Clinical characteristics and post-surgical outcomes in patients with spontaneous pneumothorax: Analysis in a high-complex complexity hospital / Willfredy Castaño Ruiz ; Lina María Velásquez Gómez ; Sánchez Castro, Carolina ; Barrantes Moreno, Santiago ; Bernal Sierra, Sofía ; Andrés Zerrate Misas ; Vanegas, Johanna Marcela  

Público ISBD Título : Clinical characteristics and post-surgical outcomes in patients with spontaneous pneumothorax: Analysis in a high-complex complexity hospital Otros títulos : Características clínicas y desenlaces postquirúrgicos en pacientes con neumotórax espontáneo: Análisis en un hospital de alta complejidad Tipo de documento : documento electrónico Autores : Willfredy Castaño Ruiz, Autor ; Lina María Velásquez Gómez, Autor ; Sánchez Castro, Carolina, Autor ; Barrantes Moreno, Santiago, Autor ; Bernal Sierra, Sofía, Autor ; Andrés Zerrate Misas, Autor ; Vanegas, Johanna Marcela, Autor Fecha de publicación : 2025 Títulos uniformes : Revista Colombiana de Cirugía Idioma : Inglés (eng) Idioma original : Español (spa) Palabras clave : Pleurodesis; pneumothorax; postoperative complications; thoracic surgical procedures; thoracoscopy; thoracostomy Resumen : Introduction. Spontaneous pneumothorax is a rare pathology that affects both young and old people. It can have a high recurrence rate, resulting in morbidity and sometimes mortality of the patients. In our environment we do not have epidemiological data on the disease, which motivated this study to be carried out. Methods. Retrospective study of a prospective database, which included patients over 14 years of age, with a diagnosis of spontaneous pneumothorax who underwent surgery at the Hospital Pablo Tobón Uribe, Medellin, Colombia, between January 2018 and December 2023. Sociodemographic, clinical variables and postoperative outcomes 30 days after the intervention were analyzed. Results. Males were the most affected (68.2%), secondary spontaneous pneumothorax predominated (56.8%) and the right hemithorax was the most common location (63.6%). A similar incidence was found between smokers and non-smokers (45.4% vs. 52.3%, respectively). Wedge resection was the definitive treatment in 50% of patients and wedge resection associated with mechanical pleurodesis in 31.8%. The most common complication was persistent air leak. A recurrence of pneumothorax was recorded in a patient who had undergone wedge resection. At the end of the study, five patients died: three had been treated only with thoracostomy and two had been taken to surgery. Conclusions. Spontaneous pneumothorax is a rare pathology. The causes and the affected population vary according to the classification. In our environment, tuberculosis has greater relevance because it is an endemic disease. © 2025, Asociacion Colombiana de Cirugia. All rights reserved. Mención de responsabilidad : Sánchez-Castro, Carolina, Barrantes-Moreno, Santiago, Bernal-Sierra, Sofía, Zerrate-Misas, Andrés, Castaño-Ruiz, Willfredy, Vanegas, Johanna Marcela, Velásquez-Gómez, Lina. Referencia : Rev Colomb Cir 2025, 40, 79-88. DOI (Digital Object Identifier) : 10.30944/20117582.2757 Derechos de uso : CC BY-NC-ND En línea : https://www.revistacirugia.org/index.php/cirugia/article/view/2757 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Clinical characteristics and post-surgical outcomes in patients with spontaneous pneumothorax: Analysis in a high-complex complexity hospital = Características clínicas y desenlaces postquirúrgicos en pacientes con neumotórax espontáneo: Análisis en un hospital de alta complejidad [documento electrónico] / Willfredy Castaño Ruiz, Autor ; Lina María Velásquez Gómez, Autor ; Sánchez Castro, Carolina, Autor ; Barrantes Moreno, Santiago, Autor ; Bernal Sierra, Sofía, Autor ; Andrés Zerrate Misas, Autor ; Vanegas, Johanna Marcela, Autor . - 2025. Obra : Revista Colombiana de Cirugía