Hospital de São João – Alameda Prof. Hernâni Monteiro, 4202-451 Porto, Telefone: 225512215
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=> array:4 [ "nombre" => "Sandra" "apellidos" => "Saleiro" "email" => array:1 [ 0 => "sandrasaleiro@portugalmail.pt" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "af0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cr0005" ] ] ] 1 => array:3 [ "nombre" => "Ana Rosa" "apellidos" => "Santos" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "af0010" ] ] ] 2 => array:3 [ "nombre" => "Otília" "apellidos" => "Vidal" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "af0010" ] ] ] 3 => array:3 [ "nombre" => "Teresa" "apellidos" => "Carvalho" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "af0015" ] ] ] 4 => array:3 [ "nombre" => "José Torres" "apellidos" => "Costa" "referencia" => array:1 [ 0 => array:2 [ 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class="elsevierStyleItalic">Pulmonology Unit – Hospital de São João</span> Director de Serviço: Prof. Doutor José Agostinho Marques / <span class="elsevierStyleItalic">Director: Prof. Doutor José Agostinho Marques</span>" "etiqueta" => "2" "identificador" => "af0010" ] 2 => array:3 [ "entidad" => "Assessora Superior de Saúde; Licenciada em Farmácia / <span class="elsevierStyleItalic">Senior health care assistant; Pharmacy graduate,</span> Serviço de Microbiologia – Hospital de São João / <span class="elsevierStyleItalic">Microbiology Unit – Hospital de São João</span> Directora de Serviço: Prof. Doutora Maria José Vaz / <span class="elsevierStyleItalic">Director: Prof. Doutora Maria José Vaz</span>" "etiqueta" => "3" "identificador" => "af0015" ] 3 => array:3 [ "entidad" => "Assistente Hospitalar Graduado de Imunoalergologia / <span class="elsevierStyleItalic">Allergology and Clinical Immunology consultant,</span> Serviço de Saúde Ocupacional – Hospital de São João / <span 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[ "en" => array:1 [ "titulo" => "Tuberculosis in hospital department health care workers" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2006-10-16" "fechaAceptado" => "2007-06-01" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec570433" "palabras" => array:3 [ 0 => "Tuberculose" 1 => "profissionais de saúde" 2 => "nosocomial" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec570434" "palabras" => array:3 [ 0 => "Tuberculosis" 1 => "health care workers" 2 => "nosocomial" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introdução:</span> A tuberculose é considerada uma doença ocupacional nos profissionais de saúde e a sua transmissão, nas instituições de saúde, constitui um problema importante. Alguns serviços hospitalares estão particularmente expostos a risco de infecção.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Objectivo:</span> Caracterizar os casos de tuberculose detectados na sequência de um rastreio efectuado aos profissionais de saúde de um serviço hospitalar (otorrinolaringologia) que contactaram com casos de tuberculose activa.</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Material e métodos:</span> Procedeu-se à realização de rastreio de tuberculose a todos os funcionários (73) do serviço de Otorrinolaringologia do Hospital de São João que contactaram com dois doentes internados com tuberculose activa. A todos aqueles que referiram sintomas foi realizada radiografia torácica e exame micobacteriológico de expectoração.</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Resultados:</span> Dos 73 profissionais de saúde submetidos ao rastreio, foi estabelecido o diagnóstico de tuberculose em 9 (8 do sexo feminino; idade mediana: 30 anos; uma médica, seis enfermeiros e dois auxiliares de acção médica). Em 8 profissionais de saúde foi diagnosticada tuberculose pulmonar, tratando-se o outro caso de tuberculose extra-pulmonar. O diagnóstico microbiológico foi obtido em 7 casos pelos seguintes métodos: exame micobacteriológico directo de expectoração, n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>2; exame cultural de lavado brônquico, n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>4; exame histológico de tecido pleural, n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1. Em 4 casos, o DNA do <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span> foi extraído das culturas, tendo sido efectuada tipagem molecular. Todos estes casos apresentaram tipagem idêntica, o que permite a identificação de uma ligação epidemiológica.