Clarissa Sales de Paula Campêlo

Unichristus

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Co-Authors

Fabrício Bitú Sousa

Universidade Federal do Ceará

Paulo Goberlânio de Barros Silva

Universidade Federal do Ceará

Bráulio Matias de Carvalho

Hospital de Messejana

Eliane Ferreira Sampaio

Hospital de Messejana

Tácio Pinheiro Bezerra

Unichristus

Francisco Artur Forte Oliveira

Unichristus

Pedro de Freitas Santos Manzi de Souza

Universidade Federal do Ceará

André Luis Almeida Alves Filho

Unichristus

Tatiane Andrade Figueiredo Rojas Nottingham

Hospital de Messejana

Tereza de Jesus Pinheiro Gomes Bandeira

Unichristus

Cooperative Institutions

Unichristus

Universidade Federal do Ceará

Christ University

Hospital Universitario Infanta Leonor

Hospital de Messejana

Universidade Estadual do Ceará

Hospital Haroldo Juaçaba

Hospital Universitário Walter Cantídio

Universidade de Fortaleza

Universidad Intercultural de Chiapas

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Intraoral device for sociodigital inclusion of patient with quadriplegia

Journal of Health & Biological Sciences (2022)

Clarissa Sales de Paula Campêlo Francisco Artur Forte Oliveira Fabrício Bitú Sousa Tácio Pinheiro Bezerra

Introduction : The use of computers, tablets, and cell phones with the Internet by people with quadriplegia from spinal cord injuries is much lower when compared to the general population. The quality of life of these people can be substantially improved through access to these technologies, which would allow a quadriplegic to take advantage of the rapid evolution of information and communication. Many of these individuals have the function of preserved neck and mouth muscles, and it is possible to manipulate intraoral devices as an adaptation tool. Case Report : We report an intraoral device installation in a patient with quadriplegia, a victim of a firearm accident, who had a great desire to reuse the tablet for internet access. A device made of acrylic resin, similar to a myorelaxant plate, was designed to allow the use of a computer that was comfortable and at the same time, the patient could talk and not harm the dental structures. The person responsible agreed to participate in the research and signed the consent form. In addition, the work was submitted to an ethics committee. Considerations : The ideal intra-oral device for patient rehabilitation should be inexpensive, easy to adapt and promote muscle relaxation besides allowing the patient to expand their abilities and digitally increase their autonomy for society.

10.12662/2317-3076jhbs.v10i1.4219.p1-5.2022

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Microbial profile of the oral cavity of patients under mechanical ventilation is not influenced by the edentamento: an observational study

Journal of Health & Biological Sciences (2022)

Clarissa Sales de Paula Campêlo Paulo Goberlânio de Barros Silva Bráulio Matias de Carvalho Eliane Ferreira Sampaio Tatiane Andrade Figueiredo Rojas Nottingham

Objective : Understand whether the collection site (toothless or toothless) influences the frequency of bacteria in the oral cavity. It was performed as an observational, prospective, and cross-sectional study. Methods : Clinical samples of the oral surfaces of the teeth and/or cheek mucosa were collected in the oral cavity of 37 patients who underwent elective cardiac surgery in the preoperative period from May to July 2019. The clinical samples collected were subjected to identification of colonies and antimicrobial sensitivity tests. Results : It was observed that regardless of whether the collection site is toothless or toothless, the microbial profile, socio-demographic variables, comorbidities, and risk factors do not statistically influence the choice of the collection site. Conclusions : there wasn’t statistical difference between the strains found at the collection sites. Practical Implications: the result found is relevant for other researchers that will work with oral cavity collections since the chosen collection site will not influence the frequency of strains found.

10.12662/2317-3076jhbs.v10i1.4513.p1-5.2022

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P010: Bloodstream infections by drug-resistant organisms in a secondary hospital

Antimicrobial Resistance and Infection Control (2013)

Teresa Giménez-Júlvez M Rodriguez-Aguirregabiria Clarissa Sales de Paula Campêlo E. Palencia-Herrejón MJ Moreno Sanchez

DR-BSI caused by Acitetobacter carbapenem resistant and 3 DR-BSI by P. aeruginosa carbapenem resistant. Median time to diagnosis for DR-Nosocomial BSI was 14 days (IQR), 7-35 days after hospital admission. For Gram-negative was 11 days (7.5-31.5) and for Grampositive 19 days (7-29). Only 31.7% of DR-BSI received appropriate initial empirical antimicrobial therapy versus 73.5% of non DR-BSI (p<0.001). More than one third (36.5%) of the episodes occur with significant systemic response (severe sepsis or septic shock). The crude mortality rate was 25.4 % (p<0.001). If the patient developed severe sepsis or septic shock crude mortality rose to 52.2%. Conclusion

