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1.
BMJ Open ; 10(10): e038390, 2020 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-33004397

RESUMO

INTRODUCTION: In order to avoid unnecessary hospital admission and associated complications, there is an urgent need to improve the early detection of infection in nursing home residents. Monitoring signs and symptoms with checklists or aids called decision support tools may help nursing home staff to detect infection in residents, particularly during the current COVID-19 pandemic.We plan to conduct a survey exploring views and experiences of how infections are detected and managed in practice by nurses, care workers and managers in nursing homes in England and Sweden. METHODS AND ANALYSIS: An international cross-sectional descriptive survey, using a pretested questionnaire, will be used to explore nurses, care workers and managers views and experiences of how infections are detected and managed in practice in nursing homes. Data will be analysed descriptively and univariate associations between personal and organisational factors explored. This will help identify important factors related to awareness, knowledge, attitudes, belief and skills likely to affect future implementation of a decision support tool for the early detection of infection in nursing home residents. ETHICS AND DISSEMINATION: This study was approved using the self-certification process at the University of Surrey and Linköping University ethics committee (Approval 2018/514-32) in 2018. Study findings will be disseminated through community/stakeholder/service user engagement events in each country, publication in academic peer-reviewed journals and conference presentations. A LAY summary will be provided to participants who indicate they would like to receive this information.This is the first stage of a plan of work to revise and evaluate the Early Detection of Infection Scale (EDIS) tool and its effect on managing infections and reducing unplanned hospital admissions in nursing home residents. Implementation of the EDIS tool may have important implications for the healthcare economy; this will be explored in cost-benefit analyses as the work progresses.


Assuntos
Controle de Doenças Transmissíveis , Infecções por Coronavirus , Sobremedicalização/prevenção & controle , Casas de Saúde/estatística & dados numéricos , Pandemias , Administração dos Cuidados ao Paciente , Pneumonia Viral , Instituições de Cuidados Especializados de Enfermagem/estatística & dados numéricos , Betacoronavirus/isolamento & purificação , Controle de Doenças Transmissíveis/métodos , Controle de Doenças Transmissíveis/organização & administração , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/terapia , Análise Custo-Benefício , Estudos Transversais , Inglaterra/epidemiologia , Conhecimentos, Atitudes e Prática em Saúde , Pessoal de Saúde/normas , Hospitalização , Humanos , Administração dos Cuidados ao Paciente/economia , Administração dos Cuidados ao Paciente/métodos , Pneumonia Viral/diagnóstico , Pneumonia Viral/epidemiologia , Pneumonia Viral/terapia , Gerenciamento da Prática Profissional/economia , Projetos de Pesquisa , Suécia/epidemiologia
2.
Med. intensiva (Madr., Ed. impr.) ; 44(6): 371-388, ago.-sept. 2020.
Artigo em Espanhol | IBECS | ID: ibc-187189

RESUMO

El 11 de marzo de 2020 el director general de la Organización Mundial de la Salud (OMS) declaró la enfermedad causada por el SARS-CoV-2 (COVID-19) como una pandemia. La propagación y evolución de la pandemia está poniendo a prueba los sistemas sanitarios de decenas de países y ha dado lugar a una miríada de artículos de opinión, planes de contingencia, series de casos e incipientes ensayos. Abarcar toda esta literatura es complejo. De forma breve y sintética, en la línea de las anteriores recomendaciones de los Grupos de Trabajo, la Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias (SEMICYUC) ha elaborado esta serie de recomendaciones básicas para la asistencia a pacientes en el contexto de la pandemia


On March 11, 2020, the Director-General of the World Health Organization (WHO) declared the disease caused by SARS-CoV-2 (COVID-19) as a pandemic. The spread and evolution of the pandemic is overwhelming the healthcare systems of dozens of countries and has led to a myriad of opinion papers, contingency plans, case series and emerging trials. Covering all this literature is complex. Briefly and synthetically, in line with the previous recommendations of the Working Groups, the Spanish Society of Intensive, Critical Medicine and Coronary Units (SEMICYUC) has prepared this series of basic recommendations for patient care in the context of the pandemic


