<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2183-8453</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Saúde Ocupacional online]]></journal-title>
<abbrev-journal-title><![CDATA[RPSO]]></abbrev-journal-title>
<issn>2183-8453</issn>
<publisher>
<publisher-name><![CDATA[Ajeogene Serviços Médicos Lda]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2183-84532023000200704</article-id>
<article-id pub-id-type="doi">10.31252/rpso.28.10.2023</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[LESÃO CORTOPERFURANTE COMPLICADA NUMA ENFERMEIRA DOS CUIDADOS DE SAÚDE PRIMÁRIOS: UM RELATO DE CASO]]></article-title>
<article-title xml:lang="en"><![CDATA[COMPLICATED SHARP INJURY IN A PRIMARY CARE NURSE: A CASE REPORT]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Correia]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[António]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Palhau]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Marafona]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade do Porto Faculdade de Medicina ]]></institution>
<addr-line><![CDATA[Esposende ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade de Coimbra Faculdade de Medicina ]]></institution>
<addr-line><![CDATA[Leça do Balio ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidade do Porto Faculdade de Medicina ]]></institution>
<addr-line><![CDATA[Valongo ]]></addr-line>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto de Ciências Biomédicas de Abel Salazar  ]]></institution>
<addr-line><![CDATA[Amarante ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>16</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-84532023000200704&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-84532023000200704&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-84532023000200704&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução Os acidentes de trabalho resultantes da utilização de objetos cortoperfurantes são eventos frequentes e preveníveis entre os profissionais de saúde. A prevalência da infeção secundária depende de vários fatores, relativos ao utente, profissional de saúde e à adesão dos protocolos preventivos. Com este trabalho, pretende-se expor um caso clínico relativo a um acidente de uma profissional de saúde dos cuidados de saúde primários, que sofreu um corte com objeto cortante alertando para a importância do reporte adequado.  Descrição do caso Mulher, 54 anos, enfermeira nos cuidados de saúde primários com 27 anos de experiência. Apresenta, como antecedentes, colite ulcerosa sob terapêutica imunossupressora. No final do turno de trabalho, sofreu um corte autoinflingido com a lâmina do bisturi conspurcada, enquanto drenava um panarício, que resultou numa ferida superficial do segundo dedo na mão direita. A notificação foi efetuada 36 horas após o acidente, aquando do desenvolvimento de celulite local. Posteriormente, a infeção complicou com provável osteomielite. Cumpriu dois esquemas de antibioterapia, na reavaliação imagiológica apresenta integridade óssea e sinais de tenossinovite dos flexores do dedo lesado. Está ausente do serviço há quinze semanas e aguarda orientação por Medicina Física e Reabilitação.  Discussão Os profissionais de saúde apresentam maior risco de acidentes de trabalho, nomeadamente, de sofrerem lesões com objetos cortoperfurantes. Segundo a literatura, os acidentes desta natureza são mais frequentes entre enfermeiros do sexo feminino e ocorrem mais nas mãos, tal como o caso descrito. De entre os fatores que aumentam a probabilidade destas ocorrências, encontra-se a elevada carga laboral e o número de horas trabalhadas. Destaca-se como particularidade deste caso, a imunodeficiência adquirida secundária à terapêutica com metotrexato como principal condicionante da doença mais arrastada. Este sinistro condicionou impacto para a profissional e para a dinâmica da equipa de trabalho, com a necessidade de ajuste de tarefas e contratação temporária de outro profissional.  Conclusão Sendo as lesões cortoperfurantes frequentes e preveníveis, é importante incentivar a sua notificação. Para proteger a saúde dos profissionais lesados para que possam ser desenvolvidas medidas preventivas e corretivas. Adicionalmente, é relevante conhecer os antecedentes do utente, do profissional de saúde e o mecanismo da lesão, para estratificar o risco de infeção secundária associado. Em conclusão, revela-se importante a cooperação dos serviços de Saúde Ocupacional com os restantes profissionais de saúde para a gestão adequada dos riscos ocupacionais.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction Accidents at work resulted from sharp injuries are frequent and preventable events among health care professionals. The prevalence of secondary infection depends on several factors related to the patient itself, the health care worker and the adherence to preventive protocols. In this article, the authors pretend to present a case report of an accident involving a primary health care professional that suffered a sharp injury and, also, to alert about the significance of appropriately reporting.  Case Description Woman, 54 years old, a nurse in primary care with 27 years of experience. Background history, among others, ulcerative colitis under immunosuppressive therapy. At the end of shift, she cuts herself with a contaminated scalpel blade while draining a panaritium, resulting in a superficial wound in the second finger of right hand. Notification of the occurrence was made 36 hours after the accident due to the development of local cellulitis. Later, the infection complicated with likely osteomyelitis. Two cycles of antibiotic therapy have been completed and the imagiological revaluation showed bone integrity and signs of tenosynovitis of the second finger flexors. The nurse is absent from work for 15 weeks and awaits a Physical and Rehabilitation Medicine evaluation.  Discussion Health care professionals are at greater risk of accident at work, namely, of suffering sharp objects injuries. According to the literature, accidents of this nature are more frequent among female nurses and occur mainly on hands, as in the case described. Among the factors that increase the probability of these occurrences are the high workload and the number of hours worked. Standing out as a particularity of this case is the acquired immunodeficiency secondary to methotrexate therapy as the main condition of the more prolonged disease. This AW had an impact on the professional and the dynamics of the work team, with the need to adjust tasks and temporarily hire another professional.  Conclusion As sharp injuries are frequent and preventable, it is important to encourage their reporting. On one hand, to protect the health of injured professionals and on the other hand, so that preventive and corrective measures can be developed. Additionally, it is relevant to know the history of the patient, of the health care professional and the mechanism of injury, to stratify the risk of associated secondary infection. In conclusion, the cooperation of Occupational Health services with other health professionals is important for the adequate management of occupational risks.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[acidente de trabalho]]></kwd>
<kwd lng="pt"><![CDATA[lesões cortoperfurantes]]></kwd>
<kwd lng="pt"><![CDATA[notificação de incidentes]]></kwd>
<kwd lng="pt"><![CDATA[medicina geral e familiar]]></kwd>
<kwd lng="pt"><![CDATA[medicina do trabalho]]></kwd>
<kwd lng="pt"><![CDATA[segurança do trabalho.]]></kwd>
<kwd lng="en"><![CDATA[occupational accidents]]></kwd>
<kwd lng="en"><![CDATA[sharps injuries]]></kwd>
<kwd lng="en"><![CDATA[incident reporting]]></kwd>
<kwd lng="en"><![CDATA[family practice]]></kwd>
<kwd lng="en"><![CDATA[occupational medicine]]></kwd>
<kwd lng="en"><![CDATA[workplace conditions.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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