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1.
Rev Esp Quimioter ; 33(3): 180-186, 2020 Jun.
Artigo em Espanhol | MEDLINE | ID: mdl-32232318

RESUMO

OBJECTIVE: Health care-related infections are a public health problem, among them surgical site infection (SSI) are the most frequent in hospitals. The objetive of this study was to assess the effect of the compliance to antibiotic prophylaxis protocol on the incidence of surgical site infection in hysterectomized patients. METHODS: A prospective cohort study was carried out between October 2009 and December 2018. The incidence of SSI was studied after a maximum period of 30 days from the moment of surgery. The degree of adequacy of antibiotic prophylaxis in hysterectomy and the effect of its inadequacy on the incidence of infection was evaluated using relative risk (RR) adjusted with a logistic regression model. RESULTS: A total of 1,025 interventions were studied in 1,022 women. The cumulative incidence of SSI was 2,1% (n = 22). The most frequent etiology of infection was Escherichia coli (23.1%) and Proteus mirabilis (23.1%). Antibiotic prophylaxis was indicated in 1,014 interventions (98.9%) being administered in 1,009 of them (99.5%). The adherence to the protocol was 92,5%. The main cause of non-compliance was the time of onset (40.9%), followed by the choice of the antibiotic (35.2%). The effect of inadequate prophylaxis on the incidence of infection was RR = 0.9; 95% CI 0.2-3.9; p> 0.05. CONCLUSIONS: The adequacy of antibiotic prophylaxis was very high, with a low incidence of surgical site infection. No association was found between adequacy of prophylaxis and incidence of infection in hysterectomy. The continuous improvement of epidemiological surveillance in gynecology should be emphasized.


Assuntos
Antibioticoprofilaxia/normas , Histerectomia/normas , Adulto , Idoso , Estudos de Coortes , Feminino , Fidelidade a Diretrizes , Humanos , Histerectomia/métodos , Incidência , Pessoa de Meia-Idade , Estudos Prospectivos , Infecção da Ferida Cirúrgica/epidemiologia , Infecção da Ferida Cirúrgica/microbiologia , Infecção da Ferida Cirúrgica/prevenção & controle
2.
Cienc. ginecol ; 10(1): 56-68, ene.-feb. 2006. ilus
Artigo em Es | IBECS | ID: ibc-042464

RESUMO

Se realiza una revisión de la patología susceptiblede diagnóstico y tratamiento histeroscópicoen mujeres con esterilidad o infertilidad.La alta prevalencia de patología uterina y lamejora en los resultados reproductivos tras sutratamiento endoscópico, hacen que la histeroscopiasea el método diagnóstico y terapéuticode elección en el útero septo, miomas submucosos,sinequias, pólipos endometriales y algunasoclusiones tubáricas proximales


We perform a review of the pathology capableof improvement with diagnostic and treatmenthysterocopy in women with infertility orprimary infertility. The high prevalence of intrauterinepathology and the reproductive improveresults subsequent to endoscopy treatmentshow that hysteroscopy is the choice methodfor diagnostic and treatment of the septateuterus, submucosal fibroids, synequias, endometrialpolyps and some proximal tubal obstructions


Assuntos
Feminino , Humanos , Infertilidade Feminina/diagnóstico , Histeroscopia/métodos , Doenças Uterinas/diagnóstico , Doenças Uterinas/cirurgia , Útero/anormalidades , Doenças do Colo do Útero/diagnóstico , Doenças do Colo do Útero/cirurgia
3.
Obstet Gynecol ; 91(5 Pt 2): 850-2, 1998 May.
Artigo em Inglês | MEDLINE | ID: mdl-9572188

RESUMO

BACKGROUND: Lymphocytic hypophysitis is an unusual autoimmune disease that causes partial or total hypopituitarism and often is associated with pregnancy. Only four spontaneous pregnancies have been reported after this disease. We report a case of ovulation induction in a woman with this antecedent as well as the course of the subsequent pregnancy. CASE: Ovulation was induced with gonadotropins in a 31-year-old woman with panhypopituitarism secondary to lymphocytic hypophysitis, achieving an uncomplicated single intrauterine pregnancy. A term healthy infant was delivered by cesarean. Clinical course during puerperium was normal. CONCLUSION: Ovulation induction response was similar to that in panhypopituitarism of any other cause. Lymphocytic hypophysitis antecedent did not adversely affect pregnancy outcome nor was pregnancy-related disease relapse observed.


Assuntos
Hipopituitarismo/etiologia , Infertilidade Feminina/terapia , Linfócitos/patologia , Indução da Ovulação , Hipófise/patologia , Gravidez , Adulto , Feminino , Humanos , Hipopituitarismo/terapia , Infertilidade Feminina/complicações , Linfocitose , Doenças da Hipófise/complicações , Doenças da Hipófise/patologia , Complicações na Gravidez/terapia
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