Assuntos
Humanos , Infecções por Coronavirus/epidemiologia , Betacoronavirus , Pneumonia Viral , Pessoal de Saúde/normas , Transferência de Pacientes/normas , Cuidados Críticos/normas , Espanha/epidemiologia , Guias de Prática Clínica como Assunto , Sociedades Médicas/normas , Segurança do Paciente , Pandemias , Cuidados Críticos/organização & administração
3.
Gastroenterol. hepatol. (Ed. impr.) ; 43(7): 408-413, ago.-sept. 2020.
Artigo em Inglês | IBECS | ID: ibc-191020

RESUMO

COVID-19 is a disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which was described in China in late 2019. There are currently more than three million diagnosed cases, constituting a pandemic which has caused a worldwide crisis. The devastating effects of this infection are due to its highly contagious nature and although mild forms predominate, in absolute values, the rates for severe forms and mortality are very high. The information on the characteristics of the infection in inflammatory bowel disease is of special interest, as these patients have higher attendance at health centres, which may increase their risk of infection. Furthermore, the treatments used to control the inflammatory activity may modify the disease course of COVID-19. The Spanish Working Group on Crohn’s Disease and Ulcerative Colitis and the Spanish Nurses Working Group on Inflammatory Bowel Disease have prepared this document as a practical response to some common questions about the treatment of these patients


La COVID-19 es un síndrome respiratorio agudo grave producido por el coronavirus SARS-CoV-2 que se describió en China a finales de 2019. Actualmente hay más de tres millones de casos diagnosticados, constituyendo una situación de pandemia que ha ocasionado una crisis a nivel mundial. El efecto devastador de esta infección se debe a su alta contagiosidad y, aunque predominan las formas leves, los casos graves y la mortalidad en valores absolutos son muy elevados. La información sobre las características de la infección en la enfermedad inflamatoria intestinal tiene especial interés, y esto es debido a que estos pacientes tienen una mayor frecuentación de centros sanitarios, lo que puede incrementar el riesgo de contagio. Además, los tratamientos que se administran para el control de la actividad inflamatoria podrían modificar la evolución de la COVID-19. El Grupo Español de Trabajo en Enfermedad de Crohn y Colitis Ulcerosa, en colaboración con el Grupo Enfermero de Trabajo en EII, ha elaborado este documento que tiene como objetivo responder de forma práctica algunas dudas frecuentes en el tratamiento de estos pacientes


Assuntos
Humanos , Consenso , Doenças Inflamatórias Intestinais/terapia , Pneumonia Viral/prevenção & controle , Infecções por Coronavirus/prevenção & controle , Comorbidade , Pandemias/prevenção & controle , Fatores de Risco , Higiene/normas , Doenças Inflamatórias Intestinais/complicações , Prognóstico , Tempo de Internação , Pessoal de Saúde/normas , Gastroenteropatias/epidemiologia , Gastroenterologia/normas , Betacoronavirus
4.
BMJ Open Qual ; 9(3)2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32978176

RESUMO

INTRODUCTION: Effective implementation of standard precautions specific to COVID-19 is a challenge for hospitals within the existing constraints of time and resources. AIM: To rapidly design and operationalise personal protective equipment (PPE) donning and doffing areas required for a COVID-19 care facility. METHODS: Literature review was done to identify all issues pertaining to donning and doffing in terms of Donabedian's structure, process and outcome. Training on donning and doffing was given to hospital staff. Donning and doffing mock drills were held. 5S was used as a tool to set up donning and doffing areas. Instances of donning and doffing were observed for protocol deviations and errors. Plan-do-study-act cycles were conducted every alternate day for 4 weeks. The initiative was reported using Standards for QUality Improvement Reporting Excellence (SQUIRE) guidelines. RESULTS: Best practices in donning and doffing were described. Our study recommends a minimum area of 16 m2 each for donning and doffing rooms. Verbally assisted doffing was found most useful than visual prompts. DISCUSSION: Challenges included sustaining the structure and process of donning and doffing, varied supplies of PPE which altered sequencing of donning and/or doffing, and training non-healthcare workers such as plumbers, electricians and drivers who were required during emergencies in the facility. CONCLUSION: Our study used evidence-based literature and quality improvement (QI) tools to design and operationalise donning and doffing areas with focus on people, task and environment. Our QI will enable healthcare facilities to rapidly prototype donning and doffing areas in a systematic way.


