Sistema de diagnóstico e tratamento da pneumonia adquirida no hospital

Abstract

Hospital-Acquired Pneumonia (HAP) is a serious nosocomial respiratory infection that affects between 0.4% to 1.1% of patients in Brazilian hospitals. For the treatment of such disease is necessary accuracy in diagnosis, according to the guidelines set in each hospital. Moreover, the diagnosis and treatment of HAP combating should be performed immediately. To assist in this process, this work consists in create a medical iPhone application that performs the diagnosis and treatment of HAP, which was named PneumoH. The survey of requirements and business rules from this application were based on the antibiotic protocol defined in the Hospital Nossa Senhora da Conceição (HNSC), located in Porto Alegre/RS, and which in turn updates suffered in October 2014. Being thus, this paper presents the development of the first version of PneumoH as well, the final version, contemplating updates protocol. Your project aimed at the mobile operating system iOS, for the iPhone, and its implementation was based on the programming language Objective-C together with the tools provided by the software development kit Apple. In addition, to evaluate the application used the SDK Google Analytcs to the collection of usage data. And, if provided in the application itself, a questionnaire of opinion for medical users. For approval of PneumoH such application passed acceptance tests, with the help and approval of Dr. Renato Cassol, the Hospital Nossa Senhora da Conceição (HNSC). The current version of PneumoH is available for download. As a result, until the present publication of this work, we obtained 48 users, in which about 25 % of users return to use the application. On using the application, please note that each session of PneumoH on average have 2 minutes and 13 seconds and about 10 displaying screens. Through the questionnaire, were captured three qualitative assessments. Overall, these positively evaluated the use of PneumoH. It is considered that this work is at an early stage of evaluation. However, the captured data shows successful results with regard to the evaluation of PneumoH. Furthermore, the application will be available to doctors and will have contribution in the process of diagnosis and treatment of acquired pneumonia in the hospital, while the protocol of the Hospital Nossa Senhora da Conceição is in effect.