Nurse's perception on nursing care in the in recovery room postanesthe

Objective To describe the perception of nurses on the nursing care provided to the patient and analyze how the care provided in the post-anesthetic recovery influences the clinical-surgical patient's condition. Methods: This is a descriptive study conducted with 07 nurses working in the post-anesthetic recovery room of an urgency and emergency hospital in the municipality of Teresina-Piaui. It was carried out by means of semi-structured interviews, in the months of March and April 2012. Results: It revealed 3 categories: perception of nurses about the care in the post-anesthetic recovery; practices of intensive care in the post-anesthetic recovery and nursing care and patient safety. Conclusion: It is concluded that nursing care is perceived as important and which influence the recovery and surgical safety of the patient, in addition, it shows the existence of practices of intensive care, but such practices are expressed by technical actions and routine

a national survey

Funding Information: This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior-Brasil (CAPES)-Finance Code 001. Publisher Copyright: © 2024 The Author(s). Published by Bentham Open.Background: Post-Exposure Prophylaxis (PEP) and Pre-Exposure Prophylaxis (PrEP) have been demonstrated to be crucial strategies in preventing HIV transmission. However, there is variability in the adoption of these measures within the population of men who have sex with men (MSM) in Brazil. Considering the Brazilian context of HIV prevention strategies, it is evident that the lack of awareness of these strategies is a primary and significant barrier to their dissemination. Our objective is to examine the factors associated with awareness of PEP and PrEP in a sample of Brazilian MSM. Methods: We conducted a nationwide cross-sectional study, exclusively online, with a sample of 2,250 MSM. To assess the factors linked to higher or lower awareness, we employed adjusted odds ratios (ORs). Results: The awareness of PEP and PrEP was reported by 1,228 (54.5%) and 1,044 (46.4%) MSM, respectively. Several factors were associated with awareness of both measures, including income, self-identification as heterosexual or bisexual, knowledge of one's HIV status, and more frequent utilization of healthcare services. Conclusion: The barriers associated with personal, social, and structural determinants influence the awareness of PEP and PrEP among Brazilian MSM.publishersversionpublishe

Catheter Related Blood Stream Infections In Patients Of The Intensive Care Unit

Objective: To identify the prevalence of bloodstream infection associated with the Catheter related Blood stream infections in patients of the Intensive Care Unit, and the characteristics of its use and handling. Methods: Descriptive and transversal study with a sample of 88 participants. Data were collected through the observational method and the records in the medical records. The absolute and relative frequencies were used for data analysis. Results: 73.86% of the patients had central venous access in the subclavian vein, 100% used double lumen Catheter related Blood stream infections, 0.5% chlorhexidine solution for skin antisepsis, dressing coverage is performed mostly with Sterile gauze and tape, with a daily exchange. The rate of infection related to the use of the Catheter related Blood stream infections was (6.81%). The most infused pharmacological drugs were antimicrobials (69.32%). Conclusion: The study showed that care with central venous accesses is performed according to recommendations for prevention of bloodstream infection related to the use of these devices. The infection rate is close to the standards found in the literature. Key words: Central Venous Catheterization. Hospital Infection. Intensive care unit. Risk factors. Catheter-Related Infection.. &nbsp

Sensitivity of embryos related to the pneumonia associated with the ventilation mechanics

Objective: To analyze the prevalence of germs related pneumonia associated with mechanical ventilation and their sensitivities profiles. Methods: descriptive epidemiological study, with a quantitative approach. The sample consisted of 99 patients using mechanical ventilation in two intensive care units in a public and teaching hospital in the municipality of Teresina-Piauí. The data were collected by means of a form in the months of January and February 2009, statistically processed and presented in the form of tables. Results: The most prevalent pathogens were: Klebsiella spp (40,40%); Bacillus Gram-Negativo non-fermentor (24,24%); Staphylococcus aureus and pseudomonas aeruginosa (17,17%). There was a higher bacterial susceptibility to imipenem (76,77%), meropenem (72,73%) and cefepime (58,59%). Conclusion: Appropriate therapy and prevention strategies reduce the prevalence rates of pneumonia associated with mechanical ventilation and the emergence of microbial resistance

