Urinary tract infections (UTIs) are among the most common human infections, both in hospitals and in communities. Proteus mirabilis is known to cause community-acquired urinary tract infection (CA-UTI) and is an important causative agent of nosocomial UTIs. The pathogenesis of this species is related to its ability to manifest virulence factors, such as biofilms, adhesion molecules, urease, proteases, siderophores, and toxins. In this study, we investigated the virulence, sensitivity to antimicrobials, and clonal relationship of 183 strains isolated from the urine of CA-UTI patients in Londrina, Paraná State, Brazil. A total of 100% of the strains were positive for hpmA, ptA, zapA, mrpA, pmfA, ireA, and atfA virulence genes. The ucaA gene was positive in 81.4% of the cases. The strains showed high rates of sensitivity to the evaluated antimicrobials, and only one was ESBL-positive. All the tested bacteria showed the capacity to form biofilms: 73.2% had a very strong intensity, while 25.7% had a strong intensity, and 1.1% had a moderate intensity. Regarding clonality, 40 clonal clusters were found among the microorganisms tested. Our results showed that strains of P. mirabilis isolated from CA-UTI patients have several virulence factors. Although the urinary clinical isolates studied showed high sensitivity to antimicrobials, the strains showed a strong capacity to form biofilms, making antibiotic therapy difficult. In addition, it was observed that there were clones of P. mirabilis circulating in the city of Londrina.

Resumo Introdução Conceitos e constructos são fundamentais à teoria e prática de qualquer profissão. Na terapia ocupacional, por mais que alguns conceitos e constructos como o Repertório Ocupacional estejam presentes e/ou em ascensão nos referenciais teóricos-metodológicos, ainda não foram extensivamente e sistematicamente investigados, definidos e debatidos na produção de conhecimento nacional. Objetivo Objetivou-se analisar o uso do constructo Repertório Ocupacional na literatura nacional da terapia ocupacional. Método Realizou-se uma revisão de escopo nos principais periódicos nacionais da área e na plataforma Google Acadêmico publicados entre 1990 e 2020. Utilizou-se como estratégia a busca booleana, na qual os descritores (repertório ocupacional) e (repertório de ocupações) foram combinados com o operador OR. Dessa forma, em todos os periódicos manteve-se a seguinte sentença: (repertório ocupacional OR repertório de ocupações). A amostra foi composta por 20 publicações. Resultados Das 20 publicações que compuseram a amostra analisada, sete foram publicadas na Revista Interinstitucional Brasileira de Terapia Ocupacional, cinco nos Cadernos Brasileiros de Terapia Ocupacional, uma na Revista de Terapia Ocupacional da USP e sete no Google Acadêmico compondo a literatura cinzenta (4 TCC, 1 artigo, 1 resumo e 1 dissertação). O ano de publicação variou de 2016 a 2020. Das 20 publicações que compuseram a amostra, apenas os materiais encontrados na literatura cinzenta tiveram como objeto de estudo o repertório ocupacional. Nas demais publicações, o repertório ocupacional aparece, seja na introdução, nos resultados, na discussão e/ou nas considerações finais, como um complemento/elemento secundário ao objetivo das publicações. Conclusão Apesar do constructo “repertório ocupacional” corroborar a prática e a discussão teórica de terapeutas ocupacionais no contexto internacional, no Brasil ainda é incipiente a literatura sobre esse constructo. Portanto, destaca-se a importância de serem desenvolvidas pesquisas futuras sobre o tema, proporcionando um diálogo entre os profissionais, além de favorecer o reconhecimento e constituição da profissão.

Introduction Concepts and constructs are fundamental to the theory and practice of any profession. In occupational therapy, although some concepts and constructs, such as the Occupational Repertoire, are present and/or on the rise in theoretical-methodological frameworks, they have not yet been extensively and systematically investigated, defined, and debated in the production of national knowledge. Objective The objective was to analyze the use of the Occupational Repertoire construct in the national occupational therapy literature. Method A scoping review was carried out in the main national journals in the area and the Google Scholar platform published between 1990 and 2020. The Boolean search strategy was used, in which the descriptors (occupational repertoire) and (occupation repertoire) were combined with the OR operator. Thus, in all journals, the following sentence was maintained: (occupational repertoire OR repertoire of occupations). The sample consisted of 20 publications. Results Of the 20 publications that made up the analyzed sample, 7 were published in the Brazilian Interinstitutional Journal of Occupational Therapy, 5 in the Cadernos Brasileiros de Terapia Ocupacional, 1 in the Revista de Terapia Ocupacional da USP and 7 in Google Scholar composing the gray literature (4 TCC, 1 paper, 1 abstract and 1 dissertation). The year of publication ranged from 2016 to 2020. Of the 20 publications that made up the sample, only the materials found in the gray literature had the occupational repertoire as their object of study, in the other publications, the occupational repertoire appears either in the introduction, in the results, in the discussion and/or final considerations as a complement/secondary element to the purpose of the publications. Conclusion Although the “occupational repertoire” construct corroborates the practice and theoretical discussion of occupational therapists in the international context, in Brazil, the literature on this construct is still incipient. Therefore, the importance of developing future research on the subject is highlighted, providing a dialogue between professionals, in addition to favoring the recognition and constitution of the profession.