- Antibiotic Resistance in Bacteria
- Healthcare Regulation
- Respiratory viral infections research
- Antibiotic Use and Resistance
- Public Health in Brazil
- Neutropenia and Cancer Infections
- Bacterial Identification and Susceptibility Testing
- Business and Management Studies
- Healthcare during COVID-19 Pandemic
- Education during COVID-19 pandemic
- Meta-analysis and systematic reviews
- Pneumonia and Respiratory Infections
- Nutrition and Health in Aging
- Antifungal resistance and susceptibility
- Antimicrobial Resistance in Staphylococcus
- Fungal Infections and Studies
- Antibiotics Pharmacokinetics and Efficacy
- Infections and bacterial resistance
- scientometrics and bibliometrics research
- Neonatal Respiratory Health Research
- Maternal and Neonatal Healthcare
- Congenital Diaphragmatic Hernia Studies
- Esophageal and GI Pathology
- SARS-CoV-2 and COVID-19 Research
- Environmental and biological studies
Pontifícia Universidade Católica de Campinas
2007-2025
Pontifícia Universidade Católica de São Paulo
2019-2023
Universidade Estadual de Campinas (UNICAMP)
2019-2023
Hospital de Clínicas da Unicamp
2022-2023
Universidade de São Paulo
2004-2020
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
2012-2016
Engineering Associates (United States)
2016
Iowa City Public Library
2016
The objective of this study was to analyze the incidence and risk factors for healthcare-associated infections (HAI) among hematopoietic stem cell transplantation (HSCT) patients, impact such on mortality during hospitalization.We conducted a 9-year (2001-2009) retrospective cohort including patients submitted HSCT at reference center in São Paulo, Brazil. HAI calculated using days neutropenia as denominator. Data were analyzed EpiInfo 3.5.1.Over period there 429 neutropenic with total 6816...
Health care associated infections (HAIs) are currently among the major challenges to of hematopoietic stem cell transplantation (HSCT) patients. The objective present study was evaluate impact 2% chlorhexidine (CHG) bathing on incidence colonization and infection with vancomycin-resistant Enterococcus (VRE), multidrug-resistant (MDR) gram-negative pathogens, their CHG minimum inhibitory concentration (MIC) after intervention. A quasi-experimental duration 9 years conducted. VRE infection,...
OBJECTIVE To reduce transmission of carbapenem-resistant Enterobacteriaceae (CRE) in an intensive care unit with interventions based on simulations by a developed mathematical model. DESIGN Before-after trial 44-week baseline period and 24-week intervention period. SETTING Medical tertiary teaching hospital. PARTICIPANTS All patients admitted to the unit. METHODS We model CRE measured all necessary parameters for input. Goals compliance hand hygiene isolation precautions were established...
O objetivo deste estudo foi investigar os casos de sífilis congênita notificados na microrregião
Abstract Background Respiratory syncytial virus ( RSV ) is a common cause of seasonal respiratory viral infection in hematopoietic stem cell transplantations HSCT patients. The efficacy treatment, however, remains controversial. We describe an outbreak 31 cases that occurred outpatient care unit the fall season from M arch through ay 2010, with good outcome without any specific antiviral treatment. Methods During these 3 months, 222 nasal wash samples were tested and, these, outpatients...
Stenotrophomonas maltophilia has emerged as an important opportunistic pathogen in the last decade. Increased resistance to sulfamethoxazole/trimethoprim (SMX/TMP) been reported S. strains past few years, leading therapeutic options. We conducted a prospective multicenter study at two Brazilian teaching hospitals that identified isolates and evaluated their antimicrobial susceptibility profile, SMX/TMP genes clonality profile. A total of 106 non-repeated clinical samples were evaluated....
We described 235 bloodstream infection (BSI) episodes in 146 hematopoietic stem cell transplantation (HSCT) outpatients and evaluated risk factors for hospitalization death. Records of presenting with positive blood cultures over a 5-year period (January 2005 to December 2008) were reviewed. Variables p< 0.1 bivariate analysis used regression logistic model. A total 266 agents identified, being 175 (66.7%) gram-negative, 80 (30.3%) gram-positive bacteria 9 (3.4%) fungi. The most common...
Abstract Objective The first wave of COVID-19 was challenging for healthcare workers. This study analyzed the ways coping with stress at a university hospital. Method A Sociodemographic Characterization, Risk and Exposure Assessment, Burnout Assessment Tool (BAT-23), Coping Scale were responded online by 181 professionals. Results sample composed mainly women, white, married, physicians, one job. Over 80% high exposure risk infection, 17.1% having tested positive. most reported stressors...
