Prevalencia y análisis de factores de infección de sitio quirúrgico en clínica de heridas / Prevalence and Analysis of Surgical Site Infection Factors in Wound Clinic

Introducción: La infección de herida quirúrgica causa altas tasas de morbilidad y repercute sobre los índices de mortalidad. Constituye la primera infección intrahospitalaria entre pacientes quirúrgicos del total de infecciones nosocomiales y la primera entre los pacientes quirúrgicos. Existen factores de riesgo como la clasificación ASA, la diabetes mellitus, la hipertensión arterial y los días de estancia hospitalaria, los cuales influyen en su desarrollo. Objetivo: Determinar la prevalencia de infecciones de sitio quirúrgico por cirugías realizadas en el Hospital Dr. Carlos Canseco de Tampico, ciudad del estado mexicano de Tamaulipas. Métodos: Diseño observacional, analítico, transversal y retrospectivo de 54 pacientes con diagnóstico de infección de sitio quirúrgico. Las variables de estudio se clasificaron como dependientes (género, edad, lugar de origen, días de estancia hospitalaria, peso, índice de masa corporal) e independientes (diagnóstico, procedimiento quirúrgico realizado y clasificación ASA otorgada). Resultados: La población de 40 a 50 años fue la más afectada, con mayor predominancia sobre el género femenino. La Clasificación ASA II y III presentaron mayor prevalencia de infección de sitio quirúrgico, sobre todo en cirugías electivas (28 por ciento). Mientras mayor fue la estancia hospitalaria, mayor fue la probabilidad de desarrollar infección de sitio quirúrgico. Conclusiones: La prevalencia de infección en el sitio quirúrgico en pacientes operados por los distintos servicios quirúrgicos no es similar a la reportada por otros autores. La Clasificación ASA II y III presentaron infección del sitio quirúrgico con más frecuencia, mientras que la comorbilidad más llamativa de este estudio fue el índice de masa corporal como factor de riesgo que no debe pasar desapercibido(AU)

Introduction: Surgical wound infection causes high morbidity rates and impacts mortality rates. It is the first in-hospital infection among surgical patients of all nosocomial infections and the first among surgical patients. There are risk factors that influence its development, such as the ASA classification, diabetes mellitus, arterial hypertension and days of hospital stay. Objective: To determine the prevalence of surgical site infections from surgeries performed at Hospital Dr. Carlos Canseco, of Tampico, a city in the Mexican state of Tamaulipas. Methods: An observational, analytical, cross-sectional and retrospective study was carried out with 54 patients with a diagnosis of surgical site infection. The study variables were classified as dependent variables (gender, age, place of origin, days of hospital stay, weight and body mass index) and independent variables (diagnosis, surgical procedure performed, and given ASA classification). Results: The population aged 40 to 50 years was the most affected, with a greater predominance of the female gender. ASA classification II and III had a higher prevalence of surgical site infection, above all in elective surgeries (28 %). The longer the hospital stay, the higher the probability of developing surgical site infection. Conclusions: The prevalence of surgical site infection in patients operated on by the different surgical services is not similar to that reported by other authors. ASA Classification II and III presented surgical site infection more frequently, while the most remarkable comorbidity in this study was body mass index as a risk factor that should not go unnoticed(AU)

Correlation between the complexity of patients undergoing total hip arthroplasty and the actual perceived workload of nurses / 中国实用护理杂志

Objective To investigate the relationship between the complexity of patients undergoing total hip arthroplasty and the actual workload of nurses. Methods This study was a retrospective cohort study. A total of 45 patients were randomly selected from March 2016to March 2017to undergo hip arthroplasty at the hospital orthopedic department. The general condition of each patient at the time of admission was recorded, using ASA, CCI and The Katz-ADL scale score evaluates the complexity of the patient's surgery. Actual nursing workload was recorded on the first postoperative day. Use the self-developed questionnaires in the department to assess the workload actually felt by nurses. The correlations between the above scores, BMI and actual workload scores and actual perceived workload were analyzed. Results There was no statistically significant correlation between the actual workload of nurses and patient complexity. There was a statistically significant correlation between ASA (tau b=0.73, P<0.01) and CCI (Rho=0.64; P<0.01) and nurses'actual perceived workload. Conclusions Orthopedic nurses have greater self-induction work pressure for the patients undergoing total hip arthroplasty.

Correlation between the complexity of patients undergoing total hip arthroplasty and the actual perceived workload of nurses / 中国实用护理杂志

Objective@#To investigate the relationship between the complexity of patients undergoing total hip arthroplasty and the actual workload of nurses.@*Methods@#This study was a retrospective cohort study. A total of 45 patients were randomly selected from March 2016to March 2017to undergo hip arthroplasty at the hospital orthopedic department. The general condition of each patient at the time of admission was recorded, using ASA, CCI and The Katz-ADL scale score evaluates the complexity of the patient's surgery. Actual nursing workload was recorded on the first postoperative day. Use the self-developed questionnaires in the department to assess the workload actually felt by nurses. The correlations between the above scores, BMI and actual workload scores and actual perceived workload were analyzed.@*Results@#There was no statistically significant correlation between the actual workload of nurses and patient complexity. There was a statistically significant correlation between ASA (tau_b=0.73, P <0.01) and CCI (Rho = 0.64; P<0.01) and nurses' actual perceived workload.@*Conclusions@#Orthopedic nurses have greater self-induction work pressure for the patients undergoing total hip arthroplasty.