Abstract：
INTRODUCTION:Scabies outbreaks in healthcare institutions are an emerging problem. To determine the best management strategy is a topical matter. We analyzed two hospital scabies outbreaks and reviewed the management strategy of institutional scabies outbreaks. MATERIAL AND METHODS:We performed an observational retrospective study of two independent scabies outbreaks that occurred in a Portuguese tertiary hospital in 2018. Following the identification of the index cases, scabies cases and exposed individuals, we calculated the attack rate in patients and professionals. We also evaluated the treatment and infection control measures, as well as the global cost of each outbreak. RESULTS:The hospital outbreaks of scabies occurred in two wards of Internal Medicine. Both had as index cases institutionalized patients with dermatosis at the time of admission. In the Ward 1, there have been identified 409 exposed individuals, 14 cases of scabies and the attack rate was 3.4%. In the Ward 2, there have been identified 254 exposed individuals, 17 cases and the attack rate was 6.7%. Topical treatment was prescribed to the cases and environmental measures were implemented. DISCUSSION:In our analysis, both outbreaks had as index cases institutionalized patients and had a significant impact, with hundreds of exposed individuals and considerable costs. The analysis of hospital scabies outbreaks is mostly retrospective and represents an opportunity to review its best management strategy. CONCLUSION:Implementation of guidelines on tackling scabies outbreaks in institutional settings is urgent. :Introdução: Os surtos de escabiose em instituições são um problema emergente. Determinar a melhor estratégia para o seu controlo é uma questão atual. Analisámos dois surtos hospitalares de escabiose e revimos a abordagem de surtos institucionais de escabiose.Material e Métodos: Realizámos um estudo observacional retrospetivo de dois surtos independentes de escabiose que ocorreram num hospital terciário português em 2018. Após a identificação dos casos-índice, dos casos de escabiose e dos indivíduos expostos, calculámos a taxa de ataque em doentes e em profissionais de saúde. Avaliámos ainda o tratamento e medidas de controlo de infeção, bem como o custo global de cada surto.Resultados: Os surtos de escabiose ocorreram em duas enfermarias de Medicina Interna. Ambos tiveram como caso-índice doentes institucionalizados e com dermatose no momento do internamento. Na enfermaria 1 foram identificados 409 indivíduos expostos, 14 casos de escabiose e a taxa de ataque foi 3,4%. Na enfermaria 2 foram identificados 254 indivíduos expostos, 17 casos e a taxa de ataque foi 6,7%. Foi realizado o tratamento tópico dos casos e foram implementados cuidados ambientais.Discussão: Na nossa análise, ambos os surtos tiveram como caso-índice doentes previamente institucionalizados e tiveram umimpacto significativo, com centenas de indivíduos expostos e custos consideráveis. A análise de surtos hospitalares de escabiose é fundamentalmente retrospetiva e representa uma oportunidade para rever a estratégia da sua abordagem.Conclusão: É premente a implementação de linhas de orientação sobre a abordagem de surtos institucionais de escabiose.
journal_name
Acta Med Portjournal_title
Acta medica portuguesaauthors
Gomes N,Guedes PM,Norton P,Azevedo F,Lisboa Cdoi
10.20344/amp.12840subject
Has Abstractpub_date
2020-12-02 00:00:00pages
803-810issue
12eissn
0870-399Xissn
1646-0758journal_volume
33pub_type
杂志文章abstract：INTRODUCTION:The purpose of postoperative surveillance programs after curative treatment for colorectal cancer is to detect asymptomatic recurrences with the premise that an important rate will be eligible for curative resection, improving overall survival. We have implemented a surveillance program for patients with c...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.7889
更新日期：2017-09-29 00:00:00
abstract：:Differential diagnosis concerning Crohn's Disease and intestinal tuberculosis is often difficult. The authors present an illustrative case with ileal tuberculosis and secondary amyloidosis. Diagnostic tools and therapeutic measures are described. Literature review and theoretical discussion of both pathologies are inc...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1993-08-01 00:00:00
abstract：:The use of the transoesophageal echocardiography (TEE) in the critically ill patient admitted to the general intensive care unit begins to turn out to be very important but it is still little spread. The full implementation of the echocardiography in the general intensive cares is compromised by the acoustic window. H...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2011-12-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to determine the safety and efficacy in the first sixteen patients operated by endoscopic third ventriculostomy for triventricular obstructive hydrocephalus in the Hospital of S. João-Porto. METHODS:Operated from December 1998 to December 1999, there were one adult, one teenager...
