Examinando por Materia "Infección de la Herida Quirúrgica"

Mostrando 1 - 11 de 11

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Effectiveness of autolytic debridement versus enzymatic debridement in the treatment of necrotic wounds
(Universidad Privada Norbert Wiener, 2017-01-27) Montalban Montalvan, Carol Lisbeth; Roman Sisniegas, Fabiola Luz; Avila Vargas Machuca, Jeannette Giselle
Objective: To analyze and systematize the effectiveness of autolytic debridement compared to enzymatic debridement in the treatment of necrotic wounds. Materials and Methods: A systematic review was conducted using the GRADE system. Of the total studies, 40% consider autolytic debridement to be more effective for addressing necrotic wounds. Results: 40% conclude that autolytic debridement is more effective in managing non-infected necrotic wounds and burns; 30% believe that enzymatic debridement is effective in treating chronic wounds, diabetic foot, venous and arterial ulcers, while another 30% report that there is no significant difference between the two methods, as both are effective. Conclusions: Autolytic debridement is more effective in managing leg ulcers and burns, reducing necrotic tissue by 20% compared to enzymatic debridement, which achieves 10%. The time for autolytic debridement is more effective with the use of hydrogel, which also reduces exudate and devitalized tissue. In enzymatic debridement, the use of collagenase and 2% papain gel reduces necrotic tissue while increasing granulation tissue. It also reduces pain, the number of debridement sessions, and dressing changes.
Acceso abierto
Effectiveness of mechanical bowel preparation and oral antibiotic therapy to reduce surgical site infection in colorectal surgery patients.
(Universidad Privada Norbert Wiener, 2020-10-11) Carhuachin Santos, Melisa Janedth; Fernández Rengifo, Werther Fernando
Objective: Review the evidence on the effectiveness of mechanical bowel preparation and oral antibiotic therapy to reduce surgical site infections in colorectal surgery patients. Material and Methods: Observational and retrospective systematic review, subject to critical reading and using the GRADE evaluation system to identify the degree of evidence of articles published in the following databases: Epistemonikos, Scielo, Sciencedirect, Researchgate, and PubMed. Of the 10 systematically reviewed articles, 40% are of high quality, as described below: 20% (n=2/10) meta-analyses, 20% (n=2/10) systematic reviews, and 60% (n=6/10) are cohort studies; they come from the United States (60%), followed by China (20%) and Australia (20%). Results: 100% (n=10/10) (14-23) indicate the effectiveness of mechanical bowel preparation and oral antibiotic therapy to reduce surgical site infections in colorectal surgery patients. Conclusion: 10 out of 10 pieces of evidence demonstrate that mechanical bowel preparation and oral antibiotic therapy are effective in reducing surgical site infections in colorectal surgery patients.
Acceso abierto
Effectiveness of negative pressure therapy to decrease infection of the surgical site of hospital stay for patients in intensive care
(Universidad Privada Norbert Wiener, 2019-11-24) Lora Núñez, Gioanna Pamela; Valle Galvez, Lourdes Madeleine; Uturunco Vera, Milagros Lizbeth
Objective: To analyze the evidence regarding the efficacy of negative pressure therapy to reduce surgical site infection and hospital stay in intensive care patients. Materials and Methods: The research design is a systematic review, with a search conducted in databases: Scielo, Pubmed, Medline, Cochrane Plus, Epistemonikos. The population consisted of 22 articles, and the sample was made up of 10 articles. The articles were evaluated using the GRADE system, which assesses the quality of evidence and strength of recommendation. Results: The scientific evidence comes from countries such as England (20%), followed by the United States (10%), Australia (20%), Sweden (10%), Spain (10%), Italy (10%), Ireland (10%), and Costa Rica (10%). 80% of the articles demonstrate the efficacy of negative pressure therapy in reducing surgical site infection and hospital stay in intensive care patients, while 20% show no evidence of efficacy due to small sample studies. Conclusions: Negative pressure therapy is effective in reducing surgical site infection and hospital stay in intensive care patients.
Acceso abierto
Effectiveness of surgical dressings in preventing surgical site infections in patients with clean contaminated wounds
(Universidad Privada Norbert Wiener, 2020-01-19) Alvarez Genovez, Ruth Maria; Pretell Aguilar, Rosa María
Objective: Systematize the evidence on the effectiveness of surgical dressing in preventing surgical site infection in patients with clean contaminated wounds. Material and Methods: the systematic reviews of these 10 pieces of evidence were found in the following databases: Google Scholar, Dialnet, Cochrane, Epistemonikos and Scielo. Of the 10 articles reviewed, 70% (n=7/10) are systematic reviews, 20% (n=2/10) are case-control studies and 10% (n=1/10) are randomized clinical trials. According to the quality of the evidence, it was found to be high in 80% and moderate in 20%. According to the recommendation strength it is 80% strong and 20% weak; Depending on the country where the investigations are carried out, it corresponds to Spain 40%, the United States 20%, Peru 20%, the United Kingdom 10% and Colombia 10%. Results: according to the review, it is evident that 80% (n=8/10) of the articles indicate that the surgical dressing is not effective for the prevention of surgical site infection in patients with clean contaminated wounds and 20% (n= 2/10) state that the surgical dressing is effective in preventing surgical site infection in clean contaminated wounds. Conclusions: it is concluded that 8 of 10 evidences indicate that the surgical dressing is not effective for the prevention of surgical site infection in patients with clean contaminated wounds and 2 of 10 evidences affirm that the surgical dressing is effective in the prevention of site infection. surgical in clean contaminated wounds.
