Caracterização de infecções pulmonares no pós-operatório tardio de transplante renal: uma revisão integrativa

Camila Tibiriça da Silva Borges; Vinícius Augusto Travassos; Luciana Castilho de Figueiredo; Desanka Dragosavac; Daniela Cristina dos Santos Faez; Ana Isabela Morsh Passos

doi:10.5020/18061230.2016.p107

Autores

Camila Tibiriça da Silva Borges Universidade Estadual de Campinas
Vinícius Augusto Travassos Universidade Estadual de Campinas
Luciana Castilho de Figueiredo Universidade Estadual de Campinas
Desanka Dragosavac Universidade Estadual de Campinas
Daniela Cristina dos Santos Faez Universidade Estadual de Campinas
Ana Isabela Morsh Passos UNIVERSIDADE ESTADUAL DE CAMPINAS

DOI:

https://doi.org/10.5020/18061230.2016.p107

Palavras-chave:

Hospitalização, Transplante de Rim, Infecções Respiratórias.

Resumo

Objetivo: Caracterizar a natureza e frequência das infecções pulmonares em pacientes adultos pós-transplantados renais tardios. Métodos: Foi realizado um estudo de revisão bibliográfica nas seguintes bases de dados eletrônicas: PubMed, Scielo e Web of Science. Os critérios de elegibilidade do estudo foram: artigos publicados entre os anos de 2010 e 2015, nos idiomas inglês, português ou espanhol, do tipo: ensaios clínicos, randomizados ou não, estudos de caso-controle, estudos de coorte e estudos longitudinais em humanos. Foram excluídos os artigos cujos participantes da pesquisa fossem menores de 18 anos de idade, além dos artigos duplicados em mais de uma das bases de dados. As palavras-chave utilizadas e combinadas na pesquisa foram: pneumonia, infecção pulmonar, infecção, transplante renal, hospitalização. Resultados: Os agentes etiológicos mais incidentes são Pneumocystis jirovecii, Mycobacterium tuberculosis e Aspergillus fumigatus. As infecções pulmonares são devidas, em grande número, ao regime imunossupressor, tempo prolongado de hemodiálise, disfunção de enxerto e transmissão inter humana. Frequentemente, essas infecções evoluem com dispneia progressiva e insuficiência respiratória aguda, sendo necessária ventilação mecânica invasiva ou não invasiva. Conclusão: As evidências científicas apontam uma alta prevalência de infecções pulmonares nos pacientes transplantados renais.

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Biografia do Autor

Camila Tibiriça da Silva Borges, Universidade Estadual de Campinas

Fisioterapeuta. Aluna do curso de Aprimoramento em Fisioterapia em UTI Adulto da Unicamp.

Vinícius Augusto Travassos, Universidade Estadual de Campinas

Fisioterapeuta. Aluno do curso de Aprimoramento em Fisioterapia em UTI Adulto da Unicamp.

Luciana Castilho de Figueiredo, Universidade Estadual de Campinas

Chefe do Serviço de Fisioterapia da UTI Adulto do HC/unicamp.

Desanka Dragosavac, Universidade Estadual de Campinas

Departamento de Cirurgia. Diretora Médica da UTI Adulto do HC/Unicamp.

Daniela Cristina dos Santos Faez, Universidade Estadual de Campinas

Fisioterapeuta da UTI Adulto do HC/unicamp. Especialista em Fisioterapia em UTI Adulto.

Ana Isabela Morsh Passos, UNIVERSIDADE ESTADUAL DE CAMPINAS

Fisioterapeuta do HC/Unicamp. Especialista em Fisioterapia Respiratória e Cardiovascular. Especialista em Fisioterapia em UTI Adulto. Mestre em Clínica Médica.

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