Objetivo: Analisar as evidências referentes à falha no tratamento da sífilis durante o período gestacional em mulheresatendidas em um hospital de referência em Parnaíba-PI. Metodologia: A amostra foi composta por 24 gestantes/puérperasadmitidas no Hospital Estadual Dirceu Arcoverde para trabalho de parto e que apresentaram VDRL reagente durante ainternação. Como instrumento de coleta de dados, utilizou-se um formulário estruturado. Após a coleta, os dados forammensurados através de estatística descritiva. Resultados: Das 24 mulheres, 22 realizaram pré-natal e 12 apresentaramVDRL reagente. Entre as 12, 11 foram tratadas na gestação, mas somente 3 foram consideradas adequadamente tratadas.Conclusão: Uma assistência de pré-natal inadequada colabora para a ocorrência de falhas no tratamento de gestantes comsífilis, o que pode resultar no aumento do número de casos da forma congênita. Sendo assim, é necessário novas estratégias que visem reduzir a transmissão vertical da sífilis.Palavras-chaves: sífilis, sífilis congênita, assistência pré-natal, falha do tratamento.ABSTRACTObjective: To analyze the evidence regarding the failure to treat syphilis during the gestational period in women attendinga referral hospital in Parnaíba-PI. Method: The sample consisted of 24 pregnant / puerperal women admitted to the DirceuArcoverde State Hospital for labor and who presented VDRL reagent during hospitalization. As a collection instrument,a structured form was used. After the data collection, the data were measured using descriptive statistics. Results: Of the24 women, 22 underwent prenatal care and 12 presented VDRL reagent. Among the 12, 11 were treated in gestation, butonly 3 were considered adequately treated. Conclusion: Inadequate prenatal care contributes to the occurrence of failuresin the treatment of pregnant women with syphilis, which may result in an increase in the number of congenital cases. Newstrategies are needed to reduce vertical transmission of syphilis.Keywords: syphilis, congenital syphilis, prenatal care, treatment failure
Objective: To know the knowledge and practices of nurses on prevention of pressure injury. Method: A qualitative, descriptive, exploratory study with seven nurses from a public hospital in the state of Maranhão, Brazil. A semi-structured interview was used, in which the testimonies were recorded, transcribed in their entirety and analyzed using the content analysis technique proposed by Bardin. Results: The change of decubitus was the most cited preventive method. Professionals are knowledgeable about good prevention practices, which are influenced by structural issues (human resources and insufficient inputs) and, because of this difficulty, caregivers are important in helping this care. Conclusion: Nursing professionals are knowledgeable about proven ways to reduce pressure injury rates, however, there is a continuing need to emphasize evidence-based good practice as an effective means of improving nursing care.
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