Healthcare-associated infections (HAIs) represent a major challenge in patient safety that affects services disproportionally. This paper aimed to assess how the HAI prevalence varies between hospital services and what contextual characteristics may explain such variance. A cross-sectional study was conducted on adult patients in Portuguese hospitals, using data from the European point prevalence survey of HAI ...
"Background Surgical site infections (SSIs) are associated with poor health outcomes. Their incidence is highest after colorectal surgery, with little improvement in recent years. The role of hospital characteristics is undetermined. Aim To investigate whether SSI incidence after colorectal surgery varies between hospitals, and whether such variance may be explained by hospital characteristics. Methods Data wer...
"Background: Health care workers (HCW) are presumably exposed to a higher risk of infection by SARS-CoV-2 and could possibly represent a source of transmission to susceptible patients. Thus, characterization of SARS-CoV-2 infection among HCW is necessary to better understand the determinants of viral transmission and properly implement strategies to prevent dissemination and protect HCW and vulnerable patients....
Background: Hospital characteristics have been recognized as potential risk factors for surgical site infection for over 20 years. However, most research has focused on patient and procedural risk factors. Understanding how structural and process variables influence infection is vital to identify targets for effective interventions and to optimize healthcare services. The aim of this study was to systematically...
Objectives. To assess whether electronic records data could improve the efficiency, exhaustiveness, and representativeness of SSI surveillance by selecting a group of high-risk patients for manual review. Methods. Colorectal surgeries (2016–2018) and cholecystectomies (2017–2018) were selected. Post-surgical antibiotic use, positive culture, C-reactive protein (CRP) values, body temperature, leukocyte count, su...
A Síndrome de Stevens-Johnson (SSJ) e a Necrólise Epidérmica Tóxica pertencem a um espetro de doenças raras, potencialmente fatais, distinguindo-se pela área corporal afetada. A mucosite é comum aos dois quadros, frequentemente inaugural e pode ocorrer isoladamente. É o caso da mucosite associada a Mycoplasma pnemoniae, também designada SSJ atípica, que se caracteriza por pródromo respiratório seguido de mucosi...
OBJECTIVES: To assess the prevalence and severity of ultrasonographic abnormalities of the hand and wrist of asymptomatic patients with systemic lupus erythematosus (SLE) and compare these findings with those from patients with SLE with musculoskeletal signs or symptoms and healthy controls. METHODS: We conducted a prospective cross-sectional study that evaluated bilaterally, with grey-scale and power Doppler (...
The use of some additions as cement replacement has played an important role in the amount of clinker reduction. Due to its huge worldwide availability one of the most important and recognised replace agent is the fly ash, but is also estimated that only 30 to 40% of fly ash is used, although there are some challenges to be overcome, such as the reactive potential quantification. Chemical analysis is typically ...
Introdução: A síndrome de Gorlin‐Goltz ou síndrome dos basaliomas nevoides múltiplos é uma patologia autossómica dominante, provocada por uma mutação no gene de supressão tumoral PTCH, localizado no cromossoma 9 (q22,3‐q31). As principais manifestações clínicas são o aparecimento de múltiplos carcinomas de células basais, associado a alterações osteoesqueléticas e a tumores odontogénicos queratoquísticos. Estes...