Revista chilena de obstetricia y ginecología, 2021
Objective: To identify the presence of surgical site infection and risk factors in patients under... more Objective: To identify the presence of surgical site infection and risk factors in patients undergoing Gynecological-Obstetric surgeries on a scheduled or emergency basis in a 2nd level of care hospital in Honduras. Methodology: Observational, descriptive, retrospective study, compiling 226 data sheets of the surgical site infection record recovered from the clinical records provided by the statistics service of the "Hospital Mario Catarino Rivas". Recruiting patients undergoing Gynecological-Obstetric surgeries, during 2017 and 2018. Results: 99 tabs met the inclusion criteria, reporting an age of 24 [RIQ, 19.0-30.0], weight 82.0 kg [RIQ, 51.7-98.25], size 154 cm [150.0-158.0] and BMI of 25.8 ± 3.6 kg/m2. 9.1% have a history of immunosuppression. 5.1% present ISQ. 55.6% of surgeries were performed on the same day as the patient's admission. The time between antibiotic prophylaxis and the onset of surgery 60 minutes [RIQ, 40.0-160.0]. Duration of surgical procedures 45 minutes [RIQ, 35.0-55.0]. Isolated micro-morphisms in crops were Cocos gram positives (2/5), Enterococcus faecalis (1/5), Klebsiella pneumoniae (2/5). Conclusion: The presence of ISQ in HMCR Gynecological-Obstetric surgeries is 5.1%, identifying the following risk factors: extreme age, obesity, diabetes mellitus, immune status (HIV), early antibiotic prophylaxis; finally, technique and surgical time.
Histology and pathology principles state that chronic inflammation and or chronic infections are ... more Histology and pathology principles state that chronic inflammation and or chronic infections are known for causing cell dysplasias that may or may not progress to pre-malignant or actual malignant lesions. Even though Kaposi Sarcoma is not a prevalent issue among the Honduran community, healthcare providers have been struggling throughout the years when dealing with KS treatment and follow-ups due to public health limitations regarding chemotherapy access and actual medical specialists such as clinical oncologist and infectologist available across the north coast of the country. Thus, people must recur to private healthcare, which it is not affordable for the 65% of the entire Honduran population because you can find them below the poverty line, and 46% below the extreme poverty line. Being able to treat and follow a Kaposi patient is considered a high privilege among the Honduran healthcare providers community. The following case report describes the process of detection, course of...
Ciencia e Investigación Medico Estudiantil Latinoamericana
Resumen Introducción: La técnica quirúrgica “colecistectomía Laparoscópica” suele realizarse bajo... more Resumen Introducción: La técnica quirúrgica “colecistectomía Laparoscópica” suele realizarse bajo anestesia general aunque también se ha descrito la utilización del bloqueo subaracnoideo. Este último ha mostrado buenos resultados como menor costo, menor complejidad postoperatoria, mantenimiento de los mecanismos compensatorios propios e hipercapnia y sobre todo una mayor interacción clínica directa con el paciente. Objetivos: Demostrar la simplicidad de la técnica subaracnoidea y su eficacia desde un punto de vista costo-beneficio tanto para el paciente como para el hospital. Método: A través de un muestreo casual se realizó un estudio descriptivo retrospectivo, tipo serie de casos observacional no probabilístico de 42 pacientes tomados aleatoriamente de una base de datos, del área de archivos del hospital privado “La Lima Medical Center”. Resultados: El género femenino presenta mayor frecuencia de patologías biliares en un 66,7% (n = 28). Basados en un grado ASA I del 58,5% (n = 25...
Revista chilena de obstetricia y ginecología, 2021
Objective: To identify the presence of surgical site infection and risk factors in patients under... more Objective: To identify the presence of surgical site infection and risk factors in patients undergoing Gynecological-Obstetric surgeries on a scheduled or emergency basis in a 2nd level of care hospital in Honduras. Methodology: Observational, descriptive, retrospective study, compiling 226 data sheets of the surgical site infection record recovered from the clinical records provided by the statistics service of the "Hospital Mario Catarino Rivas". Recruiting patients undergoing Gynecological-Obstetric surgeries, during 2017 and 2018. Results: 99 tabs met the inclusion criteria, reporting an age of 24 [RIQ, 19.0-30.0], weight 82.0 kg [RIQ, 51.7-98.25], size 154 cm [150.0-158.0] and BMI of 25.8 ± 3.6 kg/m2. 9.1% have a history of immunosuppression. 5.1% present ISQ. 55.6% of surgeries were performed on the same day as the patient's admission. The time between antibiotic prophylaxis and the onset of surgery 60 minutes [RIQ, 40.0-160.0]. Duration of surgical procedures 45 minutes [RIQ, 35.0-55.0]. Isolated micro-morphisms in crops were Cocos gram positives (2/5), Enterococcus faecalis (1/5), Klebsiella pneumoniae (2/5). Conclusion: The presence of ISQ in HMCR Gynecological-Obstetric surgeries is 5.1%, identifying the following risk factors: extreme age, obesity, diabetes mellitus, immune status (HIV), early antibiotic prophylaxis; finally, technique and surgical time.
Histology and pathology principles state that chronic inflammation and or chronic infections are ... more Histology and pathology principles state that chronic inflammation and or chronic infections are known for causing cell dysplasias that may or may not progress to pre-malignant or actual malignant lesions. Even though Kaposi Sarcoma is not a prevalent issue among the Honduran community, healthcare providers have been struggling throughout the years when dealing with KS treatment and follow-ups due to public health limitations regarding chemotherapy access and actual medical specialists such as clinical oncologist and infectologist available across the north coast of the country. Thus, people must recur to private healthcare, which it is not affordable for the 65% of the entire Honduran population because you can find them below the poverty line, and 46% below the extreme poverty line. Being able to treat and follow a Kaposi patient is considered a high privilege among the Honduran healthcare providers community. The following case report describes the process of detection, course of...
Ciencia e Investigación Medico Estudiantil Latinoamericana
Resumen Introducción: La técnica quirúrgica “colecistectomía Laparoscópica” suele realizarse bajo... more Resumen Introducción: La técnica quirúrgica “colecistectomía Laparoscópica” suele realizarse bajo anestesia general aunque también se ha descrito la utilización del bloqueo subaracnoideo. Este último ha mostrado buenos resultados como menor costo, menor complejidad postoperatoria, mantenimiento de los mecanismos compensatorios propios e hipercapnia y sobre todo una mayor interacción clínica directa con el paciente. Objetivos: Demostrar la simplicidad de la técnica subaracnoidea y su eficacia desde un punto de vista costo-beneficio tanto para el paciente como para el hospital. Método: A través de un muestreo casual se realizó un estudio descriptivo retrospectivo, tipo serie de casos observacional no probabilístico de 42 pacientes tomados aleatoriamente de una base de datos, del área de archivos del hospital privado “La Lima Medical Center”. Resultados: El género femenino presenta mayor frecuencia de patologías biliares en un 66,7% (n = 28). Basados en un grado ASA I del 58,5% (n = 25...
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