journal_title：Acta medica portuguesa
pub_type： 临床试验,杂志文章
doi：
更新日期：2002-09-01 00:00:00
abstract：:In the medical press there are several data confirming the value of E.R.C.P. and E.E.S., in the therapeutical approach of acute lithiasic pancreatitis (A.L.P.). Nowadays it is a first line endoscopic technic on the therapeutical approach in A.L.P. permitting to clean out the biliary tree of stones, eliminating the eti...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1995-06-01 00:00:00
abstract：:Gastrointestinal Bleeding (GIB) is a complication in patients with Chronic Renal Failure (CRF) on regular hemodialysis (HD). To analyse the importance of GIB we studied, retrospectively, the causes of hospitalization in 301 patients, all on HD in the same Unit in January 1990. The average age was 57.4 +/- 14.2 years (...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1992-02-01 00:00:00
abstract：INTRODUCTION:The recent occurrence of a number of outbreaks of dengue in Portuguese speaking countries with no previous disease, aroused curiosity about the competing factors for the phenomenon and a need for better knowledge of the pathology. We review the dengue-related situation in Portuguese speaking countries, lin...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2014-07-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to evaluate the efficacy of post-caesarean analgesia comparing three techniques most frequently used. PATIENTS AND METHODS:For three months all pregnant women submitted to elective or urgent caesarean section, under general or regional anaesthesia, were evaluate with a total of 129 ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2001-07-01 00:00:00
abstract：:The authors join the celebrations of the Centenary of the establishment of the Faculdade de Medicina da Universidade de Lisboa, on the 22(nd) April 2011, through the historical account of one of its main pilasters, the Institute of Anatomy. It is discussed the scope of its creation at the time, the important work done...
journal_title：Acta medica portuguesa
pub_type： 历史文章,杂志文章
doi：
更新日期：2011-07-01 00:00:00
abstract：:The effects of immunodepression on several disease states have constituted an important area of research, leading to the identification of relevant associations between immunodepression and a vast set of comorbidities, including infectious diseases, cardiovascular diseases and cancer. Research on the effects of immuno...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：10.20344/amp.7997
更新日期：2017-01-31 00:00:00
abstract：INTRODUCTION:Cervix cancer is the fourth most common female cancer and the second most frequent in women aged 15 to 44 years. The infection by the human papillomavirus is a necessary condition in almost all of cervix cancer cases; it is a sexually transmitted disease and all women sexually active are at risk of being i...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：10.20344/amp.7095
更新日期：2016-06-01 00:00:00
abstract：:Since the introduction of imatinib mesylate for the treatment of chronic myeloid leukaemia, impressive clinical responses were observed in the majority of patients in chronic phase. However, not all patients experience an optimal response to imatinib mesylate or even to the more potent, second generation tyrosine kina...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2013-07-01 00:00:00
abstract：:Pharmacological aspects of presently used insulins are reviewed. A discussion of different forms of insulin therapy in insulin dependent and non insulin dependent diabetes mellitus is presented. ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：1989-09-01 00:00:00
abstract：INTRODUCTION:The relationship between lymphomas and autoimmune diseases has been reported as bi-directional, however there is a few data in pediatric population. The aim of this work is to evaluate the prevalence of autoimmune diseases in children and adolescents with Hodgkin's lymphoma followed in a Pediatric Oncology...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.6207
更新日期：2015-11-01 00:00:00
abstract：:Treatment of breast cancer generally involves quadrantectomy and mastectomy followed by radiotherapy and chemotherapy depending on indication. The object of the present study was to verify the extent of movement of the shoulder after breast cancer treatment and the influence of the type of surgery (quadrantectomy and ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2009-09-01 00:00:00
abstract：INTRODUCTION:Current practice guidelines recommend using Current Opioid Misuse Measure to screen aberrant opioid-related behaviors in chronic pain patients. Our aims were to translate, adapt and validate it to be used in Portuguese chronic pain patients. MATERIAL AND METHODS:Translation and cultural adaptation process...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.12015
更新日期：2020-04-01 00:00:00
abstract：:We present the results of a prospective study of the technical and human characteristics of the transport of children transferred from other Hospitals to our PICU. During eight months of 1994, 153 children were transferred and 138 included in our study. Their ages varied between one month and fourteen years and the ma...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1996-04-01 00:00:00
