Infeções bacterianas no doente com cirrose hepática

Carrola, Paulo; Militão, Isabel; Presa, José

doi:10.1016/j.jpg.2012.09.008

Cited by 4 publications

(2 citation statements)

References 64 publications

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“…In addition, the cirrhosis of the liver does not allow the free passage of blood that accumulates in the gastrointestinal tract and in the spleen, resulting in chronic congestion in this area. Consequently, indigestion due to intra-abdominal pressure and altered bowel function occur [28].…”

Section: Discussionmentioning

confidence: 99%

Nursing Diagnosis in Patients with Liver Cirrhosis in Use of Feeding Tube

Gimenes¹,

Silva²,

Lopes³

et al. 2016

OJN

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The objective was to identify the most frequent nursing diagnoses labels in patients with liver cirrhosis in use of feeding tube. A descriptive research was carried out in a Brazilian Hospital with 20 adult patients. Systematic data collection utilized the Conceptual Model of Wanda Horta, the first nurse to introduce the concept of Nursing Process in Brazil. The six phases of the nursing diagnostic reasoning proposed by Risner were used; nursing diagnoses were described according to NANDA-I taxonomy II. Patients were mainly male; half of them were middle age adults; they had an average of 12.8 nursing diagnoses labels; and the most frequent were: risk for aspiration and risk for infection. Nurses needed to develop effective skills to properly diagnose in order to provide safe care and improve patient outcomes.

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Section: Discussionmentioning

confidence: 99%

Nursing Diagnosis in Patients with Liver Cirrhosis in Use of Feeding Tube

Gimenes¹,

Silva²,

Lopes³

et al. 2016

OJN

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“…Enferm. UFSM, Santa Maria, v. 9, e42, p. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19]2019 Sabe-se que algumas condições particulares do paciente podem influenciar na resposta de seu organismo ao combate à sepse. Dentre estes fatores, destacam-se a relação do gênero e das comorbidades com o desfecho relacionado à mortalidade evidenciada por estudos epidemiológicos.…”

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Associação dos fatores demográficos, clínicos e do manejo terapêutico no desfecho de pacientes sépticos atendidos em uma emergência hospitalar

Duarte

Oliveira

Moretti³

et al. 2019

Rev Enferm UFSM

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Objetivo: identificar a associação dos aspectos demográficos, clínicos e do manejo terapêutico no desfecho dos pacientes diagnosticados com sepse em uma emergência hospitalar. Método: documental retrospectivo, 312 prontuários de pacientes sépticos, realizado análise descritiva, comparações de dados categóricos utilizaram-se os Testes de Qui quadrado ou Exato de Fisher, com correção de Monte Carlo. Resultados: idade média 65 (±17,66) anos, 51,3% eram mulheres, 52,6% hipertensos, 28,5% diabéticos, 27,2% cardiopatas, 74% diagnosticados com sepse 52,3% foco infeccioso pulmonar. Existe associação entre as variáveis demográficas e os desfechos (p0,05). Histórico de acidente vascular encefálico, cirrose, cardiopatia e choque séptico associam-se ao óbito (p0,05). Sinais de alerta e disfunções orgânicas avaliadas associam-se ao desfecho. Foco infeccioso (p=1) e taquicardia (p=0,823) não tem associação com desfecho nem com gravidade da sepse (p=0,120). Conclusão: há associação entre o perfil demográfico do paciente, comorbidades, disfunções orgânicas e manejo terapêutico, com a gravidade da sepse e o desfecho.

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Bacterial Infections in Patients with Liver Cirrhosis in an Internal Medicine Department

Gomes

Silva

Carrola

et al. 2018

GE Port J Gastroenterol

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Background and Aims: Liver cirrhosis (LC) is the end stage of multiple processes that lead to hepatic failure and is the 10th most common cause of death in the Western world. Bacterial infections are one of the most important clinical problems in patients with LC, as their underlying immune status is compromised. Approximately 60% of bacterial infections in cirrhotic patients are community acquired (CA) and 40% are nosocomial. The most common infections in cirrhotic patients are spontaneous bacterial peritonitis (SBP) (25%), urinary tract infection (UTI) (20%), pneumonia (15%), bacteremia (12%), and cellulitis (2–11%). The aim of this study was to evaluate the most frequent infections in patients with LC and describe the evolution of the microbiology in these patients. Material and Methods: This is a retrospective analysis of 4 interspersed years (2008, 2010, 2012, and 2014) that included 372 patients. Demographic characteristics were evaluated, including gender, age, type of infection, bacteria resistance profile, antibiotic use, Child-Pugh-Turcotte and Model for End-Stage Liver Disease scores, and mortality rate. Results: The mean age of all patients enrolled in this study was 64.5 ± 12.2 years. Male patients were significantly more prevalent than female ones (72 vs. 28%). In the 4 analyzed years, the following numbers of infections occurred: 71 infections (49% CA and 51% nosocomial) in 2008; 86 infections (60.5% CA and 39.5% nosocomial) in 2010; 99 infections (56.6% CA and 43.4% nosocomial) in 2012; and 116 infections (70.7% CA and 29.3% nosocomial) in 2014. The most frequent infections were UTI (32.5%), respiratory tract infection (29.3%), SBP (26.1%), and cellulitis (6.2%). A microbiological agent was identified in 32.4, 59.3, 53.5, and 61.2% of infections in 2008, 2010, 2012, and 2014, respectively, with a predominance of gram-negative bacilli. In all series, a third-generation cephalosporin was the most frequent antibiotic used empirically. The majority of patients was in stage B (42.7%) of the Child-Pugh-Turcotte score, followed by stage C (39.3%) and stage A (18%). Mortality increased significantly over the years, from 7% in 2008 to 25% in 2014 (p = 0.016). Conclusions: The present study showed a high prevalence of bacterial infections in patients with LC. A high rate of suspicion is needed for an infectious process in these patients, and an appropriate antibiotic treatment can decrease the morbidity and mortality in cirrhotic patients.

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Infeções bacterianas no doente com cirrose hepática

Cited by 4 publications

References 64 publications

Nursing Diagnosis in Patients with Liver Cirrhosis in Use of Feeding Tube

Nursing Diagnosis in Patients with Liver Cirrhosis in Use of Feeding Tube

Associação dos fatores demográficos, clínicos e do manejo terapêutico no desfecho de pacientes sépticos atendidos em uma emergência hospitalar

Bacterial Infections in Patients with Liver Cirrhosis in an Internal Medicine Department

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