</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclusão:</span> A tuberculose nosocomial é relevante, sendo necessário efectuar um esforço para implementar, com sucesso, medidas de controlo de infecção nas instituições de saúde, assim como um programa eficaz de rastreio de tuberculose entre os profissionais de saúde. A tipagem molecular do <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span> facilita a identificação de <span class="elsevierStyleItalic">clusters</span> de infecção.</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2007; XIII (6): 789-799</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introduction:</span> Tuberculosis (TB) is considered an occupational disease in health care workers (HCW) and its transmission in health care facilities is an important concern. Some hospital departments are at higher risk of infection.</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Objective:</span> To describe TB cases detected after TB screening in HCW from a hospital department (Ear, Nose and Throat – ENT) who had had contact with active TB cases.</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Material and methods:</span> All HCW (73) from <span class="elsevierStyleItalic">Hospital São João</span>’s ENT Unit who had been in contact with two in-patients with active TB underwent TB screening. Those who had symptoms underwent chest X-ray and mycobacteriological sputum exam.</p><p id="sp0050" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Results:</span> Of 73 HCW who underwent TB screening, TB diagnosis was established in 9 (8 female; median age: 30 years; 1 doctor, 6 nurses, 2 nursing auxiliaries). Pulmonary TB was found in 8 and extra-pulmonary TB in 1. Microbiology diagnosis was obtained in 7 cases by sputum smear, n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>2; culture exam in bronchial lavage, n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>4 and histological exam of pleural tissue, n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>1. In 4 cases, <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span> genomic DNA was extracted from cultures and molecular typing was done. All cases had identical MIRU types, which allowed identification of the epidemiological link.</p><p id="sp0055" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclusion:</span> Nosocomial TB is prominent and efforts should be made to implement successful infection control measures in health care facilities and an effective TB screening program in HCW. Molecular typing of <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span> facilitates cluster identification.</p><p id="sp0060" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2007; XIII (6): 789-799</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:18 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." 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Sayiner" 6 => "M.D. Ozsoz" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Respir Med" "fecha" => "2002" "volumen" => "96" "numero" => "7" "paginaInicial" => "506" "paginaFinal" => "510" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12194634" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bb0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Increased risk of tuberculosis among health care workers in Samara Oblast, Russia: analysis of notification data" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:8 [ 0 => "B. Dimitrova" 1 => "A. Hutchings" 2 => "R. Atun" 3 => "F. Drobniewski" 4 => "G. Marchenko" 5 => "S. Zakharova" 6 => "I. Fedorin" 7 => "R.J. Coker" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Int J Tuberc Lung Dis" "fecha" => "2005" "volumen" => "9" "numero" => "1" "paginaInicial" => "43" "paginaFinal" => "48" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15675549" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bb0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Occupational risk of tuberculosis among health care workers at the Institute for Pulmonary Diseases of Serbia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:8 [ 0 => "V. Skodric" 1 => "B. Savic" 2 => "M. Jovanovic" 3 => "I. Pesic" 4 => "J. Videnovic" 5 => "V. Zugic" 6 => "J. Rakovic" 7 => "M. 