Acceso abierto
Effectiveness of topical negative pressure therapy to reduce infections in the treatment of patients with surgical wounds
(Universidad Privada Norbert Wiener, 2018-08-04) Arce Abarca, Oscar Guillermo; Valencia Alvarado, Nelly Alejandra; Gamarra Bustillos, Carlos
The type of study is quantitative and the research design is a systematic review, less than 10 years old. 90% of the articles show the effectiveness of topical negative pressure therapy in reducing infections in the treatment of patients with surgical wounds. 10% did not demonstrate the effectiveness of this therapy because they reported that larger definitive trials were needed to clarify the clinical usefulness of negative pressure treatment of surgical wounds. It was evident in the research reviewed that there is effectiveness with the use of topical negative pressure therapy to reduce infections, considering the benefits: formation of granulation tissue, lower mortality and hospital stay time, and reduction of complications in the healing, which are determinants in the quality of life in patients with surgical wounds.
Acceso abierto
Efficacy of forced hot air for the management of hypothermia in the perioperative period
(Universidad Privada Norbert Wiener, 1905-07-09) Moya Malasquez, Maria Isabel; Cuba Vergara, Lissete Pamela; Rivera Lozada de Bonilla, Oriana
Objective: Determine the effectiveness of forced hot air for the management of hypothermia in the perioperative period. Methodology: Systematic review that compiles 11 investigations published between 2006 and 2016, obtained from different databases and scientific journals. Results: This review presents the characteristics and effectiveness of forced hot air and its influence as a strategy in thermal management to reduce perioperative complications and thereby ensure an adequate temperature in the patient to achieve comfort and user satisfaction. Conclusions: The reviewed articles show us that the application of the forced air warming system is one of the most effective methods in maintaining perioperative normothermia, even in comparison with other methods to prevent hypothermia in the perioperative period. Likewise, active warming from the immediate preoperative period, associated with measures such as increasing the ambient temperature and active skin warming, are related to greater effectiveness in preventing perioperative hypothermia; highlighting the importance of temperature monitoring pre-, intra- and post-operatively, and its positive effects in maintaining normothermia during this stage, such as: prevention of infection of the surgical wound, reducing post-hospitalization time. operation, patient comfort, reduce postoperative pain, avoid bleeding, among other important complications.
Acceso abierto
Efficacy of supplemental oxygen therapy to reduce surgical site infections in perioperative patients
(Universidad Privada Norbert Wiener, 2020-02-16) Uculmana Villagomez, Rosa Corina; Rengifo Barrón, Delia Auristela; Uturunco Vera, Milagros Lizbeth
Objective: Systematize the evidence on the effectiveness of supplemental oxygen therapy to reduce surgical site infection in perioperative patients. Material and Methods: Retrospective and observational systematic review subject to critical reading and using the GRADE system as an evaluation tool to identify the quality of scientific evidence published in the following information sources Elsevier, Scielo, PubMed and Epistemonikos. Of the 10 articles systematically reviewed, 100% were of high quality as described below: 60% (n= 6/10) are meta-analysis, 10% (n= 1/10) are systematic reviews and 30% (n= 3/10) are randomized controlled trials and belong to the countries of the United States (40%), followed by Denmark (10%), England (10%), China (10%), France (10%), Italy (10%) and Israel (10%). Results: 60% (n=6/10) indicate that supplemental oxygen therapy is effective in reducing surgical site infection in perioperative patients. 40% (n=4/10) indicate that supplemental oxygen therapy is not effective in reducing surgical site infection in perioperative patients. Conclusion: Supplemental oxygen therapy is effective in reducing surgical site infection in perioperative patients.
Acceso abierto
Efficacy of the use of external active heating devices in the perioperative period to reduce hypothermia in patients undergoing surgical intervention
(Universidad Privada Norbert Wiener, 2020-02-16) Erribari Sulluchuco, Mirtha Nitza; Giraldo Vicente, Betzabé Maira; Gamarra Bustillos, Carlos
Objective: Systematize the evidence on the effectiveness of the use of external active heating devices in the perioperative period to reduce hypothermia in patients undergoing surgical intervention. Materials and Methods: A retrospective systematic review was carried out, which summarizes the findings of various primary studies. These investigations are an important part of evidence-based nursing to answer clinical questions. Thus, it was restricted to documents using the GRADE system, which allowed the recommendation power to be strengthened. Subsequently, the selected investigations were subjected to critical analysis. Results: Finally, 10 articles were selected, carried out in the present study, the active heating methods are efficient, although some seem to be more efficient than others. Better findings were obtained when warming was extended to the preoperative stage to reduce the occurrence of perioperative hypothermia. For this reason, intervention measures are necessary in order to prevent hypothermia and maintain normal temperature before and during the operation. Conclusions: Active warming methods were shown to be effective in maintaining perioperative normothermia. Being an effective measure (efficient and effective), since it increases body temperature and thermal comfort, patient satisfaction and facilitates venous cannulation, it reduces bleeding, infection of the surgical wound, mechanical ventilation time, use of fluids, vasodilators, morphine and antibiotics, blood pressure and cardiac disorders, reduces hospitalization time and costs. Warming during the intraoperative period is sufficient to effectively prevent hypothermia, both at this stage and in the postoperative period.
