneous group. CONCLUSION: Social and financial difficulties and students' disinterest are the limitations that most hinder teaching effectiveness. On the other hand, the teachers' holistic view, dedication, support, and the availability of resources and academic support are the main multidimensional characteristics of living in this scenario.

Multidimensional context of technical nursing education: triangulation of meanings attributed by teachers / Contexto multidimensional de la enseñanza técnica en enfermería: triangulación de significados atribuidos por docentes / Contexto multidimensional do ensino técnico de enfermagem: triangulação de significados atribuídos por docentes

ABSTRACT Objective: To unveil and discuss the meanings attributed by teachers to the teacher-student relationship in the multidimensional context of technical nursing education. Method: Qualitative research, supported by the representational theory of meaning, carried out with nine nurses who teach the technical nursing course at a technical school linked to a federal university in the northeastern region of Brazil. Results: The following meanings were revealed: student profile; lack of preparation and financial resources; reduction in performance and even course interruption; students' disinterest and resistance; academic support and qualified structure; opportunity for grants; teachers' dedication and holistic view; respect, ethics, and interactivity; concern with student learning and performance, and heterogeneous group. Conclusion: Social and financial difficulties and students' disinterest are the limitations that most hinder teaching effectiveness. On the other hand, the teachers' holistic view, dedication, support, and the availability of resources and academic support are the main multidimensional characteristics of living in this scenario.

RESUMEN Objetivo: Desvelar y discutir los significados atribuidos por docentes sobre la relación entre profesor y alumno en el contexto multidimensional de la enseñanza técnica en enfermería. Método: Investigación cualitativa, apoyada en la teoría representacional del significado, realizada con nueve enfermeros docentes del curso técnico en enfermería de un colegio técnico vinculado a una universidad federal de la región noreste de Brasil. Resultados: Fueron desvelados los significados: perfil de los alumnos; falta de preparación y de recursos financieros; baja del rendimiento e incluso interrupción de la formación; desinterés y resistencia de los alumnos; soporte académico y estructura calificada, oportunidad de becas de auxilio; dedicación y mirada holística de los docentes, respeto, ética e interacción, preocupación por el aprendizaje y desempeño del estudiante y grupo heterogéneo. Conclusión: Dificultades sociales, financieras y el desinterés del alumnado son las limitaciones que más dificultan la efectividad de la enseñanza. Sin embargo, la mirada holística, la dedicación, el apoyo de los docentes y la disponibilidad de recursos y soporte académico, son las principales características multidimensionales de la vivencia en ese escenario.

RESUMO Objetivo: Desvelar e discutir os significados atribuídos por docentes à relação entre professor e aluno no contexto multidimensional do ensino técnico de enfermagem. Método: Pesquisa qualitativa, apoiada na teoria representacional do significado, realizada com nove enfermeiros docentes do curso técnico em enfermagem de um colégio técnico vinculado a uma universidade federal da região nordeste do Brasil. Resultados: Foram desvelados os significados: perfil dos alunos; falta de preparo e de recursos financeiros; queda do rendimento e até interrupção da formação; desinteresse e resistência dos alunos; suporte acadêmico e estrutura qualificada; oportunidade de bolsas de auxílio; dedicação e olhar holístico dos docentes; respeito, ética e interatividade; preocupação com o aprendizado e desempenho do estudante, e grupo heterogêneo. Conclusão: Dificuldades sociais, financeiras e o desinteresse estudantil são as limitações que mais dificultam a efetividade do ensino. Por outro lado, o olhar holístico, a dedicação, o apoio dos docentes e a disponibilidade de recursos e suporte acadêmico são as principais características multidimensionais da vivência nesse cenário.

Colonization of methicillin-resistant Staphylococcus aureus among healthcare students: an integrative review

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.

Colonization of methicillin-resistant Staphylococcus aureus among healthcare students: an integrative review.

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.

Symptomatic manifestations of the disease caused by coronavirus (COVID-19) in adults: systematic review.

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.

Analysis of scientific production on the new coronavirus (COVID-19): a bibliometric analysis.

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.

High rates of unprotected receptive anal sex and vulnerabilities to HIV infection among Brazilian men who have sex with men.

