Infección de heridas quirúrgicas abdominales : valoración de los resultados de curación avanzada en el Area de hospitalización
Fecha
2021
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
El desarrollo de la infección de heridas quirúrgicas está relacionado con el grado de contaminación bacteriana antes y durante la cirugía, la virulencia del organismo infectante y las defensas del huésped. Es la causa más frecuente de infecciones nosocomiales entre los pacientes hospitalizados y representa el 40% causa de infección nosocomial en pacientes quirúrgicos.
Los objetivos planteados fueron: Definir la prevalencia de los microorganismos más frecuentes en infección de herida quirúrgica abdominal, identificar la influencia de la estancia hospitalaria con el riesgo de presentar infección de herida quirúrgica abdominal, conocer la prevalencia de infección de herida quirúrgica abdominal según rangos de edad y determinar la prevalencia de infección de herida quirúrgica abdominal según el género.
Se trató de una investigación descriptiva, retrospectiva, no experimental de corte transversal. Correspondió a una investigación realizada durante el periodo del 1 de enero al 31 de diciembre de 2019 en el Hospital de Especialidades Abel Gilbert Pontón, Guayaquil, Ecuador, se tomaron un total [n=157 (100%)] muestras que cumplieron los criterios para ser incluidas en este estudio, de las cuales el (83,4%) fueron colonizadas por bacterias Gram negativas y el (16,6%) por Gram positivas, liderando el perfil microbiológico Escherichia coli [n=55(35%)] con una prevalencia de 25%, la estancia hospitalaria dentro de los primeros 34 días presentó mayor probabilidad de infección de herida quirúrgica abdominal y en relación al rango de edad y género el grupo etario de 41 a 63 años tuvo una prevalencia 41,2%, y el género femenino de 37%.
The development of surgical wound infection is related to the degree of bacterial contamination before and during surgery, the virulence of the infecting organism, and the host's defenses. It is the most frequent cause of nosocomial infections among hospitalized patients and represents 40% of the causes of nosocomial infection in surgical patients. The objectives in this study were: Define the prevalence of the most frequent microorganisms in abdominal surgical wound infection, identify the influence of hospital stay with the risk of presenting abdominal surgical wound infection Know the prevalence of abdominal surgical wound infection according to age ranges and determine the prevalence of abdominal surgical wound infection according to gender. It was a descriptive, retrospective, non-experimental cross-sectional investigation. It corresponded to an investigation carried out during the period January-December 2019 at Abel Gilbert Pontón Specialty Hospital, Guayaquil, Ecuador, a total of [n = 157 (100%)] samples were taken that met the criteria to be included in this study , of which (83.4%) were colonized by Gram negative bacteria and (16.6%) by Gram positive bacteria, leading the microbiological profile Escherichia coli [n = 55 (35%)] with a prevalence of 25% , patients that stay in the hospital within the first 34 days presented a greater probability of abdominal surgical wound infection and in relation to the age range and gender, the age group of 41 to 63 years had a prevalence of 41.2%, and the female gender of 37 %. Keywords: Infections, abdom
The development of surgical wound infection is related to the degree of bacterial contamination before and during surgery, the virulence of the infecting organism, and the host's defenses. It is the most frequent cause of nosocomial infections among hospitalized patients and represents 40% of the causes of nosocomial infection in surgical patients. The objectives in this study were: Define the prevalence of the most frequent microorganisms in abdominal surgical wound infection, identify the influence of hospital stay with the risk of presenting abdominal surgical wound infection Know the prevalence of abdominal surgical wound infection according to age ranges and determine the prevalence of abdominal surgical wound infection according to gender. It was a descriptive, retrospective, non-experimental cross-sectional investigation. It corresponded to an investigation carried out during the period January-December 2019 at Abel Gilbert Pontón Specialty Hospital, Guayaquil, Ecuador, a total of [n = 157 (100%)] samples were taken that met the criteria to be included in this study , of which (83.4%) were colonized by Gram negative bacteria and (16.6%) by Gram positive bacteria, leading the microbiological profile Escherichia coli [n = 55 (35%)] with a prevalence of 25% , patients that stay in the hospital within the first 34 days presented a greater probability of abdominal surgical wound infection and in relation to the age range and gender, the age group of 41 to 63 years had a prevalence of 41.2%, and the female gender of 37 %. Keywords: Infections, abdom
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INFECCION DE LA HERIDA QUIRURGICA, HERIDA QUIRURGICA ABDOMINAL, VALORACION DE RESULTADOS, CURACION, INFECCION HOSPITALARIA, EPIDEMIOLOGIA DESCRIPTIVA, ESTUDIOS RETROSPECTIVOS, HOSPITAL DE ESPECIALIDADES GUAYAQUIL DR. ABEL GILBERT PONTON, CANTON GUAYAQUIL, ECUADOR