Jaquelline Maria Jardim

[Systematic review and meta-analysis of the predictive value of C-reactive protein in postoperative infections].

This systematic review on C-reactive protein (CRP) was performed with the purpose to identify its predictive value in the prognosis/diagnosis of infection in surgical patients. The sources used in the search were: COCHRANE, EMBASE, LILACS, MEDLINE and OVID, and bibliographic references of the located studies. All studies found increased CRP levels after surgery in cases of postoperative infection (PO), in eight studies a CRP peak between the second and third PO was reported as normal aspect of the CRP curve, reducing in patients without postoperative complications and increasing in patients with complications. The meta-analysis revealed an average of 85% (sensitivity), 86% (specificity), the area under the SROC curve was 0.9060, and the Odds Ratio was 23.56. Along with other clinical interventions, CRP is considerably valuable in the prognosis/diagnosis of postoperative infections.This systematic review on C-reactive protein (CRP) was performed with the purpose to identify its predictive value in the prognosis/diagnosis of infection in surgical patients. The sources used in the search were: COCHRANE, EMBASE, LILACS, MEDLINE and OVID, and bibliographic references of the located studies. All studies found increased CRP levels after surgery in cases of postoperative infection (PO), in eight studies a CRP peak between the second and third PO was reported as normal aspect of the CRP curve, reducing in patients without postoperative complications and increasing in patients with complications. The meta-analysis revealed an average of 85% (sensitivity), 86% (specificity), the area under the SROC curve was 0.9060, and the Odds Ratio was 23.56. Along with other clinical interventions, CRP is considerably valuable in the prognosis/diagnosis of postoperative infections.

Evaluation of practices for the prevention and control of bloodstream infections in a government hospital

The aim of this study was to observe clinical procedures in order to evaluate the practices used for the control and prevention of bloodstream infections associated with short-term central venous catheters (BSI-ACVC). The study data came from 5877 assessments distributed among selected practices. The results revealed the following adherence rates among the practices selected: 91.6% for recording the indication and permanence time of the CVC, 51.5% for adhering to the care and maintenance of the dressing at the CVC insertion site and its devices, 10.7% for hand hygiene practices while performing procedures related to the CVC, and 0.0% for the practices related to the insertion of the central venous catheter (CVC). The results demonstrate the need for further elaboration of strategies that ensure sustainable compliance practices for prevention and control BSI-ACVC in the institution being assessed.O objetivo deste estudo foi avaliar as praticas de prevencao e controle de infeccao da corrente sanguinea associada ao cateter venoso central (ICS-ACVC) de curta permanencia, por meio da aplicacao de indicadores clinicos processuais. A amostra foi constituida por 5.877 avaliacoes distribuidas entre as praticas selecionadas. Obteve-se ampla variacao de conformidade: 91,6% - registro de indicacao e tempo de permanencia do CVC; 51,5% - cuidados e manutencao do curativo da insercao do CVC e seus dispositivos; 10,7% - higienizacao das maos na realizacao de procedimentos de cuidado e manutencao do CVC; 0,0% - insercao do cateter venoso central (CVC). Os resultados demonstram necessidade de elaboracao de novas estrategias que assegurem conformidade duradoura para a maioria das praticas de prevencao e controle de ICS-ACVC avaliadas. Conclui-se pela vantagem na aplicacao de avaliacao processual, pela possibilidade de nao somente identificar seus indices de conformidade em relacao a melhor pratica esperada, como tambem favorecer, sobremaneira, reconhecimento das situacoes especificas que contribuiram para os valores encontrados.

Avaliação das práticas de prevenção e controle de infecção da corrente sanguínea em um hospital governamental

The aim of this study was to observe clinical procedures in order to evaluate the practices used for the control and prevention of bloodstream infections associated with short-term central venous catheters (BSI-ACVC). The study data came from 5877 assessments distributed among selected practices. The results revealed the following adherence rates among the practices selected: 91.6% for recording the indication and permanence time of the CVC, 51.5% for adhering to the care and maintenance of the dressing at the CVC insertion site and its devices, 10.7% for hand hygiene practices while performing procedures related to the CVC, and 0.0% for the practices related to the insertion of the central venous catheter (CVC). The results demonstrate the need for further elaboration of strategies that ensure sustainable compliance practices for prevention and control BSI-ACVC in the institution being assessed.O objetivo deste estudo foi avaliar as praticas de prevencao e controle de infeccao da corrente sanguinea associada ao cateter venoso central (ICS-ACVC) de curta permanencia, por meio da aplicacao de indicadores clinicos processuais. A amostra foi constituida por 5.877 avaliacoes distribuidas entre as praticas selecionadas. Obteve-se ampla variacao de conformidade: 91,6% - registro de indicacao e tempo de permanencia do CVC; 51,5% - cuidados e manutencao do curativo da insercao do CVC e seus dispositivos; 10,7% - higienizacao das maos na realizacao de procedimentos de cuidado e manutencao do CVC; 0,0% - insercao do cateter venoso central (CVC). Os resultados demonstram necessidade de elaboracao de novas estrategias que assegurem conformidade duradoura para a maioria das praticas de prevencao e controle de ICS-ACVC avaliadas. Conclui-se pela vantagem na aplicacao de avaliacao processual, pela possibilidade de nao somente identificar seus indices de conformidade em relacao a melhor pratica esperada, como tambem favorecer, sobremaneira, reconhecimento das situacoes especificas que contribuiram para os valores encontrados.

