A sepse é a principal causa de óbito em pacientes neonatos em todo o mundo. A sepse neonatal pode ser classificada como precoce, que procede da contaminação do recém-nascido por bactérias transmitidas no canal de parto, ou de uma contaminação secundária a bacteremias maternas. E sepse tardia que é responsável principal pela internação prolongada e pela mortalidade de recém-nascidos internados nas unidades de terapia intensiva. O objetivo deste estudo foi identificar a incidência e causas de óbitos por sepse precoce e tardia em neonatos. Trata-se de uma pesquisa de natureza Estatística, descritiva e analítica, de abordagem quantitativa, a ser realizada através da avaliação dos dados contidos no banco de dados da Secretaria Municipal de Saúde -DATASUS. O estudo estatístico, com revisão narrativa conceitual, de caráter descritivo, é de extrema importância para que os profissionais atuantes em UTIs Neonatais tenham condições de identificar de forma rápida e adequada se a sepse neonatal precoce e tardia, para que assim possam colaborar e garantir que os recém-nascidos recebam um tratamento adequado. Os resultados obtidos mostraram que a sepse neonatal tardia ainda é uma condição clinica responsável por um grande número de óbitos em neonatos prematuros e os neonatos do sexo masculino tem maior risco para o óbito. ABSTRACTSepsis is the leading cause of death in neonatal patients worldwide. Neonatal sepsis can be classified as precocious, resulting from the contamination of the newborn by bacteria transmitted in the birth canal, or from contamination secondary to maternal bacteremias. And late sepsis is the main cause of prolonged hospitalization and the mortality of newborns hospitalized in intensive care units. The objective of this study was to identify the incidence and causes of early and late sepsis deaths in neonates. This is a Statistical, descriptive and analytical, quantitative approach, to be performed through the evaluation of the data contained in the database of the Municipal Health Department -DATASUS. The statistical study, with descriptive narrative review, is extremely important for professionals working in Neonatal ICUs to be able to quickly and adequately identify early and late neonatal sepsis so that they can collaborate and ensure that newborns receive appropriate treatment. The results showed that late neonatal sepsis is still a clinical condition responsible for a large number of deaths in preterm neonates and male neonates are at higher risk for death.
Con lito de interesses: NãoContribuição dos autores: ACMC discussão dos achados, etapas de execução e elaboração do manuscrito. BMOS orientação do projeto, delineamento do estudo e elaboração do manuscrito. AAS coleta, tabulação, delineamento do estudo e redação do manuscrito. CRST discussão dos achados. Abstract Introduction: Studies show that patients with diabetes mellitus attending primary health care present a low level of knowledge concerning the disease. Objective: Assess the knowledge and attitudes of patients with Diabetes mellitus six Basic Units of Family Health located within a district of Minas Gerais State, Brazil, aiming at offering support for self-care and health promotion. Patients and Methods: his is a cross-sectional study carried out from July to August 2012 involving 178 patients with type 2 Diabetes mellitus. Data were collected through interviews and application of the Diabetes Knowledge Questionnaire and the Diabetes Attitude Questionnaire, after approval by the Ethics Committee. Results: Most patients were women (70.8%) ranging in age from 60 to 79 years (53.4%); they were illiterate or with incomplete primary education (83.7%), married or cohabiting (62.4%), and retired (52.3%). Diabetes mellitus was diagnosed within a period of up to 5 years. The majority of the patients (58.4%) presented an unsatisfactory result from the knowledge and understanding about the disease. Regarding the attitudes towards the coping behaviors to the disease, 99% presented low readiness to face it. No significant difference was found from the correlation between the scores of both questionnaires with sex and schooling, as well as with the time of disease diagnosis. Conclusion: Despite the good results in relation to the general disease knowledge, we found low readiness to cope with the disease. Results raised the need for reflection on the healthcare model adopted. They also highlight the importance of planning specific self-care and health promotion actions for the sampled population.
Avaliar os fatores associados à descompensação da glicemia capilar (superior a 250 mg/dl) em indivíduos com DM2 que procuram a UPA de um município do interior do estado de MG. Realizado de janeiro a setembro, 2016, com 210 indivíduos. Os dados coletados por meio de formulário e dois questionários DKN-A e ATT-19. Predominância do sexo feminino, 60 a 69 anos, primeiro grau incompleto, casados, média glicêmicas de 306,2 mg/dL. Resultado insatisfatório acerca do conhecimento sobre a doença e das atitudes de enfrentamento. Esta situação fortalece a necessidade de uma visão mais abrangente, objetivando intervenções que favoreçam a saúde do indivíduo, envolvendo a promoção, a prevenção, a educação em saúde. Palavras-chave: Diabetes mellitus tipo 2; hiperglicemia; complicações do diabetes.
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