This study aimed at evaluating the impact of the implementation of a cognitive robot (Robot Laura™) on processes related to the identification and care of patients with risk of sepsis in a clinical-surgical unit of a private hospital in Curitiba-PR. Methods: The study data were obtained from the retrospective review of medical records of patients identified with infection and/or sepsis, in the period of six months before and after the implementation of such technology in the hospital. In addition, the Average Attendance Time (AAT) was obtained from the autonomous reading of the robot. Results: The average time/median until antibiotic prescription from the first identified sign of infection, with or without sepsis, was 390/77 and 109/58 minutes, respectively, in the six months before and after implementation of the technology. However, this difference was not statistically significant (p = 0.85). Regarding AAT, it was possible to observe a reduction from 305 to 280 minutes when comparing the periods of six months before and after the implementation of the technology (p = 0.02). Conclusion: Technologies such as this may be promising in helping healthcare professionals to identify risky situations for patients, as well as in assisting them to optimize the care required. However, further studies, with a greater number of subjects and with different scenarios, are necessary to consistently validate the results found.
Um dos maiores problemas a ser resolvido em serviços de saúde é o fato de que muitos micro-organismospatogênicos podem crescer sobre superfícies sob o fenótipo de biofi lmes. Células microbianas crescidas sob ofenótipo de biofi lmes normalmente se encontram imobilizadas na matriz polimérica extracelular e apresentamforam desenvolvidas três formulações detergentes para uso em ambiente clínico-hospitalar-odontológico,contendo digluconato de clorexidina 2% em bases catiônica, aniônica e não iônica. Essas formulações foramtestadas quanto às suas capacidades de inativação de biofi lmes de Staphylococcus aureus ATCC®25933®, Pseudomonasaeruginosa ATCC®27853® e Candida albicans SC5314. Foi mensurada a ação detergente das três formulaçõessobre os biofi lmes de 24h das três entidades microbianas e foi empregado o ensaio de retenção de cristalvioleta 0,5%. De forma surpreendente, na formulação com base aniônica, deforma inversa ao esperado, aclorexidina comprometeu parcialmente a atividade inativante do detergente, talvez por precipitação do tensioativo.Os resultados mostraram que os componentes das formulações detergentes aqui testadas parecemser mais determinantes na inativação das células microbianas dos biofi lmes que a clorexidina.
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