Examinando por Materia "Risk"

Mostrando 1 - 20 de 90

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Breastfeeding self-efficacy of pregnant women with an effect on the interruption of exclusive breastfeeding in the tablada de Lurín maternal and child center 2020
(Universidad Privada Norbert Wiener, 2021-02-07) Méndez Chávez, Erika; Gonzales Saldaña, Susan Haydee
Exclusive breastfeeding is the fundamental pillar for infant nutrition; in the world a large group of infants enjoy the benefits of EBF; Among the most important benefits are saving their lives, avoiding morbidity, promoting optimal physical and cognitive development, in addition to reducing the risk of contracting chronic diseases. It is worth mentioning that there are studies that affirm that the lack of this practice affects sustainable development and poverty reduction in the long term. Objective: Determine the breastfeeding self-efficacy of pregnant women with an effect on the interruption of exclusive breastfeeding at the Tablada De Lurín 2020 Maternal and Child Center. Methodology The present research will have a quantitative approach since the variable will be measured numerically, the design of the The study will be non-experimental, the method will be descriptive and cross-sectional. The sample population will be made up of 70 pregnant women who attend the health facility. The data collection technique is the survey and the instrument will be the LIKER type called “Self-efficacy for breastfeeding”, an instrument created in Mexico in 2018, which is found to have validity and reliability.
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Burnout Syndrome and Coping Strategies During the COVID-19 Pandemic in Nurses of the Emergency Service of the Huacho Regional Hospital, 2020
(Universidad Privada Norbert Wiener, 2022-07-10) Díaz Farro, Carlos Enrique; Gamarra Bustillos, Carlos
Burnout syndrome has become an important psychosocial condition in recent years as a result of constant exposure to stressful situations. The scenario experienced by nurses who provide care during the COVID-19 pandemic is exposed to a high risk of contagion, this being a main stress factor for developing symptoms of exhaustion. Objective: Determine the relationship between Burnout Syndrome and Coping strategies during the Covid-19 pandemic in nurses from the emergency service of the Huacho 2020 Regional Hospital. Method: The study will be basic descriptive, observational, non-experimental, cross-sectional and correlational level. The sample will be made up of 50 nurses. To collect the data, the Maslash Burnout Inventory questionnaires will be used for Burnout syndrome and the Coping Estimation Inventory – COPE for coping strategies. To process the data, graphs and frequency tables will be prepared through univariate analysis applying descriptive statistics. Rho Spearman will be used to correlate the variables.
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Burnout syndrome and job satisfaction in health personnel who work in the mental health service of a hospital in Ayacucho, 2021
(Universidad Privada Norbert Wiener, 2022-12-18) Laurente Coronado, Yovana; Arevalo Marcos, Rodolfo Amado
In health personnel, multiple risk components pre-exist that increase the vulnerability of suffering burnout, coping with pain, the death of people based on the performance of their work, as well as the lack of autonomy and in some cases of authority have an impact on the decisions, working quickly and even more so with long hours of work, as well as versatile tasks, exposure to health hazards, inadequate circumstances at work, insufficient wages, as well as little support from society. This research work will be carried out with the purpose of determining the relationship between job satisfaction and burnout syndrome in health personnel who work in the Mental Health service of a Hospital in Ayacucho, 2021. The research has a quantitative approach. basic type, cross-sectional observational design. The population group will be made up of 32 personnel who work in the Mental Health service. For data collection, questionnaires will be used for both variables, prior to this with permission and respective consent of the informed consent of the collaborators, the first questionnaire consists of 27 questions, while the second questionnaire has 22 questions. The results will be compiled and then processed in an Excel program database to later be tabulated using the SPSS version 22 statistical program.
