Vera Regina Beltrão Marques

Hospital Braga

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Ana Sofia Araújo

Hospital Braga

Eduardo Arrais Rocha

Hospital Universitário Walter Cantídio

Liliana Müller Larocca

Universidade Federal do Paraná

C. Laranjo Tinoco

Hospital Braga

Almino Rocha

Universidade Federal do Ceará

Mariana Capinha

Hospital Braga

Demóstenes Ribeiro

Universidade Federal de Minas Gerais

Pedro Negreiros

Universidade Federal do Ceará

Sara Anacleto

Hospital Braga

Karina Marcon

Universidade do Estado de Santa Catarina

Cooperative Institutions

Universidade Federal do Ceará

Hospital Braga

University of Minho

Universidade Federal de São Paulo

Universidade de São Paulo

Hospital Universitário Walter Cantídio

Fundação de Apoio à Universidade Federal de São Paulo

Universidade de Fortaleza

Unichristus

Universidade do Porto

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PD02-06 HEALTHCARE-ASSOCIATED INFECTIONS BY MULTIDRUG-RESISTANT BACTERIA IN A TERTIARY UROLOGY DEPARTMENT

The Journal of Urology (2016)

Vera Regina Beltrão Marques F. Rolo Edgar Tavares-da-Silva Alexandra Torres Arnaldo Figueiredo

You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Quality Improvement & Patient Safety I1 Apr 2016PD02-06 HEALTHCARE-ASSOCIATED INFECTIONS BY MULTIDRUG-RESISTANT BACTERIA IN A TERTIARY UROLOGY DEPARTMENT Vera Marques, Francisco Rolo, Edgar Tavares Silva, Alexandra Torres, Arnaldo Figueiredo, and Alfredo Mota Vera MarquesVera Marques More articles by this author , Francisco RoloFrancisco Rolo More articles by this author , Edgar Tavares SilvaEdgar Tavares Silva More articles by this author , Alexandra TorresAlexandra Torres More articles by this author , Arnaldo FigueiredoArnaldo Figueiredo More articles by this author , and Alfredo MotaAlfredo Mota More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.2080AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Healthcare associated infections are a growing concern, particularly when caused by multidrug-resistant (MDR) bacteria. We intend to evaluate the impact of HAI by MDR bacteria in a tertiary urology department, analyzing the consequences on patient morbidity and mortality and identifying possible areas for improvement in the health care provided. METHODS Of the 2547 patients admitted to our urology department in 2014, we identified 66 patients (2.6%) which had had 80 HAI caused by MDR bacteria in different admissions (31 elective and 49 emergent). All HAI by MDR bacteria were confirmed by culture of biological product taken during the hospital stay. We conducted a retrospective analysis of the following data: general characteristics of patients, type of admission, delay at the start of antibiotic treatment, therapeutic approach used and clinical evolution of the patient. Statistical analysis was performed using the SPSS 21.0 program. RESULTS The average age of the 66 patients (14 female; 52 male) was 71.3 years (32-93). The average duration of the hospitalizations was 23.5 days, about 4 times higher than the global average in our department. The final result of the culture was obtained 4.2 days (2-12) after the collection. Overall, there were 41 infections of the urinary tract, 24 wound infections, 7 pneumonias and 8 other infections. The most common strain was methicillin-resistant Staphylococcus aureus (n=29) and the most used antibiotic was meropenem (n=21). In 47 cases (59%), empirical antibiotic therapy was adjusted to antibiogram, with an average delay of 1 day. In 33 cases (41%), the antibiotic therapy had not been adjusted, in two thirds of these (22 cases) because of clinical improvement with empirical therapy. The mortality associated with HAI caused by MDR bacteria was 26.2% (21 cases). The average age of patients who died (79.5 years) was significantly higher (p<0,001) than the average age of those who survived (67.8 years). The infection occurred later during the hospital stay on those patients who died (9.4 vs. 17.5 days, p=0.001). However, there were no differences in the mean duration of hospital stay between these two groups (26.3 vs. 22.3 days, p=0,26). CONCLUSIONS HAI caused by MDR bacteria are associated with a prolonged hospital stay, about 4 times higher than the average stay. In most cases the antibiotic therapy was adjusted to antibiogram, but empirical therapy proved effective in a significant number of patients. The mortality related to HAI by MDR is high at 26.2%, patient advanced age and late onset during in-hospital stay being risk factors. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e52-e53 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Vera Marques More articles by this author Francisco Rolo More articles by this author Edgar Tavares Silva More articles by this author Alexandra Torres More articles by this author Arnaldo Figueiredo More articles by this author Alfredo Mota More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...