Assuntos
Infecções por Coronavirus/prevenção & controle , Pessoal de Saúde/organização & administração , Controle de Infecções/normas , Saúde do Trabalhador/normas , Pandemias/prevenção & controle , Equipamento de Proteção Individual/normas , Pneumonia Viral/prevenção & controle , Adulto , Betacoronavirus , Infecções por Coronavirus/transmissão , Feminino , Pessoal de Saúde/normas , Implementação de Plano de Saúde , Humanos , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Masculino , Pessoa de Meia-Idade , Pneumonia Viral/transmissão , Roupa de Proteção/normas , Melhoria de Qualidade , Dispositivos de Proteção Respiratória/normas , Adulto Jovem
7.
Clin Interv Aging ; 15: 1067-1069, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32753857

RESUMO

The pandemic of the Covid-19 virus has become the main issue all over the world. In its current form, the disease is more severe in geriatric cases and individuals with chronic disease, even causing death. In older adults and atypical presentations, testing strategies for Covid-19, potential drug interactions of experimental Covid-19 therapies, and ageism are important issues in the course of the disease. Therefore, health-care professionals should be aware of these, and screening policies for Covid-19 should also include atypical presentations with or without classical symptoms of the illness in older adults. Furthermore, evaluation of individuals > 65 years of age from a geriatrician's perspective is very important, because Covid-19 is severe and fatal in seniors.


Assuntos
Infecções por Coronavirus/epidemiologia , Geriatras/normas , Pessoal de Saúde/normas , Pneumonia Viral/epidemiologia , Idoso , Ageismo , Betacoronavirus , Doença Crônica , Infecções por Coronavirus/prevenção & controle , Humanos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle
8.
Indian J Pathol Microbiol ; 63(3): 350-357, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32769321

RESUMO

Declared as a pandemic by WHO on March 11, 2020, COVID-19 has brought about a dramatic change in the working of different laboratories across the country. Diagnostic laboratories testing different types of samples play a vital role in the treatment management. Irrespective of their size, each laboratory has to follow strict biosafety guidelines. Different sections of the laboratory receive samples that are variably infectious. Each sample needs to undergo a proper and well-designed processing system so that the personnel involved are not infected and also their close contacts. It takes a huge effort so as to limit the risk of exposure of the working staff during the collection, processing, reporting or dispatching of biohazard samples. Guidelines help in preventing the laboratory staff and healthcare workers from contracting the disease which has a known human to human route of transmission and high rate of mortality. A well-knit approach is the need of the hour to combat this fast spreading disease. We anticipate that the guidelines described in this article will be useful for continuing safe work practices by all the laboratories in the country.


Assuntos
Contenção de Riscos Biológicos/métodos , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/transmissão , Exposição Ocupacional/prevenção & controle , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Pneumonia Viral/transmissão , Manejo de Espécimes/métodos , Betacoronavirus , Desinfecção/métodos , Guias como Assunto , Substâncias Perigosas , Pessoal de Saúde/normas , Humanos , Laboratórios/normas , Patologistas/normas , Gerenciamento de Resíduos/métodos
9.
Med Oncol ; 37(9): 83, 2020 Aug 09.
Artigo em Inglês | MEDLINE | ID: mdl-32772185

