Publication: Comportamiento del orificio de implantación del catéter en pacientes en diálisis peritoneal en relación a los cuidados
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Identifiers
Date
2007
Authors
Gómez Castilla, A. Concepción
Martín Espejo, J. Lucas
Trujillo Campos, Carmen
Laguillo de Castro, Ángela
Tejuca Marenco, Mercedes
López Bermúdez, Encarnación
Ortega Cuadro, Cristina
Rodríguez Pérez, Julia
González de la Peña García, Piedad
López González, Flora
Advisors
Journal Title
Journal ISSN
Volume Title
Publisher
Sociedad Española de Enfermería Nefrológica
Abstract
Las infecciones del orificio de salida en diálisis peritoneal son la causa de morbilidad más frecuente en los pacientes sometidos a esta técnica. Existen numerosos procedimientos para los cuidados del orificio y no resulta fácil definir un único método que garantice el buen estado del orificio. Con el fin de valorar el comportamiento del orificio relacionado con el procedimiento utilizado en sus cuidados estudiamos a 306 pacientes durante 24 meses, recogiendo variables sociodemográficas y clínicas. Hemos encontrado una alta incidencia de infecciones del orificio producidas por gérmenes gram positivos de piel y mucosas, con una correlación fuerte con el hecho de que el paciente/familiar cuidador sea portador nasal de estafilococo áureo y que aparecen con mayor frecuencia en los pacientes que no retiran el apósito para la ducha. Así mismo hemos detectado un aumento en infecciones por pseudomona cuando el paciente no procede al secado del orificio con secador
Infections of the catheter wound in peritoneal dialysis are the most frequent cause of morbility in patients who undergo this technique. There are a number of procedures for the care of the wound and it is not easy to define a single method that will guarantee good condition of the wound. In order to evaluate the behaviour of the wound related to the procedure used in their care, we studied 306 patients over 24 months, compiling socio-demographic and clinical variables. We found a high incidence of infections caused by gram-positive skin and mucous germs, with a strong correlation with the fact that the patient/family carer is a nasal carrier of staphylococcus aureus and that they appear more frequently in patients who do not remove the wound dressing in the shower. We also detected an increase in pseudomonas infections when the patient does not dry the wound with a hair-dryer
Infections of the catheter wound in peritoneal dialysis are the most frequent cause of morbility in patients who undergo this technique. There are a number of procedures for the care of the wound and it is not easy to define a single method that will guarantee good condition of the wound. In order to evaluate the behaviour of the wound related to the procedure used in their care, we studied 306 patients over 24 months, compiling socio-demographic and clinical variables. We found a high incidence of infections caused by gram-positive skin and mucous germs, with a strong correlation with the fact that the patient/family carer is a nasal carrier of staphylococcus aureus and that they appear more frequently in patients who do not remove the wound dressing in the shower. We also detected an increase in pseudomonas infections when the patient does not dry the wound with a hair-dryer
Description
MeSH Terms
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Renal Replacement Therapy::Renal Dialysis::Peritoneal Dialysis
Medical Subject Headings::Diseases::Bacterial Infections and Mycoses::Infection::Catheter-Related Infections
Medical Subject Headings::Organisms::Bacteria::Gram-Positive Bacteria::Bacillales::Staphylococcaceae::Staphylococcus::Staphylococcus aureus
Medical Subject Headings::Diseases::Bacterial Infections and Mycoses::Bacterial Infections::Gram-Negative Bacterial Infections::Pseudomonas Infections
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Renal Replacement Therapy::Renal Dialysis::Peritoneal Dialysis
Medical Subject Headings::Diseases::Bacterial Infections and Mycoses::Infection::Catheter-Related Infections
Medical Subject Headings::Organisms::Bacteria::Gram-Positive Bacteria::Bacillales::Staphylococcaceae::Staphylococcus::Staphylococcus aureus
Medical Subject Headings::Diseases::Bacterial Infections and Mycoses::Bacterial Infections::Gram-Negative Bacterial Infections::Pseudomonas Infections
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Renal Replacement Therapy::Renal Dialysis::Peritoneal Dialysis
DeCS Terms
CIE Terms
Keywords
Orificio de salida, Diálisis peritoneal, Procedimiento de cuidados, Catheter wound, Care procedure
Citation
Gómez Castilla AC, Martín Espejo JL, Trujillo Campos C, Laguillo de Castro A, Tejuca Marenco M, López Bermúdez E, et al. Comportamiento del orificio de implantación del catéter en pacientes en diálisis peritoneal en relación a los cuidados. Rev Soc Esp Enferm Nefrol 2007; 10 (4): 263/269