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Prevalence of surgical wound infection after surgery for breast cancer: systematic review

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dc.contributor.authorAmaral, Catarina Freitas
dc.contributor.authorTeixeira, Cristina
dc.contributor.authorSousa, Filomena
dc.contributor.authorAntão, Celeste
dc.date.accessioned2016-10-11T15:18:45Z
dc.date.available2016-10-11T15:18:45Z
dc.date.issued2016
dc.description.abstractOne of the known risk factors for abuse and neglect of the elderly is the decrease in functionat capacity, contributíng to self care dependency of instrumental actívities of daily living and basic activities of daily Itving (OMS, 2015). Methods: Cross-sectional study with non probabilistíc sample of 333 elderly, performed in a hospital, homes and day centers for the elderly. The data collectíon protocol tncluded socio-demographic data, Questíons to elicit Elder Abuse (Carney, Kahan B Paris, 2003 adap. By Ferreira Alves & Sousa, 2005), scale of instrumental actívi - ties of daily living Lawton and Brody and Katz index to assess the levei of independence in actívities of daily living. Objectives: To evaluate the assodation between abuse and neglect in the elderly, instrumental actívitíes of daily living and levei of independence in actívitíes of daily living. Results: Emotional abuse is signifícantty correlated with the levei of independence in activities of daity Uving (p = 0. 000), older peopie with less independence tend to have higher leveis of emotional abuse. The total abuse is signtficantly correlated with the leveis of independence in activittes of daily living (p = 0. 002), less independent elderty tend to suffer greater abuse and neglect. There were no statistically significant associations between abuse and neglect and instrumental activities of daily l1v1ng. Conclusions: The less independent elderly are more vulnerable to situatíons of abuse and neglect, being more exposed to emotional abuse. These results point to the need for health professionals/ nurses develop prevention interventions, including strategies to support carers and early screentng tn less independent elderly. Keywords: Elder abuse. Negligence. Nursing care. Frail elderly. PREVALENCE OF SURGICAL WOUND INFECTION AFTER SURGERY FOR BREAST CÂNCER: SYSTEMATIC REVIEW C. Amaral3, C. Teixeira"'1', F. Sousa'', C. Antãoa "Polythecnic Institute o f Bragança, Bragança, Portugal; bEPI Unit, Public Health Institute, University of Porto, Portugal. Contact details: catarinaisabeln.amaraliSsmaU.com Introduction: Breast câncer is one of the most common mahgnant pathology in European countries, as Portugal, where annual inddence is around 90 new cases per 100,000 women. Breast surgery is the usual treatment for this pathology, however such procedure can be complicated by the infection of surgical site. Objectives: To know the prevalence and determtnants of surgtcal wound infection after breast surgery. Methods: We conducted a systematic review by searching of the Web of Sdence electronic database for articles published over the last s1x years 1n developed countries. Over three hundred dtatíons were obtained and after excludtng citations with reasons, fíve artícles met our inclusion criteria and were included in the present review. Results: Prevalence of surgical wound infection varied across studies between 0. 1% and 12. 5%. Bilateral mastectomy is assodated with higher prevalence of wound infectíon than unilateral mastectomy (3. 6% vs 3, 3%), lumpectomy with immediate breast reconstruction (IBR) is related with higher frequency of wound infectíon than surgery with no IBR (0, 5% vs 0, 1%), also, mastectomy with IBR is associated with higher prevalence of wound infectíon than mastectomy wtth no IBR (1, 5% vs 0, 3%) and breast surgery followed by axiltary lymph nade dissectíon is related with higher prevalence of wound infection than surgical procedures wtth no axillary lymph node dissection (2, 82% vs 1, 66%). Conclusions: Nurses that provide post-operatíve care to women after breast surgery should be aware about risk of wound tnfectíon, partícularly after more invasive procedures.pt_PT
dc.identifier.citationAmaral, Catarina; Teixeira, Cristina; Sousa, Filomena; Antão, Celeste (2016). Prevalence of surgical wound infection after surgery for breast cancer: systematic review. Revista Atención Primaria. ISSN 0212-6567. 48 (espec. cong 1), p. 44-44pt_PT
dc.identifier.issn0212-6567
dc.identifier.urihttp://hdl.handle.net/10198/13391
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectBreast surgerypt_PT
dc.subjectSurgical wound infectionpt_PT
dc.subjectPrevalence of infectíonpt_PT
dc.subjectPost-operative complicatlonpt_PT
dc.titlePrevalence of surgical wound infection after surgery for breast cancer: systematic reviewpt_PT
dc.typeconference object
dspace.entity.typePublication
oaire.citation.conferencePlaceViseupt_PT
oaire.citation.endPage44pt_PT
oaire.citation.startPage44pt_PT
oaire.citation.titleAtención Primariapt_PT
person.familyNameTeixeira
person.familyNameAntão
person.givenNameCristina
person.givenNameCeleste
person.identifierX-5933-2018
person.identifier.ciencia-id6E12-F2A0-568F
person.identifier.ciencia-idD31A-8175-5254
person.identifier.orcid0000-0001-5194-5141
person.identifier.orcid0000-0003-1721-5836
person.identifier.ridO-2296-2013
person.identifier.scopus-author-id55207402700
rcaap.rightsopenAccesspt_PT
rcaap.typeconferenceObjectpt_PT
relation.isAuthorOfPublication9037c83c-43c1-4714-ad3e-9f307dd1d89f
relation.isAuthorOfPublication2e510c58-f864-4ebf-98cd-f58ceacbb012
relation.isAuthorOfPublication.latestForDiscovery2e510c58-f864-4ebf-98cd-f58ceacbb012

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