RESUMO

The COVID-19 pandemic has deeply impacted the activity of interventional oncology in cancer centers. Since the first COVID case was diagnosed in Italy on February 21st, our Hospital, located in Milan downtown, has been at the frontline to manage this emergency and to try to ensure essential services. In the present article, we discuss the changes that need to be done for the organization, safety, and patient management in interventional oncology.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Oncologia/normas , Neoplasias/epidemiologia , Pneumonia Viral/epidemiologia , Centros de Atenção Terciária/normas , Infecções por Coronavirus/terapia , Pessoal de Saúde/normas , Humanos , Itália/epidemiologia , Oncologia/métodos , Neoplasias/terapia , Pandemias , Equipamento de Proteção Individual/normas , Pneumonia Viral/terapia , Fluxo de Trabalho
10.
Biochem Med (Zagreb) ; 30(3): 030503, 2020 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-32774121

RESUMO

The new corona virus SARS-CoV-2 (Severe Acute Respiratory Syndrome Corona Virus 2) causes a disease called COVID-19 (coronavirus disease 2019), that develops mostly in subjects with already impaired immune system function, primarily in the elderly and in individuals with some chronic disease or condition. The reasons for this should be sought in the processes of aging and chronic latent inflammation, i.e. immunosenescence and inflammaging. Laboratory medicine specialists are currently focused on proving the presence of the virus and defining biomarkers that would enable the prediction of disease progression. For now, it has been shown that useful biomarkers can include general biomarkers of inflammation (parameters of complete blood count, C-reactive protein, interleukin-6, procalcitonin), biomarkers of myocardial damage (high sensitivity troponin I/T, B-type natriuretic peptide, and N-terminal B type natriuretic peptide), and vascular biomarkers (D-dimer, prothrombin time, fibrinogen). Their actual diagnostic specificity, sensitivity and predictive value need to be tested on a larger number of subjects. In addition, it is important to find and evaluate specific biomarkers of immunosenescence.


Assuntos
Betacoronavirus/isolamento & purificação , Técnicas de Laboratório Clínico/normas , Infecções por Coronavirus/sangue , Pessoal de Saúde/normas , Mediadores da Inflamação/sangue , Pneumonia Viral/sangue , Manejo de Espécimes/normas , Técnicas de Laboratório Clínico/métodos , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/metabolismo , Humanos , Pandemias , Pneumonia Viral/diagnóstico , Pneumonia Viral/metabolismo , Manejo de Espécimes/métodos
11.
J Med Internet Res ; 22(8): e21265, 2020 08 21.
Artigo em Inglês | MEDLINE | ID: mdl-32747329

RESUMO

BACKGROUND: To avoid misuse of personal protective equipment (PPE), ensure health care workers' safety, and avoid shortages, effective communication of up-to-date infection control guidelines is essential. As prehospital teams are particularly at risk of contamination given their challenging work environment, a specific gamified electronic learning (e-learning) module targeting this audience might provide significant advantages as it requires neither the presence of learners nor the repetitive use of equipment for demonstration. OBJECTIVE: The aim of this study was to evaluate whether a gamified e-learning module could improve the rate of adequate PPE choice by prehospital personnel in the context of the coronavirus disease (COVID-19) pandemic. METHODS: This was an individual-level randomized, controlled, quadruple-blind (investigators, participants, outcome assessors, and data analysts) closed web-based trial. All emergency prehospital personnel working in Geneva, Switzerland, were eligible for inclusion, and were invited to participate by email in April 2020. Participants were informed that the study aim was to assess their knowledge regarding PPE, and that they would be presented with both the guidelines and the e-learning module, though they were unaware that there were two different study paths. All participants first answered a preintervention quiz designed to establish their profile and baseline knowledge. The control group then accessed the guidelines before answering a second set of questions, and were then granted access to the e-learning module. The e-learning group was shown the e-learning module right after the guidelines and before answering the second set of questions. RESULTS: Of the 291 randomized participants, 176 (60.5%) completed the trial. There was no significant difference in baseline knowledge between groups. Though the baseline proportion of adequate PPE choice was high (75%, IQR 50%-75%), participants' description of the donning sequence was in most cases incorrect. After either intervention, adequate choice of PPE increased significantly in both groups (P<.001). Though the median of the difference in the proportion of correct answers was slightly higher in the e-learning group (17%, IQR 8%-33% versus 8%, IQR 8%-33%), the difference was not statistically significant (P=.27). Confidence in the ability to use PPE was maintained in the e-learning group (P=.27) but significantly decreased in the control group (P=.04). CONCLUSIONS: Among prehospital personnel with an already relatively high knowledge of and experience with PPE use, both web-based study paths increased the rate of adequate choice of PPE. There was no major added value of the gamified e-learning module apart from preserving participants' confidence in their ability to correctly use PPE.


