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        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introdu&#231;&#227;o&#58;</span> A tuberculose &#233; considerada uma doen&#231;a ocupacional nos profissionais de sa&#250;de e a sua transmiss&#227;o&#44; nas institui&#231;&#245;es de sa&#250;de&#44; constitui um problema importante&#46; Alguns servi&#231;os hospitalares est&#227;o particularmente expostos a risco de infec&#231;&#227;o&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Objectivo&#58;</span> Caracterizar os casos de tuberculose detectados na sequ&#234;ncia de um rastreio efectuado aos profissionais de sa&#250;de de um servi&#231;o hospitalar &#40;otorrinolaringologia&#41; que contactaram com casos de tuberculose activa&#46;</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Material e m&#233;todos&#58;</span> Procedeu-se &#224; realiza&#231;&#227;o de rastreio de tuberculose a todos os funcion&#225;rios &#40;73&#41; do servi&#231;o de Otorrinolaringologia do Hospital de S&#227;o Jo&#227;o que contactaram com dois doentes internados com tuberculose activa&#46; A todos aqueles que referiram sintomas foi realizada radiografia tor&#225;cica e exame micobacteriol&#243;gico de expectora&#231;&#227;o&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Resultados&#58;</span> Dos 73 profissionais de sa&#250;de submetidos ao rastreio&#44; foi estabelecido o diagn&#243;stico de tuberculose em 9 &#40;8 do sexo feminino&#59; idade mediana&#58; 30 anos&#59; uma m&#233;dica&#44; seis enfermeiros e dois auxiliares de ac&#231;&#227;o m&#233;dica&#41;&#46; Em 8 profissionais de sa&#250;de foi diagnosticada tuberculose pulmonar&#44; tratando-se o outro caso de tuberculose extra-pulmonar&#46; O diagn&#243;stico microbiol&#243;gico foi obtido em 7 casos pelos seguintes m&#233;todos&#58; exame micobacteriol&#243;gico directo de expectora&#231;&#227;o&#44; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#59; exame cultural de lavado br&#244;nquico&#44; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>4&#59; exame histol&#243;gico de tecido pleural&#44; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#46; Em 4 casos&#44; o DNA do <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span> foi extra&#237;do das culturas&#44; tendo sido efectuada tipagem molecular&#46; Todos estes casos apresentaram tipagem id&#234;ntica&#44; o que permite a identifica&#231;&#227;o de uma liga&#231;&#227;o epidemiol&#243;gica&#46;</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclus&#227;o&#58;</span> A tuberculose nosocomial &#233; relevante&#44; sendo necess&#225;rio efectuar um esfor&#231;o para implementar&#44; com sucesso&#44; medidas de controlo de infec&#231;&#227;o nas institui&#231;&#245;es de sa&#250;de&#44; assim como um programa eficaz de rastreio de tuberculose entre os profissionais de sa&#250;de&#46; A tipagem molecular do <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span> facilita a identifica&#231;&#227;o de <span class="elsevierStyleItalic">clusters</span> de infec&#231;&#227;o&#46;</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2007&#59; XIII &#40;6&#41;&#58; 789-799</span></p></span>"
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        "titulo" => "Abstract"
        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introduction&#58;</span> Tuberculosis &#40;TB&#41; is considered an occupational disease in health care workers &#40;HCW&#41; and its transmission in health care facilities is an important concern&#46; Some hospital departments are at higher risk of infection&#46;</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Objective&#58;</span> To describe TB cases detected after TB screening in HCW from a hospital department &#40;Ear&#44; Nose and Throat &#8211; ENT&#41; who had had contact with active TB cases&#46;</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Material and methods&#58;</span> All HCW &#40;73&#41; from <span class="elsevierStyleItalic">Hospital S&#227;o Jo&#227;o</span>&#8217;s ENT Unit who had been in contact with two in-patients with active TB underwent TB screening&#46; Those who had symptoms underwent chest X-ray and mycobacteriological sputum exam&#46;</p><p id="sp0050" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Results&#58;</span> Of 73 HCW who underwent TB screening&#44; TB diagnosis was established in 9 &#40;8 female&#59; median