Necesidad de una disponibilidad real de fármacos oculares tópicos antifúngicos y antiamebianos en el Sistema Sanitario Español / Need for real availability of topical anti-fungal and anti-amoeba eye drugs in the Spanish Health System

No disponible

Assessment of human and material resources available for primary eye-care delivery in rural communities of southwestern Nigeria / Evaluación de los recursos materiales y humanos disponibles para la atención primaria visual en las comunidades rurales de Nigeria sudoccidental

Integration of primary eye-care (PEC) into the existing primary healthcare (PHC) system is efficient in reaching rural communities. Baseline assessment of human and material resources for primary eye- care delivery in a rural local government area of southwestern Nigeria with projected population of 126 625 was conducted. Data on number and cadre of all PHC facilities and health-workers were collected. All facilities were visited and materials required for basic PEC inspected. Forty-one (42.3%) community health extension workers, 42 (43.3%) health assistants, 3 (3.1%) community officers of health and 11 (11.2%) registered nurses administered PHC in 27 health facilities. No worker had training in PEC and none of the centres had all the materials for basic PEC delivery. Although procurement of materials and training of health-workers in basic PEC delivery is required, the healthcare facilities and workers currently available are adequate to commence integration of PEC into the PHC system.

La integración de la atención primaria visual (APV) en el sistema existente de atención primaria de la salud (APS) alcanza eficientemente las comunidades rurales. Partiendo de una línea de base, se llevó a cabo una evaluación de los recursos humanos y materiales para la administración de la atención primaria visual en un área gubernamental local rural del sudoeste de Nigeria, para una población de 126 625, según la previsión. Se recogieron datos sobre las cifras y los cuadros de todas las instalaciones para la atención primaria de la salud (APS) y los trabajadores de la salud. Se visitaron todas las instalaciones y se inspeccionaron los materiales requeridos para la APS básica. Cuarenta y un (42.3%) trabajadores de extensión comunitaria de la salud, 42 (43.3%) asistentes de salud, 3 (3.1%) funcionarios de salud de la comunidad y 11 (11.2%) enfermeras graduadas, estuvieron encargados de administrar la APS en 27 instalaciones de salud. Ninguno de los trabajadores tenía entrenamiento en APV y ninguno de los centros disponía de todos los materiales para brindar APV básica. Si bien se requiere obtener materiales y entrenamiento de los trabajadores de la salud, las instalaciones de atención a la salud y los trabajadores de la salud de que se dispone en la actualidad, son adecuados para comenzar la integración del la APV en el sistema de APS.

Assessment of human and material resources available for primary eye-care delivery in rural communities of southwestern Nigeria.

Integration of primary eye-care (PEC) into the existing primary healthcare (PHC) system is efficient in reaching rural communities. Baseline assessment of human and material resources for primary eye-care delivery in a rural local government area of southwestern Nigeria with projected population of 126,625 was conducted. Data on number and cadre of all PHC facilities and health-workers were collected. All facilities were visited and materials required for basic PEC inspected. Forty-one (42.3%) community health extension workers, 42 (43.3%) health assistants, 3 (3.1%) community officers of health and 11 (11.2%) registered nurses administered PHC in 27 health facilities. No worker had training in PEC and none of the centres had all the materials for basic PEC delivery. Although procurement of materials and training of health-workers in basic PEC delivery is required, the healthcare facilities and workers currently available are adequate to commence integration of PEC into the PHC system.

An update on the use of drugs for common eye problems in older patients.

Common ophthalmic disorders occurring in older adults often can be managed in the primary care setting with appropriate medication. This review focuses on pharmacologic intervention for dry eye, allergy, glaucoma, inflammatory disease, and infection, as well as diagnostic agents for dilation. Discussed are the selection, proper administration, dosage forms, and side effects of ophthalmic agents.

Avaliaçäo da sensibilidade "in vitro" à associaçäo de sulfato de framicetina, sulfato de polimixina B e gramicidina / Evaluation of the sensibility \"in vitro\" to the association of framycetin sulfate, polymyxin B sulfate and gramicidin

A fim de avaliar a sensibilidade "in vitro" à associaçäo de sulfato de framicetina, sulfato de polimixina B e gramicidina, estudamos amostras de 96 pacientes portadores de patologias oculares externas e de 4 lentes de contato gelatinosas. De 112 antibiogramas realizados, 80 (71,4%) foram por Staphylococcus aureus, cuja sensibilidade incluindo todas as bactérias de 85,7% (96). Esta associaçäo é composta por 3 antibióticos bactericidas näo usados sistematicamente de rotina