Vigilância Sanitária em Debate: Sociedade, Ciência & Tecnologia

Introduction: The risks in vaccination rooms imply not only damage to users, but also to vaccination coverage. Objective: to analyze structural conditions and factors that facilitate and hinder risk management in vaccine rooms. Methods: This cross-sectional study was conducted in the vaccination rooms of the Basic Health Units (UBS) of a health district in Salvador, BA. Data collection: form for interview with the responsible professional and on-site observation of these services. The following were analyzed: physical-structural conditions; care for the refrigeration chamber and thermal boxes; Nursing conduct; and training of professionals. Results: 91.3% vaccination rooms were studied. These services operate in exclusive spaces; immunobiologicals stored in refrigerated chambers. Vaccines are packaged and used according to the expiration date. Professional team: one nurse and two nursing technicians were present in 66.6% of the rooms; the hand hygiene practice of the professionals was 76.1%. Nursing team training was observed in 19%, annual training in 14.2%, and participation in scientific events in 19%. Of the 21 vaccine rooms, 5 (23.8%) had adequate risk management practices, 14 (66.6%) had risk management practices requiring adjustment, and 2 (9.6%) had inadequate risk management. Statistical correlation was identified between risk management practices and individual items from the categories analyzed to ratify the good practices in the vaccination room presented here. Conclusion: This study highlights inadequacies in vaccination rooms and the need to review work processes, as well as to incorporate systematic strategies for managing the numerous risks related to these services, to guarantee user safety.

Eliana Auxiliadora Magalhães Costa

Cristina Campos dos Santos

William Mendes Lobão

Angela Gabriela da Silva Santana

Flávia Almeida dos Santos

Natália Santana Pereira

Elisabeth Do Espírito Santo da Silva

Alexandra Santos da Silva

Vigilância Sanitária em Debate

Gerenciando riscos em salas de vacina: um estudo de segurança em Unidades Básicas de Saúde de Salvador, BA

管理疫苗接种室的风险：一项关于萨尔瓦多市基本卫生单位安全性的研究

Introduction: Since the identification of atypical pneumonia of unknown etiology in Wuhan, China, in December 2019, called COVID-19, the disease caused by SARS-CoV-2 requires scientists and governments to take urgent and decisive measures for monitoring and control. Objective: To present the results of post-market monitoring of COVID-19 rapid antigen detection tests (AgTR) regarding clinical or diagnostic sensitivity and specificity. Method: Analysis of AgTR performance results were made available on the electronic panel of Microsoft® Power BI platform on the Brazilian National Health Surveillance Agency (Anvisa) portal from 04/06/2020 to 12/28/2021. Results: 504 results relating to performance analysis were identified: 366 (72.6%) rapid tests (RT), 56 (11.0%) chemiluminescence tests, 31 (6.15%) molecular tests, 22 (4.4%) immunoenzymatic assays, and 29 (5.7%) auxiliary products for the diagnosis of COVID-19. Of the 366 RT results, 304 (83.1%) were RT for antibody detection (AcTR) and 62 (16.9%) were AgTR. Of the 62 AgTR monitored, 49 (79.1%) presented compliant results and 13 (20.9%) did not. The 62 AgTR results corresponded to 50 lots from 42 manufacturers. Conclusions: Monitoring post-market products in compliance with RDC No. 379/2020 enabled the analysis and monitoring of COVID-19 tests. The analyses carried out (guidance and fiscal) in accordance with current legislation (Law No. 6360/1976, Law No. 6437/1977) guaranteed the transparency of the process and reinforced the precepts of health surveillance regarding resolving or preventing health risks. Non-compliant products were not sold, thus guaranteeing the safety and effectiveness of the tests available in the country.

