has significantly affected the use of health care worldwide and, consequently, admissions to hospital emergency services. The aim of this study is to describe the change of the activity of a Paediatric Emergency Service (PES) of a tertiary hospital during the pandemic. A retrospective cohort study with analysis of visits to the PES from March 30 to June 30, 2020, and comparison with homologous periods in the previous 3 years (2017)(2018)(2019).A total of 53,883 episodes were analysed, with a median age of 5.8 years, and 53% were boys. In 2020, there was a 60% reduction in the number of admissions (p < 0.001). There was a significant increase in referral by the public medical advice phone line of the National Health Service (NHS) (18.5% vs 5.4%) and Emergency Medical Services (EMS) (5.1% vs 4.2%). Urgent patients decreased (31.2% vs 38.3%), and non-urgent patients increased (7.5% vs 1.7%). There was a significant reduction in school (0.4% vs 7.1%) and sports accidents (0.1% vs 1.2%) and an increase in other accidents (falls, wounds, burns, and dog bites) (12.2% vs 6.3%). Hospitalisation rate was higher (5.7% vs 3.1%, p < 0.001). The infection rate for SARS-CoV-2 was 1.1%, all with mild illness or asymptomatic. Conclusion:The pandemic brought a marked reduction in emergency admissions and a decrease in urgent situations but an increase in accidents, such as falls, wounds, burns, and dog bites. Despite the low infection rate for SARS-CoV-2, there were increased referrals by the phone line of NHS and EMS and a higher admission in the ward.

Este artigo buscou revisar a atual literatura científica que abordasse os mecanismos através dos quais a infecção ginecológica por Chlamydia trachomatis pode evoluir para doença inflamatória pélvica e quadro de infertilidade, bem como destacar relevantes aspectos clínicos, diagnósticos e terapêuticos da enfermidade. Realizou-se uma revisão bibliográfica de caráter narrativo através da consulta de artigos científicos indexados nas principais bases de dados da literatura médica. A literatura científica descreve a infecção por Clamídia como um significativo problema de saúde pública na atualidade, até mesmo em países desenvolvidos. A associação entre a infecção prolongada pelo patógeno e a doença inflamatória pélvica e demais complicações do trato genital resulta de uma complexa fisiopatologia, envolvendo alterações morfológicas, imunológicas e no microbioma genital. A falta de informações e a inacessibilidade aos testes diagnósticos prevalecem como significativos impasses no controle da enfermidade, o que pode resultar em impactos severos na saúde reprodutiva das mulheres. O adequado rastreio e tratamento precoce da doença inflamatória pélvica são imperativos, sobretudo considerando que a mesma pode apresentar-se como uma condição insidiosa.