Fatores Associados À Ocorrência de Úlcera Por Pressão em Lesados Medulares

Costa, Ramon Teixeira; Caliri, María Helena Larcher; Costa, Luciana Scarlazzari; Gamba, Mônica Antar

doi:10.4181/rnc.2013.21.796.9p

Cited by 6 publications

(5 citation statements)

References 14 publications

(13 reference statements)

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“…40 High frequency of s. aureus, Pseudomonas aeruginosa and entero-bacteria was detected in similar injuries by scholars in the field. 21 Other studies have recorded the presence of Staphylococcus aureus, Streptococcussp, p. mirabilis, e. colli, p. aeruginosa, Klebsiellasp, and anaerobes like b. fragilis in UP, warning that these microorganisms prevail in pressure ulcers. [38][39][40] A sample of 145 patients with UP to level II presented colonization and/or infection by s. aureus (20.7%) and Gram-negative bacilli (32.5%).…”

Section: Resultsmentioning

confidence: 99%

“…23 In a survey in the General Hospital of Maceió, with 232 patients, it was found a high prevalence of UPs (65.1%) and an extended period of hospitalization (20.9 days). 21 The It should be noted that some variables interfere in risk reduction, development of…”

Section: Resultsmentioning

confidence: 99%

“…[27][28] On the type of spinal cord injury, paraplegia 60% (n = 12) stood out as the most prevalent lesion type, followed by the tetraplegia 29% (n = 5)presenting, so similarities to some studies. [21][22] In paraplegia, spinal level more injured is the thoracic-lumbar, causing a neural deficit in this area. 4.21…”

Section: Resultsmentioning

confidence: 99%

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Pressure ulcers in patients with traumatic spinal cord injury: subsidies in microbiological identification

Bomfim¹,

Cabral²,

Lopes-Júnior³

et al. 2014

R.pesq.:cuid.fundam.Online

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To determine the prevalence of bacterial species in pressure ulcers (PU) in patients with spinal cord injury treated by a Physically Handicapped Association. Method: A descriptive, cross-sectional, quantitative study, conducted in a northeastern city from 2009 to 2010. The sample was consecutive, not probabilistic and comprised 20 individuals with spinal cord injury and PU being treated in the Association and without antibiotic therapy. Samples were collected from exudates of PU, using sterile swabs, plated on Blood Agar plates and incubated at 35°C for 24 hours. For identification of microorganisms were employed biochemical tests. Descriptive statistics were used for data analysis. Results: The six microorganisms were: S. aureus, S. epidermidis, S. saprophyticus, Proteus spp., Escherichia coli and Enterobacter spp. Conclusion: Additional prospective microbiological investigations are needed to assess the prevalence of pathogens in patients with PU injured thus instituting, nutritional, therapeutic and educational programs that reduce bacterial colonization and infection. Descriptors: Pressure ulcer, Microbiology, Spinal cord injuries. Objetivo: Determinar a prevalência de espécies bacterianas em úlceras por pressão (UP) de pacientes com lesão raquimedular assistidos por uma associação de deficientes físicos. Método: Estudo descritivo, transversal, quantitativo, conduzido em uma cidade nordestina de 2009 a 2010. A amostra foi consecutiva não probabilística e compreendeu 20 indivíduos com lesão raquimedular e UP, em acompanhamento na associação e sem uso de antibioticoterapia. Coletaram-se amostras de exsudatos das UP, utilizando suabes estéreis, semeadas em ágar sangue e incubadas a 35°C por 24 horas. Para identificação dos microrganismos, foram empregadas provas bioquímicas. Utilizou-se estatística descritiva para análise dos dados. Resultados: Os seis microrganismos encontrados foram: S. aureus, S. epidermides, S. saprophyticus, Proteus spp., Escherichia coli e Enterobacter spp. Conclusão: Investigações microbiológicas prospectivas adicionais são necessárias para avaliar a prevalência dos agentes patogênicos de UP em pacientes lesionados, a fim de instituir programas educacionais, nutricionais e terapêuticos que reduzam a colonização e infecção bacteriana. Descritores: Úlcera por pressão, Microbiologia, Traumatismos da medula espinal. Objetivo: Determinar la prevalencia de especies bacterianas en las úlceras por presión (UPP) en pacientes con lesión medular espinal (LME) tratada por una Asociación de Discapacitados Físicos. Método: Estudio descriptivo-transversal, cuantitativo, realizado en una ciudad del noreste en 2009-2010. La muestra fue no probabilística, secuencial y comprende 20 individuos con LME y UPP y sin tratamiento antibiótico. Se recogieron muestras de exudados de la UPP, utilizando torundas estériles, sembradas en placas de Agar Sangre y se incubaron a 35°C durante 24 horas. Los microorganismos fueron identificados por pruebas bioquímicas. Se utilizó estadística descriptiva para el análisis de da...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Pressure ulcers in patients with traumatic spinal cord injury: subsidies in microbiological identification