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Burnout syndrome and quality of life of the nursing professional in the emergency and disaster service of a Private Clinic in Lima, 2022
(Universidad Privada Norbert Wiener, 2022-12-18) Anampa Torres, Paul Henry; Molina Torres, Jose Gregorio
In recent times, changes have emerged in the labor field; The long work hours and the constant competition at a professional level in order to obtain and retain has put people's health at risk. The objective of the study is: “To determine the relationship between burnout syndrome and the quality of life of the nursing professional in the emergency and disaster service of a private clinic in Lima, 2022, the methodology; quantitative approach, correlational, non-experimental and transversal design of applied type, the sample will be made up of 80 nursing professionals from the emergency and disaster service of a private clinic in Lima, since the population is small, we will work with everyone so it will be census On the other hand, two instruments that have been previously validated will be used; For the collection of information, a time of no more than 25 minutes will be established for each study subject, the data analysis will be using Microsoft Excel and SPSS version 26; To test the hypothesis, the Spearman test will be used; and finally they will be presented in a table and graphs.
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Burnout syndrome and quality of nursing care in the neonatal intensive care service of a hospital in Lima, 2022
(Universidad Privada Norbert Wiener, 2022-10-09) Muñoz Guzman, Alejandro Ignacio; Arevalo Marcos, Rodolfo Amado
The study will focus on an extremely critical problem within the field of neonatal intensive care, due to the risk that burnout syndrome means for nurses physically, psychologically and emotionally, aspects that result in the quality of care, which can be significantly affected. negatively, exposing them to the occurrence of various risks or adverse events that can endanger their lives and that of the patients. Objective: Determine the relationship between burnout syndrome and quality of nursing care in the neonatal intensive care service of a hospital in Lima, 2022. Materials and methods: The study uses a hypothetical deductive method, quantitative approach, basic type. and non-experimental design. 50 nurses and 50 parents will participate. The survey will be used and the Maslach Burnout Inventory (MBI) validated by María Huanca in 2018 and the questionnaire will be applied to measure the quality of care variable developed by Roxana Puicón in 2022. The levels obtained by each variable will be measured at through Spearman's non-parametric Rho test.
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Care provided by the mother against post-vaccine reactions in children under one year of age from the immunization service of the Santa Rosa Hospital - 2019
(Universidad Privada Norbert Wiener, 2021-01-24) Torres Abanto, Norma Marisol; Fernández Rengifo, Werther Fernando
Care has an educational profile of relating to an individual, it makes him conceive as a duty to care, respect and take personal responsibility, between two people with their own dimension in which values, knowledge, dedication, commitment, service vocation. Caring is looking after the well-being of the other person and is inherent to human nature, in such a way that an individual is capable of worrying about the risk that the other person suffers some harm or increasing their well-being, health professionals They have this principle as the foundation of their work, taking into account the needs and/or weaknesses of the patients, in order to carry out actions that ensure the physical, spiritual, emotional, and social well-being of the individuals under their care, in especially if they are minors. Immunization is a fundamental part of the human right to good health. Vaccination prevents death between 2 to 3 million people each year according to the global action plan. Materials and Methods: Research approach and design. The present study has a quantitative approach, non-experimental or observational design, descriptive cross-sectional, since it allows the research to be shown completely acquired in a given time and space. Population, Sample and Sampling: The population was organized by 100 mothers of children under twelve months of age who belong to the Broad Immunization program. Participants were selected taking into account the analysis of interest, including inclusion and exclusion criteria.
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Complementary feeding practices and iron deficiency anemia in children aged 6 to 24 months at the Llanavilla health post in Villa El Salvador, Lima -2021
(Universidad Privada Norbert Wiener, 2021-09-26) Tantalean Carranza, María Bethy; Gamarra Bustillos, Carlos
Complementary feeding practices are an essential tool for human health, since an adequate dietary practice can reduce or avoid the rate of contracting anemia generally in minors, who are the sector with the highest risk. The main objective of this project is to determine the relationship between complementary feeding practices and iron deficiency anemia in children aged 6 to 24 months, at the Llanavilla Health Post in Villa el Salvador, Lima - 2021. The present study has a hypothetical deductive research method with a quantitative approach, applied type, correlational and transversal design. The population and sample are children under 24 months of age treated at the Llanavilla Health Post in the first half of the current year, and the technique that will be applied is the survey, and at the same time the documentary record will be used to extract the results of hemoglobin. Finally, to measure the variable, complementary feeding practice, it is based on a questionnaire, which is made up of 13 items and divided into two dimensions, which are: types of food that determines 6 questions and frequency of food consumption by 7 questions, of In this way, the evaluation scale is established. This instrument was created in 2016 by the researchers: Álvarez Quiñones, Huamani Mendoza, Montoya Jiménez, Clara Trinidad, from the Cayetano Heredia University, and Validated by expert judgment, its reliability is 0.81 by Cron Bach's alpha, which makes this instrument reliable for the application.
