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ABSTRACT Historically, all efforts against tuberculosis were focused on rapid diagnosis and effective treatment to break the chain of transmission of Mycobacterium tuberculosis. However, in the last few years, more and more evidence has been found on the dramatic consequences of the condition defined as post-tuberculosis lung disease (PTLD). Approximately one third of patients surviving pulmonary tuberculosis face considerable ongoing morbidities, including respiratory impairment, psychosocial challenges, and reduced health-related quality of life after treatment completion. Given the important global and local burden of tuberculosis, as well as the estimated burden of PTLD, the development of a consensus document by a Brazilian scientific society-Sociedade Brasileira de Pneumologia e Tisiologia (SBPT)-was considered urgent for the prevention and management of this condition in order to allocate resources to and within tuberculosis services appropriately and serve as a guide for health care professionals. A team of eleven pulmonologists and one methodologist was created by the SBPT to review the current evidence on PTLD and develop recommendations adapted to the Brazilian context. The expert panel selected the topics on the basis of current evidence and international guidelines. During the first phase, three panel members drafted the recommendations, which were divided into three sections: definition and prevalence of PTLD, assessment of PTLD, and management of PTLD. In the second phase, all panel members reviewed, discussed, and revised the recommendations until a consensus was reached. The document was formally approved by the SBPT in a special session organized during the 2023 SBPT Annual Conference.

RESUMO Historicamente, todos os esforços contra a tuberculose concentraram-se no diagnóstico rápido e no tratamento efetivo para quebrar a cadeia de transmissão do Mycobacterium tuberculosis. No entanto, nos últimos anos, têm sido encontradas mais e mais evidências sobre as dramáticas consequências da condição definida como doença pulmonar pós-tuberculose (DPPT). Aproximadamente um terço dos pacientes que sobrevivem à tuberculose pulmonar enfrenta morbidades consideráveis e persistentes, incluindo comprometimento respiratório, desafios psicossociais e redução da qualidade de vida relacionada à saúde após o término do tratamento. Diante da importante carga global e local da tuberculose, bem como da carga estimada da DPPT, considerou-se urgente o desenvolvimento de um documento de consenso por uma sociedade científica brasileira - a Sociedade Brasileira de Pneumologia e Tisiologia (SBPT) - para a prevenção e manejo dessa condição, a fim de alocar recursos de forma adequada para e nos serviços de tuberculose e servir de guia para os profissionais de saúde. Uma equipe de onze pneumologistas e um metodologista foi criada pela SBPT para revisar as evidências atuais sobre a DPPT e desenvolver recomendações adaptadas ao contexto brasileiro. O painel de especialistas selecionou os temas com base nas evidências atuais e diretrizes internacionais. Durante a primeira fase, três membros do painel redigiram as recomendações, que foram divididas em três seções: definição e prevalência de DPPT, avaliação da DPPT e manejo da DPPT. Na segunda fase, todos os membros do painel analisaram, discutiram e revisaram as recomendações até chegar a um consenso. O documento foi aprovado formalmente pela SBPT em sessão especial organizada durante o Congresso Anual da SBPT de 2023.

https://doi.org/10.36416/1806-3756/e20230269

Diagnosis of tuberculosis: a consensus statement from the Brazilian Thoracic Association
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Silva, Denise Rossato

; Rabahi, Marcelo Fouad

; Sant’Anna, Clemax Couto

; Silva-Junior, José Laerte Rodrigues da

; Capone, Domenico

; Bombarda, Sidney

; Miranda, Silvana Spíndola de

; Rocha, Jorge Luiz da

; Dalcolmo, Margareth Maria Pretti

; Rick, Mônica Flores

; Santos, Ana Paula

; Dalcin, Paulo de Tarso Roth

; Galvão, Tatiana Senna

; Mello, Fernanda Carvalho de Queiroz

Jornal Brasileiro de Pneumologia

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2021, Volume 47 N. 2 elocation e20210054

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO O diagnóstico precoce e adequado da tuberculose é um dos pilares mais importantes no controle da doença. A proposta deste consenso brasileiro é apresentar aos profissionais da área de saúde um documento com as evidências mais atuais e úteis para o diagnóstico da tuberculose. Para tanto, a Comissão de Tuberculose da Sociedade Brasileira de Pneumologia e Tisiologia reuniu 14 membros da Sociedade com reconhecida experiência em tuberculose no Brasil. Foi realizada uma revisão não sistemática dos seguintes tópicos: diagnóstico clínico, diagnóstico bacteriológico, diagnóstico radiológico, diagnóstico histopatológico, diagnóstico da tuberculose na criança e diagnóstico da tuberculose latente.