Assuntos
Infecções por Coronavirus/prevenção & controle , Pessoal de Saúde/normas , Controle de Infecções/métodos , Pandemias/prevenção & controle , Equipamento de Proteção Individual/tendências , Pneumonia Viral/prevenção & controle , Telemedicina/métodos , Betacoronavirus , Infecções por Coronavirus/radioterapia , Feminino , Humanos , Masculino , Pneumonia Viral/radioterapia
12.
Artigo em Inglês | MEDLINE | ID: mdl-32785110

RESUMO

BACKGROUND: Since the beginning of SARS-CoV-2 outbreak, a large number of infections have been reported among healthcare workers (HCWs). The aim of this study was to investigate the occurrence of SARS-CoV-2 infection among HCWs involved in the first management of infected patients and to describe the measures adopted to prevent the transmission in the hospital. METHODS: This prospective observational study was conducted between February 21 and April 16, 2020, in the Padua University Hospital (north-east Italy). The infection control policy adopted consisted of the following: the creation of the "Advanced Triage" area for the evaluation of SARS-CoV-2 cases, and the implementation of an integrated infection control surveillance system directed to all the healthcare personnel involved in the Advance Triage area. HCWs were regularly tested with nasopharyngeal swabs for SARS-CoV-2; body temperature and suggestive symptoms were evaluated at each duty. Demographic and clinical data of both patients and HCWs were collected and analyzed; HCWs' personal protective equipment (PPE) consumption was also recorded. The efficiency of the control strategy among HCWs was evaluated identifying symptomatic infection (primary endpoint) and asymptomatic infection (secondary endpoint) with confirmed detection of SARS-CoV-2. RESULTS: 7595 patients were evaluated in the Advanced Triage area: 5.2% resulted positive and 72.4% was symptomatic. The HCW team was composed of 60 members. A total of 361 nasopharyngeal swabs were performed on HCWs. All the swabs resulted negative and none of the HCWs reached the primary or the secondary endpoint. CONCLUSIONS: An integrated hospital infection control strategy, consisting of dedicated areas for infected patients, strict measures for PPE use and mass surveillance, is successful to prevent infection among HCWs.


Assuntos
Infecções por Coronavirus/prevenção & controle , Pessoal de Saúde/organização & administração , Controle de Infecções/organização & administração , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Adulto , Infecções Assintomáticas/epidemiologia , Betacoronavirus , Temperatura Corporal , Técnicas de Laboratório Clínico , Infecções por Coronavirus/diagnóstico , Surtos de Doenças , Feminino , Pessoal de Saúde/normas , Humanos , Controle de Infecções/normas , Itália/epidemiologia , Masculino , Equipe de Assistência ao Paciente/organização & administração , Equipamento de Proteção Individual/estatística & dados numéricos , Equipamento de Proteção Individual/provisão & distribução , Estudos Prospectivos , Triagem/organização & administração
13.
Pediatrics ; 146(3)2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32817268

