<?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>S2183-84532021000200078</article-id>
<article-id pub-id-type="doi">10.31252/rpso.04.12.2021</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[SARAMPO: PROTOCOLO DE ATUAÇÃO NUM HOSPITAL PORTUGUÊS]]></article-title>
<article-title xml:lang="en"><![CDATA[MEASLES: ACTION PLAN IN A PORTUGUESE HOSPITAL]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Matos]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pinho]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guedes]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carvalho]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Saldanha]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Teófilo]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Norton]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Hospitalar Universitário de São João Faculdade de Medicina da Universidade do Porto ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Hospitalar Universitário de São João  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro Hospitalar Universitário de São João  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af4">
<institution><![CDATA[,Centro Hospitalar Universitário de São João  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Centro Hospitalar Universitário de São João  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Centro Hospitalar Universitário de São João  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Centro Hospitalar Universitário de São João Faculdade de Medicina da Universidade do Porto ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>12</volume>
<fpage>78</fpage>
<lpage>85</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-84532021000200078&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-84532021000200078&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-84532021000200078&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução O Sarampo é uma doença infeciosa altamente contagiosa causada por um paramixovírus. Nas últimas seis décadas, a promoção da vacinação contra esta doença diminuiu drasticamente a sua incidência. Apesar disso, em 2016 foram diagnosticadas cerca de sete milhões novas infeções. Uma vez que os profissionais de saúde apresentam um risco acrescido de contraírem esta infeção, a promoção da vacinação pelos Serviços de Saúde Ocupacional representa uma das principais estratégias para consolidar a eliminação desta patologia em Portugal.  Objetivos Com a presente revisão pretende-se rever os aspetos clínicos que caracterizam o Sarampo e as medidas de prevenção com enfase na vacinação e apresentar medidas de profilaxia pós-exposição adequadas aos profissionais de saúde de um hospital português.  Metodologia Foi realizada uma pesquisa bibliográfica relativa aos aspetos clínicos e preventivos do Sarampo com recurso às principais orientações de organizações como a Direção-Geral da Saúde e Centers for Disease Control and Prevention e através da identificação de artigos científicos nas bases de dados PubMed/MEDLINE.  Resultados/Discussão Esta infeção apresenta um período de incubação que pode durar entre sete a vinte e um dias. Seguem-se o período prodrómico, a fase exantemática e a de recuperação. Os doentes infetados são contagiosos cerca de quatro dias antes e quatro dias após o aparecimento do exantema. O diagnóstico baseia-se em critérios clínicos, laboratoriais e epidemiológicos. Um caso confirmado de Sarampo deve cumprir os critérios clínicos e laboratoriais. O tratamento é essencialmente de suporte, de forma a prevenir a desidratação. A melhor medida de prevenção contra esta doença é a vacinação. Todos os profissionais de saúde sem história credível de Sarampo devem realizar duas doses vacinais. Em contexto de surto, os trabalhadores expostos devem ser identificados e os Serviços de Saúde Ocupacional devem instituir as medidas de profilaxia pós-exposição adequadas, bem como definir quais os trabalhadores com indicação para evicção laboral e durante quanto tempo.  Conclusão A existência de planos de atuação bem definidos para os profissionais de saúde que contactaram com doentes infetados é fundamental, uma vez que permitem minimizar a ocorrência de cadeias de transmissão intra-hospitalares e o contágio subsequente de pessoas com maior risco de complicações decorrentes da doença. O protocolo apresentado permite atuar de forma clara e concisa perante um caso suspeito ou confirmado de Sarampo e os seus contactos, fornecendo uma revisão sucinta dos dados clínicos, terapêuticos e preventivos desta patologia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction Measles is a highly contagious infectious disease caused by a paramyxovirus. In the last six decades, the promotion of vaccination against this disease has drastically reduced its incidence. Despite this, in 2016, around seven million new infections were diagnosed. Since healthcare workers have an increased risk of infection, the promotion of vaccination by the Occupational Health Services represents one of the main strategies to consolidate the eradication of this pathology in Portugal.  Objectives Review the clinical aspects and prevention measures of Measles with a focus on vaccination and present post-exposure prophylaxis measures for healthcare workers in a Portuguese hospital.  Methodology It was performed a literature search about the clinical and preventive aspects of Measles using the main guidelines of organizations, such as the Direção-Geral da Saúde and Centers for Disease Control and Prevention, and through identification of scientific articles on PubMed/MEDLINE databases.  Results/Discussion This infection has an incubation period that can last between seven to twenty-one days, and it&#8217;s followed by the prodromal, exanthematic, and recovery phases. Infected patients are contagious four days before and four days after the rash appears. The diagnosis is based on clinical, laboratory and epidemiological criteria. A confirmed case of Measles must meet clinical and laboratory criteria. The treatment is based on supportive care, to prevent dehydration. Vaccination is the best preventive measure against this disease. All healthcare workers without a credible history of Measles should have two vaccine doses. In an outbreak context, exposed workers must be identified and the Occupational Health Departments must apply appropriate post-exposure prophylaxis measures, as well as define which employees require work avoidance and for how long.  Conclusion The existence of well-defined action plans for healthcare workers who had contact with infected patients is essential to minimize the occurrence of intra-hospital transmission chains and the subsequent infection of people at higher risk of complications from the disease. The presented protocol allows acting clearly and concisely when dealing with a suspected or confirmed Measles case and its contacts and provides a succinct review of the clinical, therapeutic and preventive data of this pathology.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Sarampo]]></kwd>
<kwd lng="pt"><![CDATA[Vacina contra o Sarampo]]></kwd>
<kwd lng="pt"><![CDATA[Vacinação]]></kwd>
<kwd lng="pt"><![CDATA[Surto]]></kwd>
<kwd lng="pt"><![CDATA[Prevenção]]></kwd>
<kwd lng="pt"><![CDATA[Saúde Ocupacional]]></kwd>
<kwd lng="en"><![CDATA[Measles]]></kwd>
<kwd lng="en"><![CDATA[Measles vaccine]]></kwd>
<kwd lng="en"><![CDATA[Vaccination]]></kwd>
<kwd lng="en"><![CDATA[Outbreak]]></kwd>
<kwd lng="en"><![CDATA[Prevention]]></kwd>
<kwd lng="en"><![CDATA[Occupational Health]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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