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Concordance of nutritional risk methods in patients of a PNP Hospital - 2019.
(Universidad Privada Norbert Wiener, 2020-12-22) Mora Negrón, Ambar Magaly; Dávila Córdova, Jennifer Estefania
Introduction: Currently there is no nutritional screening method considered to be of choice to identify the nutritional risk of hospitalized adult patients. According to evidence, the longer the period of hospital stay, the greater the risk of worsening malnutrition. The Cardona method and the NRS 2002 method are nutritional screening tools to detect Nutritional Risk that, in several studies in adults, have been shown to be the most appropriate due to their feasibility, specificity and predictive value. Objective: Compare the nutritional risk detected by the CARDONA method and NRS 2002 to identify if both tools are equivalent for clinical practice. Material and methods: A cross-sectional study was carried out with the observation technique in 30 hospitalized adults from a hospital in Lima, Peru. The CARDONA method and NRS 2002 were compared to each other to determine their agreement in detecting nutritional risk, using the Kappa index. Results: It was found that 23% have Nutritional Risk with the Cardona Method and 36.7% have Nutritional Risk with the NRS 2002 method. The age group that most frequently enters the PNP hospital is 45 to 64 years old and in mostly men. The comparison between both nutritional assessment tools showed an acceptable agreement (K=0.378), which means that the two tools are not strongly related, that is, they are different. Regarding the NRS 2002 variables, if the patient is seriously ill, if there is an association (Sig.=0.029) between the variable and the result by the NRS 2002 method. Regarding the variable deterioration of nutritional status in the final evaluation, if there is association between the characteristic deterioration of nutritional status and the result by the NRS method (Sig.=0.00). It is recommended to use either method due to its association with the results.
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Critical Review: Effects of Omega-3 on the Human Microbiota of At-Risk Adults metabolic
(Universidad Privada Norbert Wiener, 2022-02-15) Talledo Olaya, Silvia María; Dávila Córdova, Jennifer Estefania
The clinical question was: - What is the effect of omega 3 fatty acids on the modulation of the microbiota in adults over 18 years of age with any metabolic disease? The Evidence-Based Nutrition (NuBE) methodology was used. The information search was carried out in PUBMED, , SCIELO, HINDAWI, , finding 15 articles, 10 being selected that have been evaluated by the CASPE critical reading tool, finally selecting the Randomized Clinical Trial titled “Diets naturally rich in polyphenols and/or or long-chain n-3 polyunsaturated fatty acids differently affect microbiota composition in high-cardiometabolic-risk individuals”, which has a level of evidence I and Grade of Recommendation I, according to the expertise of the researcher. The critical commentary allowed us to conclude that diets naturally rich in polyphenols or long-chain n-3 polyunsaturated fatty acids can modulate the intestinal microbiota and these changes are related to an improvement in the cardiometabolic risk profile.
