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      Infección de heridas quirúrgicas en un paciente con neuropatía ciática: caso clínico Translated title: Surgical wound infection in a patient with sciatic neuropathy: a case report

      case-report

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          Abstract

          RESUMEN La neuropatía ciática es una patología que se manifiesta en alteraciones mecánicas, funcionales y sensitivas de la extremidad afectada. Se presenta el caso de un paciente con neuropatía ciática iatrogénica que mostró evolución tórpida de las heridas quirúrgicas tras intervención de dedos en garra con inmovilización por agujas de Kirschner. Con un tratamiento basado en desbridamiento, cura húmeda y abordaje de la colonización crítica se consiguió alta en 45 días, con curas realizadas en domicilio por el paciente, y resolución completa en 60 días.

          Translated abstract

          ABSTRACT Sciatic neuropathy is a pathology manifested in mechanical, functional and sensitive disorders in the affected limb. We report a case of iatrogenic sciatic neuropathy in a patient showing torpid evolution of postsurgical wounds after claw toes surgery with K-wire immobilization. Treatment was based in debridement, critical colonization contention and moist environment healing. The patient was released for self-treatment at home after 45 days and reported complete healing after 60 days.

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          Most cited references28

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          Prevention of pin site infection in external fixation: a review of the literature

          Pin site infections are a common complication of external fixation that places a significant burden on the patient and healthcare system. Such infections increase the number of clinic visits required during a patient’s course of treatment, can result in the need for additional treatment including antibiotics and surgery, and most importantly can compromise patient outcomes should osteomyelitis or instability result from pin loosening or need for pin or complete construct removal. Factors that may influence the development of pin site infections include patient-specific risk factors, surgical technique, pin design characteristics, use of prophylactic antibiotics, and the post-operative pin care protocol including cleansing, dressing changes, and showering. Despite numerous studies that work to derive evidence-based recommendations for prevention of pin site infections, substantial controversy exists in regard to the optimal protocol. This review comprehensively evaluates the current literature to provide an overview of factors that may influence the incidence of pin site infections in patients undergoing treatment with external fixators, and concludes with a description of the preferred surgical and post-operative pin site protocols employed by the senior authors (ATF and SRR).
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            Sciatic nerve injury from intramuscular injection: a persistent and global problem.

            An intramuscular (i.m.) injection into the buttock risks damaging the sciatic nerve. Safe injection practices need to be understood by doctors and nurses alike. The aims of this study were to determine if sciatic nerve injury because of i.m. injection is a continuing problem and to establish the availability of published guidelines on i.m. injection techniques.
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              Pin site care for preventing infections associated with external bone fixators and pins.

              Metal pins are used to apply skeletal traction or external fixation devices in the management of orthopaedic fractures. These percutaneous pins protrude through the skin, and the way in which they are treated after insertion may affect the incidence of pin site infection. This review set out to summarise the evidence of pin site care on infection rates.
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                Author and article information

                Journal
                geroko
                Gerokomos
                Gerokomos
                Sociedad Española de Enfermería Geriátrica y Gerontológica (Barcelona, Barcelona, Spain )
                1134-928X
                2021
                : 32
                : 3
                : 205-208
                Affiliations
                [1] Alpedrete Madrid orgnameConsultorio local de Alpedrete España
                Article
                S1134-928X2021000400013 S1134-928X(21)03200300013
                187083d7-cde6-4d33-a592-038b94ab8080

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 26 January 2021
                : 28 December 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 29, Pages: 4
                Product

                SciELO Spain

                Categories
                Helcos

                wound closure techniques,enfermería de atención primaria,biopelículas,desbridamiento,neuropatía ciática,técnicas de cierre de heridas,Infección de la herida quirúrgica,primary care nursing,biofilms,debridement,sciatic neuropathy,Surgical wound infection

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