RESUMO

BACKGROUND: Although required for healing, sleep is often disrupted during hospitalization. Blood pressure (BP) monitoring can be especially disruptive for pediatric inpatients and has few clinical indications. Our aim in this pilot study was to reduce unnecessary overnight BP monitoring and improve sleep for pediatric inpatients. METHODS: The intervention in June 2018 involved clinician education sessions and updated electronic health record (EHR) orders that enabled the forgoing of overnight BP checks. The postintervention period from July 2018 to May 2019 examined patient-caregiver surveys as outcome measures. These surveys measured inpatient sleep and overnight disruptions and were adopted from validated surveys: the Patient Sleep Questionnaire, expanded Brief Infant Sleep Questionnaire, and Potential Hospital Sleep Disruptions and Noises Questionnaire. Uptake of new sleep-friendly EHR orders was a process measure. Reported patient care escalations served as a balancing measure. RESULTS: Interrupted time series analysis of EHR orders (npre = 493; npost = 1472) showed an increase in intercept for the proportion of patients forgoing overnight BP postintervention (+50.7%; 95% confidence interval 41.2% to 60.3%; P < .001) and a subsequent decrease in slope each week (-0.16%; 95% confidence interval -0.32% to -0.01%; P = .037). Statistical process control of surveys (npre = 263; npost = 131) showed a significant increase in sleep duration for patients older than 2, and nighttime disruptions by clinicians decreased by 19% (P < .001). Annual estimated cost savings were $15 842.01. No major adverse events in patients forgoing BP were reported. CONCLUSIONS: A pilot study combining EHR changes and clinician education safely decreased overnight BP checks, increased pediatric inpatient sleep duration, and reduced nighttime disruptions by clinicians.


Assuntos
Determinação da Pressão Arterial/normas , Criança Hospitalizada , Pessoal de Saúde/normas , Análise de Séries Temporais Interrompida/normas , Melhoria de Qualidade/normas , Sono/fisiologia , Adolescente , Determinação da Pressão Arterial/psicologia , Determinação da Pressão Arterial/tendências , Cuidadores/educação , Cuidadores/normas , Cuidadores/tendências , Criança , Criança Hospitalizada/psicologia , Pré-Escolar , Registros Eletrônicos de Saúde/normas , Registros Eletrônicos de Saúde/tendências , Feminino , Pessoal de Saúde/educação , Pessoal de Saúde/tendências , Humanos , Lactente , Recém-Nascido , Análise de Séries Temporais Interrompida/tendências , Masculino , Projetos Piloto , Estudos Prospectivos , Melhoria de Qualidade/tendências
14.
J Community Psychol ; 48(7): 2131-2137, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32789911

RESUMO

In addition to the twinned crises of ecology and political economy, we face today a crisis of care. The crisis of care, I contend, is fundamentally a political and an ethical crisis. In this short commentary, I outline the structural (i.e., systemic) and reproductive (i.e., labour) character of this crisis, using the COVID-19 pandemic as an example. From here, I argue for the imperative to centre an expansive conception of care in critical community psychology work. Specifically, I posit that by working with and alongside activist care workers, community psychologists can assist in building socially just modalities of care. After reflecting on my work with collective caring initiatives, I offer five (tentative) guiding principles for a community psychology that is committed to addressing the crisis of care, namely: (1) commitment to building political coalitions; (2) commitment to refuting capitalist conceptions of care; (3) commitment to expanding conceptions of care; (4) commitment to embracing the psychological consequences of care work; and (5) a politicoethical commitment.


Assuntos
Infecções por Coronavirus , Assistência à Saúde/normas , Pessoal de Saúde/normas , Pandemias , Pneumonia Viral , Política , Psicologia Aplicada/normas , Características de Residência , Humanos
15.
Recurso na Internet em Português | LIS - Localizador de Informação em Saúde | ID: lis-47722

RESUMO

Site do instituto Butantan dedicado a informações sobre a vacina contra o COVID-19. acesse o site para entender sobre os critérios de participação, como se inscrever, quais são os Centros de Pesquisa que participarão do estudo PROFISCOV, e muito mais