Gabrielle Rodrigues Conceição

Helena Cristina Balthazar Guedes Borges

Marisa Coelho Adati Adati

Monitoramento pós-mercado dos testes rápidos para detecção de antígenos da COVID-19 no enfrentamento à pandemia

COVID-19抗原快速检测在应对大流行中的市场后监测

Introduction: Healthcare-associated infections are considered a serious public health issue. When caring for newborns admitted to the Neonatal Intensive Care Unit, the administration of a diet contaminated with pathogenic microorganisms can help spread infections. Objective: To compare the cost and microbiological quality of the diet offered in syringes and bottles by the lactator for enteral administration to patients admitted to the Neonatal Intensive Care Unit (NICU). Methods: An exploratory experimental study “in loco” carried out between January and May 2019, consisting of the microbiological analysis of 72 samples of enteral diets and pasteurized donor human milk (PDHM) distributed in syringes and bottles. The microbiological parameters used were those of the Board of Health Collegiate Resolution No. 63/2000 and No. 171/2006. The microbiological quality of the water used in the reconstitution of the enteral diet; the swab of the manipulators’ hands and oropharynx; surfaces such as benches and equipment, utensils, and the air quality of the areas for diet preparation were also assessed. The critical control points of the diet manipulation flowcharts reviewed were defined. Results: In the enteral diet samples, coliforms at 35˚C and mesophilic aerobic microorganisms above the established standards levels were found in both modalities of the diet administration (bottle and syringe) during two days of collection (lots). In the LHOP samples, no microorganisms from the coliform group were found. When filling plastic bottles, mesophilic bacteria exceeding the established standards were detected. It was observed that the cost of distributing the diet in bottles was higher than that of using a syringe. Conclusion: It was found that the microbiological quality of the diets supplied in syringes was safer than that of the diets distributed in bottles. In addition, the diet infusion time was shorter and cost was lower with the use of the syringe.

Silvia Regina Magalhães Couto Garcia

Aline Carnevale Lia Dias Guimarães

Amanda Roppa

Daniele Marano

Comparação da qualidade de dietas distribuídas em seringas e frascos e seu custo em um lactário de um instituto nacional de saúde

国家健康研究所乳制品中通过注射器和瓶子分发的饮食质量及其成本的比较

Introduction: Increased consumption of supplements aiming at improving performance in training and gaining muscle mass contributed to the rise of sports supplements, with anemphasis on e-commerce, where the practicality of the purchase and sale of these products is preponderant. Objective: Aiming to contribute to the health of consumers, the objective of this work was to evaluate the quality of creatine supplements sold online through content and labeling analysis. Method: Six creatine samples from brands sold on e-commerce were compared with a reference sample purchased at a pharmacy manipulation. The Kjeldahl method was used to measure creatine, and a checklist based on RDC No. 243/2018 for the analysis of the labels. Results: After analyzing the samples, two failed in relation to creatine content, which was below the 20% limit established by the RDC No. 429/2020. In the labeling research, it was observed that the majority of samples (83%) were in disagreement with legislation current, and only sample C’s label met all the criteria evaluated. Conclusions: Considering the results obtained, it is evident that there is a need for oversight specifically directed at supplements given that the discrepancy between the amounts found raises concerns regarding the quality and safety of the products being marketed. It is important to highlight that scientific literature on this topic remains insufficient, even in the face of the significant growth of this market, necessitating research in the area of quality control of sports supplements to verify compliance with quality and safety requirements.

Francisca Benedito da Silva Cardoso

Carlos Eduardo Alves Dantas

Maria da Glória Batista de Azevedo

Júlia Beatriz Pereira de Souza

Qualidade dos suplementos de creatina: um estudo baseado na análise do teor e da rotulagem

肌酸补充剂的质量：基于成分分析和标签的研究

Introduction: Calendula officinalis L. is a herbaceous plant belonging to the Asteraceae family that contains flowers as parts used to obtain analgesic, anti-inflammatory, antiseptic, healing, and dermoprotective effects. Objective: The objective of the present work was to analyze and characterize samples of C. officinalis, sold in Ponta Grossa (PR), and verify their compliance with current legislation, presenting the quality control provided for by the Brazilian Pharmacopoeia (2019). Method: After selecting the selections, tests were carried out on the quality control of the herbal drug by checking the packaging and labeling, macroscopic and microscopic identification, purity tests, analysis of loss due to desiccation and total ash, thermal analysis, profile of the aqueous extract in thin layer chromatography, and source of flavonoids from secondary metabolites. Results: All samples were identified as C. officinalis and were approved in the chromatographic profile and flavonoid content; however, sample B did not meet the pharmacopoeia purity requirements. Conclusion: Medicinal plants with quality deviations may suffer a significant reduction in their therapeutic effect, in addition to generating possible side and toxic effects.