This study aimed to evaluate unprotected receptive anal sex intercourse (URAI) rates and vulnerabilities to HIV infection among men who have sex with men (MSM) that use geosocial networking dating apps in Brazil. An online, analytical, cross-sectional study was carried out with 2,250 MSM. The analyzed variables were grouped according to domains of vulnerability and analyzed by bi and multivariate statistics to calculate the Adjusted Odds Ratios (aOR). The prevalence of self-reported HIV was 7.1%; and of URAI, 23.4%. The studied variables that increased the chances of engaging in URAI were: identifying as homosexual (aOR = 8.30; 95%CI = 5.68:12.04), pansexual (aOR = 5.01; 95%CI = 2.04:12.38), or bisexual (aOR = 3.14; 95%CI = 2.03:4.80), using apps for obtaining sex (aOR = 1.3; 95%CI = 1.0:1.5), engaging in group sex (aOR = 1.6; 95%CI = 1.3:2.0), and reporting chemsex (aOR = 1.5; 95%CI = 1.1:2.0). Self-reported positive HIV status was associated with: less than a minimum wage income (aOR = 1.78; 95%CI = 1.22:2.58), lower education (aOR = 1.86; 95%CI = 1.31 CI; 2,64), not knowing the partner's HIV status (aOR = 1.84; 95%CI = 1.06:3.19), practicing group sex (aOR = 1.67; 95%CI = 1.04; 2.68), and chemsex (aOR = 2.03; 95%CI =1.06:3.19). The applications interaction is shaped by their own users to better meet their desires and needs. However, this behavior exposes individuals to HIV vulnerabilities.

Analysis of scientific production on the new coronavirus (COVID-19): a bibliometric analysis

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.

Prevalência de Staphylococcus resistente à meticilina em profissionais de enfermagem: revisão integrativa / Prevalence of methicillin-resistant Staphylococcus in nursing professionals: an integrative review

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

Lugar da enfermagem é onde ela puder e souber atuar: contribuições na atenção a pessoas no Espectro Autista / Nursing place is where she can and know how to act: contributions to the attention to people on the Autistic Spectrum / Lugar de enfermería es donde se puede y se sabe actuar: contribuciones en la atención a personas en Espectro Autista

A enfermagem é uma profissão comprometida com a produção e gestão do cuidado, que por sua vez, pode e deve ser prestado nos diferentes contextos socioambientais e culturais, atuando com autonomia e em consonância com os preceitos éticos e legais, técnico-científico e teórico-filosófico, em resposta às necessidades da pessoa, família e coletividade, buscando exercer suas atividades com competência para promoção do ser humano na sua integralidade

Prevalência de Staphylococcus resistente à meticilina em profissionais de enfermagem: revisão integrativa / Prevalence of methicillin-resistant Staphylococcus in nursing professionals: an integrative review

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.

Symptomatic manifestations of the disease caused by coronavirus (COVID-19) in adults: systematic review / Manifestaciones sintomáticas de la enfermedad causada por coronavirus (COVID-19) en adultos: revisión sistemática / Manifestações sintomáticas da doença causada por coronavírus (COVID-19) em adultos: revisão sistemática

Objective: to verify in the scientific literature the symptomatic manifestations of COVID-19 in adults. Method: a systematic review carried out in the Scopus, Web of Science and PubMed databases with studies published from December 1, 2019 to April 21, 2020, in order to answer the guiding question: "What are the symptomatic manifestations caused by COVID-19 in adults?" using the keywords: "Symptoms", "Clinical manifestations", "Coronavirus", "COVID19". Results: Of the total of 105 references, 13 were selected that addressed the symptomatic manifestations of COVID-19, with fever and normal or dry cough present in all studies. Conclusion: the symptomatic manifestations identified in adult patients were: fever, normal or dry cough, headache, pharyngalgia, dyspnoea, diarrhea, myalgia, vomiting, sputum or expectoration, anguish or chest pain, fatigue, nausea, anorexia, abdominal pain, rhinorrhea, runny nose or nasal congestion, dizziness, chills, systemic pain, mental confusion, hemoptysis, asthma, impaired taste, impaired smell, belching and tachycardia

Objetivo: verificar en la literatura científica las manifestaciones sintomáticas de COVID-19 en adultos. Método: una revisión sistemática realizada en las bases de datos Scopus, Web of Science y PubMed con estudios publicados del 1 de diciembre de 2019 al 21 de abril de 2020, con el fin de responder a la pregunta orientadora: "¿Cuáles son las manifestaciones sintomáticas causada por COVID-19 en adultos?" utilizando las palabras clave: "Síntomas", "Manifestaciones clínicas", "Coronavirus", "COVID-19". Resultados: Del total de 105 referencias, se seleccionaron 13 que abordaron las manifestaciones sintomáticas de COVID-19, con fiebre y tos normal o seca presente en todos los estudios. Conclusión: las manifestaciones sintomáticas identificadas en pacientes adultos fueron: fiebre, tos normal o seca, dolor de cabeza, faringalgia, disnea, diarrea, mialgia, vómitos, esputo o expectoración, angustia o dolor en el pecho, fatiga, náuseas, anorexia, dolor abdominal, rinorrea, secreción nasal o congestión nasal, mareos, escalofríos, dolor sistémico, confusión mental, hemoptisis, asma, alteración del gusto, alteración del olfato, eructos y taquicardia.

