Incidencia de la infección urinaria en pacientes postoperados de cirugía cardiaca: estudio comparativo según el dispositivo de sondaje / Incidence of urinary tract infections after cardiac surgery: comparative study accordind to catheterization device

Introducción: La infección del tracto urinario (ITU) asociada al sondaje uretral representa la segunda causa de infección nosocomial en Unidades de Cuidados Intensivos. Definimos ITU cuando obtenemos un resultado de 100.000 UFC/ml con al menos un microorganismo en el cultivo de orina. Objetivo principal: Determinar y comparar la incidencia de ITU en los pacientes postoperados de cirugía cardiaca según el dispositivo de sondaje. Material y método: Estudio observacional, analítico y prospectivo aleatorizado de pacientes en el postoperatorio inmediato de cirugía cardiaca. Un grupo fue sondado con sonda Foley y otro llevaba insertado el catéter BIPFoley-Bactiguard® (SBF). La SBF está recubierta de metales nobles (plata, oro y paladio) con propiedades antimicrobianas y biocompatible, que recubre toda la superficie del dispositivo y evita la formación de biofilm, la adherencia microbiana y la colonización. Resultados: Ciento dieciséis casos, el 59,5% (69 casos) han sido negativos para ITU y el 40,5% (47 casos) han sido positivos. De las ITU obtenidas el 25% eran portadores de sonda Foley y el 15,5% de SBF. Los microorganismos etiológicos más frecuentes son: Escherichia coli 29,8%, Klebsiella pneumoniae29,8% y Klebsiella oxytoca 9%.ConclusiónCon los datos obtenidos hemos observado una menor tasa de infección en los pacientes portadores de sonda BIPfoley-Bactiguard(R) en comparación con los pacientes portadores de sonda Foley

Introduction: Urinary tract infections (UTI) associated with urethral catheterization are the second cause of nosocomial infections in Intensive care units. We confirm a UTI when we get a result of 100,000 CFU/ml with at least one microorganism in a urine culture. Main objective: Compare and determine the incidence of UTI in cardiac surgery postpoperative patients according to the catheterization device. Methods: A prospective, randomized analytical observational study of patients in the immediate cardiac surgery postoperative period. One group was probed with catheter Foley and one was inserted the catheter BIPFoley-Bactiguard® (CBF). The CBF is coated with noble metals (silver, gold and palladium) and biocompatible antimicrobial properties, covering the entire surface of the device and prevents the formation of biofilm, microbial adherence and colonization. Results: 116 cases, 59.5% (69 cases) were negative for UTI and 40.5% (47 cases) were positive. Out of the positive UTI results, 25% were carriers of catheter Foley and 15.5% of CBF. Most common etiologic microorganisms: Escherichia coli 29.8% Klebsiella pneumonia 29.8%, Klebsiella oxytoca 9%.ConclusionWith the data we have observed that patients catheterized BIPfoley-Bactiguard(R) are infected to a lesser extent than Foley carriers

[Incidence of urinary tract infections after cardiac surgery: comparative study accordind to catheterization device]. / Incidencia de la infección urinaria en pacientes postoperados de cirugía cardiaca: estudio comparativo según el dispositivo de sondaje.

INTRODUCTION: Urinary tract infections (UTI) associated with urethral catheterization are the second cause of nosocomial infections in Intensive care units. We confirm a UTI when we get a result of 100,000 CFU/ml with at least one microorganism in a urine culture. MAIN OBJECTIVE: Compare and determine the incidence of UTI in cardiac surgery postpoperative patients according to the catheterization device. METHODS: A prospective, randomized analytical observational study of patients in the immediate cardiac surgery postoperative period. One group was probed with catheter Foley and one was inserted the catheter BIPFoley-Bactiguard® (CBF). The CBF is coated with noble metals (silver, gold and palladium) and biocompatible antimicrobial properties, covering the entire surface of the device and prevents the formation of biofilm, microbial adherence and colonization. RESULTS: 116 cases, 59.5% (69 cases) were negative for UTI and 40.5% (47 cases) were positive. Out of the positive UTI results, 25% were carriers of catheter Foley and 15.5% of CBF. Most common etiologic microorganisms: Escherichia coli 29.8% Klebsiella pneumonia 29.8%, Klebsiella oxytoca 9%. CONCLUSION: With the data we have observed that patients catheterized BIPfoley-Bactiguard® are infected to a lesser extent than Foley carriers.

[What is important for the family of patients in the intensive care unit?]. / Qué es importante para los familiares de los pacientes de una unidad de cuidados intensivos.

