A5034938579- Health, Nursing, Elderly Care
- Nosocomial Infections in ICU
- Healthcare Regulation
- Infection Control in Healthcare
- Respiratory Support and Mechanisms
- Intensive Care Unit Cognitive Disorders
- Sepsis Diagnosis and Treatment
- Patient Safety and Medication Errors
- Clinical Nutrition and Gastroenterology
- Syphilis Diagnosis and Treatment
- Occupational Health and Burnout
- COVID-19 and Mental Health
- Cardiac, Anesthesia and Surgical Outcomes
- Infection Control and Ventilation
- Education during COVID-19 pandemic
- Healthcare during COVID-19 Pandemic
- Urinary Tract Infections Management
- Public Health in Brazil
- Central Venous Catheters and Hemodialysis
- Dialysis and Renal Disease Management
- Dental Research and COVID-19
- Pneumonia and Respiratory Infections
- Hemodynamic Monitoring and Therapy
- Palliative and Oncologic Care
- Nutrition and Health in Aging
Universidade de Ribeirão Preto
2015-2024
Universidade de São Paulo
2015-2024
Weatherford College
2022
Clinics Hospital of Ribeirão Preto
2011-2020
University of Washington
2020
Fundação Oswaldo Cruz
2011-2019
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
2015-2019
Universidade Brasil
2012-2018
Creative Commons
2017
Universidade do Vale do Sapucaí
2017
Several prognostic indices have been employed to predict the outcome of surgical critically ill patients. Among them, acute physiology and chronic health evaluation (APACHE) II, sequential organ failure assessment (SOFA) simplified score (SAPS 3) are widely used. It seems that biological markers such as C-reactive protein (CRP), albumin, blood lactate levels correlate with degree inflammation during immediate postoperative phase could be used independent predictors. The objective this study...
Objective. To evaluate whether dental treatment may enhance oral antisepsis, thus preventing more effectively lower respiratory tract infections (LRTIs) among critically ill patients Design. Observer-blind randomized clinical trial. Setting. General intensive care unit (ICU) for adult patients. Patients. We analyzed data from 254 who stayed at least 48 hours in the ICU. Intervention. Patients were by means of rolling dice. The experimental group ( n = 127) had access to provided a surgeon,...
to evaluate the Nosocomial Infection Control Programs in hospital institutions regarding structure and process indicators.this is a descriptive, exploratory quantitative study conducted 2013. The population comprised 13 of health services Brazilian city state São Paulo. Public domain instruments available Manual Evaluation Indicators Practices were used.The indicators with highest average compliance "Evaluation Structure Programs" (75%) Epidemiological Surveillance System Infection" (82%)...
The World Health Organization (WHO) ethanol-based handrub (EBHR) formulation contains 1.45% glycerol as an emollient to protect healthcare workers' (HCWs) skin against dryness and dermatitis. However, seems negatively affect the antimicrobial efficacy of alcohols. In addition, minimal concentration required hands remain unknown. We aim evaluate tolerance HCWs WHO EBHR using different concentrations in a tropical climate setting.
Abstract Background: Removing an indwelling urinary catheter as soon possible is the cornerstone of catheter-associated tract infections (CAUTI) prevention. However, implementing this measure may be challenging in clinical settings. To evaluate impact a healthcare workers (HCWs) educational program and daily checklist for indications among critical patients on incidence CAUTI. Methods: This was quasi-experimental study performed general intensive care unit tertiary-care hospital over 12...
Hospital-associated infections (HAIs) are a leading cause of morbidity and mortality in intensive care units (ICUs) neonatal (NICUs). Organisms causing these often present on surfaces around the patient. Given that microbiota may vary across different ICUs, HAI-related microbial signatures within remain underexplored. In this study, we use deep-sequencing analyses to explore compare structure bacterial communities at inanimate ICU NICU wards The Medical School Clinics Hospital (Brazil). data...
Aim The present study aimed to characterize the omission of nursing care according nurses' perception, professional practice environment and workload intensive units (ICU) in Brazil. Additionally, influence on such was assessed, as well type omitted regarding priority classification. Background In order ensure patient safety quality care, it is necessary invest improvements practices. Method cross-sectional performed three large ICU identified using MISSCARE-BRASIL instrument, duration were...