Objetivo: verificar na literatura científica as manifestações sintomáticas da COVID-19 em pessoas adultas. Método: revisão sistemática utilizando as bases Scopus, Web of Science e PubMed com estudos publicados de 1 de dezembro de 2019 a 21 de abril de 2020, a fim de responder à questão norteadora: "Quais as manifestações sintomáticas causada pela COVID-19 em pessoas adultas?" utilizando-se as palavras-chave: "Symptoms", "Clinical Manifestations", "Coronavirus", "COVID-19". Resultados: Do total de 105 referências, foram selecionadas 13 que abordaram as manifestações sintomáticas da COVID-19, estando a febre e a tosse normal ou seca presente em todos os estudos. Conclusão: as manifestações sintomáticas identificadas nos pacientes adultos foram: febre, tosse normal ou seca, cefaleia, faringalgia, dispneia, diarreia, mialgia, vômito, escarro ou expectoração, angústia ou dor no peito, fadiga, náusea, anorexia, dor abdominal, rinorreia, coriza ou congestão nasal, tontura, calafrios, dor sistêmica, confusão mental, hemoptise, asma, comprometimento do paladar, comprometimento do olfato, arroto e taquicardia.Palavras-chave: COVID-19. Sintomas Gerais. Manifestações clínicas. Sars CoV-2. Manifestações sintomáticas.

Analysis of antimicrobial prescriptions in Primary Healthcare. / Análise de prescrições de antimicrobianos na Atenção Primária à Saúde.

OBJECTIVE: To evaluate prescription receipts for antimicrobial prescriptions prescribed in primary healthcare units in a capital city in the Northeast region of Brazil. METHOD: An evaluative, analytical study. Information from the central distribution of essential medicines and the receipts of antimicrobial prescriptions were used. RESULTS: There were 2,232 prescription receipts analyzed, in which metronidazole (250 mg) was prescribed in 28% of the evaluated prescription receipts, the "pill" pharmaceutical form in 30.7%, and the "oral" administration form in 78.2%. In the prescriptions prescribed by nurses, 80.7% were intended for users with sexually transmitted infections. With the exception of the pharmaceutical form, only 34.7% of the prescriptions were in accordance with the Nursing protocol recommendations. There is still no information on the concentration (43.7%), the dosage (39.9%) and the treatment time (36.8%). CONCLUSION: The evaluated receipts of antimicrobial prescriptions do not accurately follow the guidelines of Resolution No. 20/2011, nor of the instituted Nursing protocol.

Biofilms formation and prevention on urinary catheters: a bibliometric analysis / Formação e prevenção de biofilmes em cateteres urinários: uma análise bibliométrica

To map the scientific production about biofilms formation and prevention on urinary catheters. It is a bibliometric, exploratory, and descriptive research performed in Web of Science™, in three stages, and utilizing HistCite™ software. In this regard, descriptors "Biofilm*" AND "Urinary Catheter*" were utilized within the period between 1945 and 2016. A total of 329 articles about biofilm on urinary catheter were found from 1985 to 2016. These articles were written by 1,262 authors from 452 institutions located in 50 countries. The relation among the 15 selected articles, the most impacting ones, evidences the existence of experimental researches; most of them was in vitro. The control of biofilm formation on urinary catheters remains as a major challenge in the health area, because new ways are necessary to improve the prevention and minimization of this phenomenon.

Mapear a produção científica acerca da formação e prevenção de biofilmes em cateteres urinários. Trata-se de uma pesquisa bibliométrica, exploratória e descritiva, realizada no Web of Science™, em três estágios, e utilizando o software HistCite™. Nesse sentido, foram utilizados os descritores "Biofilme*" E "Cateter Urinário*" no período de 1945 a 2016. Foram encontrados 329 artigos sobre biofilme em cateter urinário no período de 1985 a 2016. Estes artigos foram escritos por 1.262 autores de 452 instituições localizadas em 50 países. A relação entre os 15 artigos selecionados, os mais impactantes, evidencia a existência de pesquisas experimentais; a maioria delas foi in vitro. O controle da formação de biofilme nos cateteres urinários permanece como um grande desafio na área da saúde, pois são necessárias novas formas de melhorar a prevenção e a minimização desse fenômeno.

Adherence to hand hygiene in critical sectors: Can we go on like this?

