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5 results on '"Isabela Fernanda Larios Fracarolli"'

1. Use of personal protective equipment to care for patients with COVID-19: scoping review

Author

Gracielle Pereira Aires Garcia, Isabela Fernanda Larios Fracarolli, Heloisa Ehmke Cardoso dos Santos, Virgínia Ramos dos Santos Souza, Camila Maria Cenzi, and Maria Helena Palucci Marziale

Subjects
Coronavirus infections, Personal protective equipment, Health personnel, Nursing, RT1-120
Abstract

ABSTRACT Objective To summarize the knowledge about recommendations for the use of personal protective equipment necessary for the provision of care by health professionals to patients suspected or infected by the new coronavirus. Method Scoping review with search for primary studies, reviews and preprints articles in English, Portuguese and Spanish, in the last 20 years on the bases WOS/ISI, SCOPUS, MEDLINE/PuBMed, CINAHL, LILACS and SciELO. Unpublished studies in journals were surveyed on bioRxiv and SciELO preprints. Results 23 studies were eligible. Experiences with coronavirus prior to SARS-CoV-2 revealed that the equipment was an essential barrier in preventing transmission and followed the recommendations for standard precautions, contact, droplet and aerosol. In 13 (57%) studies, this equipment complied international recommendations and in 10 (45%) local recommendations. Conclusion The personal protective equipment used does not follow global standardization according to type, quality and adequate provision, exposing these professionals to the risk of contamination.

Published
2021
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2. Cultural adaptation and updating of the Risk assessment and management of exposure of health care workers in the context of covid-19 questionnaire

Author

Maria Helena Palucci Marziale, Fernanda Ludmilla Rossi Rocha, Alex Jones Flores Cassenote, Maria Lúcia do Carmo Cruz Robazzi, Pedro Fredemir Palha, Jaqueline Garcia de Almeida Ballestero, Fábio de Souza Terra, Vivian Aline Mininel, Heloisa Ehmke Cardoso dos Santos, Isabela Fernanda Larios Fracarolli, Gracielle Pereira Aires Garcia, Maria Alice Barbosa Fortunato, and Marcelo Marques de Lima

Subjects
Covid-19, Occupational Health, Occupational Risks, Health Management, Health Personnel, Risk Assessment, Nursing, RT1-120
Abstract

Objective: to translate and culturally adapt the Risk assessment and management of exposure of health care workers in the context of covid-19 questionnaire to the Brazilian context and to develop and evaluate a sociodemographic and occupational characterization questionnaire to compose the adapted questionnaire. Method: five stages were conducted to adapt the Risk assessment and management of exposure of health care workers in the context of covid-19 questionnaire, namely: translation, synthesis of the translations, evaluation by a committee of judges, back translation and pre-test. As for the complementary questionnaire, it was elaborated and evaluated by a committee of judges and a pre-test was carried out. Results: the questionnaires were validated and the pre-test stage was conducted with health workers and students. Conclusion: the final version adapted to the Brazilian context was called Questionário de avaliação de risco e gestão da exposição de trabalhadores e estudantes de saúde no contexto da covid-19 and is available for use, together with the final version of the Sociodemographic and occupational questionnaire: Risk assessment and management of exposure of health care workers and students in the context of covid-19. These questionnaires may assist in mitigating the risks of infection, illness and death of health workers and students due to covid-19.

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3. Depression, Anxiety and Stress in Health Professionals in the COVID-19 Context

Author

Gracielle Pereira Aires Garcia, Isabela Fernanda Larios Fracarolli, Heloisa Ehmke Cardoso dos Santos, Samuel Andrade de Oliveira, Bianca Gonzalez Martins, Lacir José Santin Junior, Maria Helena Palucci Marziale, Fernanda Ludmilla Rossi Rocha, Universidade de São Paulo (USP), and Universidade Estadual Paulista (UNESP)

Subjects
Male, PANDEMIAS, Depression, Health, Toxicology and Mutagenesis, Public Health, Environmental and Occupational Health, Reproducibility of Results, COVID-19, Anxiety, occupational health, health personnel, depression, anxiety, psychological stress, Cross-Sectional Studies, Surveys and Questionnaires, Humans, Female, Pandemics
Abstract

Made available in DSpace on 2022-04-29T08:46:47Z (GMT). No. of bitstreams: 0 Previous issue date: 2022-04-01 To assess the prevalence of depression, anxiety and stress symptoms in health professionals in the COVID-19 pandemic context. Method: Cross-sectional study with non-probabilistic (snow-ball) sampling method. The assessment was performed using the Depression, Anxiety, and Stress Scale (DASS-21) and the prevalence of symptoms severity was calculated by point and 95% confidence interval. The analysis of the psychometric properties of DASS-21 was performed using confirmatory factor analysis (CFA) and the following goodness of fit indices: χ2/df (chi-square ratio by degrees of freedom), Tucker–Lewis index (TLI), comparative fit index (CFI) and root mean square error of approximation (RMSEA) with a 90% confidence interval. Results: The study participants were 529 health professionals (82.4% women and 66.7% nursing professionals). CFA of the DASS-21 structural model presented adequate fit for the sample (χ2/df = 3.530; CFI = 0.979; TLI = 0.976; RMSEA = 0.069). Regarding prevalence, moderate to extremely severe symptoms of depression, anxiety and stress were found in 48.6%, 55.0% and 47.9% of the participants, respectively. Conclusion: The use of DASS-21 confirmed the validity and reliability of the data. The prevalence of depression, anxiety and stress symptoms in the participants indicated a high risk of mental illness in health professionals in the COVID-19 pandemic. School of Nursing of Ribeirão Preto University of São Paulo (EERP/USP) School of Pharmaceutical Sciences São Paulo State University (UNESP) School of Pharmaceutical Sciences São Paulo State University (UNESP)