ABSTRACT Early, accurate diagnosis of tuberculosis is one of the major pillars of the control of the disease. The purpose of this consensus statement is to provide health professionals with the most current, useful evidence for the diagnosis of tuberculosis in Brazil. To that end, the Tuberculosis Committee of the Brazilian Thoracic Association brought together 14 members of the Association with recognized expertise in tuberculosis in Brazil to compose the statement. A nonsystematic review of the following topics was carried out: clinical diagnosis, bacteriological diagnosis, radiological diagnosis, histopathological diagnosis, diagnosis of tuberculosis in children, and diagnosis of latent tuberculosis infection.

https://doi.org/10.36416/1806-3756/e20210054 348 downloads

Características clínicas e epidemiológicas de casos de infecção pulmonar por Mycobacterium kansasii no Rio de Janeiro, no período de 2006 a 2016
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Goldenberg, Telma

; Gayoso, Regina

; Mogami, Roberto

; Lourenço, Maria Cristina

; Ramos, Jesus Paes

; Carvalho, Luciana Distasio de

; Dalcolmo, Margareth Pretti

; Mello, Fernanda Carvalho de Queiroz

Jornal Brasileiro de Pneumologia

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2020, Volume 46 N. 6 elocation e20190345

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Objetivo Avaliar características clínicas, tomográficas e microbiológicas dos pacientes com doença pulmonar causada pela M. kansasii (DPMK) atendidos em unidade ambulatorial no período 2006-2016. Métodos Estudo descritivo, em que foram analisados 38 pacientes. Foram analisadas as características demográficas, clínico-radiológicas, laboratoriais e terapêuticas. Resultados A média de idade foi 64 anos (DP=10,6; IIQ=57-72; mediana=65,0) e 22 (57,9%) eram pacientes do sexo masculino. Comorbidade pulmonar estava presente em 89,5%. A comorbidade mais frequente foi a bronquiectasia (78,9%). Tratamento anterior para tuberculose pulmonar (TBP) foi relatado em 65,9%. O esquema terapêutico mais utilizado foi rifampicina, isoniazida e etambutol (44,7%). A tomografia de tórax (TCT) mostrou bronquiectasia (94,1%), distorção arquitetural (76,5%), espessamento de septo (67,6%) e cavidades (64,7%). A doença foi bilateral em 85,2%. Houve 10,7% de resistência à rifampicina, 67,9% resistentes ao etambutol e sensibilidade à claritromicina. Conclusão Em pacientes com doença pulmonar estrutural, é importante a busca de DPMNT, principal diagnóstico diferencial com TBP. TC de tórax demonstra diferentes padrões que se sobrepõem ao de doença estrutural causada por TBP ou outras enfermidades pulmonares. Destaca-se a resistência ao etambutol, fármaco componente do esquema preconizado.

ABSTRACT Objective To evaluate clinical, tomographic, and microbiological characteristics of pulmonary disease caused by M. kansasii (MKPD) in patients treated at an outpatient unit from 2006-2016. Methods We studied thirty eight patients, and analyzed socio-demographic, clinical-radiological, laboratory, and therapeutic characteristics. Results The mean age was 64 years (SD = 10.6; IIQ = 57-72; median = 65.0), and 22 (57.9%) male patients. Pulmonary comorbidity was present in 89.5% of the patients. The most frequent comorbidity was bronchiectasis (78.9%). Previous treatment for pulmonary tuberculosis (PTB) was found in 65.9%. The most used therapeutic regimen was rifampicin, isoniazid and ethambutol (44.7%). Chest tomography (CT) showed bronchiectasis (94.1%), architectural distortion (76.5%), septum thickening (67.6%), and cavities (64.7%). Disease was bilateral in 85.2%. We observed 10.7% resistance to rifampicin, 67.9% resistance to ethambutol, and sensitivity to clarithromycin. Conclusion In patients with structural lung disease, it is important to search for NTM, the main differential diagnosis with PTB. Chest CT showed different patterns that overlapped with structural disease caused by PTB or other lung diseases. We observed resistance to ethambutol, a drug component of the recommended regimen.