Clinical Microbiology

10.1016/j.juro.2016.02.2080

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Apresentação

Cadernos CEDES (2003)

Heloísa Helena Pimenta Rocha Vera Regina Beltrão Marques

10.1590/s0101-32622003000100001

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Do espetáculo da natureza à natureza do espetáculo: boticários do Brasil Setecentista

Vera Regina Beltrão Marques

10.20396/resgate.v7i8.8645550

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Eugenia da disciplina

Vera Regina Beltrão Marques

10.47749/t/unicamp.1992.50584

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Síndrome de Jervell-Lange-Nielsen

Eduardo Arrais Rocha Roberto Farias Vera Regina Beltrão Marques Almino Rocha Tatiana da Silva Pereira

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A Educação no Campo e a Pedagogia do MST- Experiência da E.E.B. 25 de Maio (Audiodescrição)

Roselaine Ripa Vera Regina Beltrão Marques Karina Marcon

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Higienizar, cuidar e civilizar: o discurso médico para a escola paranaense (1920-1937)

Interface - Comunicação Saúde Educação (2010)

Liliana Müller Larocca Vera Regina Beltrão Marques

Com base na investigação dos discursos médicos referentes à higienização da escola, este estudo problematiza a difusão da ciência Higiene na sociedade paranaense no período compreendido entre 1920 e 1937. Os discursos para a escola presentes em várias fontes, com destaque para Archivos Paranaenses de Medicina e Revista Medica do Paraná, emergiram a percepção de uma medicina na qual os médicos defendiam uma nova função social: a de educadores. Ao tematizarem sobre uma intervenção nas escolas e nos seus usuários, pretendiam "cuidar, proteger e higienizar a infância", tarefa assumida com vistas à inserção do território paranaense no processo de saneamento sanitário e social. Trata-se de uma pesquisa de caráter histórico, inspirada nas ideias de processo civilizador de Norbert Elias. Assim, propõe-se reconhecer propostas de civilidade contidas nos discursos médicos. As concepções de educação e as prescrições para a escola no período estudado, produzidas pela Ciência Higiene, são aqui apresentadas.

10.1590/s1414-32832010005000014

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The Tilt Test in the Assessment of Syncope and Pre-syncope. Effective and safe? Analysis of a Series of 2364 Patients over 6 Years

Journal of Cardiac Arrhythmias (2024)

Eduardo Arrais Rocha Bruna Sobreira Kubrusly Aléssia de Alencar Araripe Gurgel Luís Gustavo Bastos Pinho Ana Gabriela Ponte Farias

The tilt table test (TT) provides relevant information about individual susceptibility to neuro-mediated hypotension and bradycardia. Its importance has been questioned. In this work, we analyze the results and safety of TT in the investigation of syncope, presyncope or postural dizziness. Cross-sectional study, with TT exams performed by specialists in cardiac arrhythmias, in the period 2016-2021, in a syncope unit. Analyzes were performed using the Mann-Whitney test, multiple logistic regression, with a significant p value <0.05. The protocols used were Westminster or Italian protocol. There were 2364 TT performed, 61.7% female, aged 51.1 (31-71) years. The positivity rate was 32.6%, 37.2% with pharmacological sensitization (p< 0.01). For the investigation of syncope, positivity was 34.2% (477) x 30.65% (285) for other symptoms (p<0.001), while evaluating syncope and presyncope together the difference was 37.55% (623) x 20.9% (139) for other symptoms (p<0.001). Positivity was higher in males (p<0.01; OR=1.40(1.16-1.69)), in sensitized tests (p<0.01;2.01(1.64-2, 38)), in patients with early orthostatic hypotension (OH) with symptoms (p <0.01; 9.68(4.13-27.44)). The complication rate was 3.29%, but without severity. The TT remains an important and safe methodology in clinical practice for the investigation of patients with suspected neurally mediated syndromes.

10.24207/jca.v37i1.3490

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Giant Penile Fibroepithelial Polyps

Grand Journal of Urology (2023)

C. Laranjo Tinoco Andréia Cardoso Mariana Capinha Ana Sofia Araújo Vera Regina Beltrão Marques

Fibroepithelial Polyp

10.5505/gju.2023.54154

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Ocorrência de Eventos Tromboembólicos após Choque em Portadores de Cardiodesfibriladores Implantáveis

DOAJ (DOAJ: Directory of Open Access Journals) (2008)

Francisca Tatiana Moreira Pereira Eduardo Arrais Rocha Vera Regina Beltrão Marques Almino Rocha Roberto Lima Farias

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