{"id":15329,"date":"2020-04-22T21:25:16","date_gmt":"2020-04-22T21:25:16","guid":{"rendered":"https:\/\/sbpt.org.br\/portal\/?p=15329"},"modified":"2020-04-22T21:25:16","modified_gmt":"2020-04-22T21:25:16","slug":"pneumoconiose-covid-sbpt","status":"publish","type":"post","link":"https:\/\/sbpt.org.br\/portal\/pneumoconiose-covid-sbpt\/","title":{"rendered":"Cuidados de pacientes com pneumoconiose em tempos de COVID-19"},"content":{"rendered":"<p style=\"text-align: justify\">Entre os indiv\u00edduos considerados \u201cgrupos de risco\u201d pela probabilidade de desenvolverem formas mais severas da COVID-19 est\u00e3o os portadores de doen\u00e7as respirat\u00f3rias cr\u00f4nicas, como a Doen\u00e7a Pulmonar Obstrutiva Cr\u00f4nica, a Asma Br\u00f4nquica e outras doen\u00e7as que alteram fisiopatologia e a estrutura do sistema respirat\u00f3rio, facilitando a instala\u00e7\u00e3o de infec\u00e7\u00f5es respirat\u00f3rias pelo comprometimento dos mecanismos normais de defesa local e sist\u00eamica.<\/p>\n<p style=\"text-align: justify\">Embora n\u00e3o existam estudos espec\u00edficos de Covid-19 em portadores de pneumoconioses, esse grupo de doen\u00e7as, como a silicose, a pneumoconiose dos mineiros de carv\u00e3o, a asbestose e as pneumoconioses por poeiras mistas, como ponto comum, apresentam \u00e1reas de fibrose com diferentes graus de colageniza\u00e7\u00e3o alterando a estrutura do par\u00eanquima e das vias a\u00e9reas menores, predominantemente<a href=\"\/#_ftn1\" name=\"_ftnref1\">[1]<\/a>.<\/p>\n<p style=\"text-align: justify\">A patogenia das pneumoconioses envolve tamb\u00e9m uma cascata de fen\u00f4menos inflamat\u00f3rios no microambiente pulmonar e sist\u00eamico. Esses fatores s\u00e3o facilitadores da coloniza\u00e7\u00e3o por microorganismos e de instala\u00e7\u00e3o de infec\u00e7\u00f5es respirat\u00f3rias. Citamos como exemplo a alta preval\u00eancia de tuberculose em expostos \u00e0 s\u00edlica.<\/p>\n<p style=\"text-align: justify\">Al\u00e9m das altera\u00e7\u00f5es inerentes \u00e0 doen\u00e7a, portadores de pneumoconiose geralmente s\u00e3o indiv\u00edduos do sexo masculino, de faixas et\u00e1rias mais elevadas e com determinantes sociais que dificultam a manuten\u00e7\u00e3o de um isolamento social efetivo. Ressalta-se que, esse perfil sofre diferen\u00e7as em depend\u00eancia das regi\u00f5es do pa\u00eds e peculiaridades das atividades econ\u00f4micas. Com frequ\u00eancia, como por exemplo, no estado de MG, pacientes com silicose provenientes de garimpos e de lapida\u00e7\u00f5es s\u00e3o trabalhadores aut\u00f4nomos e\/ou informais, jovens, com dificuldades de acesso a servi\u00e7os de sa\u00fade<a href=\"\/#_ftn2\" name=\"_ftnref2\">[2]<\/a>.<\/p>\n<p style=\"text-align: justify\">Portanto trata-se de uma popula\u00e7\u00e3o de alta vulnerabilidade para efeitos graves da COVID-19.<\/p>\n<p style=\"text-align: justify\">Sugerimos, atrav\u00e9s deste documento, que os servi\u00e7os de refer\u00eancia em Pneumologia Ocupacional, Sa\u00fade do Trabalhador, Ambulat\u00f3rios de Doen\u00e7as Intersticiais e Servi\u00e7os de Pneumologia, que possuem cadastro de portadores de pneumoconiose, enviem informa\u00e7\u00f5es individuais (por exemplo, mensagem via celular) ou e-mails aos \u00f3rg\u00e3os municipais das cidades de maior ocorr\u00eancia de pneumoconioses, com informa\u00e7\u00f5es destinadas \u00e0 prote\u00e7\u00e3o individual e alerta aos pr\u00f3prios servi\u00e7os municipais que tender\u00e3o a ter maior demanda de casos graves.