Assuntos
Betacoronavirus , Infecções por Coronavirus/imunologia , Vacinas Virais/imunologia , Pessoal de Saúde/normas , Aplicação de Novas Drogas em Teste/métodos
16.
Arq. ciências saúde UNIPAR ; 24(2): 117-123, maio-ago. 2020.
Artigo em Português | LILACS | ID: biblio-1116377

RESUMO

Este estudo trata-se de um relato de experiência sobre o processo de construção e desenvolvimento de um Seminário de Saúde do Trabalhador (SST), articulado pelos profissionais residentes do Programa de Pós-Graduação em Residência Multiprofissional em Atenção Básica/Saúde da Família da Universidade do Vale do Itajaí - UNIVALI, atuantes do Núcleo Ampliado a Saúde da Família (NASF) pertencente ao Sistema Único de Saúde (SUS) do município de Itapema-SC. O SST contou com o apoio e parceria dos setores de Vigilância Sanitária (VS) e Programa de Saúde do Trabalhador (PST) para a sua realização. Objetivou-se por meio deste estudo relatar a construção do SST e o fortalecimento da educação permanente de Itapema a partir da realização do seminário. Como resultado desta experiência, foi realizado o "2º Seminário de Saúde do trabalhador: uma visão ampliada", em comemoração à campanha "Abril Verde" do ano de 2018, contando com aproximadamente 200 participantes durante todo o evento, com direcionamento principal aos trabalhadores dos setores da educação (professores, orientadores educacionais, diretores) e saúde (profissionais da atenção básica, especializada e gestão) do município de Itapema. Com a realização do SST, foi possível diagnosticar as necessidades de saúde dos trabalhadores por meio de um levantamento do itinerário terapêutico, abrindo assim, a possibilidade de cuidado continuado para estes profissionais em seu âmbito de trabalho mediante do apoio institucional realizado pela equipe de residentes. Para alcançar esta produção de cuidado, é fundamental que ocorra o fortalecimento da educação permanente na saúde do trabalhador do município, sendo necessárias estratégias de apoio aos profissionais em seu cotidiano de trabalho, com objetivo de problematizar as necessidades relatadas e alcançar outras práticas de produção de saúde dos trabalhadores.


This study is a report on the experience regarding the process of construction and development of a Seminar on Occupational Health (SST) articulated by the residents of the Post-Graduation Program in Multi-professional Residency in Basic Care/Family Health of the University of the Itajaí Valley - UNIVALI, members of the Expanded Family Health Center (NASF) belonging to the Unified Health System (SUS) in the city of Itapema, in Santa Catarina. The SST had the support and partnership of the Health Surveillance (VS) and Occupational Health Program (PST) sectors for its implementation. The purpose of this study is to report on the construction of the SST and the strengthening of the permanent education of Itapema from the seminar. As a result of this experience, the "2nd Worker's Health Seminar: an expanded vision" was held in commemoration of the "Green April" campaign of 2018, with approximately 200 participants throughout the event, with the participation of teachers, educational counselors, directors and health professionals (basic care, specialized and management professionals) of the city of Itapema. With the SST, it was possible to diagnose the health needs of workers through a survey regarding the therapeutic itinerary and the opening of the possibility of support to those professionals in their work areas. In order to achieve this production of care, it is essential to strengthen the continuous education in the health of workers in Itapema; further strategies are needed to support professionals on their daily work in order to problematize the reported needs and reach other production practices for the health of workers.


Assuntos
Humanos , Masculino , Feminino , Adulto , Equipe de Assistência ao Paciente/classificação , Atenção Primária à Saúde/normas , Saúde do Trabalhador/educação , Congressos como Assunto/normas , Sistema Único de Saúde/organização & administração , Educação em Saúde/organização & administração , Pessoal de Saúde/normas , Necessidades e Demandas de Serviços de Saúde/normas , Corpo Clínico Hospitalar/educação
17.
Clin Auton Res ; 30(4): 325-330, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32661775

RESUMO

The coronavirus disease 2019 (COVID-19) pandemic has changed the way most medical procedures are performed. Autonomic units, as well as other healthcare sectors, are required to undergo a thorough reorganization of the protocols in order to guarantee the safety of patients and healthcare staff. Cardiovascular autonomic function testing (CAFT) is necessary in certain situations; however, it poses several concerns which need to be addressed. Here, we provide some practical advice based on current national and international health authorities' recommendations and our experience about how to perform CAFT during the COVID-19 emergency. We examine aspects regarding patients, healthcare staff, laboratory preparation, and test performance.


