Ciencias de la Salud
Permanent URI for this communityhttp://repositorio.uta.edu.ec/handle/123456789/813
Browse
3 results
Search Results
Item CARACTERIZACIÓN DE BACTERIAS PREDOMINANTES CAUSANTES DE SEPSIS EN PACIENTES DE UCI EN EL HOSPITAL GENERAL LATACUNGA(Universidad Técnica de Ambato / Facultad de Ciencias de Salud / Centro de Posgrados, 2024-10-28) Vizcaino Borja, Poulette Virginia; González Romero, Ana CarolinaCharacterization of the causative agents of sepsis will provide valuable information on infection rates, epidemiology, and resistance patterns at the local level, which will help improve sepsis management in the hospital and its setting. In order to characterize the bacteria most frequently associated with sepsis in patients hospitalized in the ICU of the Latacunga General Hospital during the period from November 2023 to April 2024, this study used a type of descriptive, correlational observational research with a nonexperimental design and quantitative approach, during the study period in the Intensive Care Unit (ICU) of the Latacunga General Hospital, where the predominant bacteria in cases of sepsis were identified with a significant prevalence of Escherichia coli highlighting the need for specific treatment strategies and targeted preventive measures, in addition, the analysis of antimicrobial susceptibility profiles revealed that a substantial percentage of these bacteria were resistant to several antibiotics such as Broad Spectrum Cephalosporins, Carbapenems, which underscores the urgency of more prudent antimicrobial use policies, in terms of the evaluation of risk factors associated with previous use of antibiotics, sex, age, and specific comorbidities of a patient. A comprehensive approach that considers not only microbiological characteristics but also the clinical history of patients, as a direct consequence of these findings, recommendations have been established for the implementation of antibiotic use protocols, infection prevention strategies and antimicrobial resistance control measures. Concluding with the effective application of these recommendations has the potential to significantly improve clinical management and reduce the incidence of sepsis in this specific hospital environment, where they highlighted that the predominant bacteria in sepsis cases accounted for approximately 60% of the infections identified.Item Volumen plaquetario medio y su estrecha relación con infecciones sépticas hospitalarias(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Laboratorio Clínico, 2023-03-01) Urvina Paredes, Stephanie Pamela; Rosero Freire, Daniela AlexandraLcda. Mg.Objective: To determine the mean platelet volume (MPV) and its close relationship with hospital septic infections by means of a literature review. Materials and Methods: Information sources available in the Pubmed, Medicgraphic and SciELO databases were consulted, as well as the Google Scholar search engine. Publications in both English and Spanish were included, with a maximum of 5 years prior to the topic of interest. Results and Discussion: Original articles analyzing neonatal and adult populations with sepsis were analyzed. Neonatal populations reflected an elevated MPV value in the first 24 hours proving to be an early predictive marker in the diagnosis of neonatal sepsis, while studies of adult populationsreflected a much higher MPV in septic patients who subsequently died relative to those who survived, also being considered a predictor of mortality. Conclusion: It is evident that MPV is closely related to sepsis as it rises progressively during infection, constituting a biomarker of early prediction and poor prognosis in sepsis.Item “shock séptico por colangitis”(Universidad Técnica de Ambato - Facultad de Ciencias de la Salud - Carrera de Medicina, 2018-05-01) Naranjo Castillo, Andrea Carolina; Vásquez Cepeda, Fernando Xavier Dr. Esp.The case to be analyzed corresponds to a female patient of 52 years of age, with a history of Hypothyroidism 3 years ago on treatment with Levothyroxine 50 mcg, who goes to the emergency department for abdominal pain of 8 days of evolution that was exacerbated 24 hours, located in the right hypochondrium type of moderate intensity, radiating to ipsilateral dorsal-lumbar region, is accompanied by nausea that comes to vomit several times, so it is self-medicated tablets that does not specify, without clinical improvement. At the patient physical examination with Glasgow 15, TA: 124/80 FC: 86, FR: 22, SO2% 96%, icteric skin, painful abdomen on palpation at the level of the right hypochondrium, positive Murphy, complementary examinations are carried out and it is decided his admission to the surgery department with the diagnosis of acute cholecystitis, symptomatic cholelithiasis and choledocholithiasis. Procedures of endoscopic retrograde cholangiopancreatography are initiated through social work without a favorable response, it is performed 8 days later in a particular way, resulting in failure. After this patient develops unfavorably presenting with thermal boost, motor aphasia and right hemiplegia, surgical resolution is scheduled but family members do not authorize it. It is valued by Neurology who absolutely contraindicates surgical procedure. The Intensive Therapy service is consulted who values and recommends drainage of biliary obstruction, in spite of the risks. Surgical procedure is performed but cholecystectomy is not performed due to sepsis, it is postponed for second intervention. After this patient, he entered the Intensive Care Unit where, despite medical and surgical treatment, he progressed slowly, dying. Finally, a histopathological sample is received that reports stage IIIB vesicle cancer with metastasis to the liver, pancreas, bile duct and ganglion studied. The factors that led to aggravating the picture are then analyzed, conditioning its prognosis.