Examinando por Materia "Soluciones para Diálisis"

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    ÍtemAcceso abierto
    Effectiveness of antibiotic locking solutions in preventing hemodialysis catheter-associated bacteremia
    (Universidad Privada Norbert Wiener, 2017-11-12) Barazorda Pedraza, Nancy; Ramirez Sotelo, Karla Jazmin; Pretell Aguliar, Rosa María
    Materials and methods: The search was restricted to full-text articles, and the selected articles were critically reviewed using the GRADE system to identify their level of evidence. A total of 10 scientific articles were selected, of which 80% were systematic reviews and 20% were meta-analyses, all with high-quality evidence and strong recommendations. 40% (n=4/10) are from the United States, 20% (n=2/10) from China, 10% (n=1/10) from Israel, 10% (n=1/10) from Belgium, 10% (n=1/10) from Chile, and 10% (n=1/10) from the Netherlands. Results: Of the total 10 articles reviewed, 80% (8/10) (14-18;21-23) show that antibiotic lock solutions for hemodialysis catheters reduce catheter-related bloodstream infections. On the other hand, 10% (1/10) (20) concludes that the use of antibiotic lock solutions likely decreases the number of bloodstream infections associated with central venous catheters in hemodialysis patients. The other 10% (1/10) (19) claims that the use of antibiotic lock solutions will promote long-term antimicrobial resistance in the hemodialysis population. Conclusions: Antibiotic lock solutions are effective in preventing catheter-related bacteremia in hemodialysis, and will be more effective when used in conjunction with preventive measures such as handwashing, use of masks, caps, and sterile manipulation of the hemodialysis catheter.
  • Miniatura
    ÍtemAcceso abierto
    Effectiveness of dialysate sodium concentration management for blood pressure changes in hemodialysis patients
    (Universidad Privada Norbert Wiener, 2020-08-02) Saavedra Quintana, Vanesa Lisette; Taboada Masabel, Daniel Angel; Arevalo Marcos, Rodolfo Amado
    Objective: Systematize and analyze the effectiveness of managing the sodium concentration in the dialysate for blood pressure changes in patients with hemodialysis. Material and methods: Observational and retrospective systematic review, 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, the search has been restricted to articles with full text, and the selected articles were subjected to critical reading. using the GRADE system to assign the strength of recommendation, the 10 articles systematically reviewed 20% (n=2/10) are systematic reviews, 30% (3/10) are randomized controlled trials, 50% (5/10) control studies. The results obtained by this study come from; Iran 20%, United States 20%, United Kingdom 10%, England 10%, Italy 10%, Austria 10%, China 10%, New Zealand 10%. Results: The evidence found, 70% (7/10) indicates that the management of sodium concentration in the dialysate is effective for changes in blood pressure in patients with hemodialysis. Conclusions: The management of sodium concentration in dialysate is effective for blood pressure changes in patients with hemodialysis.