Examinando por Materia "Decontamination"

Mostrando 1 - 2 de 2

Acceso abierto
Effectiveness of the practice in the frequency of use of chlorhexidine administration for the prevention of pneumonia in patients with mechanical ventilation
(Universidad Privada Norbert Wiener, 2017-11-12) Estrada Galdos, Margarita; Quiroz Ramos, Luz Kimberlin; Bonilla Asalde, César Antonio
Objective: Systematize the evidence about the effectiveness of the practice in the administration of chlorhexidine for the prevention of pneumonia in patients with mechanical ventilation. Material and methods: Regarding the effectiveness in preventing pneumonia with oropharyngeal decontamination with chlorhexidine 3 times a day or more compared to 1 and 2 times a day in patients with mechanical ventilation, they were found in the following databases: Researchgate, PubMed, Data Cochrane Library, Wiley, ScienceDirect, Springer Link. Of 10 articles systematically reviewed, 4 are systematic meta-analysis reviews (40%), 3 are systematic reviews (30%}, 1 is a randomized controlled clinical trial (10%}, 1 is a quasi-experimental (10%) and 1 is a cohort study {10%). These come from Italy, Belgium, Colombia and Australia {10% each), Spain and Brazil (20%), China (30%). Results: 50% of the articles reviewed do not find differences in effectiveness, with a frequency of use of chlorhexidine of 1 to 2 times a day versus 3 times or more, while the other 50% reveal in favor of the use of Chlorhexidine is three times more effective in oropharyngeal decontamination. Conclusion: The use of chlorhexidine in oropharyngeal decontamination is effective for the prevention of pneumonia, however, 50% of the evidence indicates that its effectiveness is not related to practices in the frequency of use.
Acceso abierto
Efficiency of the autoclave flash cycle sterilization process of biomedical instruments
(Universidad Privada Norbert Wiener, 1905-07-09) Limo Renteria, María Esther; Novoa Paredes, Cecilia Bethsabé del Pilar; Gómez Gonzales, Walter Edgar
Materials and Methods: A systematic review was carried out, which synthesizes the results of multiple primary investigations. They are an essential part of evidence-based nursing due to their rigorous methodology, identifying relevant studies to answer specific questions of clinical practice. Results: The review of articles corresponds to 05 articles on the use of flash cycle autoclave sterilization of surgical instruments, corresponding to the Pubmed, Medline and Lilacs databases. The 05 scientific articles systematic review on the effectiveness of the autoclave flash cycle sterilization process of biomedical equipment, 20% (01) correspond to Spain and 80% to the United States, all of them framed in the 05 research articles. Flash cycle sterilization in autoclave has to meet the established conditions and those of the sterilizer manufacturers, to guarantee the quality of the process and should only be used in extreme situations. Conclusions: The flash cycle sterilization process in autoclave according to the studies should be limited in case of emergency where the instruments are needed immediately, following the manufacturer's instructions and taking into account the 3 critical steps: Cleaning and decontamination, sterilization and aseptic transfer to ensure sterilization.