Carbapenem

Medical microbiology

Multi drug resistant

Bloodstream infection

Surviving Sepsis Campaign

10.1186/2047-2994-2-s1-p10

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Influência do tempo de permanência hospitalar pré-operatória no perfil de resistência a antimicrobianos da microbiota oral de pacientes em hospital terciário

Clarissa Sales de Paula Campêlo

The human microbiota is considered part of the innate defenses of the human body because it coexists in symbiotic harmony with the host. However, several factors, especially the use of antimicrobials, can trigger an imbalance in the microbial quantity and diversity called dysbiosis. Thus, multidrug-resistant bacteria represent a major problem, as it makes it difficult to choose therapy, compromising patient recovery, and infections caused by these bacteria are associated with increased mortality, length of stay and health costs. Thus, the objective of this study was to ascertain whether there was a relationship between the occurrence of multiresistant bacterial strains and the length of hospital stay in the preoperative period, by cultivating clinical specimens collected in the oral cavity in hospitalized patients who would undergo surgical procedure. large-sized. To this end, collections of the buccal faces of the teeth and / or the jugal mucosa were performed preoperatively. Thirty-seven patients aged over eighteen who underwent elective cardiac surgery and relocated to the postoperative ICU within three months (May to July 2019). Patients were monitored during postoperative ICU stay. The clinical specimens collected underwent inspection, naming, classification and identification of colonies. Finally, antimicrobial susceptibility tests were performed. As a result, we found that the length of stay for more than 60 days of hospitalization was statistically significant, which showed that patients who stayed for more than 60 days in that hospital were 17 times more likely to develop multidrug resistance than those who did not stay. In conclusion, we realize that the longer the patient's hospital stay, the greater the likelihood of dysbiosis in these patients' oral microbiota, due to the presence of bacterial strains resistant to multiple antimicrobial drugs, but unfortunately, despite some studies already found. In the literature on this subject, further research will be needed to provide definitive evidence on effective oral hygiene protocols regarding mortality and length of hospital stay.

Dysbiosis

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Pneumonia and the role of dentistry on ICU Staff

Brazilian journal of oral sciences/Brazilian Journal of Oral Sciences (2020)

Tácio Pinheiro Bezerra Clarissa Sales de Paula Campêlo Francisco Artur Forte Oliveira Clarissa Pessoa Fernandes Forte Aghata Kelma Palácio Gomes

Ventilator-associated pneumonia (VAP) is one ofthe most prevalent healthcare-associated infections (HAI) andcauses of death in intensive care units (ICUs), and studies haveshown its relation to oral health. Aim: To report the impact ofthe incorporation of dental professionals into multidisciplinaryICU staff on the incidence of VAP. Methods: A retrospectiveobservational study was carried out to collect and analyzehealth indicators of patients in the ICUs from 2011 to 2018 andto differentiate these indicators between the periods beforeand after the participation of dental staff in the ICU. This studywas approved by the Research Ethics Committee. Results:The average number of monthly ICU admissions was 105.89 ±169.72, and the discharge was 105.21 ± 168.96, with a monthlyaverage number of deaths within 24 h of 38.61 ± 62.27. Theaverage number of monthly HAI-related deaths decreasedfrom 2011 to 2018, followed by a reduction in cases of HAIper month. The average monthly number of HAIs relatedto mechanical ventilation (MV) decreased, and the samewas observed for the infection density of HAIs related to MV(p < 0.001). In multivariate analysis, there was a significantdecrease in the number of HAIs related to MV (p = 0.005).Conclusion: Although a reduction in the number of admissionsor complexity of cases was not observed in the study period,multidisciplinary staff practices were essential for controllingHAIs and the presence of dental professionals can assist in thecontrol of HAIs related to MV.

Ventilator-associated Pneumonia

Health Professionals

10.20396/bjos.v19i0.8660436

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Influence of preoperative hospital stay in the antimicrobial resistance profile of oral microbiotic

Journal of Health & Biological Sciences (2021)

Clarissa Sales de Paula Campêlo Paulo Goberlânio de Barros Silva Bráulio Matias de Carvalho Eliane Ferreira Sampaio Tatiane Andrade Figueiredo Rojas Nottingham

Objective : Verify whether there was a relationship between the occurrence of multidrug-resistant bacterial strains and the length of stay in the preoperative period. Methods : Clinical samples of the oral surfaces of the teeth and/or cheek mucosa were collected in the oral cavity of 37 patients who underwent elective cardiac surgery in the preoperative period from May to July 2019. The clinical samples collected were subjected to identification of colonies and antimicrobial sensitivity tests. Results : We observed that the patients who stayed for more than 60 days in that hospital had 17 times more likely to develop multi-resistant strains (Multi-Rs) than those that have not remained. Conclusions : We realized that the longer the patient stays in the hospital, the greater the chances of bacterial strains Multi-Rs. Therefore, it is important to try to reduce the length of hospital stay so that there is no increase in the occurrence of multiresistant strains in these patients

10.12662/2317-3076jhbs.v9i1.3931.p1-5.2021

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