<\/p>\n<p style=\"text-align: justify\">Cada paciente deve ser bem informado de sua doen\u00e7a e ter em m\u00e3os, sempre que poss\u00edvel, a descri\u00e7\u00e3o de sua condi\u00e7\u00e3o cl\u00ednica, seu exame de imagem e de fun\u00e7\u00e3o pulmonar, para facilitar atendimentos em situa\u00e7\u00f5es de emerg\u00eancia.<\/p>\n<p style=\"text-align: justify\">Este documento n\u00e3o trata de propor medidas diferentes daquelas amplamente divulgadas, mas um refor\u00e7o aos cuidados divulgados para grupos de risco, notadamente o distanciamento social, a higiene pessoal e da habita\u00e7\u00e3o, o uso de m\u00e1scaras, a manuten\u00e7\u00e3o regular de medicamentos para doen\u00e7as associadas como, diabetes e doen\u00e7a pulmonar obstrutiva cr\u00f4nica e, muito importante, a vacina\u00e7\u00e3o contra influenza e pneumococo.<\/p>\n<p style=\"text-align: justify\">Por se tratar de uma nova doen\u00e7a, outras orienta\u00e7\u00f5es poder\u00e3o ser recomendadas, conforme novas evid\u00eancias relacionadas \u00e0 preven\u00e7\u00e3o, tratamento e, possivelmente, vacina\u00e7\u00e3o espec\u00edfica, sejam descritas.<\/p>\n<p><em>Comiss\u00e3o Cient\u00edfica de Doen\u00e7as Ocupacionais e Ambientais da SBPT.<\/em><\/p>\n<hr>\n<p><strong>Refer\u00eancias<\/strong><\/p>\n<p style=\"text-align: justify\"><a href=\"\/#_ftnref1\" target=\"_blank\" rel=\"noopener\" name=\"_ftn1\">[1]<\/a> Dispon\u00edvel em <a href=\"https:\/\/dai-global-digital.com\/covid-19-data-analysis-part-1-demography-behavior-and-environment.html\" target=\"_blank\" rel=\"noopener\">https:\/\/dai-global-digital.com\/covid-19-data-analysis-part-1-demography-behavior-and-environment.html<\/a>. Acesso em 13\/04\/2020.<\/p>\n<p style=\"text-align: justify\"><a href=\"\/#_ftnref2\" target=\"_blank\" rel=\"noopener\" name=\"_ftn2\">[2]<\/a> Dispon\u00edvel em <a href=\"https:\/\/www.artisanalgold.org\/2020\/03\/possible-impacts-of-covid-19-on-asgm-communities\/\" target=\"_blank\" rel=\"noopener\">https:\/\/www.artisanalgold.org\/2020\/03\/possible-impacts-of-covid-19-on-asgm-communities\/<\/a>. Acesso em 13\/04\/2020.<\/p>\n<p style=\"text-align: center\"><a href=\"https:\/\/d1xe7tfg0uwul9.cloudfront.net\/sbpt-portal\/wp-content\/uploads\/2020\/04\/pneumoconiose_covid_19_sbpt.pdf\">Clique aqui para baixar esta recomenda\u00e7\u00e3o em PDF.<\/a><\/p>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p>Entre os indiv\u00edduos considerados \u201cgrupos de risco\u201d pela probabilidade de desenvolverem formas mais severas da COVID-19 est\u00e3o os portadores de doen\u00e7as respirat\u00f3rias cr\u00f4nicas, como a Doen\u00e7a Pulmonar Obstrutiva Cr\u00f4nica, a Asma Br\u00f4nquica e outras doen\u00e7as que alteram fisiopatologia e a estrutura do sistema respirat\u00f3rio, facilitando a instala\u00e7\u00e3o de infec\u00e7\u00f5es respirat\u00f3rias pelo comprometimento dos mecanismos normais [&hellip;]<!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":3,"featured_media":15349,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"ngg_post_thumbnail":0,"footnotes":""},"categories":[68],"tags":[807,118,808,31,778,809],"class_list":["post-15329","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-noticias","tag-asbestose","tag-covid-19","tag-pneumoconiose","tag-pneumologia","tag-sars-cov-2","tag-silicose"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Cuidados de pacientes com pneumoconiose em tempos de COVID-19<\/title>\n<meta name=\"description\" content=\"A Comiss\u00e3o Cient\u00edfica de Doen\u00e7as Ocupacionais e Ambientais da SBPT alerta que os portadores de silicose, asbestose e 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