Examinando por Materia "Adhesivos"

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Acceso abierto
Efficacy of fixation with adhesive devices compared to suture fixation in patients with central venous catheters in reducing infections
(Universidad Privada Norbert Wiener, 2020-02-16) Mori Payano, Luis Carlos; Carrillo Cotillo, Hanmer Enoc; Matta Solis, Hernan Hugo
Objective: Systematize the evidence from studies regarding the effectiveness of fixation with adhesive devices compared to suture fixation in patients with a central venous catheter to reduce infections. Material and Methods: A systematic review of international and national research is carried out, obtained through databases: Epistemonikos, NCBI, PubMed, Elsevier, and Scielo, which have been evaluated through the grade system to determine the level of evidence. The search was carried out by applying DeCS and MeSH descriptors for the search in English and Spanish respectively. 60% (6/10) of the articles correspond to Australia, the United States and England respectively with 20% each and the remaining 40% (4/10) to Spain, China, Germany, and Canada respectively.
Acceso abierto
Efficacy of the use of adhesives with chlorhexidine for central venous catheters, in the prevention of bacteremia in patients in intensive care units
(Universidad Privada Norbert Wiener, 1905-07-09) Caballero Malaver, Mónica Elena; Samanamú Mauricio, Gabriela Cecilia; Gómez Gonzales, Walter Edgar
Objective: Determine the effectiveness of the use of chlorhexidine dressings for central venous catheters, for the prevention of bacteremia in patients in intensive care units. Materials and methods: Systematic Review, observational and retrospective research design, the search has been restricted to articles with full text, and the selected articles were subjected to a critical reading according to the degree of evidence that synthesizes the results of 01 Meta-analysis and 03 scientific articles that demonstrate the powerful bactericidal activity of the use of dressings with Chlorhexidine for central venous catheters as a preventive measure against bloodstream infections. Results: 1 meta-analysis and 3 articles were chosen in which we found that 50% (02) correspond to the United States with 25% (01), we find France and Israel with 25% (01) respectively. Of the total number of articles analyzed, 100% affirm the effectiveness of the use of dressings with chlorhexidine for CVC in the prevention of bacteremia and infections. The meta-analysis included 9 primary studies that showed a significant reduction in the incidence of infections due to colonization of the central venous catheter as well as bloodstream infection. A randomized trial demonstrated that the use of dressings impregnated with Chlorhexidine gel decreases the rate of CRF in ICU patients with a central venous catheter. A prospective comparative trial provided excellent results of bactericidal and antimicrobial action of the use of transparent dressings impregnated with CHG and finally a randomized controlled study was carried out in a pediatric cardiac intensive unit where gluconate sponge impregnated with chlorhexidine is safe and significantly reduces rates. of CVC colonization in infants and children after cardiac surgery. Conclusion: It was evident in the reviewed research that there is effectiveness in the use of adhesives with chlorhexidine for venous catheters in the prevention of bacteremia since it reduces the percentages of bacteremia associated with central venous catheters, therefore reducing hospital stay, deaths and costs. .