Banca de DEFESA: SAYURI ROCHA YAMASHITA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : SAYURI ROCHA YAMASHITA
DATE: 16/01/2023
TIME: 17:00
LOCAL: https://conferenciaweb.rnp.br/events/defesa-sayuri
TITLE:

A cross-sectional study in critically ill patients with COVID-19 in an intensive care unit.

KEY WORDS:

ICU; Resistance, SARS-COV-2; Hospitalized patients; Clinical and laboratory features

PAGES: 46
BIG AREA: Ciências da Saúde
AREA: Farmácia
SUBÁREA: Análise e Controle de Medicamentos
SUMMARY:

COVID-19 is a severe acute respiratory syndrome caused by SARS-CoV-2, and in March 2020, it was considered a pandemic. In this context, a multidisciplinary group monitored and investigated clinical and laboratory findings in search of information that would add to the studies of this new virus. Along with changes in conventional infection prevention and control practices, the investigative perspective has adapted studies to the current scenario. This study aimed to describe the clinical and laboratory profile of critically ill patients affected by COVID-19 admitted to an intensive care unit (ICU) using dexamethasone. The methodology used was a cross-sectional study conducted on patients admitted to the ICU of a COVID reference hospital in the city of Salvador, Bahia. Regarding the deaths found, 55% of the patients had a diagnosis of hypertension, 44% had diabetes and/or insulin therapy, 33% had a history of cardiovascular disease (atrial fibrillation and congestive heart failure), and 22% had a history of stroke. Alterations in renal function (creatinine) had the relative risk considered significant. In addition, of the 22 patients listed, 45% (10) had blood infection or pneumonia associated with mechanical ventilation by Acinetobacter baumannii (A. baumannii) in blood cultures and/or tracheal aspirate secretion. We observed that there is a moderate correlation between length of hospital stay and infection by A. baumannii (Spearman's ρ; 0.592; p-value<0.005) and a strong correlation between the number of days on mechanical ventilation and infection by this bacterium (Spearman's ρ; 0.740; p-value <0.001). These data contribute to the etiological description of SARS-CoV-2 infections and suggest that laboratory medicine can also make a relevant contribution to scientific and health knowledge during the first outbreak of COVID-19. Hospitals that receive these patients may be vulnerable to outbreaks of multidrug-resistant organisms, such as A. baumannii . It is worth reflecting on care and operational practices in managing these patients, especially regarding isolation and restriction measures.

COMMITTEE MEMBERS:
Externo à Instituição - DIEGO GNATTA - UFRGS
Interno - 2765101 - ADEMIR EVANGELISTA DO VALE
Interna - 1012812 - FRANCINE JOHANSSON AZEREDO
Externo à Instituição - GUBIO SOARES CAMPOS - UFBA
Externo ao Programa - 3153844 - LINDEMBERG ASSUNÇÃO COSTA - null