Correspondência/Correspondence to: José Torres da Costa, Estrada de St.ª Luzia, n.º 269 4900-408 Viana do Castelo, Portugal
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"subdocumento" => "fla" "cita" => "Rev Port Pneumol. 2010;16:23-55" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2466 "formatos" => array:3 [ "EPUB" => 213 "HTML" => 1525 "PDF" => 728 ] ] "pt" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Artigo Original/Original Article</span>" "titulo" => "Qualidade de vida em doentes com asma" "tienePdf" => "pt" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "pt" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "23" "paginaFinal" => "55" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Quality of life in asthma patients" ] ] "contieneResumen" => array:2 [ "pt" => true "en" => true ] "contienePdf" => array:1 [ "pt" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Lara Noronha Ferreira, Ulisses Brito, Pedro Lopes Ferreira" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Lara Noronha" "apellidos" => "Ferreira" ] 1 => array:2 [ "nombre" => "Ulisses" "apellidos" => "Brito" ] 2 => array:2 [ "nombre" => "Pedro Lopes" "apellidos" => "Ferreira" ] ] ] ] ] "idiomaDefecto" => "pt" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915300052?idApp=UINPBA00004E" "url" => "/08732159/0000001600000001/v1_201509151437/S0873215915300052/v1_201509151437/pt/main.assets" ] "pt" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Artigo Original/Original Article</span>" "titulo" => "Tuberculose – Risco de transmissão continuada em profissionais de saúde" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "5" "paginaFinal" => "21" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "José Torres Costa, Rui Silva, Raul Sá, Maria João Cardoso, José Ferreira, Carla Ribeiro, Mário Miranda, José Luís Plácido" "autores" => array:8 [ 0 => array:4 [ "nombre" => "José Torres" "apellidos" => "Costa" "email" => array:1 [ 0 => "zecatoco@sapo.pt" ] "referencia" => array:4 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "af0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "af0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "af0015" ] 3 => array:2 [ "etiqueta" => "*" "identificador" => "cr0005" ] ] ] 1 => array:3 [ "nombre" => "Rui" "apellidos" => "Silva" "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "af0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "af0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "af0015" ] ] ] 2 => array:3 [ "nombre" => "Raul" "apellidos" => "Sá" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "af0005" ] ] ] 3 => array:3 [ "nombre" => "Maria João" "apellidos" => "Cardoso" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">4</span>" "identificador" => "af0020" ] ] ] 4 => array:3 [ "nombre" => "José" "apellidos" => "Ferreira" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "af0005" ] ] ] 5 => array:3 [ "nombre" => "Carla" "apellidos" => "Ribeiro" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "af0005" ] ] ] 6 => array:3 [ "nombre" => "Mário" "apellidos" => "Miranda" "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "af0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "af0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "af0015" ] ] ] 7 => array:3 [ "nombre" => "José Luís" "apellidos" => "Plácido" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "af0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "af0010" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Serviço de Saúde Ocupacional, Hospital S. João, EPE – Porto/Occupational Health Unit, Hospital S. João, EPE – Porto, Portugal" "etiqueta" => "1" "identificador" => "af0005" ] 1 => array:3 [ "entidad" => "Serviço de Imunoalergologia, Hospital S. João, EPE – Porto/Allergology and Clinical Immunology Unit, Hospital S. João, EPE – Porto, Portugal" "etiqueta" => "2" "identificador" => "af0010" ] 2 => array:3 [ "entidad" => "Faculdade de Medicina, Universidade do Porto/Faculty of Medicine, Universidade do Porto, Portugal" "etiqueta" => "3" "identificador" => "af0015" ] 3 => array:3 [ "entidad" => "Serviço de Patologia Clínica, Hospital S. João, EPE – Porto/Clinical Pathology Unit, Hospital S. João, EPE – Porto, Portugal" "etiqueta" => "4" "identificador" => "af0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cr0005" "etiqueta" => "*" "correspondencia" => "<span class="elsevierStyleBold">Correspondência/Correspondence to:</span> José Torres da Costa, Estrada de St.ª Luzia, n.