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