https://doi.org/10.36416/1806-3756/e20190345 1030 downloads

First report of Raoultella ornithinolytica carrying blaKPC-2 isolated from a dipteran muscoid collected in a garbage from a public hospital in Rio de Janeiro, Brazil
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Carramaschi, Isabel Nogueira

; Castro, Eduardo Almeida Ribeiro de

; Leite, Jéssica Albuquerque

; Queiroz, Margareth Maria de Carvalho

; Boas, Maria Helena Simões Villas

; Rangel, Karyne

; Zahner, Viviane

Revista do Instituto de Medicina Tropical de São Paulo

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2019, Volume 61 elocation e32

Abstract: En | Text: En | PDF: En

https://doi.org/10.1590/s1678-9946201961032 691 downloads

Larvicidal and adulticidal effects and ultrastructural changes of larvae midgut epithelium of Musca domestica (Diptera: Muscidae) fed with Bacillus thuringiensis var. kyushuensis
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Pereira, Lorrane de Andrade

; Ferreira, Vitor dos Santos Baia

; Leite, Nahara de Souza

; Souza, Sandra Maria de Oliveira

; Queiroz, Margareth Maria de Carvalho

; Côrte-Real, Suzana

; Zahner, Viviane

Revista da Sociedade Brasileira de Medicina Tropical

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2019, Volume 52 elocation e20190135

Abstract: En | Text: En | PDF: En

Abstract INTRODUCTION: Musca domestica is resistant to many insecticides; hence, biological control is a suitable alternative. METHODS: We evaluated the lethality of strain Btk176 towards the larval and adult M. domestica and the histopathological effects in the larvae midgut. RESULTS: We observed 99% larval and 78.9% adult mortality within 48 hours of spore ingestion (dosage, 2.4×108 CFU/ml). The histopathological effects were consistent with cytotoxicity. PCR analysis showed the presence of the cry1Ba gene. Transmission electron microscopy revealed a bipyramidal parasporal body. Thurigiensin activity was not detected. CONCLUSIONS: The serovar, Btk176 might be a potential biocontrol agent for houseflies.

https://doi.org/10.1590/0037-8682-0135-2019 845 downloads

The role of the Brazilian Tuberculosis Research Network in national and international efforts to eliminate tuberculosis
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Kritski, Afranio

; Dalcolmo, Margareth Pretti

; Mello, Fernanda Carvalho Queiroz

; Carvalho, Anna Cristina Calçada

; Silva, Denise Rossato

; Oliveira, Martha Maria de

; Croda, Julio

Jornal Brasileiro de Pneumologia

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apr 2018, Volume 44 N. 2 Pages 77 - 81

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1590/s1806-37562017000000435 2738 downloads

Bionomy of two flies of sanitary and forensic importance: Peckia (Sarcodexia) lambens (Wiedemann) and Oxysarcodexia amorosa (Schiner) (Diptera, Sarcophagidae)
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Xavier, Alexandre da Silva

; Barbosa, Rodrigo Rocha

; Barbosa, Celso Guimarães

; Queiroz, Margareth Maria de Carvalho

Revista Brasileira de Entomologia

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sep 2015, Volume 59 N. 3 Pages 229 - 233