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Critical review: Relationship between metabolic syndrome and risk of breast cancer in women
(Universidad Privada Norbert Wiener, 2023-10-18) Torres Salvador, Emily Edith; Bohórquez Medina, Sofia Lorena
This secondary research titled “CRITICAL REVIEW: ‘RELATIONSHIP BETWEEN METABOLIC SYNDROME AND BREAST CANCER RISK IN WOMEN’” aimed to provide a professional critique on the risk of cancer associated with metabolic syndrome. The critical work was conducted using the Evidence-Based Nutrition (NuBE) methodology. Various databases such as SCIELO, PUBMED, SCIENCE DIRECT, and SCOPUS were explored, resulting in 58 research articles, of which 20 were selected for analysis using the CASPE checklist. The systematic review and meta-analysis titled “Metabolic syndrome is a risk factor for breast cancer: a systematic review and meta-analysis” was chosen, which has an evidence level of A I and a Strong Recommendation grade, according to the researcher’s evaluation. The academic work concluded that there is a close relationship between metabolic syndrome and breast cancer, but further research is needed to identify the main parameters of this relationship.
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Critical review: relationship between serum vitamin D levels and breast cancer risk.
(Universidad Privada Norbert Wiener, 2021-07-13) Morales Rios, Edith Jacinta; Bohórquez Medina, Sofia Lorena
Breast cancer is currently the cancer that affects women with the highest prevalence, positioning itself as the type of cancer with the highest mortality rate worldwide. On the other hand, vitamin D is one of the micronutrients with various fundamental metabolic and physiological functions in some organs of the human body, such as the liver, heart, lungs, intestines, bones, and mammary glands, where it acts as a vitamin receptor. D (VDR). In addition, it exerts immunomodulatory and antiproliferative effects, therefore, evidence-based research is required to analyze the importance of this vitamin in the prevention, development, as well as treatment of breast cancer. By virtue of the above, the present research: “critical review: Relationship between serum levels of vitamin D and the risk of breast cancer”, aimed to identify the relationship between serum levels of vitamin D and the risk of breast cancer. . Therefore, the following research question was asked: “Are low levels of vitamin D related to an increased risk of breast cancer in adult women?” The search for scientific articles was carried out in five scientific bases, SCOPUS, PUBMED, EMBASE, WEB OF SCIENCE, SCIENCE DIRECT. 121 articles were found, of which 23 were selected by carrying out the evaluation, and selection of the article for the critical comment, which is a systematic review and meta-analysis titled: “Vitamin D and breast cancer: A systematic review and meta-analysis of observational studies”, with the highest level of evidence and recommendation (I and I respectively). After analyzing the selected article, by writing the critical comment, it can be concluded that 25 (OH) D deficiency was directly related to breast cancer and that sun exposure can help prevent breast cancer. more efficient than ingesting it through food supplements.
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Critical review: relationship of dairy consumption and risk of orogastrointestinal cancer
(Universidad Privada Norbert Wiener, 2022-02-24) Pomares Vásquez, Cecilia Del Pilar; Bohórquez Medina, Andrea Lisbet
This research focuses on investigating the effect of dairy consumption on the risk of developing orogastrointestinal cancer in adults. The secondary research titled "Relationship between dairy consumption and the risk of orogastrointestinal cancer" had the clinical question: Will dairy intake influence the risk of developing orogastrointestinal cancer in adults? The methodology used was Evidence-Based Nutrition (NuBE). The search was conducted in SCOPUS, PUBMED, SCIENCE DIRECT, NIH, SCIELO, and REDALYC, finding 23 articles, with 10 selected and evaluated using the CASPE critical reading tool. The randomized clinical trial titled "Dairy consumption and risks of colorectal cancer incidence and mortality: a meta-analysis of prospective cohort studies" was selected, with an evidence level A and a strong recommendation grade, according to the researcher’s expertise. The critical commentary concluded that dairy consumption does not influence the risk of orogastrointestinal cancer.
