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Abstract(s)
Introdução: A incidência de infeção no local cirúrgico [ILC] após cirurgia vascular é elevada e pode ter um resultado devastador. O tratamento convencional consiste na realização de um penso com função protetora, de modo a minimizar o risco de infeção. A utilização de Terapia da Ferida por Pressão Negativa [NPWT] em feridas cirúrgicas encerradas surge como um possível método que apresenta vantagens, em relação ao tratamento convencional no período pós-operatório. Objetivo: Determinar a eficácia na prevenção de infeção da ferida cirúrgica entre a utilização de NPWT e os métodos convencionais, nas pessoas submetidas a intervenções cirúrgicas vasculares. Metodologia: Foi conduzida uma revisão integrativa da literatura. Procedeu-se à pesquisa de artigos entre 2018 e 2022 nas bases de dados CINAHL Complete e MEDLINE Complete através da plataforma EBSCOhost. Foram identificados 93 artigos e após aplicados os critérios de inclusão e exclusão, e analisada a qualidade metodológica, foram selecionados 6 artigos. Resultados: A análise demonstra menor taxa de infeção e complicações com o tratamento NPWT quando comparado ao tratamento convencional. O tratamento NPWT está associado a um menor custo, a maior qualidade de vida e à diminuição do tempo de internamento e reinternamento hospitalar, quando comparado com o tratamento convencional. Conclusão: Conclui-se que o tratamento NPWT é mais eficaz na prevenção de infeção na ferida cirúrgica do que o tratamento convencional, no contexto de cirurgia vascular.
Introduction: The incidence of surgical site infection [SSI] after vascular surgery is high and can have a devastating outcome. Conventional treatment is to apply a dressing with a protective function to minimize the risk of infection. The Negative Pressure Wound Therapy [NPWT] in closed surgical wounds emerges as a possible method that has advantages over conventional treatment in the postoperative period. Objective: To determine the effectiveness in preventing surgical wound infection between the use of NPWT and conventional methods in people undergoing vascular surgical interventions. Methodology: An Integrative literature review was conducted, n addition the articles were searched between 2018 and 2022 in the CINAHL Complete and MEDLINE Complete databases through the EBSCOhost platform. Ninety-three articles were identified and after applying the inclusion and exclusion criteria, and analyzing the methodological quality, 6 articles were selected. Results: The analysis shows lower infection and complication rates with NPWT treatment compared to conventional treatment. The NPWT treatment is associated with lower cost, higher quality of life and reduced length of hospital stay and readmission when compared to conventional treatment. Conclusions: NPWT is more effective in preventing surgical wound infection than conventional treatment in the context of vascular surgery.
Introduction: The incidence of surgical site infection [SSI] after vascular surgery is high and can have a devastating outcome. Conventional treatment is to apply a dressing with a protective function to minimize the risk of infection. The Negative Pressure Wound Therapy [NPWT] in closed surgical wounds emerges as a possible method that has advantages over conventional treatment in the postoperative period. Objective: To determine the effectiveness in preventing surgical wound infection between the use of NPWT and conventional methods in people undergoing vascular surgical interventions. Methodology: An Integrative literature review was conducted, n addition the articles were searched between 2018 and 2022 in the CINAHL Complete and MEDLINE Complete databases through the EBSCOhost platform. Ninety-three articles were identified and after applying the inclusion and exclusion criteria, and analyzing the methodological quality, 6 articles were selected. Results: The analysis shows lower infection and complication rates with NPWT treatment compared to conventional treatment. The NPWT treatment is associated with lower cost, higher quality of life and reduced length of hospital stay and readmission when compared to conventional treatment. Conclusions: NPWT is more effective in preventing surgical wound infection than conventional treatment in the context of vascular surgery.
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Keywords
Cirurgia vascular Cuidados de enfermagem Infeção do local cirúrgico Revisão integrativa da literatura Terapia da ferida por pressão negativa Integrative literature review Negative pressure wound therapy Nursing care Surgical site infection Vascular surgery