Objetivo: avaliar o conhecimento e as práticas dos enfermeiros sobre técnicas de inserção do PICC. Método: estudo descritivo quantitativo, tipo levantamento (Survey). A população foi constituída por 32 habilitados para coleta realizada atraves RedCap com seguintes variáveis: dados participantes; características enfermeiro que insere PICC; da instituição; avaliação Pré- Inserção PICC no Ato Inserção. Resultado: a prática na pré-inserção são bastante variados. Um destque pode ser feito...
In routine practice, assessment of the nutritional status critically ill patients still relies on traditional methods such as anthropometric measurements, biochemical markers, and predictive equations.To compare resting energy expenditure measured by indirect calorimetry (REEIC) with REE calculated using Harris-Benedict equation 3 different sources body weight (from bed scale, REEHB1; ideal weight, REEHB2; predicted REEHB3).This study included 205 (115 men, 90 women) evaluated within first...
We aimed to evaluate the effectiveness of a symbiotic product decolonize intestinal tract patients harboring multidrug-resistant (MDR) Gram-negative bacilli and prevent nosocomial infections.This was randomized, double blind, placebo-controlled clinical trial, conducted in tertiary-care university hospital. All adult hospitalized with positive culture rectal swab for any MDR were potentially eligible. Exclusion criteria pregnancy, immunosuppression, bowel obstruction/perforation. The...
The Leuconostoc mesenteroides are members of the Streptococcae family and currently has been recognized as potential pathogens. This case describes a bacteremia caused by L. in an immunocompetent patient affected Chagas disease. A 67-year-old female with chagasic megaesophagus megacolon was submitted to Heller myotomy for achalasia 2000 endoscopic dilatation 2015. Patient admitted Nutrology Ward May 2016 protein-calorie malnutrition associated receiving enteral nutrition. In July 2016,...
The aim of the study was to investigate how control bundles reduce rate central venous catheter-associated bloodstream infections (CVC-BSIs) rates in critically ill patients.This is a prospective before-and-after designed evaluate whether set measures (bundle) can help prevent CVC-BSI. included checklist that aimed correct practices related CVC insertion, manipulation, and maintenance based on guidelines Center for Disease Control Prevention (CDC).We examined 123 checklists before 155 after...
Objetivo: Identificar as evidências disponÃveis na literatura nacional e internacional sobre fatores associados à carga de trabalho enfermagem em Unidade Terapia Intensiva.
Methylene blue (MB) has been used to increase blood pressure in septic shock, acting on the activity of guanylate cyclase and nitric oxide synthase.The aim this study is demonstrate benefit MB early phase shock.Diagnoses: We report 6 cases patients with shock up 72 hours evolution.We after fluid replacement, use norepinephrine vasopressin. Patients received a loading dose maintenance for 48 hours.All presented reduction vasopressors lactate levels soon administration MB, an effect that was...
Bloodstream infections are the second most common cause of death among patients on hemodialysis. This study aimed to evaluate incidence and risk factors associated with central venous catheter-related in undergoing hemodialysis, identify characterize type antimicrobial susceptibility profiles primary microorganisms isolated during one year follow-up.A prospective cohort was conducted 2014 a hemodialysis referral center. We included 200 outpatients acute kidney injury who had no permanent...
Precocity and assertiveness when diagnosing brain death are essential for identifying potential donors. To assess the knowledge of physicians about organ donation, cross-sectional web-based survey was carried out with from different specialties. The donation assessed by a questionnaire 12 multiple-choice or multiple-answer questions (possible range 0 to 12). nonparametric Mann-Whitney Kruskal-Wallis tests were performed verify association between physicians' others variables. project...
Objective. To evaluate whether dental treatment may enhance oral antisepsis, thus preventing more effectively lower respiratory tract infections (LRTIs) among critically ill patients Design. Observer-blind randomized clinical trial. Setting. General intensive care unit (ICU) for adult patients. Patients. We analyzed data from 254 who stayed at least 48 hours in the ICU. Intervention. Patients were by means of rolling dice. The experimental group ( n = 127) had access to provided a surgeon,...
Abstract Background Although alcohol-based surgical hand preparation offers potential advantages over the traditional scrubbing technique, implementing it may be challenging due to resistance of surgeons in changing their practice. We aimed implement hospital setting evaluating impact that on quality and duration procedure, as well prevention site infections. Methods A quasi-experimental study conducted at a tertiary-care university from April 01 November 01, 2017. Participants were cardiac...