Browsing by Author "Morocho Quizhpi, Jenny Fabiola"

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    Prevalencia de infección del sitio quirúrgico en pacientes post apendicectomía y factores asociados, en emergencia de cirugía de los Hospitales Vicente Corral Moscoso y José Carrasco Arteaga, Cuenca 2017
    (2019) Morocho Quizhpi, Jenny Fabiola; Maldonado Ochoa, Luis Mario; Álvarez Serrano, Marlene Elizabeth
    BACKGROUND: Surgical site infection is a leading cause of postoperative morbidity and mortality (1). The prevalence in patients after appendectomy varies from 4 to 12% (2). OBJECTIVE: To determine the prevalence of infection of the surgical site in post-appendectomy patients and associated factors, in emergency surgery of the Hospitals Vicente Corral Moscoso and José Carrasco Arteaga, Cuenca 2017. MATERIALS AND METHODS: Analytical, cross-sectional, whose universe are patients operated for acute appendicitis in the surgery department of the Hospital Vicente Corral Moscoso and José Carrasco Arteaga, in 2017; the lowest prevalence associated factor is 3,43% (laparoscopic approach), obtaining 140 sample patients. The factors analyzed were those dependent on the patient and the surgical procedure. The data was obtained through a questionnaire and follow-up for 30 days; analyzed using Excel, Epidat 3.1 and SPSS 24. RESULTS: The prevalence of surgical site infection in post-appendectomy patients is 20%, 10.7% are superficial and 64.29% were diagnosed during follow-up. The factors age, hyperthermia, hours of evolution, comorbidities, risk index, ASA, type of appendicitis, type of wound, surgical time, cavity washing and the use of drain presented significant association (p <0.05). CONCLUSION: There are many factors that intervene with surgical site infection. The prevalence obtained in this study is higher than that found in most studies
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    Uso de indicadores clínicos para el diagnóstico diferencial entre maltrato y accidentes en niños, niñas y adolescentes hasta los 15 años que acuden a emergencia del Hospital Vicente Corral Moscoso, 2011
    (2012) Morocho Quizhpi, Jenny Fabiola; Montesdeoca Cabrera, Gabriela Mercedes; Ojeda Benavidez, Claudia Viviana; Calle Galán, Hugo Marcelo
    OBJECTIVE: Differential diagnosis between physical abuse, sexual abuse and neglect of accidental injuries in children and adolescents up to 15 years attending the pediatric emergency service Vicente Corral Moscoso Hospital. METHODS AND MATERIALS: Quantitative study, prospective, transversal and descriptive. They use a form and personal interview with the coach, and patients who arrived at hospital emergency service Vicente Corral Moscoso, and a complete physical examination and emphasizing areas where they were physical injuries. RESULTS: The total samplefor this research wasconsideredof 826cases.At school ageaccidental injuryoccurredin46.97and those related tosome form of abusewere at6.24%, occurring mostly inmales, witha 6.17%. Amongthe risk factorswith the highest incidencefor the presence offorms of abuseare:unplannedpregnancywith47.1%, age of father inmore than 31years with a4.11%, the problems betweenthe couple with a6.90% and alcoholwith7.62%. Importantly,poor performanceis not apredominantrisk factorforabuseonlyoccurred in27.1%, mostinjurieswere related toforms of abusewere theskinwith a2.30% oftotalgenitalbruisinglevelandanallesions aresuggestiveof abusewith a0.36% late-stagelesions inmore than 10 daysrepresent a0.73%which representsan important valueif you look atthe pictureor graphic. CONCLUSIONS: The 8.72% of the caseswere related tosome form of abuseof thesewere positiveandphysical abusewas the mostcommon with a4.48% Keywords: ADOLESCENT, CHILD, DIFFERENTIALDIAGNOSIS, WOUNDS ANDINJURIES-diagnosis, epidemiology, risk factors,signs and symptoms, Vincent Corral Moscoso Hospital, Cuenca, ECUADOR.