Abstract General Information

Title

STRENGTHENING CARE FOR CHILDREN WITH UROLOGICAL SEQUELAE RELATED TO CONGENITAL ZIKA VIRUS SYNDROME: EXPERIENCE OF A FEDERAL INSTITUTE IN RIO DE JANEIRO AS A TRAINING CENTER FOR HEALTH PROFESSIONALS.

Introduction and objective

The neurogenic bladder was one of the morbidities found in children with congenital Zika virus syndrome (https://doi.org/10.1371/journal.pone.0193514), but until 2019 only 7% of the 2,800 children affected with the syndrome had been investigated. Considering the importance of early diagnosis in the evolution of patients, they could be missing the opportunity to reverse some urological sequelae. Objective: To sensitize and train health care service professionals linked to the SUS to diagnose and treat the urological sequelae of these children.

Method

The training was conducted in 5 Brazilian states as part of a research project to strengthen care for children with urological sequelae related to the congenital Zika virus syndrome (CNPq/MS-SCTIE-Decit Nº22/2019). This training included: recognition of demands, awareness of professionals, meetings by specialties to discuss norms and protocols, and practical follow-up of consultations and exams at the reference institute through the coming of professionals to be trained.

Results

The evaluation protocol used in the research is published (https:www.protocols.io/view/criteria-to-evaluate-neurological-lower-urinary-tr-bxpppmmn), and the results have been disclosed and discussed with peers in presentations and events scientific. The five services are functioning and strengthened with equipment and training of professionals. The reference pole trained six external professionals and six physiotherapists from the institution and attended 111 patients with urological sequelae using the research protocols.

Conclusion

The project's activities strengthened the capacity of the SUS to diagnose and treat patients with neurogenic bladder related to congenital zika virus syndrome through the training of professionals. There are still several challenges related to the surveillance of the zika virus syndrome that depends on critical evaluations of ongoing procedures, the generation of scientific evidence, and the training of professionals involved in the care and management of the SUS.