age&#58; 30 years&#59; 1 doctor&#44; 6 nurses&#44; 2 nursing auxiliaries&#41;&#46; Pulmonary TB was found in 8 and extra-pulmonary TB in 1&#46; Microbiology diagnosis was obtained in 7 cases by sputum smear&#44; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#59; culture exam in bronchial lavage&#44; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>4 and histological exam of pleural tissue&#44; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#46; In 4 cases&#44; <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span> genomic DNA was extracted from cultures and molecular typing was done&#46; All cases had identical MIRU types&#44; which allowed identification of the epidemiological link&#46;</p><p id="sp0055" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclusion&#58;</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&#46; Molecular typing of <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span> facilitates cluster identification&#46;</p><p id="sp0060" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2007&#59; XIII &#40;6&#41;&#58; 789-799</span></p></span>"
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Artigo Original / Original Article
Tuberculose em profissionais de saúde de um serviço hospitalar
Tuberculosis in hospital department health care workers
Sandra Saleiro1,
Corresponding author
sandrasaleiro@portugalmail.pt

Hospital de São João – Alameda Prof. Hernâni Monteiro, 4202-451 Porto, Telefone: 225512215
, Ana Rosa Santos2, Otília Vidal2, Teresa Carvalho3, José Torres Costa4, José Agostinho Marques5
1 Interna Complementar de Pneumologia / Pulmonology resident, Serviço de Pneumologia – Hospital de São João / Pulmonology Unit – Hospital de São João Director de Serviço: Prof. Doutor José Agostinho Marques / Director: Prof. Doutor José Agostinho Marques
2 Assistente Hospitalar Graduada de Pneumologia / Pulmonology consultant, Serviço de Pneumologia – Hospital de São João / Pulmonology Unit – Hospital de São João Director de Serviço: Prof. Doutor José Agostinho Marques / Director: Prof. Doutor José Agostinho Marques
3 Assessora Superior de Saúde; Licenciada em Farmácia / Senior health care assistant; Pharmacy graduate, Serviço de Microbiologia – Hospital de São João / Microbiology Unit – Hospital de São João Directora de Serviço: Prof. Doutora Maria José Vaz / Director: Prof. Doutora Maria José Vaz
4 Assistente Hospitalar Graduado de Imunoalergologia / Allergology and Clinical Immunology consultant, Serviço de Saúde Ocupacional – Hospital de São João / Occupational Health Unit – Hospital de São João Director de Serviço: Prof. Doutor José Torres Costa / Director: Prof. Doutor José Torres Costa
5 Chefe de Serviço e Director de Serviço de Pneumologia / Head /director, Pulmonology Unit, Serviço de Pneumologia – Hospital de São João / Pulmonology Unit – Hospital de São João Director de Serviço: Prof. Doutor José Agostinho Marques / Director: Prof. Doutor José Agostinho Marques
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        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introdu&#231;&#227;o&#58;</span> A tuberculose &#233; considerada uma doen&#231;a ocupacional nos profissionais de sa&#250;de e a sua transmiss&#227;o&#44; nas institui&#231;&#245;es de sa&#250;de&#44; constitui um problema importante&#46; Alguns servi&#231;os hospitalares est&#227;o particularmente expostos a risco de infec&#231;&#227;o&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Objectivo&#58;</span> Caracterizar os casos de tuberculose detectados na sequ&#234;ncia de um rastreio efectuado aos profissionais de sa&#250;de de um servi&#231;o hospitalar &#40;otorrinolaringologia&#41; que contactaram com casos de tuberculose activa&#46;</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Material e m&#233;todos&#58;</span> Procedeu-se &#224; realiza&#231;&#227;o de rastreio de tuberculose a todos os funcion&#225;rios &#40;73&#41; do servi&#231;o de Otorrinolaringologia do Hospital de S&#227;o Jo&#227;o que contactaram com dois doentes internados com tuberculose activa&#46; A todos aqueles que referiram sintomas foi realizada radiografia tor&#225;cica e exame micobacteriol&#243;gico de expectora&#231;&#227;o&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Resultados&#58;</span> Dos 73 profissionais de sa&#250;de submetidos ao rastreio&#44; foi estabelecido o diagn&#243;stico de