Objective: To identify and describe the profile of colostomized patients domiciled in the State of Rio Grande do Norte. Method: This is a descriptive, cross-sectional and quantitative study realized in the Ostomized Association of Rio Grande do Norte, Natal/RN, Brazil, between December 2013 and March 2014, through the registry of 549 colostomized patients. Results: The distribution between the genders occurred in a similar way, with a rate age of 58.21 years (± 21.59 years). They were predominantly married (47.7%), brownish colour (47.3%), with elementary school (53.4%), income of up to one minimum wage (64.3%), retirees, pensioners or beneficiaries (25.9%) and coming from the Eastern Coastal Zone (61.4%). Temporary colostomies prevailed (54.3%), with an average surgical time of 4.75 years (± 5.9 years), the main cause of which was rectum neoplasia (44.8%). Conclusion: When this population is characterized, it is possible to establish priorities regarding the assistance provided, the planning and implementation of actions aimed at health promotion and the prevention of complications.

Objetiva-se identifi car a prevalência de complicações em pessoas com estomias urinárias e intestinais ativascadastradas na Associação de Ostomizados do Rio Grande do Norte. Trata-se de uma pesquisa transversal,retrospectiva, com abordagem quantitativa realizada com 572 prontuários dos estomizados ativos atendidos naAORN de 1991 a 2015. Os resultados apresentaram predominância em indivíduos do sexo masculino (52,1%), ensinofundamental incompleto (51,6%) e renda de até dois salários mínimos (64,3%), sendo 76,2% colostomizados, 16,3%ileostomizados e 7,5% urostomizados. Entre as principais causas que levaram a confecção do estoma destacouse a neoplasia de reto (37,6%). A prevalência de complicações para o período pesquisado foi de 30,2%. Dentreas complicações mais frequentes destaca-se a dermatite (28,9%), prolapso (20,2%), hérnia periestomal (18,5%) eretração do estoma (17,9%). Concluí-se que a prevalência das complicações foi de 30,2% com maior frequência dedermatite, prolapso, hérnia e retração. Faz-se necessário a identifi cação das complicações precocemente evitandoagravos.Palavras-chave: Estomia; Complicações; Enfermagem. ABsTRAcTThe aim is to identify the complications prevalence in people with active urinary stomies and intestinesenrolled in the Ostomized Association of Rio Grande do Norte. This was a cross-sectional, retrospective studywith a quantitative approach with 572 records of stomatal patients seen at AORN from 1991 to 2015. Theresults showed the follow predominance: males (52.1%), incomplete primary education (51.6%), Being 76.2%colostomized, 16.3% ileostomized and 7.5% urostomized. Among the main causes that led to the manufactureof the stoma, a rectal neoplasia (37.6%) was highlighted. The prevalence of complications for the period studiedwas 30.2%. Among the most frequent complications are dermatitis (28.9%), prolapse (20.2%), peristomal hernia(18.5%) and stoma retraction (17.9%). It concludes that the prevalence of complications was 30.2% with a higherfrequency of dermatitis, prolapse, hernia and retraction. It is necessary a warning of complications early avoidinginjuries.Keywords: Ostomy; Complications; Nursing.

Objetivo: Caracterizar a los pacientes ileostomizados registrados en la Asociación de Ostomizados de Río Grande do Norte. <br /><br />Material y Métodos: Estudio exploratorio, retrospectivo, con abordaje cuantitativo, basado en datos obtenidos de las fichas de inscripción de 97 personas con ostomías, en el periodo de noviembre de 2013 a enero de 2014, en una asociación de ostomizados en el estado de Rio Grande do Norte, RN, Brasil. <br /><br />Resultados: Predominaron pacientes de sexo femenino, con edad media de 57,08 años, blanco/pardo, casados, procedentes de la zona costera del este, educación primaria incompleta, jubilados y con 1  salario mínimo. En cuanto a la duración y motivo del origen de la ileostomía, el tumor de recto/neoplasia de recto/cáncer de recto fue la causa principal y la mayoría de ellas fueron temporales. <br /><br />Conclusión: El conocimiento del perfil de estos pacientes permite la identificación de las necesidades de los ostomizados, estimulando al equipo multidisciplinar para implementar comportamientos que ayuden a los pacientes a aceptar y vivir con la ostomía.<br /><br />