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Critical review: risk of metabolic syndrome associated with rotational work in health professionals
(Universidad Privada Norbert Wiener, 2023-07-06) Sampi Carmona, Elita Victoria; Bohórquez Medina, Sofia Lorena
This study will address the nutritional implications for healthcare personnel, focusing on factors such as night shift rotations, which play an important role in lifestyle, preventing a completely healthy life, and making it difficult to provide better patient care. The clinical question was: Are healthcare workers on night shifts more exposed to metabolic syndrome compared to those who do not work rotating shifts, due to nutritional impact? The Evidence-Based Nutrition (EBN) Network was used. The search was conducted in MEDLINE, SCIELO, PUBMED, SCIENCE DIRECT, SCOPUS, where previous research pointing to our clinical question was found, relating nutritional habits and the development of metabolic syndrome with night rotating shifts. In conclusion, according to the readings of all the research found, there is a strong correlation between poor dietary habits and healthcare workers' night shifts, as this type of schedule negatively affects eating habits, increasing rates of overweight and developing metabolic syndrome, which is a precursor to life-threatening diseases such as type 2 diabetes, hypertension, coronary disease, and stroke.
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Determining factors of anemia in 6-month-old infants who attend the growth and development clinic at the Viña San Francisco health post, Santa Anita district, Lima 2019
(Universidad Privada Norbert Wiener, 2020-12-20) Villamar Arce, Sheila Yallily; Fernández Rengifo, Werther Fernando
Introduction: The World Health Organization (WHO) states that anemia affects around 800 million children and women in the world. In Peru, iron deficiency anemia is a serious public health problem affecting 46.6% of children. children at very early ages between 6 months and the first year of life, this situation being the same as that observed in the growth and development clinic of the Viña San Francisco health facility in the Santa Anita district, where the percentage of Anemia in 6-month-old infants reaches 39.8%, a figure that remains high in the first half of 2019 despite the health intervention strategies carried out to reduce cases of anemia in the target population. Objective: Describe the determining factors of anemia in 6-month-old infants. Method: The study has a quantitative approach, descriptive, cross-sectional and prospective, presenting a single main variable, the techniques used were documentary analysis and the interview and the instruments used were the monitoring sheet and the questionnaire applied to the mothers of 6-month-old infants with anemia, the population being the total number of infants, which was 27, constituting a census. Results: During the study period, it was identified that, of the total number of infants with anemia, 70.3% had mild anemia, 25.9% had moderate anemia and 3.7% had severe anemia, with the female sex prevailing with 59.2%. Regarding the determining factors of anemia, present: 25.9% of mothers had a history of anemia during pregnancy, it was identified that 85.1% of infants received iron supplementation at the health facility with timely initiation of the supplement and of them 51.7% consumed it in less than 2 months and 56.5% did not consume it daily, with poor adherence to prophylactic treatment. Regarding the type of feeding, 51.8% of the infants did not receive exclusive breastfeeding, its varieties being mixed, artificial breastfeeding and consumption of cow's milk. 1 infant with a history of prematurity and 2 infants with low birth weight were identified; however, none received prophylactic iron supplementation. 55.5% of infants had their complete vaccination for their age, 70.3% of infants did not have complete growth and development controls for their age. In relation to prevalent diseases, 44.4% of infants with anemia presented diarrheal disease and respiratory infections and of them 3 infants were hospitalized. It has been identified that more than 70% of mothers of infants are unaware of the consequences of anemia during pregnancy, the irreversible effects suffered by the child with anemia in their adult life and the areas of psychomotor development that are affected in the child. with anemia. Conclusions: From the results obtained, it is concluded that the majority of infants in the study had mild or slight anemia, with a predominance of the female sex. A good percentage of the infants began iron supplementation in a timely manner at the health facility. However, More than half of them did not comply with the treatment on a regular basis, identifying difficulties in adherence to treatment. Likewise, infants with a history of prematurity and low birth weight were found who did not receive supplementation despite being infants with a risk factor for anemia, it was found that half of the infants with anemia did not receive exclusive breastfeeding until 6 months, being essential for the prevention of the disease, there is non-compliance with the vaccination schedule and growth and development controls in the infants under study, conditioning the risk of suffering from prevalent diseases such as diarrhea and respiratory infections, as is the case, and at the same time losing the possibility of receiving growth controls and timely nutritional evaluation, it has also been identified that most of mothers interviewed, are unaware of the consequences of anemia in children, which could lead to non-compliance with basic nutritional care in the infant by parents from conception.
