A carregar...
Publicação
Internamento por referência em unidade de isolamento de doenças infeciosas na FMV-ULisboa
| Nome: | Descrição: | Tamanho: | Formato: | |
|---|---|---|---|---|
| 1.55 MB | Adobe PDF |
Autores
Resumo(s)
A referência de casos clínicos é uma prática cada vez mais comum na Clínica de Animais de
Companhia. A Unidade de Isolamento de Doenças Infeciosas (UIDI) do Hospital Escolar
Veterinário (HEV) da Faculdade de Medicina Veterinária da Universidade de Lisboa, realiza
consultas e internamento por primeira opinião, segunda opinião e referência de pacientes,
canídeos e felídeos, com doença infeciosa confirmada ou com suspeita de doença infeciosa
a aguardar diagnóstico.
Foi objetivo deste estudo assinalar a trajetória evolutiva da referência de pacientes para a
UIDI, averiguar a frequência dos pacientes internados na UIDI por consulta de referência face
ao número total de animais admitidos, caracterizar a população de animais referenciados para
a UIDI, identificar a maior casuística de doenças infeciosas referenciadas para a UIDI e ainda
averiguar eventuais disparidades relativas ao internamento dos pacientes admitidos por
consulta de referência face à totalidade de pacientes internados na UIDI.
A população em estudo integrou 935 pacientes, 401 canídeos e 534 felídeos, internados na
UIDI no período decorrido entre outubro de 2013 a março de 2019, por consulta de primeira
opinião, por consulta de segunda opinião ou por consulta de referência.
Os resultados obtidos revelaram maior prevalência dos diagnósticos infeciosos Parvovirose
Canina (37.7%) e Leptospirose Canina (30.4%) nos canídeos referenciados e, Complexo de
Doenças do Trato Respiratório Superior Felino (41.4%) e Leucemia Felina (34.4%) nos
felídeos referenciados. Verificou-se que, da totalidade dos animais, o internamento mais
duradouro pertenceu ao grupo dos pacientes referenciados. O grupo dos pacientes internados
na UIDI por consulta de primeira opinião obteve maior taxa de sucesso (79.7% nos canídeos
e 76.5% nos felídeos), seguindo-se pelo grupo dos pacientes referenciados (70.6% nos
canídeos e 66.3% nos felídeos).
Por fim, foi possível reconhecer algumas particularidades relativas à hospitalização dos
pacientes referenciados que poderão ser melhoradas, tendo em vista o maior sucesso e
qualidade da Medicina e práticas aplicadas na UIDI.
ABSTRACT - Hospitalization by referral in the Infectious Diseases Isolation Unit of the FMVULisboa - The referral of clinical cases is an ever more frequent practice in the Companion Animals Practice. The Infectious Diseases Isolation Unit (IDIU) of the Veterinary Teaching Hospital (VTH) of the Faculty of Veterinary Medicine University of Lisbon holds appointments and hospitalizations by first opinion, second opinion and referral of patients, both canids and felids, with confirmed infectious disease or clinically suspected and awaiting diagnosis. The purpose of this thesis was to analyze the evolution of the patients’ referred to the IDIU, to study the frequency of hospitalized patients by referral in relation to the total number of admitted animals, to characterize the animal population referred to the IDIU, to identify the most frequent infectious diseases referred to the IDIU and, lastly, to assess possible disparities between the hospitalization of patients admited by referral appointment and the total number of hospitalized patients in the IDIU. The study population is composed by 935 patients, 401 canine and 534 feline, hospitalized in IDIU between October 2013 and March 2019, by first opinion appointment, second opinion appointment and referral appointment. The results showed a large prevalence of Canine Parvovirus (37.7%) and Canine Leptospirosis (30.4%) infectious diagnosis in referred canine patients and Feline Upper Respiratory Disease Complex (41.4%) and Feline Leukemia (34.4%) in the referred feline patients. It was verified that among all animals, the longest hospitalization period belonged to the referred patients’ group. The largest success rate occurred in first opinion patients´ group (79.7% in canids and 76.5% in felids), followed by the referred patients’ group (70.6% in canids and 66.3% in felids). Concluding, it was possible to recognize a few particularities relatively to the hospitalization of referred patients that may be improved, aiming for better medical practices and more successful outcomes in the IDIU.
ABSTRACT - Hospitalization by referral in the Infectious Diseases Isolation Unit of the FMVULisboa - The referral of clinical cases is an ever more frequent practice in the Companion Animals Practice. The Infectious Diseases Isolation Unit (IDIU) of the Veterinary Teaching Hospital (VTH) of the Faculty of Veterinary Medicine University of Lisbon holds appointments and hospitalizations by first opinion, second opinion and referral of patients, both canids and felids, with confirmed infectious disease or clinically suspected and awaiting diagnosis. The purpose of this thesis was to analyze the evolution of the patients’ referred to the IDIU, to study the frequency of hospitalized patients by referral in relation to the total number of admitted animals, to characterize the animal population referred to the IDIU, to identify the most frequent infectious diseases referred to the IDIU and, lastly, to assess possible disparities between the hospitalization of patients admited by referral appointment and the total number of hospitalized patients in the IDIU. The study population is composed by 935 patients, 401 canine and 534 feline, hospitalized in IDIU between October 2013 and March 2019, by first opinion appointment, second opinion appointment and referral appointment. The results showed a large prevalence of Canine Parvovirus (37.7%) and Canine Leptospirosis (30.4%) infectious diagnosis in referred canine patients and Feline Upper Respiratory Disease Complex (41.4%) and Feline Leukemia (34.4%) in the referred feline patients. It was verified that among all animals, the longest hospitalization period belonged to the referred patients’ group. The largest success rate occurred in first opinion patients´ group (79.7% in canids and 76.5% in felids), followed by the referred patients’ group (70.6% in canids and 66.3% in felids). Concluding, it was possible to recognize a few particularities relatively to the hospitalization of referred patients that may be improved, aiming for better medical practices and more successful outcomes in the IDIU.
Descrição
Dissertação de Mestrado Integrado em Medicina Veterinária
Palavras-chave
Referência Unidade de Isolamento Doenças Infeciosas Canídeos Felídeos Referral Isolation Unit Infectious diseases Canine patients Feline patients
Contexto Educativo
Citação
Paulo CC 2019. Internamento por referência em unidade de isolamento de doenças infeciosas na FMV-ULisboa. [dissertação de mestrado]. Lisboa: FMV-Universidade de Lisboa.
Editora
Universidade de Lisboa, Faculdade de Medicina Veterinária