abstract：INTRODUCTION:Pneumocystis jirovecii pneumonia remains one of the most common opportunistic illnesses in patients infected with the human immunodeficiency virus. It is currently the most reported AIDS-defining infection in Portugal. The aims of this study were to analyze the features of a human immunodeficiency virus /P...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.7022
更新日期：2016-10-01 00:00:00
abstract：:The pathogenesis of cholestasis, bilirubin encephalopathy, and Alzheimer's disease appears to result from accumulation of diverse cytotoxic agents, which in turn may cause apoptotic cell death. In addition, mitochondria has lately been considered as a central executioner of programmed cell death, through the release o...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2002-07-01 00:00:00
abstract：:This paper describes the process followed to create and validate the Portuguese versión of a quality of life measurement instrument for patients in palliative care. After a literature review about the measurement of the quality of life in this particular and very specific kind of patients, we opt by the Irene Higginso...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2008-03-01 00:00:00
abstract：:Pleural mesothelioma is a disease associated with exposure to asbestos. Although rare, it is the most common malignant pleural neoplasm. It is difficult to diagnose and it has a poor prognosis. We report the case of a 62-year-old male patient with a history of prolonged occupational exposure to asbestos, with dyspnea ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.11406
更新日期：2020-02-03 00:00:00
abstract：:In adults, endogenous hyperinsulinemic hypoglycaemia is almost invariably due to insulinoma. The authors describe a 29 year old patient with repeated postprandial symptomatic hypoglycaemias and negative prolonged fast test. Distal pancreatectomy was performed, directed by positive arteriographic testing. Histological ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2003-11-01 00:00:00
abstract：:Biomedical simulation is an effective educational complement for healthcare training, both at undergraduate and postgraduate level. It enables knowledge, skills and attitudes to be acquired in a safe, educationally orientated and efficient manner. In this context, simulation provides skills and experience that facilit...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.8403
更新日期：2016-12-30 00:00:00
abstract：INTRODUCTION:Accurate recognition of omental infarction has resulted in increasing supporters of non-operative approach. In order to assess the efficacy and safety of conservative management, we surveyed the cases of omental infarction treated at a single institution. MATERIAL AND METHODS:Primary omental infarction tr...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.4996
更新日期：2014-07-01 00:00:00
abstract：INTRODUCTION:Acute appendicitis (AA) is the leading cause of emergency abdominal surgery in children. The diagnosis is essentially clinical, but some methodologies, such as Alvarado score (AS), have been developed in order to avoid non-therapeutic laparotomy (15-30%). AS ≥ 5 or 6 is compatible with AA and is an indicat...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2011-12-01 00:00:00
abstract：:Schistosomiasis is a major cause of liver damage and portal hypertension, especially in tropical countries, affecting about 200 million people in the world. We report the cases of two patients presenting persistent alterations of serum liver enzymes. We enhance the importance of considering the history of past travels...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1998-10-01 00:00:00
abstract：:Fabry disease (FD) is a rare disorder resulting from mutations of the alpha-Galactosidase A lysosomal enzyme gene. Accumulation of enzyme substrates leads to multisystemic clinical manifestations and multiorgan progressive damage with high morbidity and mortality. Recombinant enzyme replacement therapy (RERT) now avai...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2010-05-01 00:00:00
abstract：:As far as we know, there is no experience of quality management in mental health care in Portugal. This study fills a gap in the area of consultation-liaison psychiatry. Due to its multidisciplinarity and to the complexity of the problems it deals with, consultation-liaison psychiatry seems a privileged field for the ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1997-12-01 00:00:00
abstract：:Over the past 20 years allogeneic bone marrow transplantation has been increasingly utilized in the treatment of acute and chronic leukemias, aplastic anemia, severe forms of thalassemia, immunodeficiency syndromes and metabolic disorders due to a lack of specific enzymes in the monocyte-macrophage system. Despite the...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1991-12-01 00:00:00
abstract：:Our study centred on the research of Pelvic Endometriosis prevalence, in 134 women, who were submitted to diagnostic or surgical laparoscopy in our department, from April 1991 to November 1994. According to the admission causes, the women were divided in four groups: Pelvic pain/infertility/Anexial tumours/Optional tu...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1997-10-01 00:00:00
