Examinando por Materia "Pseudomonas"

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Efficacy of high-level disinfection in safe disinfection of endoscopes
(Universidad Privada Norbert Wiener, 1905-07-09) Rubio Ampuero, Rosa Elena; Gómez Gonzales, Walter Edgar
Objective: Determine the effectiveness of High Level Disinfection (HLD) in the safe disinfection of endoscopes. Methodology: Systematic review whose population is made up of 06 published and indexed scientific articles, data collection was carried out through Lilacs, Scielo, Cochrane Plus, Medline, the analysis was carried out through a summary table, evaluating the quality of evidence and strength of recommendation in a critical and intensive manner for each article according to the established technical criteria, guaranteeing compliance with ethical principles. Results: At the national level, the Herediana Medical Journal concludes that the bacterial load before the cleaning and disinfection process of 50 endoscopes was positive in 88% and after the process positive in 26%. At the international level, the Chilean Journal of Infectology refers to infections exogenous pneumonias such as post-bronchoscopy pneumonia, which reach incidence rates, according to the authors, between 0.6% and 6.9% of the procedures.(6).The Spanish Society of Gastroenterology refers in 02 studies that DAN is not sufficient, both for endoscopes and accessories. The predominant bacteria in the positive cultures were Pseudomona Aeruginosa and Klebsiella Pneumoniae. Conclusion: The systematic review shows that DAN is not sufficient for the safe disinfection of endoscopes in sterilization centers.
Acceso abierto
Factors associated with complications after insertion of invasive catheters
(Universidad Privada Norbert Wiener, 1905-07-09) Bulnes Reyna, Marcela Estela; Mantilla Lara, Carmen Isabel; Gómez Gonzales, Walter Edgar
Objective: Establish the factors associated with complications after insertion of invasive catheters. Material and Method: Observational and retrospective systematic review, the search has been restricted to articles with full text, and the selected articles were subjected to a critical reading, using Jover's evaluation to identify their degree of evidence. Results: The population was made up of the bibliographic review of 02 systematic reviews and 08 scientific articles published and indexed in scientific databases, no older than five years and that respond to articles published in Spanish, we found that 20 % (02) correspond to Chile, with 30% (03) we find Spain, while with 10% (05) we find Washington, Wisconsin, Brazil, Mexico and Costa Rica respectively. Most of the quantitative, transversal, experimental and quasi-experimental studies have been studied with 80%, mainly in the countries of Costa Rica, Brazil, Mexico and Spain. Among systematic reviews we find the country of Chile and Wisconsin, with 20%. Conclusions: Among the factors associated with complications we found in 80% of the studies high blood pressure, condition of the catheter, sex, obesity, diabetes mellitus, as for the pathologies according to the studies found were pneumonia, neonatal sepsis, meningitis and perinatal asphyxia; The most frequently found microorganisms were Staphylococcus coagulase (-), Pseudomona sp. and Candida sp. and that greater education of health professionals decreases the incidence of primary bloodstream infections and a substantial decrease in the patient's health care costs.