º 269 4900-408 Viana do Castelo, Portugal" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Tuberculosis – Risk of continued transmission in healthcare workers" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-06-05" "fechaAceptado" => "2009-07-22" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec570101" "palabras" => array:6 [ 0 => "Tuberculose" 1 => "tuberculose latente" 2 => "Mantoux" 3 => "prova de tuberculina" 4 => "interferão-gama" 5 => "profissionais de saúde" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec570100" "palabras" => array:6 [ 0 => "Tuberculosis" 1 => "latent tuberculosis" 2 => "Mantoux" 3 => "tuberculin skin test" 4 => "interferon-gamma" 5 => "healthcare workers" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introdução:</span> O controlo da tuberculose (TB) em profissionais de saúde passa pelo reconhecimento precoce dos contactos, adopção de medidas de protecção eficazes e despiste dos casos de tuberculose latente (TL) e latente recente.</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Objectivos:</span> Rastreio sistemático de TB e TL nos profissionais de saúde com contacto com doentes ou funcionários com TB e risco de contágio.</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Material e métodos:</span> Num hospital com aproximadamente 5400 funcionários, entre Setembro de 2007 e Dezembro de 2008, realizaram-se 13 rastreios de risco de TB continuada. Estes foram constituídos por observação clínica, realização de prova de tuberculina (PT), teste de Quantiferon®-TB Gold (QTF) se PT ≥<span class="elsevierStyleHsp" style=""></span>10mm e <<span class="elsevierStyleHsp" style=""></span>15mm e RX tórax. O diagnóstico foi efectuado de acordo com as recomendações da SPP.</p><p id="sp0050" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Resultados:</span> Nos 13 rastreios efectuados foram englobados 792 profissionais (563 ♀; 229 ♂). Destes, 75 apresentavam sintomas e 31 alterações radiológi-cas. A PT foi efectuada em 490 profissionais, sendo <<span class="elsevierStyleHsp" style=""></span>10<span class="elsevierStyleHsp" style=""></span>mm em 250, ≥<span class="elsevierStyleHsp" style=""></span>10 e <<span class="elsevierStyleHsp" style=""></span>15<span class="elsevierStyleHsp" style=""></span>mm em 175 (QTF positivo em 36) e ≥<span class="elsevierStyleHsp" style=""></span>15<span class="elsevierStyleHsp" style=""></span>mm em 65. Dos profissionais rastreados, 280 tinham PT anterior ≥<span class="elsevierStyleHsp" style=""></span>15<span class="elsevierStyleHsp" style=""></span>mm, pelo que não foi repetida. Durante o rastreio foi diagnosticado um caso de TB activa num profissional, 408 casos de TL (51,5%) e 42 de TL recente (5,3%).</p><p id="sp0055" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclusões:</span> A TB é considerada como doença profissional nos profissionais da saúde. O rastreio dos contactos e dos casos de TL é uma importante ferramenta para o diagnóstico precoce de doença activa e para a identificação dos casos de maior risco de doença futura.</p><p id="sp0060" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010; XVI (1): 5-21</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introduction:</span> Control of tuberculosis (TB) in healthcare workers requires an early recognition of contacts, the adoption of efficient protective measures and screening for cases of latent tuberculosis (TL) and recent TL.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Aims:</span> Systematic screening for TB and TL in healthcare workers with contact with patients or other workers with TB and risk of contagion.</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Material and methods:</span> In a hospital with approximately 5400 workers 13 screenings were performed September 2007– December 2008 due to risk of continued TB. These consisted of clinical observation, tuberculin skin test (PT), Quantiferon®-TB Gold (QTF) test if PT ≥<span class="elsevierStyleHsp" style=""></span>10mm and <<span class="elsevierStyleHsp" style=""></span>15mm and chest X-ray. The diagnoses were performed according to the recommendations of the Portuguese Pulmonolgy Society (SPP).