Abstract: En | Text: En | PDF: En

ABSTRACTThis study aims to elucidate the bionomy of Peckia(Sarcodexia) lambens and Oxysarcodexia amorosa to provide data for medical, veterinary and forensic entomology analyses. We analyzed larval stage duration (L1–L3), weight of the mature larvae (L3), pupal stage duration, L1–adult duration, adult emergence and viability of larvae and adults of both species. Larval viability of P. (S.) lambens was 82% and the mean duration of the larval stage was 3.51 ± 0.99 days. The mature larvae had a mean weight of 33.67 ± 7.13 mg. The mean duration of the pupal stage was 8.26 ± 0.93 days and the mean duration of the L1–adult was 11.53 ± 1.22 days. Mean lifespan for females and males was 39.33 ± 1.52 and 57.33 ± 4.72 days, respectively. Larval viability of O. amorosa was 76% and mean duration of larval stage was 3.51 ± 0.64 days. Mature larvae had a mean weight of 28.28 ± 3.38 mg. Mean duration of the pupal stage was 10.14 ± 0.63 days and mean duration of the L1–adult was 13.60 ± 0.69 days. Mean lifespan for females and males was 83.66 ± 15.94 and 84.00 ± 19.97 days, respectively. Oxysarcodexia amorosa showed a L1–adult stage longer than P. (S.) lambens; however both species showed low viability. O. amorosa laid more larvae than P. (S.) lambens, this fact may occur because O. amorosa had longer life duration.

https://doi.org/10.1016/j.rbe.2015.06.002 2741 downloads

Preliminary screening of the larvicidal effect of Brevibacillus laterosporus strains against the blowfly Chrysomya megacephala(Fabricius, 1794) (Diptera: Calliphoridae)
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Carramaschi, Isabel Nogueira

; Pereira, Lorrane de Andrade

; Queiroz, Margareth Maria de Carvalho

; Zahner, Viviane

Revista da Sociedade Brasileira de Medicina Tropical

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aug 2015, Volume 48 N. 4 Pages 427 - 431

Abstract: En | Text: En | PDF: En

AbstractINTRODUCTION: This study evaluated whether different strains of Brevibacillus laterosporus could be used to control larvae of the blowfly Chrysomya megacephala , a pest that affects both human and animal health.METHODS:Mortality rates were recorded after 1-mL suspensions of sporulated cells of 14 different strains of B. laterosporus were added to 2.5g of premixed diet consisting of rotting ground beef fed to first instar larvae of C. megacephala . All bioassays were performed using 10 larvae per strain, with a minimum of three replicates for each bioassay. Larval mortality was recorded daily up to seven days.RESULTS:Strains Bon 707, IGM 16-92, and Shi 3 showed the highest toxicity toward the larvae producing 70.5%, 64.5%, and 51.6% of larval mortality, respectively, which was significantly higher than that in the control group (p < 0.05). In contrast, strains NRS 1642, NRS 661, NRS 590 BL 856, NRS 342, ATCC 6457, Bon 712, and NRS 1247 showed limited or no pathogenic activity against the target larvae.CONCLUSIONS:Our preliminary data indicated that B. laterosporus could be used to develop bioinsecticides against C. megacephala .

https://doi.org/10.1590/0037-8682-0092-2015 8811 downloads

Chemical composition and insecticidal activity of Cymbopogon citratus essential oil from Cuba and Brazil against housefly
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Pinto, Zeneida Teixeira

; Sánchez, Félix Fernández

; Santos, Arith Ramos dos

; Amaral, Ana Claudia Fernandes

; Ferreira, José Luiz Pinto

; Escalona-Arranz, Julio César

; Queiroz, Margareth Maria de Carvalho

Revista Brasileira de Parasitologia Veterinária

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mar 2015, Volume 24 N. 1 Pages 36 - 44

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

O óleo essencial de Cymbopogon citratus, coletado no Brasil e em Cuba, foi caracterizado quimicamente e testado no desenvolvimento pós-embrionário de Musca domestica. A análise da composição química dos óleos essenciais (Brasil/Cuba), por Cromatografia Gasosa acoplada ao espectrômetro de massa (GC-EM), permitiu a identificação de 13 e 12 componentes principais, respectivamente; nove deles comuns aos dois. Em ambos os óleos, os principais componentes foram os isômeros geranial e neral, que, juntos, formam o composto citral. Esse corresponde a um total de 97,92%/Brasil e 97,69%/Cuba dos compostos identificados. O monoterpeno mirceno, observado na amostra cubana, apresentou grande abundância relativa (6,52%). O óleo de C. citratus (Brasil/Cuba) foi dissolvido em DMSO, obtendo–se as concentrações de 5, 10, 25, 75 e 100%; e o citral (16,8 mg) foi misturando com 960mL de DMSO. Tanto o óleo essencial como o monoterpeno citral foram aplicados topicamente nas neolarvas (1µL/larva). Os resultados mostraram uma concentração letal (CL50) de 4,25% e 3,24% para o óleo essencial brasileiro e cubano, respectivamente. As mortalidades do período larval e o de neo-larva a adulto foram dose-dependentes, tanto para os óleos como para o monoterpeno citral, podendo chegar a 90%. Ambos os óleos essenciais e citral causaram alterações morfológicas nos espécimes adultos.