AIMS AND OBJECTIVES: The rates of healthcare-associated infections are high around the world. Hand hygiene is considered the most effective measure to reduce the transmission of pathogens in the hospital environment. Our objective was to evaluate adherence to hand hygiene in critical units of a tertiary-level hospital in Central-West Brazil. DESIGN: Observational study employing cross-sectional data. Reporting rigour was demonstrated using the STROBE checklist. METHODS: Observation of hand hygiene practices of 129 professionals from the health team, including nursing staff, physicians and physical therapists. Data collection was carried out using the World Health Organization form. RESULTS: A total of 3,025 hand hygiene opportunities were observed, and the overall rate of adherence was only 46.25%. There was a greater frequency of hand hygiene after risk of exposure to bodily fluids and after contact with patients, 60.80% and 53.45%, respectively. Nurses obtained a higher rate of adherence to hand hygiene (59.80%). The neonatal ICU had a higher rate of adherence to hand hygiene when compared to other sectors. CONCLUSIONS: The physical structure for hand hygiene in the institution was poor, and no professionals reached the minimum time required for execution of hand hygiene techniques. There were low rates of adherence to hand hygiene by professionals at all five times and in all categories and sectors observed, which may have been influenced by poor infrastructure present in the institution. RELEVANCE TO CLINICAL PRACTICE: This study is of great relevance to patient safety, given the rates of healthcare-associated infections worldwide, with emphasis on underdeveloped countries. It is hoped that the results of this research can guide organisations to validly and systematically evaluate adherence to hand hygiene and achieve higher rates of adherence to hand hygiene and consequently reduce the number of infections in health environments.

Análise de prescrições de antimicrobianos na Atenção Primária à Saúde / Análisis de prescripciones antimicrobianas en Atención Primaria de Salud / Analysis of antimicrobial prescriptions in Primary Healthcare

RESUMO Objetivo Avaliar receitas com prescrição de antimicrobianos retidas nas unidades de saúde da Atenção Primária de uma capital da região Nordeste do Brasil. Método Estudo avaliativo, analítico. Foram utilizadas as informações da central de distribuição de medicamentos essenciais e as receitas com prescrição de antimicrobianos. Resultados Foram analisadas 2.232 receitas, nas quais o metronidazol (250 mg) foi prescrito em 28% das receitas avaliadas, a forma farmacêutica "comprimido" em 30,7% e a forma de administração "oral" em 78,2%. Nas receitas prescritas por enfermeiros, 80,7% destinavam-se para usuários com infecção sexualmente transmissível. Com exceção da forma farmacêutica, somente 34,7% das receitas estavam em concordância com as recomendações do protocolo de Enfermagem. Há, ainda, inexistência de informações sobre a concentração (43,7%), a posologia (39,9%) e o tempo de tratamento (36,8%). Conclusão As receitas com prescrição de antimicrobianos avaliadas não seguem com precisão as orientações da Resolução nº 20/2011, e nem do protocolo de Enfermagem instituído.

RESUMEN Objetivo Evaluar recetas con prescripción de antimicrobianas retenidas en las unidades de salud de la atención primaria de una capital de la región Nordeste de Brasil. Método Estudio evaluativo, analítico. Fueron utilizadas las informaciones de la central de distribución de los medicamentos esenciales y las recetas con prescripción de los antimicrobianos. Resultados Fueron analizadas 2.232 recetas, en las cuales lo metronidazol (250 mg) fue prescrito en 28% de las recetas evaluadas, la forma farmacéutica "comprimido" en 30,7% y la forma de administración por vía oral en 78,2%. En las recetas prescritas por los enfermeros, 80,7% eran para usuarios con infección sexualmente transmisibles. Con excepción de la forma farmacéutica, solo 34,7% de las recetas estaban en concordancia con las recomendaciones de lo protocolo de Enfermería. Todavía hay inexistencia de informaciones acerca de la concentración (43,7%), la posología (39,9%) y el tiempo del tratamiento (36,8%). Conclusión Las recetas con prescripción de antimicrobianos evaluadas no siguen con precisión ni las orientaciones de la resolución nº 20/2011, ni del protocolo de Enfermería instituido.

ABSTRACT Objective To evaluate prescription receipts for antimicrobial prescriptions prescribed in primary healthcare units in a capital city in the Northeast region of Brazil. Method An evaluative, analytical study. Information from the central distribution of essential medicines and the receipts of antimicrobial prescriptions were used. Results There were 2,232 prescription receipts analyzed, in which metronidazole (250 mg) was prescribed in 28% of the evaluated prescription receipts, the "pill" pharmaceutical form in 30.7%, and the "oral" administration form in 78.2%. In the prescriptions prescribed by nurses, 80.7% were intended for users with sexually transmitted infections. With the exception of the pharmaceutical form, only 34.7% of the prescriptions were in accordance with the Nursing protocol recommendations. There is still no information on the concentration (43.7%), the dosage (39.9%) and the treatment time (36.8%). Conclusion The evaluated receipts of antimicrobial prescriptions do not accurately follow the guidelines of Resolution No. 20/2011, nor of the instituted Nursing protocol.