Efectos del baño pre-operatorio en la prevención de la infección quirúrgica

estudio clínico piloto

Autores/as

DOI:

https://doi.org/10.5935/1415-2762.20170063

Palabras clave:

Baños, Enfermería Perioperatoria, Infección de la Herida Quirúrgica, Artroplastia de Reemplazo de Cadera, Antiinfecciosos Locales

Resumen

Las infecciones articulares periprotéticas en las artroplastias de cadera son un gran desafío para el paciente, el equipo y las instituciones sanitarias. Se trata de un ensayo clínico piloto, randomizado, controlado y ciego para evaluar el efecto del baño preoperatorio con soluciones gluconato de clorexidina 4%, polivinilpirolidona yodo (PVP-I) 10% degermante o jabón sin antiséptico en la prevención de la infección del sitio quirúrgico, en pacientes sometidos a la cirugía de artroplastia de cadera. La muestra consistió en 45 pacientes adultos, sometidos a cirugía electiva de artroplastía total de cadera, que no tenían relato de infección en el sitio quirúrgico ni alergia a las soluciones utilizadas, y que no eran portadores nasales de Staphylococcus aureus. Los grupos de pacientes randomizados presentaron homogeneidad en relación a las características epidemiológicas y clínicas. La tasa de infección del sitio quirúrgico entre los grupos fue de 20% para clorexidina, 6,7 para el PVPI y jabón sin antiséptico, respectivamente. No se encontraron diferencias estadísticas entre los tres grupos de intervención. Es necesario precaución para recomendar el baño preoperatorio con clorexidina como estrategia para reducir la infección de sitio quirúrgico. Clinical Trials nº NCTO3001102.

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Publicado

2018-03-05

Número

Vol. 21 (2017)

Sección

Investigación

Licencia

Derechos de autor 2018 Reme: Revista Mineira de Enfermagem

Creative Commons License

Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.

Cómo citar

1.
Franco LM de C, Almeida AGI de, Duarte GMH, Lamounier L, Pinto TS, Pereira PFS, et al. Efectos del baño pre-operatorio en la prevención de la infección quirúrgica: estudio clínico piloto. REME Rev Min Enferm. [Internet]. 2018 Mar. 5 [cited 2026 Aug. 15];21. Available from: https://periodicos.ufmg.br/index.php/reme/article/view/49848

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