Essential oil of Cymbopogon citratus collected from Brazil and Cuba was tested to a chemical characterization and then was tested on the post-embryonic development of Musca domestica. The chemical composition analysis by GC-MS of the oils from Brazil/Cuba allowed the identification of 13 and 12 major constituents respectively; nine of them common to both. In the both oils, the main components were the isomers geranial and neral, which together form the compound citral. This corresponds to a total of 97.92%/Brazil and 97.69%/Cuba of the compounds identified. The monoterpene myrcene, observed only in the sample of Cuba, presented a large relative abundance (6.52%). The essential oil of C. citratus (Brazil/Cuba) was dissolved in DMSO and tested at concentrations of 5, 10, 25, 50, 75 and 100% and citral was prepared by mixing 16.8 mg with 960 µL DMSO. Both essential oils and monoterpene citral were applied topically to newly-hatched larvae (1µL/larva). The results showed a lethal concentration (LC50) of 4.25 and 3.24% for the Brazilian and Cuban essential oils, respectively. Mortalities of larval and newly-hatched larvae to adult periods were dose-dependent for the two both oils as for monoterpene citral, reaching 90%. Both essential oils and citral caused morphological changes in adult specimens.

https://doi.org/10.1590/S1984-29612015006 6900 downloads

10.

Effect of an extract from Plumbago scandens L. (malacara) on Chrysomya putoria post-embryonic development
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Borges Pinto Lopes, Marcio

; Figueiredo, Maria Raquel

; Rangel Bérenger, Ana Luiza

; Paiva, Selma

; Escalona Arranz, Julio César

; de Carvalho Queiroz, Margareth Maria

Revista Cubana de Plantas Medicinales

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dec 2014, Volume 19 N. 4 Pages 433 - 442

Abstract: En | Text: En | PDF: En

74 downloads

11.

First record of acari Arrenurus Dugès, 1834 as a parasite of Odonata species in Brazil
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Rodrigues, Marciel Elio

; Carriço, Cesar

; Pinto, Zeneida Teixeira

; Mendonça, Paloma Martins

; Queiroz, Margareth Maria de Carvalho

Biota Neotropica

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dec 2013, Volume 13 N. 4 Pages 365 - 367

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Ácaros aquáticos são parasitas comuns de alguns insetos aquáticos em habitats de água doce. Este é o primeiro registro do ácaro Arrenurus Dugès, 1834, como parasita de Odonata no Brasil. Ácaros aquáticos foram coletados em Miathyria marcella (Selys, 1857) e Ischnura fluviatilis (Selys, 1876).

Water mites are common and widespread parasites of some aquatic insects in freshwater habitats. This is the first record of acari Arrenurus Dugès, 1834, as a parasite of Odonata in Brazil. Water mites were sampled from Miathyria marcella (Selys, 1857) and Ischnura fluviatilis (Selys, 1876).

https://doi.org/10.1590/S1676-06032013000400029 1848 downloads

12.

Temporal distribution of ten calyptrate dipteran species of medicolegal importance in Rio de Janeiro, Brazil
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Barbosa, Rodrigo Rocha

; Mello-Patiu, Cátia Antunes de

; Ururahy-Rodrigues, Alexandre

; Barbosa, Celso Guimarães

; Queiroz, Margareth Maria de Carvalho

Memórias do Instituto Oswaldo Cruz

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mar 2010, Volume 105 N. 2 Pages 191 - 198

