This descriptive study was conducted in a public hospital from May 2005 to October 2007, with the purpose to determine the epidemiological aspects that involve vancomycin-resistant enterococci (VRE) and describe the evolution of patients. |The data was obtained from registers on patient records and then processed in SPSS. Frequency distribution and measures of central tendency were used. A total 122 patients participated of the study, the majority were males with an average age of 43 years (SD= 18.8), and 16.3% developed VRE infection. Vancomycin has been the most used antibiotic (62,3%), 97.5% used invasive procedures, 45.0% were dependent on intensive care nursing, 77.9% had at least one open wound and 50.8% progressed to death. The data suggests that recommendations for bacterial resistance control should be encouraged to reduce mortality, morbidity, hospital costs and thus provide better quality care to patients. KEY WORDS RESUMENEstudio descriptivo, realizado en un hospital público desde mayo de 2005 a octubre de 2007. Se objetivó determinar los aspectos epidemiológicos que involucran al Enterococcus resistente a vancomicina (VRE) y describir la evolución de los pacientes. Los datos fueron recolectados de registros en historias clínicas, después de la recolección, la información obtenida fue procesada en SPSS. Se usó la distribución de frecuencia y medidas de tendencia central. Participaron del estudio 122 pacientes. La mayoría, de sexo masculino, con edad media de 43 años (DP = 18,8). El 16,3% desarrolló infección por VRE. El antibiótico más usado antes de la identificación del VRE fue la vancomicina. (62,3%); 93,5% fueron sometidos a procedimientos invasivos, 45,0% dependían de cuidado intensivo de enfermería, 77,9% tenía por lo menos una herida abierta y 50,8% fallecieron. Tales datos sugieren que deben ser alentadas en forma ilimitada medidas de control de la resistencia bacteriana, apuntando a la reducción de la mortalidad, morbilidad, costos hospitalarios y, consecuentemente, a una mejor calidad de atención del paciente. DESCRIPTORES

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Introduction: facing COVID-19 pandemic, alternative measures were adopted to reduce community transmission and prevent the collapse of the health system. Objective: This paper was motivated by the authors' professional experience during the COVID19 pandemic. The study aims to improve a guide protocol of telemonitoring in the city of ContagemMG, which could ensuring standardization of care for confirmed and/ or suspected patients of COVID-19, in residential isolation. Method: documentary evidence, descriptive estudy based on a literature review, followed by the elaboration of a protocol presented as a flowchart. The study evaluated the data from telemonitoring in the city of Count from July 2020 to May 2021, and it was approved by the Ethics Committee. Results: 25,498 consultations were carried out by telemonitoring, and most patients had symptoms (80.5%) and were discharged by telecare (97.54%). Conclusion: The number of calls and the risk of worsening in people who have had symptoms are elements that demand rigor in the follow-up by call center. Therefore, they reinforce the need for a clinical protocol. The protocol was developed specifically for the city of count, it was made based on internal documents of the helth system of the city and also in empirical aspects. It is suggested to update with new discoveries about the disease..