Examinando por Materia "Bandages"

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Effectiveness of hydrocolloid in the management of pressure ulcers
(Universidad Privada Norbert Wiener, 1905-07-09) Machado Zamudio, Fresia Carolina; Muchaypiña Canales, Gladys Leticia; Mendigure Fernández, Julio
It is evident that in 60% (n=06/10) the use of Hydrocolloid is effective in the management of pressure ulcers; Since the dressings promote effective epithelialization and healing of wounds, they show an advantage over traditional healing, as they are an advanced technology treatment, achieving an adequate cost-benefit. On the other hand, 40% (n=04/10) of studies made a comparison with other dressings, where the statistical data were not sufficient to affirm the effectiveness of hydrocolloids.
Acceso abierto
Effectiveness of silver-containing dressings in the management of chronic wounds
(Universidad Privada Norbert Wiener, 2019-08-04) Arana Martínez, Ninel Angélica; Frías Fuentes, Iveth Charlein; Cárdenas de Fernández, María Hilda
Objective: To systematize the evidence regarding the effectiveness of silver-containing dressings in the management of chronic wounds. Materials and Methods: A systematic review was conducted, allowing us to analyze the conclusions of various studies. 45 scientific articles were found, of which 12 were selected for the bibliographic review, all no older than ten years and in Spanish, Portuguese, and English. In the data collection, the international research articles were classified and reviewed using the "GRADE" system, which helps determine the quality of the evidence and the strength of the recommendation. Results: Twelve articles were selected, and 100% of the articles report the advantages of the effectiveness of silver-containing dressings in the management of chronic wounds, mainly due to the reduction of microbial load. According to the results from the systematic review conducted in this study, 42% (5/12) of the studies were clinical trials, 34% (4/12) were systematic reviews, 8% (1/12) was a cohort study, 8% (1/12) was a controlled study, and 8% (1/12) was an experimental study. The studies came from the following countries: United States 26% (3/12), Taiwan 18% (2/12), Belgium 8% (1/12), France 8% (1/12), Spain 8% (1/12), Poland 8% (1/12), Brazil 8% (1/12), and Germany 8% (1/12). Conclusions: 100% (n=12/12) of the articles mention the effectiveness of silver-containing dressings in the management of chronic wounds. The use of silver dressings is cost-effective for managing chronic wounds by creating a moist environment, a slightly acidic pH (5.5), being used selectively and for a limited period, promoting a faster reduction in microbial load in the wound, and consequently reducing the need for prolonged use of antimicrobials. Additionally, the cost is generally not higher compared to other types of treatments.
Acceso abierto
Efficacy of hydrocolloid dressings in the treatment of pressure ulcers in intensive care unit patients
(Universidad Privada Norbert Wiener, 1905-07-09) Barrera Elguera, Soledad Pilar; Pujay Aponte, Yanet Alicia; Avila Vargas Machuca, Jeannette Giselle
Systematize the evidence on the effectiveness of the use of hydrocolloid dressings in the treatment of pressure ulcers in patients in the intensive care unit. Methodology: Systematic Review, 10 articles were chosen, which were studied, of which 70% are systematic reviews and meta-analysis, mainly in the countries of the United States and China, and 30% are cross-sectional analytical studies that were developed in the countries from Brazil, Spain and Peru Results: Of the articles studied, 70% show that products for the treatment of UPPs based on cure in a humid environment such as hydrocolloids have greater clinical efficacy than traditional treatment in the intensive care unit.Conclusion: The results of the review we have carried out show the existence of evidence in favor of the greater clinical effectiveness of dressings based on healing in a humid environment in the healing of pressure ulcers, lower overall cost and They are changed every three to five days, although they can remain in situ for up to seven days. And they are less effective than polyurethane foam (hydropolymer) dressings since they have a greater capacity for absorbing exudate and are easier to apply. removal than hydrocolloid dressings.
Acceso abierto
Efficacy of peripheral venous catheter fixation devices (tape vs. transparent dressing) in health service users
(Universidad Privada Norbert Wiener, 2017-11-12) Meza Aponte, Abel Richard; Gomez Valeriano, Ivette Shirley; Gamarra Bustillos, Carlos
Systematic review of 08 full-text articles from the last 10 years, with good quality of evidence; consisting of 04 randomized controlled clinical trials [50%]; 02 observational studies [25%], 01 systematic review [12.5%] and 01 meta-analysis [12.5%]. Results: 75% of studies did not find significant differences (p > 0.050) between fixation devices regarding the occurrence of complications such as phlebitis; The same percentage identified the main benefit of the transparent dressing as allowing direct observation of the catheter insertion site. Conclusions: It was determined that there is insufficient evidence to demonstrate that one fixation device (tape or transparent dressings) is better or superior than the other; The transparent dressing stands out for allowing visualization of the insertion point and is more cost-effective when used in patients with a medium and long-term hospital stay; while the tape is recommended when short-term access is needed and when the patient has abundant hair or profuse sweating.
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. .
Acceso abierto
Efficacy of transparent dressing with 2% chlorhexidine gluconate in preventing central venous catheter infection
(Universidad Privada Norbert Wiener, 2017-08-05) Hilario Eugenio, Helen Joanna; Peralta Ugarte, Julio Cesar; Avila Vargas Machuca, Jeannette Giselle
The use of a transparent dressing with 2% Chlorhexidine Gluconate is a good alternative for the care of the central venous catheter insertion site. In addition to reducing costs, it decreases the number of manipulations due to its 7-day duration. It also allows for continuous visualization of the insertion site and provides greater safety for the patient, thus helping to prevent infection incidents.