AMANDA CARDOSO MONTAL

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PAHC, Hospital das Clínicas, Faculdade de Medicina - Médico
FMUSP, Hospital das Clínicas, Faculdade de Medicina - Médico

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Autor e Coautores FMUSP-HC Normalizados: LEILA SUEMI HARIMA ×

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Agora exibindo 1 - 6 de 6
  • article 47 Citação(ões) na Scopus
    Carbapenem-resistant Enterobacteriaceae in patients admitted to the emergency department: prevalence, risk factors, and acquisition rate
    (2017) SALOMAO, M. C.; GUIMARAES, T.; DUAILIBI, D. F.; PERONDI, M. B. M.; LETAIF, L. S. H.; MONTAL, A. C.; ROSSI, F.; CURY, A. P.; DUARTE, A. J. S.; LEVIN, A. S.; BOSZCZOWSKI, I.
    Background: Carbapenem-resistant Enterobacteriaceae (CRE) have been reported worldwide and are associated with high mortality rates. Intestinal colonization acts as a reservoir and fosters exchange of resistance mechanisms. Aim: To investigate the prevalence of patients harbouring CRE on hospital admission, risk factors associated, and the acquisition rate within the emergency department (ED). Methods: This was a cross-sectional survey with 676 patients consecutively admitted to the ED study during the months of May to July 2016. A questionnaire was performed and rectal swabs were collected from patients on admission, for culture and for multiplex real-time polymerase chain reaction (PCR). If the patient was hospitalized for more than one week in the ED, samples were taken again to determine the acquisition rate of CRE. Findings: Forty-six patients were colonized; all positive PCR were Klebsiella pneumoniae carbapenemase. The acquisition rate was 18%. Previous exposure to healthcare in the last year, liver disease, and use of antibiotics in the last month were risk factors for colonization. Six patients with no previous exposure to healthcare were CRE-colonized on admission, suggesting transmission of CRE within the community. Conclusion: Screening of high-risk patients on admission to the ED is a strategy to early identify CRE carriage and may contribute to control CRE dissemination.
  • article 15 Citação(ões) na Scopus
    Setting up hospital care provision to patients with COVID-19: lessons learnt at a 2400-bed academic tertiary center in SAo Paulo, Brazil
    (2020) PERONDI, Beatriz; MIETHKE-MORAIS, Anna; MONTAL, Amanda C.; HARIMA, Leila; SEGURADO, Aluisio C.
    As of August 30, 2020, Brazil ranked second among countries with the highest number of COVID-19 cases, with the city of SAo Paulo as the national epidemic epicenter. Local public healthcare institutions were challenged to respond to a fast-growing hospital demand, reengineering care provision to optimize clinical outcomes and minimize intra-hospital coronavirus infection. In this paper we describe how the largest public hospital complex in Latin America faced this unprecedented burden, managing severe COVID-19 cases while sustaining specialized care to patients with other conditions. In our strategic plan a 900 bed hospital was exclusively designated for COVID-19 care and continuity of care to those not infected with coronavirus ensured in other inpatient facilities. After 152 days, 4241 patients with severe COVID-19 were hospitalized, 70% of whom have already been discharged, whereas the remaining Institutes of the complex successfully maintained high complexity inpatient and urgent/emergency care to non-COVID-19 patients. (C) 2020 Sociedade Brasileira de Infectologia.
  • article 4 Citação(ões) na Scopus
    Epidemiologic Surveillance in an academic hospital during the COVID-19 pandemic in Sao Paulo, Brazil: the key role of epidemiologic engagement in operational processes
    (2020) MARCILIO, Izabel; MIETHKE-MORAIS, Anna; HARIMA, Leila; MONTAL, Amanda C.; PERONDI, Beatriz; AYRES, Jose Ricardo de Carvalho Mesquita; GOUVEIA, Nelson; BONFA, Eloisa; NOVAES, Hillegonda Maria Dutilh
  • article 2 Citação(ões) na Scopus
    Virtual visits to inpatients by their loved ones during COVID-19
    (2020) RIOS, Izabel Cristina; CARVALHO, Ricardo Tavares de; RUFFINI, Vitor Maia Teles; MONTAL, Amanda Cardoso; HARIMA, Leila Suemi; CRISPIM, Douglas Henrique; ARAI, Lilian; PERONDI, Beatriz; MORAIS, Anna Miethke; ANDRADE, Andrea Janaina de; BONFA, Eloisa Silva Dutra de Oliveira
  • article 12 Citação(ões) na Scopus
    Overcoming barriers to providing comprehensive inpatient care during the COVID-19 pandemic
    (2020) MIETHKE-MORAIS, Anna; PERONDI, Beatriz; HARIMA, Leila; MONTAL, Amanda C.; BALDASSARE, Renato Madrid; MORAES, Danielle P.; PEDROSO, Lucila; RAMOS, Marcelo C. A.; FUSCO, Solange R. G.; PEREIRA, Antonio Jose; BARROS-FILHO, Tarci Prime Sio E. P.; BONFA, Eloisa; UTIYAMA, Edivaldo M.; SEGURADO, Aluisio C.
  • article 13 Citação(ões) na Scopus
    Decontamination and re-use of surgical masks and respirators during the COVID-19 pandemic
    (2021) CORTES, Marina Farrel; ESPINOZA, Evelyn Patricia Sanchez; NOGUERA, Saidy Liceth Vasconez; SILVA, Aline Alves; MEDEIROS, Marion Elke Sielfeld Araya de; BOAS, Lucy Santos Villas; FERREIRA, Noely Evangelista; TOZETTO-MENDOZA, Tania Regina; MORAIS, Fernando Goncalves; QUEIROZ, Rayana Santiago de; PROENCA, Adriana Coracini Tonacio de; GUIMARAES, Thais; GUEDES, Ana Rubia; LETAIF, Leila Suemi Harima; MONTAL, Amanda Cardoso; MENDES-CORREA, Maria Cassia; JOHN, Vanderley M.; LEVIN, Anna S.; COSTA, Silvia Figueiredo
    Objectives: The coronavirus disease 2019 pandemic increased global demand for personal protective equipment (PPE) and resulted in shortages. The study evaluated the re-use of surgical masks and respirators by analysing their performance and safety before and after reprocessing using the following methods: oven, thermal drying, autoclave, and hydrogen peroxide plasma vapour. Methods: In total, 45 surgical masks and 69 respirators were decontaminated. Visual integrity, air permeability, burst resistance, pressure differential and particulate filtration efficiency of new and decontaminated surgical masks and respirators were evaluated. In addition, 14 used respirators were analysed after work shifts before and after decontamination using reverse transcription polymerase chain reaction (RT-PCR) and viral culturing. Finally, reprocessed respirators were evaluated by users in terms of functionality and comfort. Results: Oven decontamination (75 degrees C for 45 min) was found to be the simplest decontamination method. Physical and filtration assays indicated that all reprocessing methods were safe after one cycle. Oven decontamination maintained the characteristics of surgical masks and respirators for at least five reprocessing cycles. Viral RNA was detected by RT-PCR in two of the 14 used respirators. Four respirators submitted to viral culture were PCR-negative and culture-negative. Reprocessed respirators used in work shifts were evaluated positively by users, even after three decontamination cycles. Conclusion: Oven decontamination is a safe method for reprocessing surgical masks and respirators for at least five cycles, and is feasible in the hospital setting. (C) 2020 Published by Elsevier Ltd on behalf of International Society for Infectious Diseases.