Einstein (São Paulo, Brazil)
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Einstein (Sao Paulo) · Oct 2014
ReviewPerioperative hypothermia and incidence of surgical wound infection: a bibliographic study.
The purpose of this review article was to understand and analyze the scientific production related to the occurrence of perioperative hypothermia and the incidence of infection on the surgical site. For this purpose, a search was conducted in the databases LILACS, MEDLINE, PubMed, CINAHL and Cochrane, using the health science descriptors DECS, from 2004 to 2009. A total of 91 articles were found. ⋯ The studies were classified as retrospective, prospective, case studies, and clinical trials. After analysis, the majority of studies showed that hypothermia must be prevented during the perioperative period to reduce complications in the healing process of the surgical incision. Therefore, unadverted hypothermia directly influences in surgical site healing, increasing the incidence of infection in the surgical wound.
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Einstein (Sao Paulo) · Oct 2014
Review Meta AnalysisShould we treat fever in critically ill patients? A summary of the current evidence from three randomized controlled trials.
Fever is a nonspecific response to various types of infectious or non-infectious insult and its significance in disease remains an enigma. Our aim was to summarize the current evidence for the use of antipyretic therapy in critically ill patients. We performed systematic review and meta-analysis of publications from 1966 to 2013. ⋯ Patients treated with antipyretic agents showed similar intensive care unit mortality (risk ratio 0.91, with 95% confidence interval 0.65-1.28) when compared with controls. The only difference observed was a greater decrease in temperature after 24 hours in patients treated with antipyretics (-1.70±0.40 versus - 0.56±0.25ºC; p=0.014). There is no difference in treating or not the fever in critically ill patients.
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Einstein (Sao Paulo) · Sep 2014
ReviewNeuromuscular electrical stimulation in critically ill patients in the intensive care unit: a systematic review.
To analyze the outcomes enabled by the neuromuscular electric stimulation in critically ill patients in intensive care unit assisted. ⋯ The application of neuromuscular electrical stimulation promotes a beneficial response in critically patients in intensive care.
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To evaluate effectiveness of the use of platelet-rich plasma as coadjuvant for union of long bones. ⋯ There was no conclusive evidence that sustained the use of platelet-rich plasma as a coadjuvant to aid bone regeneration of fractures, pseudoarthrosis, or bone defects.
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Clostridium difficile is the main cause of nosocomial diarrhea. Diarrhea associated with C. difficile has increased incidence, morbidity, and mortality in the last few years. ⋯ Therefore, interventions to improve antibiotic prescribing, as well as compliance with infection control measures can reduce hospital-acquired C. difficile infections. This review addresses the epidemiological changes in C. difficile disease and its treatment.