Hospital Couto Maia

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Hospital Couto Maia

• Ceuci de Lima Xavier Nunes
• Director

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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
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The History of Couto Maia Hospital

• A Dutys 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 Palud
ismo
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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
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Main causes of hospitalization1997 - 2007
Total pac internados 19.200 15.465 (80,5) 11
doenças
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Main causes of hospitalization2008
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Meningitis cases2004-2008
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Dengue cases 2004-2008
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AIDS cases 2004-2008
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Leptospirosis cases 2004-2008
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Chickenpox cases 2004-2008
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Attendance to HIV/AIDS patients in H. Couto Maia

• Ambulatory
• HIV
• General Infectology
• Neuro infectology
• Emergency
• Hospitalization
• 15 beds

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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

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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

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Thank you !