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Effect of the overload of the nursing professional in the occurrence of adverse events in patients hospitalized in the intensive care unit
(Universidad Privada Norbert Wiener, 2019-08-04) Agip Cabrejos, Alina Edith; Osorio Astuquipan, Fiorella Maira; Matta Solis, Hernán Hugo
Objective: To examine the evidence about the effect of nursing professional workload on the occurrence of adverse events in patients hospitalized in the Intensive Care Unit. Materials and methods: A quantitative retrospective observational systematic review, subjected to critical evaluation and identification of its certainty, was found in the different data sources: Pubmed, Epistemonikos, Sciencedirect, Cochrane, Scielo. Of the 10 articles methodically evaluated, 20% (n= 2/10) are systematic reviews, 40% (n= 4/10) are cohort studies, 30% (n= 3/10) are descriptive/cross-sectional and 10% (n= 1/10) are macro data analysis. They are derived from the countries of Spain (30%), followed by Brazil (30%), Belgium (10%), Taiwan (10%), Turkey (10%) and Colombia (10%). Results: According to the evidence found, 100% (n=10/10) indicated that the work overload of the nursing professional has a direct impact on care, causing adverse events such as: pressure ulcers, medication errors, hospital infections; affecting the quality of patient care. Conclusion: The work overload of the nursing professional in intensive care units influences the occurrence of adverse events; thus impacting the quality of patient care.
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Effective nursing interventions for the prevention of pneumonia associated with mechanical ventilation
(Universidad Privada Norbert Wiener, 1905-07-09) Cusi Delgado, Libia; Solis Ramos, Melody; Bonilla Asalde, César Antonio
Objective:Analyze the evidence on effective nursing interventions for the prevention of pneumonia associated with mechanical ventilation.Methodology:The search was carried out in the Pubmed, Cochrane, Elsevier, Lilacs, Scielo and Google Scholar database of articles published between 2012 and 2017 whose main theme is effective nursing interventions in the prevention of pneumonia associated with mechanical ventilation. Results: Of 10 scientific reviews, 100% are of quality high, of the total of systematic reviews, 6 articles conclude that oral hygiene with chlorhexidine reduces the incidence of pneumonia associated with mechanical ventilation, 4 articles conclude that elevation of the head of 30|-60° reduces the incidence of pneumonia associated with mechanical ventilation. mechanical ventilation, 3 articles conclude that aspiration and management of secretions reduces pneumonia associated with mechanical ventilation and 1 article concludes that abdominal massage and post-pyloric feeding reduce the risk of pneumonia associated with ventilation. mechanics.Conclusion:Effective nursing interventions for the prevention of pneumonia associated with mechanical ventilation include oral cavity hygiene with chlorhexidine, elevation of the head of the head 30°-60°, aspiration and management of secretions, post-pyloric feeding and the abdominal massage.
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Effective scale to assess the risk of pressure ulcer in pediatric patients
(Universidad Privada Norbert Wiener, 1905-07-09) Calla Ruiz, Oriele; Salvador Valenzuela, Norma Haydeé; Gómez Gonzales, Walter Edgar
Systematic, observational and retrospective review, the search has been restricted to articles with full text, and the selected articles were subjected to a critical reading, using the Grade evaluation to identify the degree of evidence. Results: In the final selection, 07 articles were chosen, 58% (4) correspond to Spain, with 14% (1) found in England, 14% Colombia and 14% Brazil. Likewise, according to the type of study, 43% correspond to Systematic Reviews, 14% Prospective Cohort, 29% Descriptive, 14% Cross-sectional Study. Conclusions: According to the results obtained from the systematic review, they show that of the total of 7 studies, equivalent to 58% corresponds to demonstrating that the Braden scale is effective in evaluating the risk of pressure ulcer in pediatric patients.
