The microbiological diagnosis. Importance in surgical infections
DOI:
https://doi.org/10.5281/zenodo.1467777Keywords:
nosocomial infection, surgical site, microbiologic diagnosis, microbial proliferation, surgical woundsAbstract
ntroduction: Total prevalence of surgical site infection is calculated to from 5 to 10% of surgical interventions.
Objective: To summarize the main elements defining the microbiological diagnosis and its importance in surgical infections, and analyze those factors that favor microbial proliferation in surgical wounds.
Development: At present, surgical site infection is the third most recurrent nosocomial infection and the most important among operated patients. The approach to this topic is fully justified if the diversity of surgical interventions currently performed is taken into account.
Conclusions: The microbiological diagnosis is fundamental both to define the infection phase and to identify the microorganism affecting the result of the surgical intervention, because it contributes to knowing the sensitivity to antibiotics and to select the treatment appropriately.
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Ramos Luces O, Molina Guillén N, Pillkahn Díaz W, Moreno Rodríguez J, Vieira Rodríguez A, Gómez León J. Infección de heridas quirúrgicas en cirugía general. Cir Cir. 2011; 79:349-355.
Santalla A, López Criado M S, Ruiz M D, Fernández Parra J, Gallo JL, Montoya F. Infección de la herida quirúrgica. Prevención y tratamiento. Clin Invest Gin Obst. 2007; 34(5):189-96.
Dirección Nacional de Estadística del Ministerio de Salud Pública de Cuba. Listado de algunas operaciones por especialidades y su clasificación en cirugía mayor o menor. Cuba, La Habana: MINSAP;2013.
Zúñiga E, Escobar R, Arango Á, Pardo JM, Espinosa ÁF, Bernal LE. Niveles séricos de procalcitonina y sepsis en el posoperatorio inmediato de diversos tipos de cirugía. Acta Médica Colombiana. 2009; 34(1), 17-22.
Morales RA. Mortalidad posoperatoria intrahospitalaria de los adultos mayores en Cirugía General. Revista Cubana de Cirugía. 2003; 42(4). Disponible en: http://scielo.sld.cu/scielo.php?pid=S0034-74932003000400006&script=sci_arttext&tlng=en
Múñez E, Ramos A, Álvarez de Espejo T, Vaqué J, Castedo E, Martínez Hernández J, Pastor V, Asensio Á. Etiología de las infecciones del sitio quirúrgico en pacientes intervenidos de cirugía cardiaca. Cir Cardiov. 2013; 20(3): 139-43.
Alemán L, Guanche H. Etiología de la Infección del Sitio Quirúrgico en pacientes egresados del Hospital Clinicoquirúrgico Docente “Joaquín Albarrán” enero a marzo del 2000. Rev Cubana Cir.2001; 40(4): 291-6.
Vilar-Compte D, Sandoval S, Gordillo P, De la Rosa M, Sánchez Mejorada, G, Volkow P. Vigilancia de las infecciones de herida quirúrgica. Experiencia de 18 meses en el Instituto Nacional de Cancerología. Salud pública de México. 1999; 41(1): 44-50.
Vilar-Compte D, García B, Sandoval S, Castillejos A. Infecciones de sitio quirúrgico. De la patogénesis a la prevención. ENF INF MICROBIOL. 2008; 28(1): 24-34.
Carter CK. Ignaz Semmelweis, Carl Mayrhofer, and the rise of the germ theory. Med Hist. 1995; 29:33-43.
Dellinger EP. Surgical Infections. In: Mulholland M., Lillemoe K.D., Doherty G.M., Maier R.V., Upchurch G.R. (eds). Greenfield's Surgery. Scientific Principles and Practice. Fourth Edition. USA, Philadelphia: Lippincott Williams & Wilkins; 2006.
Buitrón F, López M, Basurto E, Romero R, Chessin A, Carrasco, J.. Infección del sitio quirúrgico. Experiencia de dos años en el servicio de ginecología y obstetricia del Hospital General de México. Ginecol Obstet Mex. 2006; 74:260-4.
Kohn, LT, Corrigan JM, Donaldson MS. (Eds). To Err Is Human: Building a Safer Health System. Committee on Quality of Health Care in America, Institute of Medicine [Internet]. 2000[citado 1 de diciembre de 2017]. Disponible en: http://www.nap.edu/catalog/9728.html
Friedman ND, Kaye KS, Stout JE, McGarry SA, Trivette SL, Briggs JP et al. Health care-associated bloodstream infections in adults: a reason to change the accepted definition of community-acquired infections. Ann Intern Med. 2002; 19:791-7.
Pujol M, Limón E. Epidemiología general de las infecciones nosocomiales. Sistemas y programas de vigilancia. Enferm Infecc Microbiol Clin. 2013; 31(2):108-13.
De Cueto M, Del Pozo JL, Franco F, Marín M. Diagnóstico microbiológico de las infecciones asociadas a dispositivos biomédicos. España, Madrid: Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica (SEIMC);2015.
León C, García Castrillo L, Moya M, Artigas A, Borges M, Candel FJ, Chanovas M, Ferrer R, Jiménez AJ, Loza A, Sánchez M. Documento de Consenso (SEMES-SEMICYUC). Recomendaciones del manejo diagnóstico-terapéutico inicial y multidisciplinario de la sepsis grave en los Servicios de Urgencias hospitalarios. Med. Intensiva[Internet]. 2007[citado 1 de diciembre de 2017]; 31(7). Disponible en: http://scielo.isciii.es/scielo.php?pid=S0210-56912007000700004&script=sci_arttext&tlng=en
López D, Hernández M, Saldivar T, Sotolongo T, Valdés O. Infección de la herida quirúrgica. Aspectos epidemiológicos. Rev Cubana Med Milit. 2007; 36(2): 1-11.
López D, Ramis R, Bayarre H, Guanche H. Incidencia de infección en heridas quirúrgicas en hospital de Ciudad de La Habana. Período enero-junio, 2004. Rev Cubana Hig Epidemiol. 2007; 45(3):1-11.
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