Abstract: En | Text: En | PDF: En

Brazilian studies involving entomological succession patterns in carcasses have been used to describe the necrophagous entomofauna of a determined municipality or region with forensic objectives. Following the same objectives, an ecological study with 10 calyptrate dipterans was carried out during the winter of 2007 and the summer of 2008 in the metropolitan region of the municipality of Rio de Janeiro. The aim of this study was to describe several aspects of the phenology of these species in three neighbouring areas. Carcasses of three domestic pigs (Sus scrofa L.) were used in each season as models for forensic and legal medicine investigations in the region. Temperature, relative humidity and rainfall were measured daily and their relations with population abundance of the colonising species and the decomposition stages were analysed. Ten fly species were recorded to be colonising the carcasses, five of which belonged to the Calliphoridae family, three to the Muscidae, one to the Fanniidae and one to the Sarcophagidae family. Data show preferences of these species for climatic season and decomposition stage, as well as for the studied area and suggest that short distances can significantly influence the abundance of some species.

2547 downloads Cited 4 times in SciELO

13.

III Diretrizes para Tuberculose da Sociedade Brasileira de Pneumologia e Tisiologia
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Conde, Marcus Barreto

; Melo, Fernando Augusto Fiuza de

; Marques, Ana Maria Campos

; Cardoso, Ninarosa Calzavara

; Pinheiro, Valeria Goes Ferreira

; Dalcin, Paulo de Tarso Roth

; Machado Junior, Almério

; Lemos, Antonio Carlos Moreira

; Netto, Antônio Ruffino

; Durovni, Betina

; Sant'Anna, Clemax Couto

; Lima, Dinalva

; Capone, Domenico

; Barreira, Draurio

; Matos, Eliana Dias

; Mello, Fernanda Carvalho de Queiroz

; David, Fernando Cezar

; Marsico, Giovanni

; Afiune, Jorge Barros

; Silva, José Roberto Lapa e

; Jamal, Leda Fátima

; Telles, Maria Alice da Silva

; Hirata, Mário Hiroyuki

; Dalcolmo, Margareth Pretti

; Rabahi, Marcelo Fouad

; Cailleaux-Cesar, Michelle

; Palaci, Moises

; Morrone, Nelson

; Guerra, Renata Leborato

; Dietze, Reynaldo

; Miranda, Silvana Spíndola de

; Cavalcante, Solange Cesar

; Nogueira, Susie Andries

; Nonato, Tatiana Senna Galvão

; Martire, Terezinha

; Galesi, Vera Maria Nader

; Dettoni, Valdério do Valle

Jornal Brasileiro de Pneumologia

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oct 2009, Volume 35 N. 10 Pages 1018 - 1048

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Diariamente novos artigos científicos sobre tuberculose (TB) são publicados em todo mundo. No entanto, é difícil para o profissional sobrecarregado na rotina de trabalho acompanhar a literatura e discernir o que pode e deve ser aplicado na prática diária juntos aos pacientes com TB. A proposta das "III Diretrizes para TB da Sociedade Brasileira de Pneumologia e Tisiologia (SBPT)" é revisar de forma crítica o que existe de mais recente na literatura científica nacional e internacional sobre TB e apresentar aos profissionais da área de saúde as ferramentas mais atuais e úteis para o enfrentamento da TB no nosso país. As atuais "III Diretrizes para TB da SBPT" foram desenvolvidas pela Comissão de TB da SBPT e pelo Grupo de Trabalho para TB a partir do texto das "II Diretrizes para TB da SBPT" (2004). As bases de dados consultadas foram LILACS (SciELO) e PubMed (Medline). Os artigos citados foram avaliados para determinação do nível de evidência científica, e 24 recomendações sobre TB foram avaliadas, discutidas por todo grupo e colocadas em destaque. A primeira versão das "III Diretrizes para TB da SBPT" foi colocada no website da SBPT para consulta pública durante três semanas, e as sugestões, críticas e o nível de evidência da referência científica que as embasavam foram avaliados e discutidos antes de serem incorporadas ou não ao texto final.