an international descriptive study

Funding Information: The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: National Research Council – CNPq. Process: 159908/2019-1. Publisher Copyright: © The Author(s), 2023.Background: Pre-exposure prophylaxis (PrEP) is a valuable tool in the response to the HIV epidemic, recommended for groups with a higher risk of HIV infection, such as men who have sex with men (MSM), particularly in the context of high-risk sexual behavior such as chemsex. Purpose: This study aimed to analyze the prevalence and factors associated with the intention to use PrEP among MSM who engage in chemsex in Brazil and Portugal. Methods: This was a cross-sectional study of a secondary dataset from a larger study conducted between January 2020 and May 2021 throughout Brazil and Portugal involving 1852 MSM who engage in chemsex. An initial descriptive analysis was performed to calculate the absolute and relative frequencies of independent variables related to the intention to use PrEP among MSM. A multivariate regression model was developed to identify factors independently associated with the intention to use PrEP. Results: Although a high level of PrEP knowledge (85.75%) was observed among MSM who engage in chemsex, the prevalence of intention to use PrEP was only 59.07%. Five variables were associated with a higher prevalence of intention to use PrEP [engaging in double penetration – adjusted prevalence ratio (aPR): 1.56, 95% CI: 1.44–1.69; being assigned female sex at birth – aPR: 1.34, 95% CI: 1.12–1.61; cruising – aPR: 1.21, 95% CI: 1.06–1.38; not using condoms – aPR: 1.20, 95% CI: 1.05–1.36; and being an immigrant – aPR: 1.16; 95% CI: 1.07–1.25], while having knowledge of postexposure prophylaxis (aPR: 0.91; 95% CI: 0.84–0.98), having a casual sexual partner (aPR: 0.86 and 0.85; 95% CI: 0.74–0.99 and 0.74–0.98), and engaging in group sex (aPR: 0.81; 95% CI: 0.73–0.90) were associated with a lower intention to use PrEP. Conclusion: The intention to use PrEP among MSM who engage in chemsex was high, and several factors were associated with this intention. Understanding the factors associated with the intention to use PrEP among MSM practicing chemsex is crucial for developing targeted interventions to increase PrEP uptake in this population. The results of this study suggest that tailored approaches are necessary to promote PrEP use in this population.publishersversionpublishe

Representações sociais da Enfermagem sobre biossegurança: saúde ocupacional e o cuidar prevencionista

RESUMO Objetivo: apreender as representações sociais da biossegurança por profissionais de Enfermagem na Atenção Primária e analisar como elas se articulam com a qualidade da assistência prestada. Métodos: pesquisa exploratória, qualitativa, fundamentada na Teoria das Representações Sociais. Os participantes da pesquisa foram 36 trabalhadores de Enfermagem de Unidades Básicas de Saúde de uma capital da Região Nordeste do Brasil. Os dados foram analisados pela Classificação Hierárquica Descendente. Resultados: foram obtidas cinco classes: acidentes ocupacionais sofridos pelos profissionais; exposição ocupacional a agentes biológicos; gestão da biossegurança em Atenção Primária; importância do equipamento de proteção individual, e biossegurança e controle de infecção. Conclusão: as diferentes tomadas de posições dos profissionais parecem se ancorar em um campo das representações sociais ligado a questões relacionadas ao conceito de biossegurança, à exposição a acidentes e riscos aos quais estão expostos. No entanto, o acidente ocupacional é reportado como inerente à prática

Cateter urinário: o tempo de exposição e calibre podem influenciar na formação de biofilme?

Resumo Objetivo: Avaliar a influência do tempo de exposição e calibre na formação de biofilme em cateteres urinários de Foley (CUFs). Método: Pesquisa in vitro com amostras de fragmentos de CUFs em látex siliconizado de diferentes calibres (n° 14 e n° 16 Frenchs). A urina artificial foi confeccionada, inoculada com bactérias-padrão Staphylococcus aureus (ATCC 25923) e Pseudomonas aeruginosa (ATCC 27853) e incubada a 37 °C por 24 horas e 72 horas. As análises foram realizadas por meio de cultura (carga bacteriana) e microscopia eletrônica de varredura. Resultados: Não houve diferença na carga bacteriana dos biofilmes formados nas superfícies dos CUFs com relação aos diferentes calibres (p > 0,05). Por outro lado, o tempo de exposição (24 horas e 72 horas) foi o fator determinante para formação do biofilme de P. aeruginosa nos CUFs (p < 0,05). Conclusão: O tempo de exposição influenciou a formação do biofilme de P. aeruginosa nos CUFs, independentemente dos calibres