Prevalence and factors associated with infection in patients with diabetes mellitus who underwent amputation.

Objective: To analyze the prevalence and factors associated with infection in patients with diabetes mellitus who underwent lower extremity amputation. Method: Cross-sectional, retrospective, and analytical study carried out in a high complexity hospital in Teresina, Piauí, with 70 medical records o...

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Publicado en:Revista Estima Vol. 22; pp. 1 - 10
Autores principales: de Oliveira Soares Rocha, Priscila, Abraão Caetano Lira, Jefferson, Gomes Evangelista, Hellen, Gonçalves Bezerra de Jesus, Guilherme, Costa de Oliveira, Aline, Santos Silva, Josiane, Gonçalves Bezerra, Sandra Marina
Formato: research tables/charts Journal Article
Publicado: SOBEST: Associacao Brasileira de Estomaterapia jan-dez2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: jan-dez2024
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        atl: Prevalence and factors associated with infection in patients with diabetes mellitus who underwent amputation.
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          de Oliveira Soares Rocha, Priscila
          Abraão Caetano Lira, Jefferson
          Gomes Evangelista, Hellen
          Gonçalves Bezerra de Jesus, Guilherme
          Costa de Oliveira, Aline
          Santos Silva, Josiane
          Gonçalves Bezerra, Sandra Marina
        affil: Universidade Estadual do Piauí -- Teresina (PI), Brazil
      sug:
        subj:
          Diabetes Mellitus Complications
          Diabetic Foot Surgery
          Below-Knee Amputation Adverse Effects
          Postoperative Complications
          Infection Epidemiology
          Infection Risk Factors
          Risk Assessment
          Human
          Brazil
          Male
          Female
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Cross Sectional Studies
          Retrospective Design
          Record Review
          Descriptive Statistics
          Chi Square Test
          Pearson's Correlation Coefficient
          Fisher's Exact Test
          Surgical Patients
          Diabetic Patients
          P-Value
          Family
          Income
          Socioeconomic Factors
          Amputees
          Length of Stay
          Enterostomal Therapy Nursing
          Culture Media
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab:
        Objective: To analyze the prevalence and factors associated with infection in patients with diabetes mellitus who underwent lower extremity amputation. Method: Cross-sectional, retrospective, and analytical study carried out in a high complexity hospital in Teresina, Piauí, with 70 medical records of patients admitted from January 2015 to December 2016. Inferential analysis was performed using χ² association tests. Pearson and Fisher's exact, considering p<0.05 to be significant. Results: Of the 70 participants, 81.4% were over 60 years old, 57.1% were married, 41.4% had low education, 82.8% had an income of 1 to 2 minimum wages, and 52.9% were coming from the interior of Piauí. The average length of stay was 25 days. The leg was the most prevalent site of amputation (38.6%). The prevalence of infection was 74.4% and only 7.1% of patients underwent culture. Family income (p=0.032) and length of stay (p=0.014) were significantly associated with infection. Conclusion: The prevalence of infection in patients with diabetes mellitus who underwent lower extremity amputation was high, being associated with family income and length of stay, highlighting the importance of understanding these factors for implementing preventive measures.
        Objetivo: Analizar la prevalencia y los factores asociados a la infección en pacientes con diabetes mellitus sometidos a amputación de extremidades inferiores. Método: Estudio transversal, retrospectivo y analítico realizado en un hospital de alta complejidad de Teresina, Piauí, con 70 prontuarios de pacientes ingresados entre enero de 2015 y diciembre de 2016. Se realizó análisis inferencial mediante pruebas de asociación de Chi-cuadrado y exacto de Fisher, considerando p<0,05 como significativo. Resultados: De los 70 participantes, el 81,4% tenía más de 60 años, el 57,1% estaba casado, el 41,4% tenía baja escolaridad, el 82,8% tenía ingresos de 1 a 2 salarios mínimos y el 52,9% provenía del interior de Piauí. La estancia media fue de 25 días. La pierna fue el sitio de amputación más frecuente (38,6%). La prevalencia de infección fue del 74,4% y sólo el 7,1% de los pacientes realizaron cultivo. El ingreso familiar (p=0,032) y la duración de la estancia (p=0,014) se asociaron significativamente con la infección. Conclusión: La prevalencia de infección en pacientes con diabetes mellitus sometidos a amputación de extremidades inferiores fue alta, asociada con el ingreso familiar y la duración de la estadía, destacando la importancia de comprender estos factores para implementar medidas preventivas.
        Objetivo: Analisar a prevalência e os fatores associados a infecção em paciente com diabetes mellitus que sofreram amputação de extremidade inferior. Método: Estudo transversal, retrospectivo e analítico realizado em um hospital de alta complexidade em Teresina, Piauí, com 70 prontuários de pacientes internados no período de janeiro de 2015 a dezembro de 2016. A análise inferencial foi realizada por meio dos testes de associação χ² de Pearson e Exato de Fisher, considerando significativo o valor de p<0,05. Resultados: Dos 70 participantes, 81,4% tinham idade superior a 60 anos; 57,1% eram casados; 41,4% tinham baixa escolaridade; 82,8% renda de 1 a 2 salários-mínimos e 52,9% eram procedentes do interior do Piauí. O tempo médio de internação foi de 25 dias. A perna foi o local de amputação mais prevalente (38,6%). A prevalência de infecção foi de 74,4% e somente 7,1% dos pacientes realizaram cultura. A renda familiar (p=0,032) e o tempo de internação (p=0,014) apresentaram associação significativa com a infecção. Conclusão: A prevalência de infecção em pacientes com diabetes mellitus que sofreram amputação em extremidade inferior foi elevada, tendo associação com a renda familiar e o tempo de internação, destacando a importância da compreensão desses fatores para implementação de medidas preventivas.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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