Fifty-one patients with septic arthritis of the knee were reviewed retrospectively. Twenty-seven patients had been treated by arthroscopic lavage and debridement, 24 patients by open arthrotomy with subtotal synovectomy. The patients were staged according to the duration of preoperative symptoms and to the intraoperative spread of the inflammatory process. With early onset of therapy (less than 5 days) and without osseous involvement arthroscopic treatment led to an effective resolution of infection with better functional results than open arthrotomy.Résumé 51 malades présentant une arthrite septique du genou ont été examinés rétrospectivement. 27 avaient été traités par lavage arthroscopique et débridement, et 24 par arthrotomie avec synovectomie subtotale. Les malades ont été étudiés selon la durée des symptômes avant l'intervention et selon la diffusion du processus inflammatoire constaté opératoirement. Lorsqu'il est fait préco-cément (dans les 5 jours) et sans atteinte osseuse, le traitement arthroscopique mène à une résolution infectieuse efficace avec de meilleurs résultats fonctionnels que le traitement par arthrotomie.
Este artigo está licenciado sob forma de uma licença Creative Commons Atribuição 4.0 Internacional, que permite uso irrestrito, distribuição e reprodução em qualquer meio, desde que a publicação original seja corretamente citada. ABSTRACT Aims:To describe the methods used in suicide attempts and sociodemographic characteristics of suicidal patients treated at the emergency department of a teaching hospital. Methods: Observational and descriptive study, with active search for electronic medical records of patients treated at the emergency department of a public teaching hospital in the countryside of Rio Grande do Sul, Brazil, from January to December 2015. All cases of suicide attempt were included, regardless of the suicide methods used. Successful suicide cases were not investigated. The statistical analyses included descriptive statistics, univariate analysis, and Pearson's chi-square test.Results: A total of 233 patients treated at the emergency department were referred for psychiatric evaluation, and 122 of them had attempted suicide. The mean age of the suicidal patients was 36.8±14.3 years, (minimum of 14 years and maximum of 88 years) and 74 (60.6%) of them were female. The most common suicide attempt methods were ingestion of medications (72 cases, 59%) and of pesticide (14 cases, 11.5%). Of all patients, 119 (97.5%) lived in Santa Cruz do Sul, predominantly in the urban area (103 patients, 84.4%). Of the 50 (41.0%) referrals, 32 (64.0%) were sent to the Center for Psychosocial Care, 7 (14%) to the Center for Children's and Adolescents' Psychosocial Care, 6 (12%) were admitted to a mental health unit, and 5 (10%) were sent to Psychosocial Care Center for Alcohol and Drug Abuse. Sixty-six (54.1%) patients had no electronic medical records of their outcome after discharge and 6 (4.9%) were lost to follow-up. Conclusions: Most of the treated suicidal patients were young adult females. The most common method of suicide attempt was the ingestion of medications, followed by the ingestion of pesticides.
RESUMOEste estudo teve como objetivos identificar o perfil dos pacientes atendidos em um serviço de emergência em decorrência de acidente de trânsito, verificar as implicações socioeconômicas para os envolvidos e as intervenções do Serviço Social para esse público. A metodologia adotada foi qualitativa, com dados quantitativos complementares. Identificou-se que a maioria dos envolvidos são jovens, do sexo masculino, com idade média de 28 anos, de baixa escolaridade, ocupantes de motocicletas e com dificuldades financeiras e alterações no contexto familiar em decorrência do acidente. Concluiu-se a importância das políticas públicas de articulação entre os serviços para a proteção social dos envolvidos e a relevância da intervenção do Serviço Social com vistas a proporcionar um atendimento integral e contribuir para o acesso aos direitos sociais dos sujeitos envolvidos. PALAVRAS-CHAVE:
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