Assuntos
Sistema Nervoso Autônomo/fisiologia , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Técnicas de Diagnóstico Cardiovascular/normas , Pessoal de Saúde/normas , Equipamento de Proteção Individual/normas , Pneumonia Viral/epidemiologia , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/fisiopatologia , Humanos , Itália/epidemiologia , Pandemias , Pneumonia Viral/diagnóstico , Pneumonia Viral/fisiopatologia
18.
Aust Health Rev ; 44(4): 535-539, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32698942

RESUMO

Healthcare workers are at the frontline managing COVID-19 patients with transmission of the COVID-19 virus to healthcare workers evident in many Australian states. Minimisation of this spread is vital to protecting the healthcare workforce with individual organisations detailing best practice for infection and control. However, interpretation and implementation of infection control guidelines is varied across Australian Radiation Therapy Departments, highlighting inconsistencies. Strong leadership, quality communication and clear direction is required during this crisis to ensure that radiation therapists receive all necessary support and resources required to maintain safety and well-being during the COVID-19 pandemic.


Assuntos
Infecções por Coronavirus/prevenção & controle , Pessoal de Saúde/normas , Controle de Infecções/normas , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Guias de Prática Clínica como Assunto , Radioterapia/normas , Adulto , Austrália , Betacoronavirus , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
19.
United European Gastroenterol J ; 8(7): 798-803, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32615871

RESUMO

Since December 2019, a novel coronavirus disease, COVID-19, has occurred in China and has spread around the world rapidly. As an acute respiratory infectious disease, COVID-19 has been included in type B infectious diseases and managed according to the standard of type A infectious disease in China. Given the high risk of COVID-19 infection during endoscopic procedures via an airborne route, the Chinese Society of Digestive Endoscopy issued a series of recommendations to guide the endoscopy works in China during the pandemic. To the best of our knowledge, no new infectious case of COVID-19 resulting from endoscopic procedures has been reported in China to date. Here, these recommendations are integrated to provide guidance about the prevention of COVID-19 for endoscopists. The recommendations include advice about postponing non-urgent endoscopies, excluding the possibility of COVID-19 in patients undergoing endoscopy, protection of medical staff from coronavirus infection, and cleaning of endoscopy centres.


Assuntos
Infecções por Coronavirus/prevenção & controle , Endoscopia Gastrointestinal/normas , Controle de Infecções/organização & administração , Pandemias/prevenção & controle , Equipamento de Proteção Individual/normas , Pneumonia Viral/prevenção & controle , Guias de Prática Clínica como Assunto , Betacoronavirus/isolamento & purificação , Betacoronavirus/patogenicidade , China/epidemiologia , Técnicas de Laboratório Clínico/normas , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/transmissão , Infecções por Coronavirus/virologia , Endoscopia Gastrointestinal/instrumentação , Contaminação de Equipamentos/prevenção & controle , Gastroenterologia/métodos , Gastroenterologia/normas , Gastroenteropatias/diagnóstico , Gastroenteropatias/terapia , Pessoal de Saúde/normas , Humanos , Controle de Infecções/instrumentação , Controle de Infecções/normas , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Transmissão de Doença Infecciosa do Profissional para o Paciente/prevenção & controle , Salas Cirúrgicas/normas , Pneumonia Viral/epidemiologia , Pneumonia Viral/transmissão , Pneumonia Viral/virologia , Cuidados Pré-Operatórios/normas , Sociedades Médicas/normas
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