tuberculose em 9 &#40;8 do sexo feminino&#59; idade mediana&#58; 30 anos&#59; uma m&#233;dica&#44; seis enfermeiros e dois auxiliares de ac&#231;&#227;o m&#233;dica&#41;&#46; Em 8 profissionais de sa&#250;de foi diagnosticada tuberculose pulmonar&#44; tratando-se o outro caso de tuberculose extra-pulmonar&#46; O diagn&#243;stico microbiol&#243;gico foi obtido em 7 casos pelos seguintes m&#233;todos&#58; exame micobacteriol&#243;gico directo de expectora&#231;&#227;o&#44; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#59; exame cultural de lavado br&#244;nquico&#44; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>4&#59; exame histol&#243;gico de tecido pleural&#44; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#46; Em 4 casos&#44; o DNA do <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span> foi extra&#237;do das culturas&#44; tendo sido efectuada tipagem molecular&#46; Todos estes casos apresentaram tipagem id&#234;ntica&#44; o que permite a identifica&#231;&#227;o de uma liga&#231;&#227;o epidemiol&#243;gica&#46;</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclus&#227;o&#58;</span> A tuberculose nosocomial &#233; relevante&#44; sendo necess&#225;rio efectuar um esfor&#231;o para implementar&#44; com sucesso&#44; medidas de controlo de infec&#231;&#227;o nas institui&#231;&#245;es de sa&#250;de&#44; assim como um programa eficaz de rastreio de tuberculose entre os profissionais de sa&#250;de&#46; A tipagem molecular do <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span> facilita a identifica&#231;&#227;o de <span class="elsevierStyleItalic">clusters</span> de infec&#231;&#227;o&#46;</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2007&#59; XIII &#40;6&#41;&#58; 789-799</span></p></span>"
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        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introduction&#58;</span> Tuberculosis &#40;TB&#41; is considered an occupational disease in health care workers &#40;HCW&#41; and its transmission in health care facilities is an important concern&#46; Some hospital departments are at higher risk of infection&#46;</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Objective&#58;</span> To describe TB cases detected after TB screening in HCW from a hospital department &#40;Ear&#44; Nose and Throat &#8211; ENT&#41; who had had contact with active TB cases&#46;</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Material and methods&#58;</span> All HCW &#40;73&#41; from <span class="elsevierStyleItalic">Hospital S&#227;o Jo&#227;o</span>&#8217;s ENT Unit who had been in contact with two in-patients with active TB underwent TB screening&#46; Those who had symptoms underwent chest X-ray and mycobacteriological sputum exam&#46;</p><p id="sp0050" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Results&#58;</span> Of 73 HCW who underwent TB screening&#44; TB diagnosis was established in 9 &#40;8 female&#59; median age&#58; 30 years&#59; 1 doctor&#44; 6 nurses&#44; 2 nursing auxiliaries&#41;&#46; Pulmonary TB was found in 8 and extra-pulmonary TB in 1&#46; Microbiology diagnosis was obtained in 7 cases by sputum smear&#44; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#59; culture exam in bronchial lavage&#44; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>4 and histological exam of pleural tissue&#44; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#46; In 4 cases&#44; <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span> genomic DNA was extracted from cultures and molecular typing was done&#46; All cases had identical MIRU types&#44; which allowed identification of the epidemiological link&#46;</p><p id="sp0055" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclusion&#58;</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&#46; Molecular typing of <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span> facilitates cluster identification&#46;</p><p id="sp0060" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2007&#59; XIII &#40;6&#41;&#58; 789-799</span></p></span>"
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Article information
ISSN: 08732159
Original language: Portuguese
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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
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Pulmonology

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