Revisão sistemática e metanálise sobre o valor preditivo da proteína C-reativa em infecção pós-operatória

This systematic review on C-reactive protein (CRP) was performed with the purpose to identify its predictive value in the prognosis/diagnosis of infection in surgical patients. The sources used in the search were: COCHRANE, EMBASE, LILACS, MEDLINE and OVID, and bibliographic references of the located studies. All studies found increased CRP levels after surgery in cases of postoperative infection (PO), in eight studies a CRP peak between the second and third PO was reported as normal aspect of the CRP curve, reducing in patients without postoperative complications and increasing in patients with complications. The meta-analysis revealed an average of 85% (sensitivity), 86% (specificity), the area under the SROC curve was 0.9060, and the Odds Ratio was 23.56. Along with other clinical interventions, CRP is considerably valuable in the prognosis/diagnosis of postoperative infections.This systematic review on C-reactive protein (CRP) was performed with the purpose to identify its predictive value in the prognosis/diagnosis of infection in surgical patients. The sources used in the search were: COCHRANE, EMBASE, LILACS, MEDLINE and OVID, and bibliographic references of the located studies. All studies found increased CRP levels after surgery in cases of postoperative infection (PO), in eight studies a CRP peak between the second and third PO was reported as normal aspect of the CRP curve, reducing in patients without postoperative complications and increasing in patients with complications. The meta-analysis revealed an average of 85% (sensitivity), 86% (specificity), the area under the SROC curve was 0.9060, and the Odds Ratio was 23.56. Along with other clinical interventions, CRP is considerably valuable in the prognosis/diagnosis of postoperative infections.

Evaluación de las prácticas de prevención y control de infección de la corriente sanguínea en un hospital estatal

The aim of this study was to observe clinical procedures in order to evaluate the practices used for the control and prevention of bloodstream infections associated with short-term central venous catheters (BSI-ACVC). The study data came from 5877 assessments distributed among selected practices. The results revealed the following adherence rates among the practices selected: 91.6% for recording the indication and permanence time of the CVC, 51.5% for adhering to the care and maintenance of the dressing at the CVC insertion site and its devices, 10.7% for hand hygiene practices while performing procedures related to the CVC, and 0.0% for the practices related to the insertion of the central venous catheter (CVC). The results demonstrate the need for further elaboration of strategies that ensure sustainable compliance practices for prevention and control BSI-ACVC in the institution being assessed.O objetivo deste estudo foi avaliar as praticas de prevencao e controle de infeccao da corrente sanguinea associada ao cateter venoso central (ICS-ACVC) de curta permanencia, por meio da aplicacao de indicadores clinicos processuais. A amostra foi constituida por 5.877 avaliacoes distribuidas entre as praticas selecionadas. Obteve-se ampla variacao de conformidade: 91,6% - registro de indicacao e tempo de permanencia do CVC; 51,5% - cuidados e manutencao do curativo da insercao do CVC e seus dispositivos; 10,7% - higienizacao das maos na realizacao de procedimentos de cuidado e manutencao do CVC; 0,0% - insercao do cateter venoso central (CVC). Os resultados demonstram necessidade de elaboracao de novas estrategias que assegurem conformidade duradoura para a maioria das praticas de prevencao e controle de ICS-ACVC avaliadas. Conclui-se pela vantagem na aplicacao de avaliacao processual, pela possibilidade de nao somente identificar seus indices de conformidade em relacao a melhor pratica esperada, como tambem favorecer, sobremaneira, reconhecimento das situacoes especificas que contribuiram para os valores encontrados.

Revisión sistemática y meta-análisis sobre el valor predictivo de la proteína C-reactiva en infección postoperatorias

This systematic review on C-reactive protein (CRP) was performed with the purpose to identify its predictive value in the prognosis/diagnosis of infection in surgical patients. The sources used in the search were: COCHRANE, EMBASE, LILACS, MEDLINE and OVID, and bibliographic references of the located studies. All studies found increased CRP levels after surgery in cases of postoperative infection (PO), in eight studies a CRP peak between the second and third PO was reported as normal aspect of the CRP curve, reducing in patients without postoperative complications and increasing in patients with complications. The meta-analysis revealed an average of 85% (sensitivity), 86% (specificity), the area under the SROC curve was 0.9060, and the Odds Ratio was 23.56. Along with other clinical interventions, CRP is considerably valuable in the prognosis/diagnosis of postoperative infections.This systematic review on C-reactive protein (CRP) was performed with the purpose to identify its predictive value in the prognosis/diagnosis of infection in surgical patients. The sources used in the search were: COCHRANE, EMBASE, LILACS, MEDLINE and OVID, and bibliographic references of the located studies. All studies found increased CRP levels after surgery in cases of postoperative infection (PO), in eight studies a CRP peak between the second and third PO was reported as normal aspect of the CRP curve, reducing in patients without postoperative complications and increasing in patients with complications. The meta-analysis revealed an average of 85% (sensitivity), 86% (specificity), the area under the SROC curve was 0.9060, and the Odds Ratio was 23.56. Along with other clinical interventions, CRP is considerably valuable in the prognosis/diagnosis of postoperative infections.

Systematic review and meta-analysis of the predictive value of C-reactive protein in postoperative infections

This systematic review on C-reactive protein (CRP) was performed with the purpose to identify its predictive value in the prognosis/diagnosis of infection in surgical patients. The sources used in the search were: COCHRANE, EMBASE, LILACS, MEDLINE and OVID, and bibliographic references of the located studies. All studies found increased CRP levels after surgery in cases of postoperative infection (PO), in eight studies a CRP peak between the second and third PO was reported as normal aspect of the CRP curve, reducing in patients without postoperative complications and increasing in patients with complications. The meta-analysis revealed an average of 85% (sensitivity), 86% (specificity), the area under the SROC curve was 0.9060, and the Odds Ratio was 23.56. Along with other clinical interventions, CRP is considerably valuable in the prognosis/diagnosis of postoperative infections.