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Hospital Couto Maia

Hospital Couto Maia. Ceuci de Lima Xavier Nunes Director. The History of Couto Maia Hospital. 1853: Hospital de Isolamento de Monte Serrat was created Objective: take care of patients with yellow fever landed from merchant ships.

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Hospital Couto Maia

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  1. Hospital Couto Maia Ceuci de Lima Xavier Nunes Director

  2. The History of Couto Maia Hospital • 1853: Hospital de Isolamento de Monte Serrat was created • Objective: take care of patients with yellow fever landed from merchant ships. • The location was chosen because was near the ocean; there was many plantations and only a few houses. 1924 Typhoid fever 1855 Cholera 1918 Spanish flu 1849 Yellow fever 1904 Bubonic plague 1919 Smallpox 1912 – Dr. Augusto Couto Maia – Director 1926 – New buildings were inaugurated 1936 – The hospital was renamed Couto Maia

  3. The History of Couto Maia Hospital A Duty’s Register Book (1955) contained the information bellow Staff Catão Nilton da C. Pinto Dias Armênio Guimarães Gilberto Rebouças Luciano Pedreira de Cerqueira Romualdo Lopes Adalberto de Abreu Farias Wilson Ribeiro Vanilda Lúcia Carneiro Amaral Arudy Penna Costa Walmiki Cardoso de Moura Edson Alves Lauro Pereira de Oliveira Diseases Alastrim Varicela Meningite Febre Tifóide Difteria Tétano Sarampo Enterocolite Paludismo

  4. The History of Couto Maia Hospital • First documented mention the need of data from diseases and patients “Esteve em visita a este hospital o Dr.Luiz Santos, Diretor do Serviço de Epidemiologia do Departamento de Saúde que pediu por nosso intermédio solicitássemos aos demais médicos e internos plantonistas, confirmar no mais curto prazo possível, os diagnósticos dos doentes que dão entrada neste nosocômio como suspeitos, bem como as transferências de uma para outra doença. Esta medida tem por fim facilitar a Organização dos quadros estatísticos daquele serviço dentro da maior brevidade.” Armênio Guimarães 16/06/1955

  5. Main causes of hospitalization1997 - 2007 Total pac internados: 19.200 15.465 (80,5%) 11 doenças

  6. Main causes of hospitalization2008

  7. Meningitis: cases2004-2008

  8. Dengue cases: 2004-2008

  9. AIDS cases 2004-2008

  10. Leptospirosis cases 2004-2008

  11. Chickenpox cases 2004-2008

  12. Attendance to HIV/AIDS patients in H. Couto Maia • Ambulatory • HIV • General Infectology • Neuro infectology • Emergency • Hospitalization • 15 beds

  13. Characteristics (average) of HIV/AIDS patients hospitalized in H. Couto Maia • Youth • Male • Homeless • People with little family support • At least one police record • People with advanced stage of immunodepression • Multiple opportunistic diseases • Neurotoxoplasmosis • Neurocryptococcosis • PCP • Oral and esophageal candidiasis

  14. Clinical-epidemiological characteristics of a group of HIV/AIDS infected women, Salvador-Bahia in 2002 • Mean age: 32 ± 7.2 years • 80.5% had children • 65.9% were jobless • 74.4% were illiterate or only had basic education • Number of sexual partners were five or fewer in 71% of cases • 25% had only one sexual partner • The main via of transmission was heterosexual Nunes at al. Revista Brasileira de Medicina Tropical 37 (6), 2004

  15. Thank you !

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