O advento da pandemia de COVID-19 na nossa população resultou em um número excessivo de pacientes internados nas unidades de tratamento intensivo. A preocupação com os cuidados oculares nos levou a fazer uma revisão bibliográfica desses cuidados. O protocolo originário da revisão foi instituído para ser utilizado em pacientes em estado de sedação e coma com lagoftalmo (incapacidade de fechamento palpebral efetivo) colocando-os em risco de desenvolver complicações oculares que podem resultar em perda da visão. O protocolo foi disponibilizado na intranet do Instituto José Frota para os pacientes internados por COVID-19 e estendido para as outras unidades de tratamento intensivo, com o objetivo de padronizar os cuidados oculares em pacientes internados nessas unidades.
Introduction: The cow's milk protein allergy (CMPA) is considered the most prevalent food allergy in children, developing, usually, during the first three years of life and can cause gastrointestinal, respiratory and skin changes. Among the diagnostic methods used, there is the oral food challenge test. However, little used in clinical practice. Objective: Identifying the importance of Oral Provocation Test (OPT) in the diagnostic confirmation of CMPA in children. Method: An integrative review of studies of the last ten years, with six relevant articles related to the theme and used and described the OPT in children with suspected CMPA. Results: The OPT is important to confirm the diagnosis, avoiding prolonged exclusion diets, nutritional risks and unnecessary expenses. The oral test with milk can be adopted as the gold standard and used as a basis for comparative studies that aims to advance the molecular diagnosis, determining the specificities and sensitivities of such tests. It can also be used with other foods. In innovative studies to determine the tolerance of dairy foods, allowing include them in the feeding of these patients during the elimination diet. Conclusion: It is important that the OPT is performed early in the onset of symptoms suggestive of CMPA, in order to avoid prolonged exclusion diets, nutritional risks and unnecessary expenses.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.