Idioma : Inglés (eng) Idioma original : Español (spa) Palabras clave : Pleurodesis; pneumothorax; postoperative complications; thoracic surgical procedures; thoracoscopy; thoracostomy Resumen : Introduction. Spontaneous pneumothorax is a rare pathology that affects both young and old people. It can have a high recurrence rate, resulting in morbidity and sometimes mortality of the patients. In our environment we do not have epidemiological data on the disease, which motivated this study to be carried out. Methods. Retrospective study of a prospective database, which included patients over 14 years of age, with a diagnosis of spontaneous pneumothorax who underwent surgery at the Hospital Pablo Tobón Uribe, Medellin, Colombia, between January 2018 and December 2023. Sociodemographic, clinical variables and postoperative outcomes 30 days after the intervention were analyzed. Results. Males were the most affected (68.2%), secondary spontaneous pneumothorax predominated (56.8%) and the right hemithorax was the most common location (63.6%). A similar incidence was found between smokers and non-smokers (45.4% vs. 52.3%, respectively). Wedge resection was the definitive treatment in 50% of patients and wedge resection associated with mechanical pleurodesis in 31.8%. The most common complication was persistent air leak. A recurrence of pneumothorax was recorded in a patient who had undergone wedge resection. At the end of the study, five patients died: three had been treated only with thoracostomy and two had been taken to surgery. Conclusions. Spontaneous pneumothorax is a rare pathology. The causes and the affected population vary according to the classification. In our environment, tuberculosis has greater relevance because it is an endemic disease. © 2025, Asociacion Colombiana de Cirugia. All rights reserved. Mención de responsabilidad : Sánchez-Castro, Carolina, Barrantes-Moreno, Santiago, Bernal-Sierra, Sofía, Zerrate-Misas, Andrés, Castaño-Ruiz, Willfredy, Vanegas, Johanna Marcela, Velásquez-Gómez, Lina. Referencia : Rev Colomb Cir 2025, 40, 79-88. DOI (Digital Object Identifier) : 10.30944/20117582.2757 Derechos de uso : CC BY-NC-ND En línea : https://www.revistacirugia.org/index.php/cirugia/article/view/2757 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis

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Device-Associated Infections in COVID-19 Patients: Frequency of Resistant Bacteria, Predictors and Mortality in Medellín, Colombia / Echeverri Toro, Lina Maria  

Público ISBD Título : Device-Associated Infections in COVID-19 Patients: Frequency of Resistant Bacteria, Predictors and Mortality in Medellín, Colombia Tipo de documento : documento electrónico Autores : Echeverri Toro, Lina Maria, Autor ; Ocampo, Diana Patricia, Autor ; Jiménez, Judy Natalia, Autor ; Salazar, Lorena, Autor ; Vargas, Carlos, Autor ; Gustavo Roncancio, Autor ; Roa, Maria Alejandra, Autor ; Vanegas, Johanna Marcela, Autor Fecha de publicación : 2024 Títulos uniformes : Microorganisms Idioma : Inglés (eng) Palabras clave : COVID-19; healthcare-associated infections; device-associated infections; bacterial resistance; carbapenemases Resumen : Introduction: Increased antimicrobial use during the COVID-19 pandemic has raised concerns about the spread of resistant bacteria. This study analyzed the frequency of device-associated infections (DAI) caused by resistant bacteria, the predictors of these infections, and 30-day all-cause mortality in patients with and without COVID-19. Methods: A retrospective cohort study was conducted on DAI patients admitted to the ICU (intensive care unit) in 20 hospitals in Medellin, Colombia (2020–2021). The exposure assessed was the COVID-19 diagnosis, and outcomes analyzed were resistant bacterial infections and 30-day mortality. Clinical and microbiological information was collected from surveillance