Nursing Care for Patients with Botulism: Case Report
DOI:
https://doi.org/10.36489/saudecoletiva.2024v14i92p13660-13671Keywords:
Nursing Care, Botulism, Patient-Centered CareAbstract
Objective: To describe the nursing care provided to patients diagnosed with botulism in a critical care unit and report the importance of the inter-professional health team. Method: Descriptive observational study, case study modality, carried out in a large philanthropic hospital, with data collection from September 5th to October 8th, 2024. Results: An adult patient was seen at the emergency department complaining of dizziness, eyelid ptosis, and dysarthria. He was hospitalized and developed respiratory failure and required orotracheal intubation. He was diagnosed with botulism and administered anti-botulism serum. He underwent rehabilitation under the care of an interprofessional health team. He was discharged after 6 months of hospitalization. Conclusion: The importance of the interprofessional team for patients with botulism is essential for their satisfactory clinical evolution. Specifically, the role of the nurse is important not only in direct patient care, but also as the professional who manages the entire care process.
References
Ministério da Saúde (BR). Secretaria de Vigilância em Saúde. Departamento de Articulação Estratégica de Vigilância em Saúde. Guia de vigilância em saúde. 5. ed. Brasília; 2021.
Chatham-Stephens K, Fleck-Derderian S, Johnson SD, Sobel J, Rao AK, Meaney-Delman D. Clinical features of foodborne and wound botulism: a systematic review of the literature. In: Centers for Disease Control and Prevention. Morbidity and Mortality Weekly Report. Clinical guidelines for diagnosis and treatment of botulismo. Atlanta (USA); 2021.Disponível em: https://www.cdc.gov/mmwr/volumes/70/rr/rr7002a1.htm
Hughes JM, Blumenthal JR, Merson MH, Lombard GL, Dowell VR Jr, Gangarosa EJ. Clinical features of types A and B food-borne botulism. In: Centers for Disease Control and Prevention. Morbidity and Mortality Weekly Report. Clinical guidelines for diagnosis and treatment of botulismo. Atlanta (USA); 2021. Disponível em: https://www.cdc.gov/mmwr/volumes/70/rr/rr7002a1.htm.
Woodruff BA, Griffin PM, McCroskey LM, et al. Clinical and laboratory comparison of botulism from toxin types A, B, and E in the United States, 1975–1988. In: Centers for Disease Control and Prevention. Morbidity and Mortality Weekly Report. Clinical guidelines for diagnosis and treatment of botulismo. Atlanta (USA); 2021. Disponível em: https://www.cdc.gov/mmwr/volumes/70/rr/rr7002a1.htm.
Humeau Y, Doussau F, Grant NJ, Poulain B. How botulinum and tetanus neurotoxins block neurotransmitter release. In: Centers for Disease Control and Prevention. Morbidity and Mortality Weekly Report. Clinical guidelines for diagnosis and treatment of botulismo. Atlanta (USA); 2021.Disponível em: https://www.cdc.gov/mmwr/volumes/70/rr/rr7002a1.htm.
Griese SE, Kisselburgh HM, Bartenfeld MT, et al. Pediatric botulism and use of equine botulinum antitoxin in children: a systematic review. In: Centers for Disease Control and Prevention. Morbidity and Mortality Weekly Report. Clinical guidelines for diagnosis and treatment of botulismo. Atlanta (USA); 2021. Disponível em: https://www.cdc.gov/mmwr/volumes/70/rr/rr7002a1.htm.
O’Horo JC, Harper EP, El Rafei A, et al. Efficacy of antitoxin therapy in treating patients with foodborne botulism: a systematic review and meta-analysis of cases, 1923–2016. In: Centers for Disease Control and Prevention. Morbidity and Mortality Weekly Report. Clinical guidelines for diagnosis and treatment of botulismo. Atlanta (USA); 2021. Disponível em: https://www.cdc.gov/mmwr/volumes/70/rr/rr7002a1.htm.
World Health Organization (WHO). Botulism, 2023. [citado 2024 out 27]. Disponível em: https://www.who.int/news-room/fact-sheets/detail/botulism.
Estado de São Paulo. Secretaria do Estado de São Paulo CVE. Manual de Vigilância Epidemiológica do Botulismo. 2002:1-41.
