Examinando por Materia "Pregnancy Complications, Infectious"
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Publicación Acceso abierto Características de la prescripción de antibacterianos en gestantes atendidas en consultorios de ginecología del Hospital Nacional Docente Madre Niño San Bartolomé(Universidad Privada Norbert Wiener, 2017-12-06) Aguilar Rojas, María del Rosario; Villavicencio Chaico, Carlos Alberto; Respicio López, Patricia MilagrosThe present thesis aimed to determine the characteristics of the prescription of antibacterials in pregnant women treated in the gynecology outpatient clinics of the Hospital Nacional Docente Madre – Niño San Bartolomé, in Cercado de Lima, Lima–Peru, between January – December 2016. A retrospective, observational, descriptive cross-sectional study was carried out, in which the characteristics of 495 prescribed antibacterials corresponding to 100% were analyzed, duly meeting the inclusion and exclusion criteria. An instrument was developed for data collection. Among the results, it was found that 97.2% of the prescribed antibacterials recorded the frequency of administration, while in 62.4% the route of administration was not recorded, and 52.1% recorded the dose of administration. Regarding the quality of prescription, 80.4% of the prescribed antibacterials were inadequate, that is, they lacked at least one element such as dose, frequency, route of administration, or days of treatment at the time of prescription. A total of 95.76% of the prescribed antibacterials did belong to the National Essential Medicines List. A total of 99.40% of the prescribed antibacterials were given under the International Nonproprietary Name. A total of 97.58% of the prescribed antibacterials were not for restricted use. The most prescribed antibacterial, with 29.5%, was cephalexin 500 mg tablets, followed by metronidazole 500 mg tablets with 22.4%. In conclusion, the application of the present thesis demonstrated that the characteristics of antibacterial prescription do not show quality in prescription.Publicación Acceso abierto Complicación materna perinatal asociada con el diagnóstico de anemia, en un Centro de salud del Valle Sagrado, 2021(Universidad Privada Norbert Wiener, 2023-10-30) Amaut Chirinos, Silvia Katherine; Caycho Valencia, Félix AlbertoIn the study, the objective was to determine how the perinatal maternal complication is associated with the diagnosis of anemia. The method used in the study was deductive with a quantitative, analytical correlational approach and the design was non-experimental. The population was made up of the medical records of pregnant adolescents as adults who had a diagnosis of anemia and presented some perinatal maternal complication during their stay at the Valle Sagrado Health Center, with a total of 205 pregnant women. The results found in the study were: 71.7% had mild anemia and 28.3% had moderate anemia. The most frequent maternal complications are: urinary infection (17.6%), premature rupture of membranes (10.2%) and arterial hypertension (44%). The most frequent perinatal complications were: low birth weight (6.3%), premature birth (5.9%), and intrauterine growth retardation (3.9%). In the Rho Spearman statistical analysis, a direct and significant correlation was found between the dimensions of maternal complications (0.968; p=0.018) and perinatal complications (0.802; p=0.030) with the diagnosis of anemia in pregnant women. It is concluded that the perinatal maternal complication has a direct (0.990) and significant (p=0.014) correlation with the diagnosis of anemia in pregnant women treated at the Sacred Valley Health Center.Publicación Acceso abierto Eficacia de la profilaxis antibiótica antes de la incisión o después del pinzamiento del cordón umbilical para disminuir los riesgos en complicaciones infecciosas postoperatorias en pacientes cesareadas(Universidad Privada Norbert Wiener, 2018-12-02) Cavero Aspajo, Silvia Stefany; Checcllo Escriba, Lizbeth Alcida; Cárdenas de Fernández, María HildaMATERIALES Y METODOS: El presente es una revisión sistemática, siendo su población 150 artículos científicos y su muestra 10 artículos. Se realizó exploraciones en las bases de datos de Cochrane Library, Embase, PubMed, Willey Online Library, Central base de datos, Science Direct y Epistemonikos, para obtener resultados que compararan la eficacia de la profilaxis antibiótica previa de la incisión y posterior al pinzamiento del cordón umbilical para reducir riesgos en complicaciones infecciosas. A través del sistema Grade se evaluó la eficacia de evidencia y la fuerza de recomendación de los artículos. RESULTADOS: 10 estudios completaron en su totalidad los criterios de inserción. Se observó en el 70 % de investigaciones que la profilaxis antibiótica antes de la incisión es más eficaz que después del pinzamiento del cordón umbilical, para reducir los riesgos en complicaciones infecciosas postoperatorias, sin embargo, el restante 30% argumenta que tanto la profilaxis antibiótica antes de la incisión comparado con después del pinzamiento no demostró superioridad es decir ambas son eficaces. CONCLUSIONES: La profilaxis antibiótica antes de la incisión es más eficaz para evitar el surgimiento de complicaciones infecciosas comparado posterior al pinzamiento del cordón umbilical en las pacientes cesareadas.