databases. Statistical analysis included generalized linear mixed-effects models. Results: Of the 1521 patients included, 1033 (67.9%) were COVID-19-positive and 1665 DAI were presented. Carbapenem-resistant Enterobacteriaceae (CRE) infections predominated during the study (n = 98; 9.9%). The patients with COVID-19 had a higher frequency of metallo-beta-lactamase-producing CRE infections (n = 15; 33.3%) compared to patients without the disease (n = 3; 13.0%). Long-stay in the ICU (RR: 2.09; 95% CI:?1.39–3.16), diabetes (RR: 1.73; 95% CI: 1.21–2.49), and mechanical ventilation (RR: 2.13; 95% CI: 1.01–4.51) were CRE infection predictors in COVID-19 patients, with a mortality rate of 60.3%. Conclusion: CRE infections were predominant in COVID-19 patients. In pandemic situations, the strategies to control DAI should be maintained to avoid infections caused by resistant bacteria, such as length of stay in the ICU and duration of mechanical ventilation. Referencia : Ocampo, D.P.; Echeverri-Toro, L.M.; Jiménez, J.N.; Salazar, L.; Vargas, C.; Roncancio, G.; Roa, M.A. DOI (Digital Object Identifier) : 10.3390/microorganisms12040640 Derechos de uso : CC BY En línea : https://www.mdpi.com/2076-2607/12/4/640 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Device-Associated Infections in COVID-19 Patients: Frequency of Resistant Bacteria, Predictors and Mortality in Medellín, Colombia [documento electrónico] / Echeverri Toro, Lina Maria, Autor ; Ocampo, Diana Patricia, Autor ; Jiménez, Judy Natalia, Autor ; Salazar, Lorena, Autor ; Vargas, Carlos, Autor ; Gustavo Roncancio, Autor ; Roa, Maria Alejandra, Autor ; Vanegas, Johanna Marcela, Autor . - 2024. Obra : Microorganisms Idioma : Inglés (eng) Palabras clave : COVID-19; healthcare-associated infections; device-associated infections; bacterial resistance; carbapenemases Resumen : Introduction: Increased antimicrobial use during the COVID-19 pandemic has raised concerns about the spread of resistant bacteria. This study analyzed the frequency of device-associated infections (DAI) caused by resistant bacteria, the predictors of these infections, and 30-day all-cause mortality in patients with and without COVID-19. Methods: A retrospective cohort study was conducted on DAI patients admitted to the ICU (intensive care unit) in 20 hospitals in Medellin, Colombia (2020–2021). The exposure assessed was the COVID-19 diagnosis, and outcomes analyzed were resistant bacterial infections and 30-day mortality. Clinical and microbiological information was collected from surveillance databases. Statistical analysis included generalized linear mixed-effects models. Results: Of the 1521 patients included, 1033 (67.9%) were COVID-19-positive and 1665 DAI were presented. Carbapenem-resistant Enterobacteriaceae (CRE) infections predominated during the study (n = 98; 9.9%). The patients with COVID-19 had a higher frequency of metallo-beta-lactamase-producing CRE infections (n = 15; 33.3%) compared to patients without the disease (n = 3; 13.0%). Long-stay in the ICU (RR: 2.09; 95% CI:?1.39–3.16), diabetes (RR: 1.73; 95% CI: 1.21–2.49), and mechanical ventilation (RR: 2.13; 95% CI: 1.01–4.51) were CRE infection predictors in COVID-19 patients, with a mortality rate of 60.3%. Conclusion: CRE infections were predominant in COVID-19 patients. In pandemic situations, the strategies to control DAI should be maintained to avoid infections caused by resistant bacteria, such as length of stay in the ICU and duration of mechanical ventilation. Referencia : Ocampo, D.P.; Echeverri-Toro, L.M.; Jiménez, J.N.; Salazar, L.; Vargas, C.; Roncancio, G.; Roa, M.A. DOI (Digital Object Identifier) : 10.3390/microorganisms12040640 Derechos de uso : CC BY En línea : https://www.mdpi.com/2076-2607/12/4/640 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis

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