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Objective:Analyze the studies which present aspects related to the quality of life of patients with an ostomy. Method:It is about an integrative review in databases of the literature held in the Latin American Literature and Caribbean health sciences, Medical Literature Analysis and Retrieval System Online, Nursing Database, PubMed Central, Cumulative Index to Nursing and Allied Health Literature, Web of Science and SciVerse Scopus. Controlled keywords of the Medical Subject Headings (MESH) were used: "Ostomy" and "Quality of life". The additional factors were: scientific articles that measure the QOL of people with an ostomy and/or scientific articles that show at least one aspect which affects the QOL of those people. After the analysis, the final sample was composed of 41 articles that passed through statistical analysis to identify the factors that best associated and correlated to the life quality of patients with an ostomy. Results:International studies with the level of evidence VI were predominant. 40 factors associated with the QOL of people with an ostomy were observed and subdivided into the domains: sociodemographic, clinical, physical, psychological and social. Conclusion:The main factors related to the quality of life of patients with an ostomy were: age, income, gender, change in physical and in sexual function (p<0.001). However, as it is about a review study, it needs the validation of the factors that most stand out in this theme.

The increasing production of goat milk and its derivatives is affected by the occurrence of intramammary infections, which are highly associated with the presence of Staphylococcus species, including some with zoonotic potential. Staphylococci in general can exchange mobile genetic elements, a process that may be facilitated by the isolate's capacity of forming biofilms. In this study we identified, to the species level, Staphylococcus isolated from goat milk samples by MALDI-TOF and confirmed the identification by sequencing housekeeping genes (rrs and tuf). Eight species were identified, more than half being either Staphylococcus epidermidis or Staphylococcus lugdunensis. The isolates were shown by pulsed-field gel electrophoresis to be genetically diverse between the studied herds. Resistance to ampicillin and penicillin was widespread, and 2 Staph. epidermidis isolates contained the methicillin-resistance gene mecA. Most of the isolates that were resistant to at least 1 of the 13 antimicrobials tested harbored plasmids, one of which was demonstrated to be conjugative, being transferred from a Staph. epidermidis to a Staphylococcus aureus strain. Biofilm formation was observed in almost every isolate, which may contribute to their capacity of exchanging antimicrobial resistance genes in addition to acting as a physical barrier to the access of drugs. Our results showed that antimicrobial resistance among goat staphylococci may be emerging in a process facilitated by the exchange of mobile genetic elements between the bacteria and the establishment of biofilms, which calls for careful monitoring and more effective control therapies.

RESUMO Objetivo Verificar a acurácia das características definidoras do diagnóstico de enfermagem baixa autoestima situacional em pessoas com estomia. Método Estudo transversal e descritivo desenvolvido em duas etapas. A primeira foi realizada com 90 pessoas com estomia, procedendo às análises descritivas dos dados coletados. Na segunda fase, verificou-se a inferência diagnóstica com juízes enfermeiros. Resultados A frequência do diagnóstico de enfermagem baixa autoestima situacional foi baixa (23,3%). Entre as características definidoras, prevaleceram: verbalizações autonegativas (33,3%), comportamento indeciso (28,8%) e comportamento não assertivo (26,1%). As mais sensíveis foram comportamento indeciso (71,0%) e expressões de sentimento de inutilidade (71,0%). Conclusão Observou-se que o diagnóstico de enfermagem baixa autoestima situacional pode ser identificado nas pessoas com estomia, e que há características definidoras nesse diagnóstico que melhor predizem e aumentam a chance da sua ocorrência. Nesse sentido, ressalta-se a importância da assistência de enfermagem no processo de adaptação e autoestima.

Objetivo: identificar en la literatura las características definidoras del diagnóstico de enfermería disturbio en la imagen corporal en estudios desarrollados con personas ostomizadas. Métodos: se trata de una investigación bibliográfica, en la modalidad revisión integradora de la literatura, descriptiva y con enfoque cualitativo, realizada en noviembre del 2015, en las bases de datos Literatura Latinoamericana y del Caribe en Ciencias de la Salud, Medical Literature Analysis and Retrieval System Online, Índice Bibliográfico Español de Ciencias de la Salud, PubMed Central, Cumulative Index to Nursing and Allied Health Literature, Web of Science y SciVerse Scopus. El análisis se llevó a cabo por medio de consulta a la taxonomía NANDA-I, con la que se buscó identificar las características definidoras del diagnóstico en cuestión. Resultados: la muestra fue de 43 publicaciones, en las que se identificaron 14 de las 37 características definidoras que componen el diagnóstico estudiado. Conclusiones: los estudios señalan relaciones entre el disturbio en la imagen corporal y alteraciones en la sexualidad, restricciones sociales, cambios en el estilo de vida y calidad de vida.