The abundant bibliography shows us that the family plays a fundamental paper in the recovery of the hospitalized patients, and the patients in the intensive care units (ICU) are no exception. Several authors have demonstrated that a stress-free and calm setting helps in the care process. Thus, the family needs must be considered to improve their well-being. In this way, their attitude will help in the patient's recovery. Health care personnel must be aware of these needs and make up for their deficit as far as possible. The first study that evaluated this question used the CCFNI questionnaire (Critical Care Family Needs Inventory) that measures the degree of importance given by the relatives to the needs of safety, support, information, comfort and proximity. This study has aimed to detect the degree of importance given by the relatives of the patients in the ICU of the Hospital Dr. Josep Trueta of Girona, using the CCFNI questionnaire. All the relatives of the patients in said unit during the autumn of the year 2003 were interviewed and the needs considered to be most important were compared with the sociodemographic variables of the relatives. The total sample was made up of the 132 people interviewed. The need considered to be most important was safety with 50.3% followed by need for support with 47.2%. In the results, some differences were observed depending according to age and studies of those surveyed and according to the diagnosis and the origin of the hospitalization. The collected data did not differ with the reviewed bibliography. All the study was very valuable for the health care professionals of the unit and was taken into account to improve the deficiencies of the ICU of the hospital of Girona.

Qué es importante para los familiares de los pacientes de una Unidad de Cuidados Intensivos / What is important for the family of patients in the Intensive Care Unit?

La abundante bibliografía nos demuestra que la familia tiene un papel fundamental en la recuperación de los enfermos hospitalizados, y los pacientes de las Unidades de Cuidados Intensivos (UCI) no son una excepción. Varios autores han demostrado que un ambiente desangustiado y tranquilo ayuda en el proceso de cuidado. Por esto, es necesario plantearse las necesidades de las familias para mejorar su bienestar, de esta forma su actitud ayudará en la recuperación del enfermo. El personal asistencial tiene que conocer dichas necesidades y suplir el déficit en la medida posible. El primer estudio que valora esta cuestión utilizó el cuestionario CCFNI (Critical Care Family Needs Inventory), que mide el grado de importancia que los familiares otorgan a las necesidades de seguridad, apoyo, información, comodidad y proximidad. El objetivo de este estudio fue detectar el grado de importancia que dan los familiares de los pacientes ingresados en la UCI del Hospital Dr. Josep Trueta de Girona, empleando el cuestionario CCFNI. Se entrevistó a todos los familiares de los pacientes ingresados en la UCI del hospital durante el otoño del año 2003 y se compararon las necesidades consideradas más importantes con las variables sociodemográficas de los familiares. La muestra total fue 132 personas entrevistadas. La necesidad considerada más importante fue la seguridad con un 50,3%, seguida de la necesidad de apoyo con un 47,2%. En los resultados se observaron algunas diferencias dependiendo de la edad y estudios del encuestado y según el diagnóstico y procedencia del ingreso. Los datos obtenidos no discrepaban con la bibliografía revisada. Todo el estudio fue muy valioso para los profesionales asistenciales de la unidad y se tuvieron en cuenta para mejorar las deficiencias de la UCI del hospital de Girona

The abundant bibliography shows us that the family plays a fundamental paper in the recovery of the hospitalized patients, and the patients in the intensive care units (ICU) are no exception. Several authors have demonstrated that a stress-free and calm setting helps in the care process. Thus, the family needs must be considered to improve their well-being. In this way, their attitude will help in the patient's recovery. Health care personnel must be aware of these needs and make up for their deficit as far as possible. The first study that evaluated this question used the CCFNI questionnaire (Critical Care Family Needs Inventory) that measures the degree of importance given by the relatives to the needs of safety, support, information, comfort and proximity. This study has aimed to detect the degree of importance given by the relatives of the patients in the ICU of the Hospital Dr. Josep Trueta of Girona, using the CCFNI questionnaire. All the relatives of the patients in said unit during the autumn of the year 2003 were interviewed and the needs considered to be most important were compared with the sociodemographic variables of the relatives. The total sample was made up of the 132 people interviewed. The need considered to be most important was safety with 50.3% followed by need for support with 47.2%. In the results, some differences were observed depending according to age and studies of those surveyed and according to the diagnosis and the origin of the hospitalization. The collected data did not differ with the reviewed bibliography. All the study was very valuable for the health care professionals of the unit and was taken into account to improve the deficiencies of the ICU of the hospital of Girona