Objectives: to analyze the microbiological profile of leg ulcers of patients treated at outpatient clinics and hospitals regarding the type of microorganism, microbiological selection of antibiotics, and techniques for the collection of culture material. Methods: literature review performed on LILACS, IBECS, MEDLINE, and CINAHL databases, resulting in a descriptive analysis of 27 studies. Results: 35.7% of the studies occurred in an outpatient care scenario; and 64.2% in hospitals. There was a predominance of swab (100%) in outpatient care and biopsy (55.5%) in the hospital. Escherichia coli, Pseudomonas aeruginosa, and Staphylococcus aureus were more common at both levels of assistance. Methicillin-resistant Staphylococcus aureus was isolated in both. Conclusions: the microbiological profile of infections was similar, with the presence of resistant bacteria in both environments. This fact causes concern and raises the need for research to elucidate it. The studies did not compare the effectiveness between biopsy and swab.

Objetivos: Este estudo teve como objetivos identificar a área de atuação profissional, caracterizar a trajetória e a prática clínica na área da estomaterapia e identificar posteriores capacitações como especialistas. Método: Estudo descritivo com abordagem quantitativa realizado por meio da aplicação de questionário online aos egressos do curso de especialização em Estomaterapia da Universidade Federal de Minas Gerais, iniciado no ano de 2007, totalizando 97 egressos até 2015. A amostra por conveniência foi composta pelos 84 especialistas que concordaram em responder o questionário contemplando as variáveis do estudo. Resultados: Os egressos eram em sua maioria do sexo feminino (86%), com idade entre 31 e 40 anos (68%), residentes (58%) e atuantes (59,6%) em Belo Horizonte. Mantêm-se atuantes em sua área de especialidade (70%), com predominância dos cuidados com estomias e feridas (31%), em atividades assistenciais (29,3%), na área hospitalar (27,3%) e no setor público de saúde (38%). A busca pela especialização foi motivada predominantemente pelo interesse no desenvolvimento técnico-científico (48,5%) e (69%) dos egressos continua se capacitando após a especialização. Conclusão: A estomaterapia encontra-se em expansão no mercado nacional, sendo necessária a continuidade de pesquisas de âmbito nacional para uma visão mais abrangente da especialidade.

Objective:to identify factors associated with complex surgical wounds in the breasts and abdomen in outpatients. Method:observational case-control study involving 327 patients, distributed into 160 cases (complex surgical wound) and 167 controls (simple surgical wound). Data were extracted from the medical records and a binary logistic regression model was used for analysis, considering a significance level of 5%. Results:the factors associated with greater chance of occurrence of complex surgical wound were 18 to 59 years of age (p = 0.003), schooling < 8 years (p = 0.049), radiotherapy (p < 0.001), hysterectomy (p = 0.003), glycemia (≤ 99 mg/dL) and arterial hypertension (p = 0.033), while quadrantectomy (p = 0.025) served as a protective factor. Conclusion:radiotherapy was the most significant factor for surgical wound complications. Glycemic alteration was an unexpected result and shows the need for further studies related to this topic.

Objective: To identify the costs of treating leg ulcers due to sickle cell disease from the perspective of the Unified Health System. Method: An observational, descriptive, cost-effective economic assessment study conducted in a single center with ulcer patients. The data collected were extracted from the participant’s medical records and recorded in a form prepared for this purpose. The cost of the products used in ulcer treatment was provided by the Solicitation/Purchasing Section and Pharmacy Sector of the study institution. The variables studied were ulcer area, number and interval between visits, patient’s length of stay in the service, materials used in each visit, and the number of nurse appointments. Results: The sample consisted of 29 patients. The average initial area of ulcers was 14.47 cm2, 79% of the cases had complete epithelialization in an average time of 8.02 months, with an average cost of R$ 1,288.06. The average cost to reduce 1 cm2 of the lesion area was R$ 102.20. Silver activated carbon coating was the most cost-effective treatment. Conclusion: The average cost for complete healing of a sickle cell ulcer with an average area of 14.95 cm2 was R$ 1,288.06.

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