Published
2022

4. Use of personal protective equipment to care for patients with COVID-19: scoping review

Author

Camila Maria Cenzi, Gracielle Pereira Aires Garcia, Heloisa Ehmke Cardoso dos Santos, Maria Helena Palucci Marziale, Isabela Fernanda Larios Fracarolli, and Virgínia Ramos dos Santos Souza

Subjects
2019-20 coronavirus outbreak, medicine.medical_specialty, Health Knowledge, Attitudes, Practice, Infectious Disease Transmission, Patient-to-Professional, Coronavirus disease 2019 (COVID-19), Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), education, RT1-120, Coronavirus infections, Nursing, 03 medical and health sciences, Health personnel, 0302 clinical medicine, Occupational Exposure, Personal protective equipment, Medicine, Humans, 030212 general & internal medicine, Gynecology, business.industry, COVID-19, General Medicine, EQUIPAMENTOS DE PROTEÇÃO, 030228 respiratory system, Practice Guidelines as Topic, business, Coronavirus Infections
Abstract

RESUMO Objetivo: Sumarizar o conhecimento sobre recomendacoes do uso de equipamentos de protecao individual necessarios para a prestacao do cuidado por profissionais de saude a pacientes suspeitos ou infectados pelo novo coronavirus. Metodo: Scoping review com busca de estudos primarios, revisoes e artigos preprints em ingles, portugues e espanhol, nos ultimos 20 anos nas bases WOS/ISI, SCOPUS, MEDLINE/PuBMed, CINAHL, LILACS e SciELO. Estudos nao publicados em periodicos foram levantados nos Preprints bioRxiv e SciELO preprints. Resultados: 23 estudos foram elegiveis. Experiencias com coronavirus anteriores ao SARS-CoV-2 revelaram que os equipamentos foram barreiras imprescindiveis na prevencao da transmissao e seguiram recomendacoes de precaucoes padrao, contato, goticula e aerossol. Em 13 (57%) estudos esses equipamentos atenderam as recomendacoes internacionais e em 10 (45%) recomendacoes locais. Conclusao: Os equipamentos de protecao individual utilizados nao seguem padronizacao global segundo tipo, qualidade e provisao adequada, expondo esses profissionais ao risco de contaminacao. Palavras-chave: Infeccoes por coronavirus. Equipamento de protecao individual. Pessoal de saude.

Published
2021

5. Bacterial colonization and antimicrobial resistance in healthcare workers: an integrative review

Author

Isabela Fernanda Larios Fracarolli, Samuel Andrade de Oliveira, and Maria Helena Palucci Marziale

Subjects
Colonization, 0301 basic medicine, Advanced and Specialized Nursing, 03 medical and health sciences, Medical–Surgical Nursing, Trabalhadores de saúde, Colonização, 030106 microbiology, Resistência microbiana a medicamentos, RT1-120, Nursing, Drug resistance, microbial, Health personnel
Abstract

Resumo Objetivo: Analisar as evidências científicas disponíveis na literatura sobre os microrganismos que colonizam os trabalhadores de saúde e sua associação com a resistência a antimicrobianos. Métodos: Revisão integrativa de literatura. A busca dos estudos primários foi realizada nas bases de informação: National Library of Medicine National Institutes of Health, Cumulative Index to Nursing and Allied Health Literature, Web of Science, Scopus e Biblioteca virtual em saúde. Os descritores utilizados foram aplicados de acordo com particularidades de cada base de dados e obtidos por consulta nos Descritores de Ciências em Saúde e Medical Subject Headings. Resultados: A revisão foi composta de 14 estudos primários. Na análise das amostras as pesquisas encontraram principalmente Staphylococcus aureus e Staphylococcus aureus resistente a meticilina colonizando os trabalhadores de saúde. A resistência das bactérias à clindamicina e oxacilina apresentaram maior destaque nas amostras. Conclusão: O Staphylococcus aureus foi evidenciado nos estudos como principal bactéria colonizadora dos trabalhadores de saúde. A preocupação é que essas bactérias apresentam grande capacidade de resistência aos antibióticos beta-lactâmicos. Abstract Objective: To analyze the scientific evidence in the literature on microorganisms that colonize in healthcare workers and the association with antimicrobial resistance. Methods: Integrative review. The search for primary studies was conducted in the following information databases: National Library of Medicine - National Institutes of Health, Cumulative Index to Nursing and Allied Health Literature, Web of Science, Scopus, and Virtual Health Library. The descriptors used were applied according to the particularities of each database and obtained through consulting the Health Sciences Descriptors and Medical Subject Headings. Results: The review was made up of 14 primary studies. In the analysis of the samples, the searches mainly found Staphylococcus aureus and methicillin-resistant Staphylococcus aureus colonizing in healthcare workers. Bacterial resistance to clindamycin and oxacillin was more predominant in the samples. Conclusion: In the studies, Staphylococcus aureus was the main colonizing bacteria in healthcare workers. The concern is that these bacteria have a strong resistance capacity to beta-lactam antibiotics.

Published
2017

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