Manejo quirúrgico en las quemaduras de segundo grado con apósito hidrocoloide versus sulfadiazina de plata
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2022
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Antecedentes: las quemaduras son un problema severo de salud a nivel global, en todo el mundo las injurias térmicas llegan a afectar alrededor de dos millones de personas, 80.000 de ellas son hospitalizadas y 6500 personas mueren cada año. Problema: el alto número de ingresos de pacientes por quemaduras de segundo grado profundo en los diferentes hospitales del Ecuador lo convierte en un problema de salud pública y social, en el Hospital IESS Los Ceibos el ingreso hospitalario por esta patología ha sido representativo. Objetivo: determinar el manejo quirúrgico en las quemaduras de segundo grado con apósito hidrocoloide versus sulfadiazina de plata en el Hospital anteriormente mencionado, periodo comprendido de julio 2019 a junio 2021. Metodología: estudio no experimental, correlacional, cuantitativo, diseño observacional de corte transversal, retrospectivo con una muestra de 212 pacientes. Resultados: las quemaduras de segundo grado profundo afectaron en su mayoría al género masculino el 57.1%; el rango de edad entre los 38 a 47 años con el 23.58%, se obtuvo que la mayoría de los casos analizados el 59% se utilizó sulfadiazina de plata y el 41% parches hidrocoloides. Del total, 125 pacientes, luego del manejo quirúrgico se aplicó sulfadizina de plata teniendo el 50.4% buena epitelización, a 87 pacientes se les empleó apósito hidrocoloide, y la mayoría de este grupo el 67.8% evolucionó bien. Conclusiones: para el manejo quirúrgico en quemaduras de segundo grado, el producto más utilizado fue la sulfadiazina de plata y ambos tratamientos tuvieron buena evolución posterior a la primera limpieza quirúrgica. a. Palabras clave
Quemaduras, limpieza quirúrgica, apósito hidrocoloide y sulfadiazina de plata
Background: burns are a serious global health problem, worldwide thermal injuries affect around two million people, 80,000 of them are hospitalized and 6,500 people die every year. Problem: the high number of admissions of patients for deep second degree burns in the different hospitals in Ecuador makes it a public and social health problem, in the Hospital IESS Los Ceibos the hospital admission for this pathology has been representative. Objective: to determine the surgical management of second degree burns with hydrocolloid dressing versus silver sulfadiazine in the aforementioned Hospital, period from July 2019 to June 2021. Methodology: non-experimental, correlational, quantitative study, crosssectional observational design, retrospective with a sample of 212 patients. Results: deep second degree burns mostly affected the male gender, 57.1%; the age range between 38 to 47 years with 23.58%, it was obtained that most of the cases analyzed, 59% used silver sulfadiazine and 41% hydrocolloid patches. Of the total, 125 patients, after surgical management, silver sulfadiazine was applied, 50.4% having good epithelialization, 87 patients underwent a hydrocolloid dressing, and the majority of this group, 67.8%, evolved well. Conclusions: for the surgical management of second-degree burns, the most used product was silver sulfadiazine and both treatments had good evolution after the first surgical cleaning. Keywords: Burns, surgical cleaning, hydrocolloid dressing and silver sulfadiazine
Background: burns are a serious global health problem, worldwide thermal injuries affect around two million people, 80,000 of them are hospitalized and 6,500 people die every year. Problem: the high number of admissions of patients for deep second degree burns in the different hospitals in Ecuador makes it a public and social health problem, in the Hospital IESS Los Ceibos the hospital admission for this pathology has been representative. Objective: to determine the surgical management of second degree burns with hydrocolloid dressing versus silver sulfadiazine in the aforementioned Hospital, period from July 2019 to June 2021. Methodology: non-experimental, correlational, quantitative study, crosssectional observational design, retrospective with a sample of 212 patients. Results: deep second degree burns mostly affected the male gender, 57.1%; the age range between 38 to 47 years with 23.58%, it was obtained that most of the cases analyzed, 59% used silver sulfadiazine and 41% hydrocolloid patches. Of the total, 125 patients, after surgical management, silver sulfadiazine was applied, 50.4% having good epithelialization, 87 patients underwent a hydrocolloid dressing, and the majority of this group, 67.8%, evolved well. Conclusions: for the surgical management of second-degree burns, the most used product was silver sulfadiazine and both treatments had good evolution after the first surgical cleaning. Keywords: Burns, surgical cleaning, hydrocolloid dressing and silver sulfadiazine
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Quemaduras, Herida quirúrgica, Apósito hidrocoloide, Sulfadiazina de plata, Estudios retrospectivos, Hospital IESS Los Ceibos, Cantón Guayaquil, Ecuador