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"referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tuberculosis among health care workers in a short working period" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "S. Hosoglu" 1 => "A.C. Tanrikulu" 2 => "C. Dagli" 3 => "S. Akalin" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ajic.2004.07.013" "Revista" => array:7 [ "tituloSerie" => "Am J Infect Control" "fecha" => "2005" "volumen" => "33" "numero" => "1" "paginaInicial" => "23" "paginaFinal" => "26" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15685131" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bb0040" "etiqueta" => "8." 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Original language: Portuguese
Year/Month | Html | Total | |
---|---|---|---|
2024 November | 5 | 3 | 8 |
2024 October | 28 | 31 | 59 |
2024 September | 29 | 34 | 63 |
2024 August | 36 | 40 | 76 |
2024 July | 26 | 39 | 65 |
2024 June | 30 | 22 | 52 |
2024 May | 19 | 35 | 54 |
2024 April | 35 | 32 | 67 |
2024 March | 31 | 21 | 52 |
2024 February | 28 | 20 | 48 |
2024 January | 26 | 19 | 45 |
2023 December | 22 | 25 | 47 |
2023 November | 32 | 31 | 63 |
2023 October | 12 | 20 | 32 |
2023 September | 18 | 27 | 45 |
2023 August | 26 | 22 | 48 |
2023 July | 22 | 23 | 45 |
2023 June | 21 | 14 | 35 |
2023 May | 18 | 21 | 39 |
2023 April | 25 | 18 | 43 |
2023 March | 31 | 27 | 58 |
2023 February | 12 | 21 | 33 |
2023 January | 22 | 17 | 39 |
2022 December | 24 | 17 | 41 |
2022 November | 31 | 38 | 69 |
2022 October | 26 | 17 | 43 |
2022 September | 17 | 29 | 46 |
2022 August | 25 | 44 | 69 |
2022 July | 32 | 29 | 61 |
2022 June | 17 | 26 | 43 |
2022 May | 35 | 35 | 70 |
2022 April | 17 | 43 | 60 |
2022 March | 22 | 36 | 58 |
2022 February | 35 | 27 | 62 |
2022 January | 26 | 37 | 63 |
2021 December | 24 | 34 | 58 |
2021 November | 27 | 25 | 52 |
2021 October | 30 | 30 | 60 |
2021 September | 24 | 23 | 47 |
2021 August | 17 | 26 | 43 |
2021 July | 28 | 20 | 48 |
2021 June | 23 | 25 | 48 |
2021 May | 31 | 26 | 57 |
2021 April | 33 | 34 | 67 |
2021 March | 38 | 15 | 53 |
2021 February | 42 | 14 | 56 |
2021 January | 42 | 17 | 59 |
2020 December | 17 | 6 | 23 |
2020 November | 38 | 23 | 61 |
2020 October | 40 | 7 | 47 |
2020 September | 50 | 22 | 72 |
2020 August | 75 | 24 | 99 |
2020 July | 98 | 17 | 115 |
2020 June | 77 | 19 | 96 |
2020 May | 104 | 16 | 120 |
2020 April | 71 | 12 | 83 |
2020 March | 51 | 11 | 62 |
2020 February | 73 | 26 | 99 |
2020 January | 68 | 18 | 86 |
2019 December | 81 | 14 | 95 |
2019 November | 61 | 14 | 75 |
2019 October | 67 | 10 | 77 |
2019 September | 70 | 20 | 90 |
2019 August | 91 | 12 | 103 |
2019 July | 73 | 15 | 88 |
2019 June | 67 | 11 | 78 |
2019 May | 85 | 25 | 110 |
2019 April | 70 | 21 | 91 |
2019 March | 97 | 19 | 116 |
2019 February | 94 | 20 | 114 |
2019 January | 92 | 17 | 109 |
2018 December | 42 | 11 | 53 |
2018 November | 18 | 5 | 23 |
2018 October | 14 | 0 | 14 |
2018 September | 14 | 9 | 23 |
2018 August | 38 | 24 | 62 |
2018 July | 32 | 19 | 51 |
2018 June | 48 | 22 | 70 |
2018 May | 52 | 18 | 70 |
2018 April | 56 | 33 | 89 |
2018 March | 52 | 29 | 81 |
2018 February | 36 | 9 | 45 |
2018 January | 28 | 13 | 41 |
2017 December | 43 | 18 | 61 |
2017 November | 28 | 13 | 41 |
2017 October | 27 | 5 | 32 |
2017 September | 33 | 13 | 46 |
2017 August | 31 | 11 | 42 |
2017 July | 21 | 5 | 26 |
2017 June | 25 | 15 | 40 |
2017 May | 38 | 19 | 57 |
2017 April | 14 | 14 | 28 |
2017 March | 19 | 24 | 43 |
2017 February | 11 | 7 | 18 |
2017 January | 8 | 2 | 10 |
2016 December | 13 | 5 | 18 |
2016 November | 8 | 4 | 12 |
2016 October | 8 | 10 | 18 |
2016 September | 6 | 2 | 8 |
2016 August | 1 | 1 | 2 |
2016 July | 5 | 4 | 9 |
2016 June | 0 | 4 | 4 |
2016 May | 3 | 4 | 7 |
2016 April | 3 | 4 | 7 |
2016 March | 4 | 4 | 8 |
2016 February | 3 | 11 | 14 |
2016 January | 5 | 3 | 8 |
2015 December | 6 | 2 | 8 |
2015 November | 2 | 2 | 4 |
2015 October | 3 | 2 | 5 |