Bomfim¹,

Cabral²,

Lopes-Júnior³

et al. 2014

R.pesq.:cuid.fundam.Online

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“…The physical separation of the spinal cord tract typically does not occur in non-penetrating trauma, while in the perforating trauma, the most common mechanism is the cord laceration [23][24].…”

Section: Discussionmentioning

confidence: 99%

Rachimedural Trauma: Epidemiology And Complications

et al. 2016

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Background: Traumatic spinal cord is a public health problem due to the high morbidity and mortality worldwide. The objective of this research was to characterize the profile demographic and clinical partner of people with TRM; analyze correlations between clinical features of traumatic injury level and its complications. Methods:Observational study, the cut cross-sectional with a quantitative approach, performed with 80 people with TRM. Data were analyzed using descriptive and inferential techniques statistics. Results:The results show correlation of spinal cord injury in lumbar level with accidents with firearms, of chest injury to car accidents and cervical injuries the diving in shallow water. Regarding complications, quadriplegia had greater influence as a risk factor for UP, spasticity, orthostatic hypotension, urinary complications, autonomic dysreflexia and intestinal disorders in relation to paraplegia, but showed a protective factor to pain syndromes. Conclusion:The absence of notification is a limiting factor for research and construction of new public policies aimed at preventing determinants external causes of TRM, as well as development of actions aimed at specialized care to minimize complications and improve quality of life in this population.

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“…La magnitud de esta complicación es revelada por la literatura científica. Entre individuos con TME hospitalizados en un hospital de referencia brasileño la prevalencia de UPP fue de 65,1% (n=82) 4 . Datos de la National Pressure Ulcer Advisory Panel indicaron una prevalencia de UPP de 15% y una incidencia de 7% en un hospital Norteamericano 2 .…”

Section: Introductionunclassified

Qualidade de vida em portadores de lesão medular com úlceras por pressão

Mota

Ribeiro

2016

eglobal

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Objetivo: Identificar la prevalencia de úlceras por presión en portadores de traumatismos de la médula espinal y analizar su qcalidad de vida. Métodos: Estudio descriptivo, transversal realizado en una institución especializada en rehabilitación de personas con grandes incapacidades. Para colecta se aplicaron el WHOQOL-bref (0 a 100; cuanto mayor la puntuación, mejor calidad de vida) y cuestionario de caracterización sociodemográfica y clínica. Resultados: De los 118 portadores de traumatismos de la médula espinal ingresados en el periodo de colecta de datos, 58 (49,1%) presentaron úlceras por presión. De estos, 40 respondieron los instrumentos. El análisis del WHOQOL-bref evidenció puntuación muy baja en el Dominio físico (53,04), seguido de los dominios psicológico (60,94) y ambiental (63,52). El único dominio con puntuación satisfactoria fue el social (70,21). De modo general, estas puntuaciones son preocupantes. Conclusión: Se observó una elevada prevalencia de úlceraspor presión entre personas con traumatismos de la médula espinal. La evaluación de la calidad de vida revela una insatisfacción significativa de los participantes, principalmente respecto a los aspectos físicos.

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Fatores Associados À Ocorrência de Úlcera Por Pressão em Lesados Medulares

Cited by 6 publications

References 14 publications

Pressure ulcers in patients with traumatic spinal cord injury: subsidies in microbiological identification

Pressure ulcers in patients with traumatic spinal cord injury: subsidies in microbiological identification

Rachimedural Trauma: Epidemiology And Complications

Qualidade de vida em portadores de lesão medular com úlceras por pressão

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