Acceso abierto
Factores de riesgo clínicos y quirúrgicos para infección de sitio operatorio en cirugía abdominal en pacientes atendidos en el Hospital II Cañete -EsSalud 2023
(Universidad Privada Norbert Wiener, 2025-05-24) Mamani Chacacanta, Oscar Miguel; Felandro Taco, Gino Fernando
Objetivo: “Determinar los factores de riesgo clínicos y quirúrgicos para infección de sitio operatorio en cirugía abdominal en pacientes atendidos en el Hospital II Cañete-EsSalud, 2023”. Con una metodología hipotético-deductiva, de enfoque cuantitativo, de casos y controles y retrospectivo, mientras que la muestra la conformaron 140 pacientes, 70 para cada grupo. Se empleó una ficha de recolección a fin de registrar los datos, y para cumplir con cada objetivo, se aplicó el análisis de regresión logística binaria, estableciendo un nivel de significancia del 5%. Se obtuvo como resultado que el 13,6% de pacientes intervenidos a cirugía abdominal eran mayores de 60 años, el 9,3% eran fumadores, el 39,3% presentó alguna comorbilidad y el 50% fue diagnosticado con apendicitis. Las características quirúrgicas evidenciaron que el 95,7% presentó estancia preoperatoria mayor a 2 horas, un 54,3% recibió profilaxis antibiótica, un 57,9% fue sometido a cirugía abierta, el 55% tuvo tiempo quirúrgico mayor de 120 minutos, en el 22,1% se usó dren abdominal y el 42,1% presentó estancia hospitalaria mayor a 3 horas. El análisis multivariado precisó que la edad > 60 años (p=0,005; ORa=8,763), la presencia de comorbilidades (p=0,000; ORa=5,887), la cirugía abierta (p=0,023; ORa=3,723) y el uso de dren abdominal (p=0,007, ORa=8,064) fueron factores clínicos y quirúrgicos asociados para infección de sitio operatorio. Por tanto, se concluye que el riesgo de desarrollar una infección de sitio operatorio es mayor en pacientes mayores de 60 años, con comorbilidades, sometidos a cirugía abierta y que usaron dren abdominal.
Acceso abierto
Factors related to surgical site infections in post-cesarean section patients
(Universidad Privada Norbert Wiener, 2017) Espilco Limaco, Maruja Gladys; Gómez Gonzales, Walter Edgar
Objective: To analyze the evidence regarding factors related to surgical site infections in patients post-cesarean section. Results: The most important factors related to surgical site infections in post-cesarean patients were the most isolated germs, such as Staphylococcus aureus (34%) and Escherichia Coli (17%). Additionally, risk factors related to the patient, which cause preoperative immunological alterations (such as diabetes, alcoholism, anemia (66.6%), malnutrition, neoplasms), obesity (42.8%), age, and previous surgeries (a previous scar alters blood supply) were identified. Conclusions: 66.6% of the articles reviewed indicate that factors related to surgical site infections in post-cesarean patients are the germs and microorganisms found, such as Staphylococcus aureus and Escherichia Coli. Additionally, 50% of the articles reviewed indicate that the time of surgical intervention is a factor associated with surgical site infections.
Acceso abierto
Most frequent postoperative complications of Prostatic Adenomectomy in urological patients
(Universidad Privada Norbert Wiener, 1905-07-09) Gonzales Guillén, Graciela; Colcas Vargas, Nuve Sixta; Mendigure Fernández, Julio
Objective: Determine the most frequent postoperative complications of prostate adenomectomy. Material and methods: Systematic review of 10 selected articles, using the database Pubmed, Elsevier, Sciencedirect, Scielo, Redalyc, dialnet. It is a quantitative study with a descriptive, retrospective, prospective comparative, analytical and cross-sectional design. Results: The most frequent postoperative complications of adenomectomy are that 90% (n = 9/10) are urinary tract infection. 70% (n = 7/10) are urinary retention and hematuria or bleeding. The complications that represent 50% (n = 5/10) are urinary incontinence, urethral stricture, surgical wound infection, epididymitis and surgical revision. 20% (n = 2/10) is urinary fistula. Conclusion: The main factors associated with complications are urinary tract infection, urinary retention and hematuria or bleeding.