Gabriel Augusto Caixeta Nunes

Isadora De Jesus Mariano Lacerda

Juliane Nadal Dias Swiech

Controle de qualidade da droga vegetal Calendula officinalis L. disponível na cidade de Ponta Grossa (PR)

波塔格鲁萨市（PR）市售药用植物金盏花（Calendula officinalis L.）的质量控制

Introduction: Street food is an important market segment with an impact on the generation of jobs, income, and appreciation of food culture. However, it poses a challenge for public health because it increases the risk of transmission of pathogens from foodborne disease. Objective: Evaluate the hygienic-sanitary practices of food handlers at fairs and the physical-functional conditions of gastronomy and arts fairs in the city of Niterói/RJ. Method: The descriptive methodology was applied, using a qualitative and quantitative approach. For data collection, two scripts were developed and applied to evaluate the functional conditions of the fairs and the hygienic-sanitary practices of the handlers during sales, and a questionnaire was administered to outline the socioeconomic profile of the workers. Results: 68.1% were women; average income of 3 minimum wages; 51.1% had completed higher education; 46.8% had never taken a Good Food Handling Practices course; 70.5% did not use hair protection; and 86.8% used adornments. In 40% of the fairs visited, there was the presence of animals/vectors, as well as the absence of toilet facilities for handlers. Conclusions: Thus, despite its socioeconomic importance, the street food trade represents a potential health risk. Therefore, it is necessary to expand the hygienic-sanitary training of handlers and improve the environmental conditions of fairs.

Maria das Graças Gomes de Azevedo Medeiros

Roberto Petrucci Junior

Nathalia Cristina Moura Coelho

Jane Silva Maia Castro

Maristela Soares Lourenço

Edna Freignan dos Santos

Manoela Pessanha da Penha

Práticas higiênico-sanitárias em feiras de arte e gastronomia de Niterói/RJ, Brasil

巴西尼泰罗伊市艺术与美食集市中的卫生实践

短名
Journal Impact	0.37
国际分区	HEALTH CARE SCIENCES & SERVICES(Q4)

涉及主题	医学生物政治学哲学化学业务法学地理病理经济环境卫生社会学工程类物理
出版信息	出版商: Fundação Oswaldo Cruz (FIOCRUZ)，出版周期: ，期刊类型: journal，开源期刊: 是
基本数据	创刊年份: 2013，原创研究文献占比: 90.48%，自引率:50.00%， Gold OA占比: 93.28%
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Vigilância Sanitária em Debate: Sociedade, Ciência & Tecnologia

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Gerenciando riscos em salas de vacina: um estudo de segurança em Unidades Básicas de Saúde de Salvador, BA

Monitoramento pós-mercado dos testes rápidos para detecção de antígenos da COVID-19 no enfrentamento à pandemia

Comparação da qualidade de dietas distribuídas em seringas e frascos e seu custo em um lactário de um instituto nacional de saúde

Qualidade dos suplementos de creatina: um estudo baseado na análise do teor e da rotulagem

Controle de qualidade da droga vegetal Calendula officinalis L. disponível na cidade de Ponta Grossa (PR)

Gerenciando riscos em salas de vacina: um estudo de segurança em Unidades Básicas de Saúde de Salvador, BA

Monitoramento pós-mercado dos testes rápidos para detecção de antígenos da COVID-19 no enfrentamento à pandemia

Comparação da qualidade de dietas distribuídas em seringas e frascos e seu custo em um lactário de um instituto nacional de saúde

Qualidade dos suplementos de creatina: um estudo baseado na análise do teor e da rotulagem

Práticas higiênico-sanitárias em feiras de arte e gastronomia de Niterói/RJ, Brasil