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Órgano Oficial de la Sociedad Mexicana de Angiología y Cirugía Vascular

2017, Number 3

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Rev Mex Angiol 2017; 45 (3)

Infecciones en cirugía vascular: Estudio de incidencia y una revisión sobre las controversias en su abordaje terapéutico. Hospital Regional “Dr. Valentín Gómez Farías” del ISSSTE en Zapopan, Jalisco, México

Ruiz-Mercado H, Hernández-Nieto BI, Tapia-Rangel JC, Ochoa-González FJ, Díaz-Estrella I, Bravo-Cuéllar A

Language: Spanish
References: 45
Page: 107-120
PDF size: 273.63 Kb.


ABSTRACT

Introduction. Vascular infections are a challenge for the vascular surgeon. There is a risk of infection (0.5 to 5%) and catastrophic results for delayed or inadequate treatment. Treatment varies depending on the clinical presentation. Its recommended removal of the prosthetic material but may not be appropriate in unstable or very weak patients.
Objective. To evaluate the density of incidence and general frequency of infection in vascular surgery with grafts and a review of its management.
Material and methods. Descriptive, longitudinal, and study retrospective of 7 years (2010 to 2016) 77 surgeries examined of arterial grafts. It was recorded: density of incidence and therapeutic approach; its mortality and morbidity and a review on the topic.
Results. From 77 patients with grafts, in 7 (6.0%) (2 of them was in another hospital) infection was observed; 4 male and 3 female (an average of old 70 ± 12). The density of incidence of vascular infection was 0.84 (IC = 0.95 to 2.54) and frequency of mortality of 6%. Died 2 (28.5%); amputee 1 (14.2%); in three, in which no withdrew graft and received medical treatment and only one survive (3.5 years) to date. The micro-organisms identified were: E. coli and C. albicans in 2 patients. Staphylococcus aureus and E. epidermidis in other 2 and Klebsiella pneumoniae spp, in one; the rest negative. Survival was 71.4%%.
Conclusions. The density of incidence, frequency of infections and mortality was according to literature. It is important not to remove the prosthesis if the conditions of the patient are critical. Identify each treatment according to the clinical case and early intervention will prevent complications.


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