The high resistance to antimicrobials has made hospitals a potentially dangerous environment for the development of HAIs, especially when associated with multi-resistant bacteria such as A. baumannii. The work aimed to evaluate the incidence of multidrug-resistant Acinetobacter baumannii described in the literature through a meta-analysis. A meta-analysis of a qualitative and quantitative nature was carried out in which original articles and review articles that presented data on the occurrence and existence of multidrug resistance in Acinetobacter baumannii were evaluated. The Scientific Electronic Library on Line (SciELO) and Medical Literature Analysis and Retrieval System Online (Pubmed / MEDLINE) databases were consulted using the descriptors "Acinetobacter baumannii," "multi-resistance," "IRAS," "incidence." Most studies were carried out in 2018. In general, most studies were cross-sectional 85.00% (n = 17) and cohort 15.00% (n = 3). In the selected studies, 5877 cases were reported, of which 3544 corresponded to multi-resistant species of Acinetobacter. The cumulative prevalence ratio corresponded to 0.603 with a 95% confidence interval [0.590 to 0.615]. The analysis of the temporal trend of the Ratio of the prevalence of multidrug-resistant Acinetobacter baumanni according to the year of the selected studies indicated that the PR suffered a decline in 2009 and 2013 and a new tendency to increase from 2015 and suffered small fluctuations until 2019, the trend did not show significant (R2 = 0.0772). Therefore, the MDR profile is worrying, given the currently available therapeutic alternatives.

Patients suffering from pemphigus vulgaris need specialized care. Thus, in their comprehensive care, multi-professional action is essential to meet the different technical challenges of the disease. The objective was to report a case of pemphigus vulgaris and multi-professional performance. This is a descriptive study of the case report of a patient seen at a referral hospital for pemphigus. The information necessary to describe the case was collected after approval by the Research Ethics Committee. The patient arrived at the hospital with diffuse crusty lesions with associated pruritus throughout the body for approximately two months. After clinical evaluation and laboratory examination, the histological examination found the presence of a supra-basal intraepidermal bubble, with the presence of acantholytic cells inside the bubble, concluding as pemphigus vulgaris. During hospitalization, the patient had several secondary infections, used corticosteroids, analgesics, polyantibiotic therapy, and immunoglobulin. At the end of 78 days of hospitalization, he developed complications and died. Early diagnosis and the start of rapid treatment delay the evolution of the disease, improving the appearance of the lesions, which reduces the length of hospital stay and the risk of infections occurring. Therefore, the performance of the multi-professional team contributes to solving the challenges related to the disease, such as improvement in physical, emotional, nutritional, and patient safety. We emphasize measures for the prevention and control of infections, such as, for example, hand hygiene by all professionals, the use of personal protective equipment in the management of the patient, and adequate hygiene of the environment.

SARS-CoV-2 belongs to the family of coronaviruses and is an infectious disease that threatens public health worldwide. The definitive diagnosis of the new coronavirus is made by molecular tests used in breathing tests, such as, for example, or rubbing the throat. However, most of the time, infectious diseases are diagnosed employing symptoms, laboratory, and image exams, like x-ray, computed tomography, and nuclear magnetic resonance imaging. The present study aimed to analyze the main imaging tests found in the respiratory syndrome caused by the new coronavirus. This research deals with a narrative review of the literature published so far, having a descriptive and qualitative nature. A search took place in the databases of virtual health libraries. It was refined by Latin American and Caribbean Literature in Health Sciences (LILACS), Electronic Scientific Library (SCIELO), BIREME (Regional Library of Medicine), and MEDLINE. Among the authors published, the occurrence of ground-glass opacities, isolation, or multifocal, consolidations such as cardiomegaly, decreased air space, aerobocograms, and pleural effusion were observed. Also, some findings had atypical characteristics. We conclude that in several formed patterns found to characterize a lung disease, with main optional bilateral, peripheral, and essential features, with rounded morphologies, presence of lymph node enlargement, pleural effusion, excavation, and nodules in the most severe cases. In this way, it is suggested that the imaging exams be complementary to the laboratory diagnosis.