Surveillance strategies to detect colonization are an important tool prevent and control the spread of microorganisms in hematopoietic stem cell transplant (HSCT) units. The aim this study was evaluate routine surveillance cultures for screening infection by carbapenem-resistant Enterobacteriaceae (CRE), Pseudomonas aeruginosa (CRPa), vancomycin-resistant enterococci (VRE). were collected (1,323 samples) from 200 patients admitted HSCT unit over one year; swabs taken on admission then...
Abstract Surveillance programs have been reporting decreasing rates of carbapenem‐sensitivity in Serratia marcescens , leading to a concern regarding the few remaining therapeutic options treat these multidrug‐resistant (MDR) organisms. Here, we describe case series 11 stem cell hematopoietic transplantation patients infected (N = 6) or colonized 5) by carbapenem‐resistant S ( CrSm ) from 2010 2013. The comorbidities found were acute renal insufficiency (3/11), neutropenia (7/11), and...
OBJETIVO: Estudar a ocorrência de eventos adversos após aplicação da vacina polissacarídea capsular contra 23 sorotipos do pneumococo em indivíduos com indicação clínica, Sumaré (SP) (630.000 habitantes). MÉTODOS: Foram investigados prospectivamente 152 vacinação (0,5 mL intramuscular Pneumo23® Aventis Pasteur, Espanha) um hospital geral. A variável estudo foi queixa pelo menos sintoma nexo temporal vacina, isto é, nas primeiras 48 h aplicação. Os foram cinco sete dias vacinação. As...
ABSTRACT Background: Among the anastomoses of gastrointestinal tract, those esophagus are special interest due to several anatomical or even general peculiarities. Aim: Evaluate retrospectively results comparing mechanical vs. manual suture at cervical esophagogastric anastomosis in megaesophagus treatment. Methods: Were included 92 patients diagnosed with advanced clinical conditions undergo surgery. All underwent esophageal mucosectomy, performing stump gastric tube level. In order make...
ABSTRACT Introduction: the presentation of research at a congress is an interesting means for scientific dissemination, but only with publication in indexed journal does data become accessible and disseminated. The conversion rate published articles abstracts presented congresses indicator to assess quality those events. aim this study evaluate bibliometric characteristics Brazilian Congress Coloproctology determine factors that affect rates. Methods: Retrospective evaluation all Congresses...
Abstract Introduction Gender inequality occurs in all spheres of society, which is no different the medical field. presentations congress are vanguard scientific knowledge, an integral part topic discussion, and, ideally, culminate publication these works as complete manuscripts. Objective The objective this study to evaluate role played by women presentation at Brazilian Society Coloproctology and published from presentations. Methods bibliometric evaluation presented abstracts editions...
Background: Mucormycosis is a severe invasive fungal disease. During the coronavirus disease 2019 (COVID-19) pandemic, outbreaks have been reported worldwide, but epidemiological studies are still scarce in Brazil. Methods: We conducted time-series cohort hospitalization study (2010-2021) southeastern Results: There were 311 cases (85 during pandemic), with significant (P < 0.05) involvement of patients older than 40 years (84%), white (78%), rhinocerebral site (63%), and São Paulo State...
Objetivo: Avaliar se a vacinação tem valor protetor contra o desenvolvimento da COVID longa e de suas manifestações clínicas. Métodos: Trata-se um estudo observacional, com pacientes selecionados, aleatoriamente, que foram atendidos em hospital universitário. Os participantes eram indivíduos maiores 18 anos, ambos os sexos, resultado exame (RT-PCR ou TR-AG) positivo para SARS-CoV-2, dentre abril/2021 junho/2022, há, pelo menos, quatro semanas entrevista, realizada entre abril/2022 maio/2023....
Para crianças o SARS-CoV-2 se manifesta de formas diversas, sem sintomas clínicos, embora tenha sido descrita mais graves como a Síndrome Inflamatória Multissistêmica Pediátrica. essa poplação, estudo comorbidades faz necessário para melhor manejo da infecção pelo SARS-CoV-2. Desta forma propõe-se avaliar os quadros pediátricos COVID-19 notificados no Brasil e descrever características clínicas epidemiológicas. Analisar as associadas ao óbito em pacientes Brasil. Métodos: Estudo coorte...
A pandemia de COVID-19 impactou no diagnóstico e tratamento da tuberculose (TB), principalmente em relação a descoberta precoce dos casos supervisão do diretamente observado. Além disto, coinfecção TB deve ser estudada sentido compreender interação destes dois patógenos o impacto na apresentação desfechos clínicos. Descrever avaliar desfecho tuberculose/COVID-19 um hospital referência. Trata-se estudo descritivo, realizado com dados secundários banco internados por Síndrome Respiratória...