</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall">Results: 792 workers (563 ♂; 229 ♀) were included in the 13 screenings. Of these, 75 presented symptoms and 31 had radiology abnormalities. PT was performed in 490 workers, with results <<span class="elsevierStyleHsp" style=""></span>10<span class="elsevierStyleHsp" style=""></span>mm in 250, ≥<span class="elsevierStyleHsp" style=""></span>10 and <<span class="elsevierStyleHsp" style=""></span>15<span class="elsevierStyleHsp" style=""></span>mm in 175 (QTF positive in 36) and ≥<span class="elsevierStyleHsp" style=""></span>15<span class="elsevierStyleHsp" style=""></span>mm in 65. Of the screened workers, 280 had a previous PT ≥<span class="elsevierStyleHsp" style=""></span>15 mm, and therefore it was not repeated. 1 case of active TB was diagnosed in a worker, as well as 408 cases of TL (51.5%) and 42 cases of recent TL (5.3%).</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall">Conclusions: TB is considered an occupational disease in healthcare workers. The screening of contacts and TL cases is an important tool for an early diagnosis of active disease and for identifying the cases with higher risk of future disease.</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010; XVI (1): 5-21</span></p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia/Bibliography</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:36 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tuberculosis and the health care worker: a historical perspective" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "K.A. 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Original language: Portuguese
Year/Month | Html | Total | |
---|---|---|---|
2024 November | 3 | 2 | 5 |
2024 October | 38 | 30 | 68 |
2024 September | 32 | 21 | 53 |
2024 August | 42 | 35 | 77 |
2024 July | 30 | 32 | 62 |
2024 June | 24 | 21 | 45 |
2024 May | 24 | 28 | 52 |
2024 April | 28 | 29 | 57 |
2024 March | 49 | 29 | 78 |
2024 February | 24 | 23 | 47 |
2024 January | 21 | 30 | 51 |
2023 December | 23 | 32 | 55 |
2023 November | 21 | 25 | 46 |
2023 October | 18 | 25 | 43 |
2023 September | 16 | 31 | 47 |
2023 August | 27 | 16 | 43 |
2023 July | 22 | 33 | 55 |
2023 June | 18 | 22 | 40 |
2023 May | 26 | 33 | 59 |
2023 April | 24 | 21 | 45 |
2023 March | 20 | 31 | 51 |
2023 February | 21 | 22 | 43 |
2023 January | 24 | 18 | 42 |
2022 December | 20 | 32 | 52 |
2022 November | 38 | 47 | 85 |
2022 October | 27 | 41 | 68 |
2022 September | 24 | 24 | 48 |
2022 August | 31 | 54 | 85 |
2022 July | 18 | 35 | 53 |
2022 June | 22 | 34 | 56 |
2022 May | 34 | 46 | 80 |
2022 April | 26 | 49 | 75 |
2022 March | 17 | 34 | 51 |
2022 February | 21 | 28 | 49 |
2022 January | 25 | 27 | 52 |
2021 December | 26 | 46 | 72 |
2021 November | 17 | 28 | 45 |
2021 October | 25 | 43 | 68 |
2021 September | 26 | 29 | 55 |
2021 August | 15 | 22 | 37 |
2021 July | 32 | 20 | 52 |
2021 June | 19 | 20 | 39 |
2021 May | 30 | 20 | 50 |
2021 April | 33 | 79 | 112 |
2021 March | 27 | 12 | 39 |
2021 February | 37 | 17 | 54 |
2021 January | 28 | 13 | 41 |
2020 December | 26 | 4 | 30 |
2020 November | 47 | 15 | 62 |
2020 October | 24 | 18 | 42 |
2020 September | 41 | 21 | 62 |
2020 August | 58 | 27 | 85 |
2020 July | 70 | 15 | 85 |
2020 June | 48 | 22 | 70 |
2020 May | 78 | 27 | 105 |
2020 April | 61 | 7 | 68 |
2020 March | 51 | 15 | 66 |
2020 February | 38 | 18 | 56 |
2020 January | 44 | 22 | 66 |
2019 December | 48 | 27 | 75 |
2019 November | 65 | 15 | 80 |
2019 October | 51 | 28 | 79 |
2019 September | 41 | 16 | 57 |
2019 August | 61 | 16 | 77 |
2019 July | 39 | 18 | 57 |
2019 June | 32 | 13 | 45 |
2019 May | 37 | 28 | 65 |
2019 April | 40 | 15 | 55 |
2019 March | 39 | 18 | 57 |
2019 February | 31 | 17 | 48 |
2019 January | 28 | 16 | 44 |
2018 December | 22 | 13 | 35 |
2018 November | 2 | 0 | 2 |
2018 October | 5 | 6 | 11 |
2018 September | 17 | 7 | 24 |
2018 August | 40 | 26 | 66 |
2018 July | 18 | 19 | 37 |
2018 June | 50 | 18 | 68 |
2018 May | 41 | 13 | 54 |
2018 April | 51 | 33 | 84 |
2018 March | 32 | 30 | 62 |
2018 February | 40 | 12 | 52 |
2018 January | 34 | 19 | 53 |
2017 December | 41 | 15 | 56 |
2017 November | 34 | 25 | 59 |
2017 October | 20 | 14 | 34 |
2017 September | 21 | 8 | 29 |
2017 August | 19 | 12 | 31 |
2017 July | 12 | 5 | 17 |
2017 June | 32 | 26 | 58 |
2017 May | 36 | 23 | 59 |
2017 April | 14 | 7 | 21 |
2017 March | 17 | 29 | 46 |
2017 February | 10 | 7 | 17 |
2017 January | 11 | 8 | 19 |
2016 December | 13 | 4 | 17 |
2016 November | 7 | 2 | 9 |
2016 October | 11 | 9 | 20 |
2016 September | 5 | 3 | 8 |
2016 August | 3 | 3 | 6 |
2016 July | 3 | 3 | 6 |
2016 June | 0 | 3 | 3 |
2016 May | 2 | 4 | 6 |
2016 April | 3 | 1 | 4 |
2016 March | 5 | 5 | 10 |
2016 February | 14 | 10 | 24 |
2016 January | 9 | 6 | 15 |
2015 December | 14 | 5 | 19 |
2015 November | 3 | 2 | 5 |
2015 October | 2 | 2 | 4 |