New scientific articles about tuberculosis (TB) are published daily worldwide. However, it is difficult for health care workers, overloaded with work, to stay abreast of the latest research findings and to discern which information can and should be used in their daily practice on assisting TB patients. The purpose of the III Brazilian Thoracic Association (BTA) Guidelines on TB is to critically review the most recent national and international scientific information on TB, presenting an updated text with the most current and useful tools against TB to health care workers in our country. The III BTA Guidelines on TB have been developed by the BTA Committee on TB and the TB Work Group, based on the text of the II BTA Guidelines on TB (2004). We reviewed the following databases: LILACS (SciELO) and PubMed (Medline). The level of evidence of the cited articles was determined, and 24 recommendations on TB have been evaluated, discussed by all of the members of the BTA Committee on TB and of the TB Work Group, and highlighted. The first version of the present Guidelines was posted on the BTA website and was available for public consultation for three weeks. Comments and critiques were evaluated. The level of scientific evidence of each reference was evaluated before its acceptance for use in the final text.

112639 downloads Cited 23 times in SciELO

14.

New records of calyptrate dipterans (Fanniidae, Muscidae and Sarcophagidae) associated with the decomposition of domestic pigs in Brazil
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Barbosa, Rodrigo Rocha

; Mello-Patiu, Cátia Antunes de

; Mello, Rubens Pinto de

; Queiroz, Margareth Maria de Carvalho

Memórias do Instituto Oswaldo Cruz

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sep 2009, Volume 104 N. 6 Pages 923 - 926

Abstract: En | Text: En | PDF: En

The calyptrate dipterans are the most important decomposers of human cadavers. Knowledge of their species and distribution are of great importance to forensic entomology, especially because of the enormous diversity in Brazil. Carcasses of domestic pigs (Sus scrofa, L) were the experimental models used to attract calyptrates of forensic interest during the winters of 2006 and 2007 and the summers of 2006 and 2008. A total of 24,423 specimens from 44 species were collected (19 Muscidae, 2 Fanniidae and 23 Sarcophagidae), three of which were new records of occurrence and 20 of which were new forensic records for the state of Rio de Janeiro. Fourteen of these species were newly identified as forensically important in Brazil.

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15.

Pneumonia por Pneumocystis jiroveci (PPC) em pacientes com SIDA atendidos em hospitais da Baixada Fluminense, Rio de Janeiro, Brasil
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Neres Norberg, Antonio

; Melo Reis, Carlos Henrique

; de Carvalho Queiroz, Margareth Maria

; Ribeiro, Paulo César

; Pile, Edwin

; de Carvalho, Raimundo Wilson

Colombia Médica

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jun 2009, Volume 40 N. 2 Pages 213 - 217

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

Objetives: The authors investigated the P. jiroveci prevalence and the epidemiological pattern of individuals with HIV infection and pulmonary infection concomitantly. Method: Were collected 266 samples of bronchoalveolar lavae of the HIV infection patients from three hospitals from Baixada Fluminense, Rio de Janeiro State, Brazil. Results: The overall prevalence of Pneumocystis jiroveci infection was 26.3%, been 18% in male and 8.3% in female. The sexes showed similar prevalence (26.8% in men and 25.3% in women) and considering the infection stratified by age category, except to female 10-15 years old group, all of them showed infection by the P. jiroveci. Both measurements without significant differences (among sex, X²= 0,07; among age category, H=10,7, p>0,05) respectively. From this survey eight cases of tuberculosis were diagnosed, representing 3.0% of the total examined.

Objetivos: Os autores investigaram a freqüência de P. jiroveci em pacientes sororreagentes para o Vírus da Imunodeficiência Humana (AIDS) atendidos em hospitais de municípios da Baixada Fluminense, bem como, reconhecer aspectos do padrão epidemiológico da infecção por P. jiroveci nesses pacientes. Método: Para a realização da pesquisa foram coletadas 266 amostras de lavado broncoalveolar de pacientes infectados pelo HIV atendidos em três hospitais da Baixada Fluminense, estado do Rio de Janeiro, Brasil. Resultados: A infecção por Pneumocystis jiroveci foi diagnosticada em 26,3% das amostras, sendo 18% no sexo masculino e 8,3% no feminino. Os gêneros apresentaram freqüências semelhantes (26,8% em homens e 25,3% em mulheres) (X²= 0,07; p>0,05) e ao considerar a infecção por faixas etárias, também não se constatou diferença significativa (H=10,7; p<0,05). Entre eles ainda foram encontrados oito casos de tuberculose representando 3% do total examinado.

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