Fabars PLL, García CA, Navarro RM, Busquet BK, Guzmán PN

Language: Spanish
References: 20
Page: 189-195
PDF size: 153.49 Kb.

ABSTRACT

A descriptive and prospective study was carried out during the 2010, in the Intensive Care Unit from "Dr. Joaquin Castillo Duany" Clinical Surgical Teaching Hospital in Santiago de Cuba, in order to analyze the main characteristics of post-surgical infections in laparotomy patients. The X2 test was used, with p> 0,05 as no significant and p <0,05 as significant. Male sex (60,4%), the group of 60 years and over (25,8%), the infection of the surgical wound as the most frequent complication in men (26,6%) prevailed in the case material, as well as the pressure ulcers in women in the emergency surgeries, and bacterial bronchopneumonia in the elective surgeries. The increase of the reinterventions number was closely related to the mortality attributable to postoperative infections.

REFERENCES

1. Avilés P. Peritonitis. En: Caballero López A. Terapia Intensiva. 2 ed. La Habana: Editorial Ciencias Médicas; 2006. p. 65-91.

2. Roque González R, Ramírez Hernández E, Leal Mursulí A, Taché Jalak M, Adefna Pérez RI. Peritonitis difusa. Actualización y tratamiento. Rev Cubana Cir. 2000; 39(2):5–12.

3. De la Llera G. La ciencia y el arte de la cirugía. Rev SILAC. 1999;7(2):3–5.

4. Cáceres FE, Jiménez OF, Segovia CE, Vara-Thorbeck R. Fundamentos fisiopatológicos en el tratamiento de la peritonitis generalizada. Rev SILAC. 1999; 380(2):6-13.

5. LaForce FM. The control of infections in hospitals: 1750 to 1950. In: Wenzel RP, Prevention and control of nosocomial infections. Baltimore: Williams & Wilkins; 1993. p. 1-12.

6. Fernández CP, Vázquez JM, García JR, Fernández JRL. Relaparotomías. Rev Cubana Med Milit. 1993;22(2):120-26.

7. Alvira LG, Lama MP, San Román MR, Pérez FP. Infección intraabdominal. Medicine. 1996;15:592-7.

8. McGowan JE. El experto en el control de infecciones: un plan de acción para la década de 1990. En: Paganini JM, Novaes HM. La garantía de calidad: el control de infecciones hospitalarias. Washington, DC: PAHO;1991:224-39.

9. Mc Kenney MG, Norwood S. The prevalence and importance of nosocomial infections. In: Civetta-Taylor-Kirby. Critical Care. 3 ed. Philadelphia: J.B. Lippincott;1997:1573-87.

10. Graber MA. Acute abdominal pain. Part 2: when an operation is necesary. Emerg Med. 1998;30(3):12-39.

11. Haut TO. Planned relaparatomy vs relaparatomy on demand in the treatment of intabdominal infection. Arch Surg. 1995;130(67):1193-97.

12. Betancourt Cervantes J, Estenoz Esquivel JC, Márquez Romero H, Sierra Enríquez E, López de la Cruz F. Relaparotomías en cuidados intensivos. Rev Cubana Med Int Emerg. 2003;2(3):24-30.

13. Velmahos GC, Degiannis E, Souter I. Relaparotomies for abdominal sepsis--why, when, how? A collective review. S Afr J Surg. 1998;36(2):52-6.

14. Hiroshima T, Yamashiro M, Hashimoto H. Prognostic análisis for postoperative complication of abdominal surgery. Nippon Rones. 1992;635-43.

15. Lovesio C. Medicina Intensiva. 5 ed. Buenos Aires: El Ateneo; 2001.p.33.

16. Aragón Palmero FJ, Curbelo Pérez R, Candelario López R, Hernández Hernández JM. Nuevos conceptos de Cirugía. Rev Cubana Cir. 1999;38(1):30-35.

17. Adams EB, MacLeod IN. Invasive amebiasis. Medicine Med (Baltimore).1977;56 (4):315–23.

18. Bamard HL. Address on surgical aspects ofsubphren in abscess: delivered before the surgical section of the Royal Society of Medicine. Br Med J. 2008;1(8):371-2.

19. Boyd DP. The subphrenic spaces and the emperor's new robes. N Engl J Med. 1996;275:912.

20. Ben Shoshan M. Exploratory laparotomy for fever of unknown origin. Surg Gynecol Obstet. 1994;132(2):994.