Chang GV, Ganguly G. Early antitoxin treatment in wound botulism results in better outcome. Eur Neurol. 2003; 49(3):151-3. DOI: https://doi.org/10.1159/000069073
Robinson RF, Nahata MC. Management of Botulism. Ann Pharmacother. 2003; 37(1):127-31. DOI: https://doi.org/10.1345/aph.1C034
C Doyle, L Lennox, D Bell. Uma revisão sistemática de evidências sobre as ligações entre a experiência do paciente e a segurança e eficácia clínicas. BMJ Open .2013; 3: e001570. DOI: 10.1136/bmjopen-2012-001570 DOI: https://doi.org/10.1136/bmjopen-2012-001570
Santana BS, Monteiro IEAL, Assis BS. Cuidados de enfermagem ao paciente traquestomizado: uma análise acerca da literatura. Rev. UniLS Acadêmica. 2024; 1(1).
Rocha DM, Costa ECL, Rodrigues CF, Matias JGMG, Bezerra SMG, Machado RS, Gouveia MTO, Ribeiro IAP. Cuidados para a prevenção de complicações em pacientes traqueostomizados. Revista de Enfermagem UFPE. 2019; 13 (1): 169-178. DOI: https://doi.org/10.5205/1981-8963-v13i1a238545p169-178-2019
MINISTÉRIO DA EDUCAÇÃO. Empresa Brasileira de Serviços Hospitalares –EBSERH. POP TRAQUEOSTOMIA: INDICAÇÕES E ORIENTAÇÕES DE CUIDADO AO PACIENTE ADULTO U PRT.NPM.019 -Página 1/22 -2020. Disponível em: https://www.gov.br/ebserh/pt-br/hospitais-universitarios/regiao-sudeste/hc-uftm/documentos/protocolos-assistenciais/traqueostomia-adulto-final.pd
CRUZ S.F, et al. Traqueostomia -Condutas e Técnica. Rev. Cir. Traumatol. Buco-Maxilo-Fac. 2020; 20 (2): 40-44.
DiBardino DM, Wunderink RG. Aspiration pneumonia: a review of modern trends. J Crit Care. 2015;30(1):40-8. DOI: https://doi.org/10.1016/j.jcrc.2014.07.011. DOI: https://doi.org/10.1016/j.jcrc.2014.07.011
Bulechek GM, Butcher HK, Dochterman JM, Wagner C. Nursing Interventions Classification (NIC). 6. ed. Rio de Janeiro: Elsevier; 2016.
Almeida AEM, Alcântara ACC, Lima FAM, Rocha HAL, Cremonin Junior JR, Costa HJM. Prevalência de risco moderado e alto de aspiração em pacientes hospitalizados e custo-efetividade da aplicação de protocolo preventivo. J Bras Econ Saúde. 2016;8(3):216-20. DOI: https://doi.org/10.21115/JBES.v8.n3.p216-220
Mendonça PK, Loureiro MDR, Frota OP, Souza AS de. Prevenção de lesão por pressão: ações prescritas por enfermeiros de centros de terapia intensiva. Texto Contexto Enferm.2018;27(4): e4610017 DOI: https://doi.org/10.1590/0104-07072018004610017
EPUAP; NPIAP; PPPIA. Prevenção e tratamento de úlceras/lesões por pressão: guia de consulta rápida, Emily Haesler, 2019. Disponível em: <https://www.epuap.org/wp-content/uploads/2020/11/qrg-2020-brazilian-portuguese.pdf>.
Vonnes C, Wolf D. Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety. In: Albertini ACS, Peduzzi M. Abordagem interprofissional na prevenção de quedas na assistência hospitalar. Rev. esc.enferm. USP 2024(58). doi: https://doi.org/10.1590/1980-220X-REEUSP-2023-0239pt
Hopewell S, Adedire O, Copsey BJ, Boniface GJ, Sherrington C, Clemson L, et al. Multifactorial and multiple component interventions for preventing falls in older people living in the community. In: Albertini ACS, Peduzzi M. Abordagem interprofissional na prevenção de quedas na assistência hospitalar. Rev. esc.enferm. USP 2024(58). doi: https://doi.org/10.1590/1980-220X-REEUSP-2023-0239pt DOI: https://doi.org/10.1590/1980-220x-reeusp-2023-0239pt
Martinez MC, Iwamoto VE, Latorre MRDO, Noronha AM, Oliveira APS, Cardoso CEA, et al. Transcultural adaption of the Johns Hopkins Fall Risk Assessment Tool. Rev. Latino-Am. Enfermagem.2016; 24: e2783. DOI: https://doi.org/10.1590/1518-8345.1158.2783
Interprofessional Education Collaborative Core competencies for interprofessional collaborative practice: 2016 update [Internet]. Washington, DC: IPEC; 2016 [cited 2021 Feb 18]. Available from: https://ipec.memberclicks.net/assets/2016-Update.pdf
