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Surgical site infection surveillance in knee and hip arthroplasty: optimizing a...

Guedes, M; Almeida, F; Andrade, P; Moreira, L; Pedrosa, A; Azevedo, A; Rocha-Pereira, N

Background: Surgical site infection (SSI) is an important cause of disease burden and healthcare costs. Fully manual surveillance is time-consuming and prone to subjectivity and inter-individual variability, which can be partly overcome by semi-automated surveillance. Algorithms used in orthopaedic SSI semi-automated surveillance have reported high sensitivity and important workload reduction. This study aimed ...


Variation in Antibiotic Prescription in High-Risk Febrile Neutropenia in Portug...

Freitas, M; Andrade, P; Pinto, R; Trigo, F; Azevedo, A; Almeida, F

Introduction: Febrile neutropenia (FN) is a potentially severe entity, particularly in hemato-oncologic patients who have higher incidence of colonization with multidrug-resistant bacteria. Discrepancies among guidelines contribute to divergence in antimicrobial practices. Our objective was to assess the variation of practices in antimicrobial therapy in high-risk FN among Portuguese hematologists. Methods: We ...


Contextual Hospital Conditions and the Risk of Nosocomial SARS-CoV-2 Infection:...

Almeida, F; Correia, S; Leal, C; Guedes, M; Duro, R; Andrade, P; Pedrosa, A; Rocha-Pereira, N; Lima-Alves, C; Azevedo, A

Objective: Knowledge of the role of hospital conditions in SARS-CoV-2 transmission should inform strategies for the prevention of nosocomial spread of this pathogen and of similarly transmitted viruses. This study aimed to identify risk factors for nosocomial acquisition of SARS-CoV-2. Methods: We ran a nested case-control study with incidence density sampling among adult patients hospitalized for >7 days (Augu...


Recomendações para o Diagnóstico e Tratamento da Infeção Não Complicada por Chl...

Andrade, P; Azevedo, J; Lisboa, C; Fernandes, C; Borrego, MJ; Borges-Costa, J; Reis, J; Santiago, F; Santos, A; Alves, J

Chlamydia trachomatis infection is the most prevalent sexually transmitted bacterial infection in the world. Being associated with a large number of asymptomatic carriers, the diagnosis is frequently challenging and requires appropriate laboratory testing. In Portugal, the incidence of the disease has been consistently increasing in recent years, meaning that special awareness is required for case identificatio...


Appropriateness of Empirical Prescriptions of Ceftriaxone and Identification of...

Gorgulho, A; Cunha, F; Branco, EA; Azevedo, A; Almeida, F; Duro, R; Andrade, P; Pereira, NR; Alves, CL

Third-generation cephalosporins are widely used due to the convenient spectrum of activity, safety, and posology. However, they are associated with the emergence of multidrug-resistant organisms, which makes them important targets for antimicrobial stewardship interventions. We aimed to assess the appropriateness of empirical prescriptions of ceftriaxone in a tertiary hospital. This cross-sectional study analys...


Immune Response Induced by SARS-CoV-2 Vaccines in Patients with Inflammatory Bo...

Garrido, I; Lopes, S; Andrade, P; Real, AC; Ramos, A; Cardoso, MJ; Guimarães, JT; Macedo, G


Pathophysiology of Hidradenitis Suppurativa: a Systematic Review of the Literature

Mendes-Bastos, P; Andrade, P; Cabete, J; Lobo, I; Massa, A; Lisboa, C

Hidradenitis suppurative (HS) is a multifactorial, recurrent, chronic inflammatory disease with a significant impact on patient’s quality of life. The etiopathogenesis of this complex condition is not fully understood. In this systematic review, we aimed to address and clarify the role of genetics, immunity, endocrinology, and skin microbiome together with risk factors in HS etio pathogenesis. A systematic revi...


Panton-Valentine Leukocidin-Producing Staphylococcus aureus Infection: A Case S...

Prista-Leão, B; Abreu, I; Duro, R; Silva-Pinto, A; Ceia, F; Andrade, P; Sobrinho-Simões, J; Tavares, M; Pereira, JM; Santos, L; Sarmento, A

Panton-Valentine leukocidin-producing Staphylococcus aureus (PVL-SA) is associated with relapsing multifocal skin and soft tissue infections (SSTI), necrotizing pneumonia (NP) and severe musculoskeletal infections. Epidemiology is underknown and underdiagnosis is likely. Recent travel abroad, case clustering and relapsing disease are often reported. We reviewed all cases of PVL-SA infection diagnosed at our cen...


Small Bowel Enteroscopy - A Joint Clinical Guideline by the Spanish and Portugu...

Pérez-Cuadrado Robles, E; Pinho, R; González-Suárez, B; Mão-de-Ferro, S; Chagas, C; Esteban Delgado, P; Carretero, C; Figueiredo, P; Rosa, B

The present evidence-based guidelines are focused on the use of device-assisted enteroscopy in the management of small-bowel diseases. A panel of experts selected by the Spanish and Portuguese small-bowel study groups reviewed the available evidence focusing on the main indications of this technique, its role in the management algorithm of each indication, and its diagnostic and therapeutic yield. A set of reco...


Accuracy of Faecal Calprotectin and Neutrophil Gelatinase B-associated Lipocali...

Magro, F; Lopes, S; Coelho, R; Cotter, J; Castro, F; Sousa, H; Salgado, M; Andrade, P; Vieira, A; Figueiredo, P; Caldeira, P; Sousa, A; Duarte, M

BACKGROUND AND AIMS: Mucosal healing and histological remission are different targets for patients with ulcerative colitis, but both rely on an invasive endoscopic procedure. This study aimed to assess faecal calprotectin and neutrophil gelatinase B-associated lipocalin as biomarkers for disease activity in asymptomatic ulcerative colitis patients. METHODS: This was a multicentric cross-sectional study includin...


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