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Effectiveness of high-flow central venous catheter sealing with antimicrobials and VS anticoagulants. sealing with anticoagulant in the prevention of infections
(Universidad Privada Norbert Wiener, 2020-02-22) Sosa Vilcachagua, Gladys Alicia; Avila Vargas Machuca, Jeannette Giselle
Objective: Systematize the studies found regarding the difference between sealing with antimicrobial and anticoagulant solutions vs. sealing with anticoagulant for the prevention of high-flow central venous catheter infections. Materials and Methods: the search was restricted to studies of complete accessibility, articles that in total were 10 were classified according to high and moderate quality of evidence, and/or according to the type of study. 20% correspond to meta-analysis studies, 50% to systematic reviews, both types of studies with high evidence and strength of recommendation. 50% corresponds to Spain, 20% corresponds to the US and Chile, 10% corresponds to China. Results: 50% reported that the exclusive use of antibiotics reduces the risk of high-flow catheter infection, 30% reported that the use of antibiotics plus anticoagulant not only reduces the risk of catheter infection but also prevents dysfunctional catheters. and 10% that the use of antibiotics to seal the catheter favors antibiotic resistance. Conclusions: Seals with solutions containing antibiotics and antimicrobials are more effective in preventing high flow catheter infection, but if an anticoagulant is added they are better.
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Effectiveness of peripherally inserted central catheter in lower limbs compared to insertion in upper limbs for reducing mechanical complications and infection in neonates in intensive care
(Universidad Privada Norbert Wiener, 2020-02-08) Catanaima Ramírez, Yumaris Valentina; Avila Vargas Machuca, Jeannette Giselle
Objective: Systematize the evidence on the effectiveness of the PICC in MS compared to insertion in MI in reducing complications in neonates hospitalized in the NICU. Method: The Systematic Review design was used, the search was limited to articles with full text, submitted to a critical reading, using Jover's evaluation to identify its level of evidence. Results: 10 articles were selected corresponding to China 20%, Canada 30%, Australia 10%, Sweden 10% and USA 30% comparatively. 40% of the studies stated that they did not find significant differences in complications that require removal of the PICC, 40% stated that the non-central position is a risk factor for complications and elimination, the tendency for which increases in MS, and 20% stated that the PICC placement in MI is associated with significantly increased risk of complications. Conclusions: Of the 10 articles systematically reviewed, 6/10 showed mechanical complications and infection depending on the insertion site, adding that the location center of the PICC tip can have a significant impact on complications. Only 4/10 articles did not find any difference in complications according to the insertion zone. Recommendations: Greater knowledge about the types of PICC complications according to insertion site: MS or MI, can help focus location-based prevention and surveillance efforts to improve safety and minimize PICC complications in patients. patient in the NICU.
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Effectiveness of sealing high-flow central venous catheter with antimicrobials and anticoagulants vs sealing with anticoagulant in the prevention of infections
(Universidad Privada Norbert Wiener, 2020-02-22) Piscoya Paulino, Mariela Patricia; Sosa Vilcachagua, Gladys Alicia; Avila Vargas Machuca, Jeannette Giselle
Objective: Systematize the studies found regarding the difference between sealing with antimicrobial and anticoagulant solutions vs. sealing with anticoagulant for the prevention of high-flow central venous catheter infections. Materials and Methods: the search was restricted to studies of complete accessibility, articles that in total were 10 were classified according to high and moderate quality of evidence, and/or according to the type of study. 20% correspond to meta-analysis studies, 50% to systematic reviews, both types of studies with high evidence and strength of recommendation. 50% corresponds to Spain, 20% corresponds to the US and Chile, 10% corresponds to China. Results: 50% reported that the exclusive use of antibiotics reduces the risk of high-flow catheter infection, 30% reported that the use of antibiotics plus anticoagulant not only reduces the risk of catheter infection but also prevents dysfunctional catheters. and 10% that the use of antibiotics to seal the catheter favors antibiotic resistance. Conclusions: Seals with solutions containing antibiotics and antimicrobials are more effective in preventing high flow catheter infection, but if an anticoagulant is added they are better.