Proposta de protocolo para elaboração de um procedimento operacional padrão: atendimento aos pacientes transplantados renais do Hospital de Clínicas e Hospital Odontológico da UFU

Abstract

INTRODUCTION: Chronic kidney disease is characterized by kidney damage and/or a reduction in the glomerular filtration rate for a period of three months or more, which may require renal replacement therapy, such as kidney transplantation. Pre-transplant evaluation requires a multidisciplinary approach, highlighting the role of dentistry in eliminating infectious foci, preventing complications, and improving prognosis. JUSTIFICATION: At the University Hospital of the Federal University of Uberlândia, a reference center for kidney transplantation, there is an absence of a permanent dentist on the team and a lack of standardized guidelines, which highlights the need for a Standard Operating Procedure (SOP) to standardize procedures and improve the quality of care. OBJECTIVES: This study aimed to describe a protocol for dental practice in the pre- and post-renal transplant management. METHODOLOGY: The methodology involved a literature review, analysis of institutional protocols, and discussions with multidisciplinary teams and Hospital Dentistry, considering care flows, infrastructure, and available resources. RESULTS AND DISCUSSION: A protocol was structured that can serve as a basis for the development of a Standard Operating Procedure (SOP) composed of guidelines for dental assessment and intervention in the preand post-transplant phases, addressing actions and procedures from anamnesis, complementary examinations, control of infectious foci, oral health guidelines, immunosuppression, oral manifestations, and patient monitoring. FINAL CONSIDERATIONS: The proposed standardization strengthens patient safety, team integration, and consistency of care, contributing to the improvement of the service and the promotion of oral and systemic health of the kidney transplant patient.