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• W1548408091 abstract "Preventing health-care associated infections (HAIs) is extremely complex, gathering avarietyof health sciences. The National Nosocomial Infection Surveillance System (NISSCDC) has changed over the years but remains active as the National Healthcare SafetyNetwork (NHSN), allows physicians to standardize hospital infection data. Albeit NHSNintroduces essential knowledge for nosocomial infection control, outbreak detectionremains an important issue yet to be solved. This study uses exponentially weightedmoving average (EWMA) to readily detect outbreaks in hospital settings. Our data showsthat aslightly modified EWMA (i.e. eliminating previous outbreaks from our data source)was able to ascertain all (100 %) existing outbreaks in a twelve-year period.Although an important issue for surveillance is based on rapid detection of an outbreak (orepidemic), solving the outbreak itself is the sole reason for surveillance.Since 1988, when all public health in Brazil was gathered in SUS (Sistema Unico deSaude), healthcare coverage has dramatically increased throughout the country. However,the existence of medical coverage does not necessarily imply that medical services areeffective or even efficient, which requires a constant routine to curb these medical services,especially at the local levels (small health units).A random sample of 1,262 outpatients charts (totaling 2,865 medical visits), was drawnfrom a Health Clinic (Outpatient and Emergency wards) in Rio de Janeiro, betweenSeptember 2005 and September 2006. Data regarding first and subsequent visits (up to oneyear for each patient) were gathered.The proportion of physical exams for each visit was 0.280.36 (Hypertension), 0.280.34 (Diabetes) and 0.230.35 (Other chronic diseases). In other words, a patient afflictedwith any of the above conditions will need about three or four visits to a physician, before aphysical or laboratory exam is performed.Our study identified that patient history (past and present), as well as physical exams andlaboratory testing is seldseen in this outpatient clinic.These findings are striking, dueto the paramount importance of an outpatient clinicrepresents for primary and secondary prevention.Our data, if confirmed by other studies, implies that the epidemiological transitionto phase IV may be a distant reality for a prodigious portion of Brazilian society, inessence, citizens that can only rely on public health care. Furthermore, these results impliesthat solving hospital infection may demand far greater efforts, involving the health systemas a whole, since overcrowded emergencies, one major cause for hospital infection, may becaused by an outpatient clinic miles away from the hospital itself" @default.
• W1548408091 created "2016-06-24" @default.
• W1548408091 creator A5016495780 @default.
• W1548408091 date "2012-01-01" @default.
• W1548408091 modified "2023-09-26" @default.
• W1548408091 title "Diagnóstico precoce de surtos de Infecção Hospitalar Um método simples de séries temporais e avaliação de qualidade dos serviços ambulatoriais" @default.
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