Publication: Comorbilidad y factores de riesgo asociados a la infección de localización quirúrgica en artroplastia de rodilla
Loading...
Files
Official URL
Full text at PDC
Publication Date
2017-09-20
Authors
Advisors (or tutors)
Editors
Journal Title
Journal ISSN
Volume Title
Publisher
Universidad Complutense de Madrid
Citations
Exportar
Abstract
Las infecciones relacionadas con la asistencia sanitaria (IRAS) representan un problema que amenaza la seguridad de los pacientes, tanto por su importancia clínica como por su epidemiología, ya que aumentan las tasas de morbilidad y mortalidad, originan una mayor duración de las estancias hospitalarias, promueven la resistencia a los antibióticos y generan un aumento de los costes1 . La infección de localización quirúrgica (ILQ) es la más frecuente de las infecciones asociadas a cuidados sanitarios en los pacientes sometidos a un procedimiento quirúrgico, y ocupa el segundo lugar dentro de las infecciones nosocomiales que afectan a los pacientes ingresados en centros hospitalarios 2. La ILQ en artroplastia de rodilla constituye actualmente un problema de salud pública de primera magnitud en la mayoría de países desarrollados. La práctica de una artroplastia ha supuesto uno de los avances sanitarios más significativos en las últimas décadas. El desarrollo tecnológico, el envejecimiento progresivo de la población y la prolongación de la vida de enfermos con patología subyacente han propiciado un incremento exponencial en el número de pacientes sometidos a esta práctica3. En España se implantan anualmente alrededor de 30.000 prótesis articulares, la mayoría de rodilla y cadera, y en todo el mundo más de un millon4. Sin embargo, no es una intervención exenta de complicaciones, de las cuales una de las más temidas es la infección, con una incidencia media del 1,5% en prótesis de cadera y el 2,5% en las de rodilla5. La presencia de infección supone una importante disminución de la calidad de vida de los pacientes y sus familias, y un elevado coste económico para el sistema sanitario y la sociedad en general...
Healthcare-associated infections are a major threat to patient safety, due to its clinical meaning as much as its epidemiology, since they increase mortality, morbidity and extended length of hospital stay. It also increase resistance to antimicrobials and generate high costs1. Surgical Site Infection (SSI) is the most frequent healthcare-associated infection in patients undergoing surgical procedure, being the second most common among all nosocomial infections 2. SSI for knee arthroplasties constitutes a substantial burden on any healthcare systems in developed countries. Knee arthroplasty has become one of the greatest medical advances over the last few decades. The advancement of surgical practice, an ageing population, and the increase in life expectancy of patients with underlying diseases have contributed to an exponential growth in the number of patients undergoing this surgical procedure3. Every year there are approximately more than 1 million joint replacement procedures performed worlwide and 30.000 in Spain, mostly knee and hip replacements. However, patients who undergo joint replacement are at risk for certain complications, being the infection one of the most dreaded, with an incidence rate of 1.5% in hip replacement and 2.5% in knee replacement5. Infection represents a dramatic decrease in quality of life of patients and their families. It also means huge costs to the healthcare system as well as to the community. Risk of SSI in knee replacement is related to the surgical procedures, duration of operation, the postoperative care, besides each patient characteristics and their comorbidities4...
Healthcare-associated infections are a major threat to patient safety, due to its clinical meaning as much as its epidemiology, since they increase mortality, morbidity and extended length of hospital stay. It also increase resistance to antimicrobials and generate high costs1. Surgical Site Infection (SSI) is the most frequent healthcare-associated infection in patients undergoing surgical procedure, being the second most common among all nosocomial infections 2. SSI for knee arthroplasties constitutes a substantial burden on any healthcare systems in developed countries. Knee arthroplasty has become one of the greatest medical advances over the last few decades. The advancement of surgical practice, an ageing population, and the increase in life expectancy of patients with underlying diseases have contributed to an exponential growth in the number of patients undergoing this surgical procedure3. Every year there are approximately more than 1 million joint replacement procedures performed worlwide and 30.000 in Spain, mostly knee and hip replacements. However, patients who undergo joint replacement are at risk for certain complications, being the infection one of the most dreaded, with an incidence rate of 1.5% in hip replacement and 2.5% in knee replacement5. Infection represents a dramatic decrease in quality of life of patients and their families. It also means huge costs to the healthcare system as well as to the community. Risk of SSI in knee replacement is related to the surgical procedures, duration of operation, the postoperative care, besides each patient characteristics and their comorbidities4...
Description
Tesis inédita de la Universidad Complutense de Madrid, Facultad de Medicina, Departamento de Medicina Preventiva, leída el 15-01-2016