Publications by authors named "Francisco Gutierrez Garcia"
Sternal surgical wound infection (SSWI) in cardiac surgery is associated with increased morbidity. We investigated the incidence of SSWI, the main germs implicated and predictors of SSWI. Prospective study including patients undergoing full median sternotomy between January 2017 and December 2019.
View Article and Find Full Text PDFBackground: Surgical glove perforation constitutes a risk for the maintenance of aseptic technique and the risk of surgical site infection and occupational exposure to blood borne infections for healthcare workers
Aim: To identify the frequency of glove perforation in selected surgical procedures.
Methods: A cross-sectional descriptive observational study was carried out in the surgical unit of the Joaquin Albarrán Hospital (La Habana, Cuba) during the period September-December 2019. Gloves used by surgeons in major urgent or elective surgical procedures were collected and tested for perforations.
Introduction: Pediatric urinary lithiasis (urolithiasis) is an important health issue linked to urinary metabolic disorders. In the United States alone, annual costs associated with urolithiasis are $229 million for hospital admissions and $146 million for emergency care.
Objective: Identify urinary metabolic disorders in Cuban pediatric patients with urolithiasis and better understand the relationship of age, demographic and anthropometric variables to urinary metabolic disorders strongly associated with urolithiasis.
Article Synopsis
- The study focuses on the clinical challenges of diagnosing Zika virus infections, especially during overlapping epidemics with Dengue, due to similarities in symptoms.
- Conducted at "Joaquín Albarrán" Hospital in Cuba from June to October 2017, the study involved 1541 patients with suspected Zika, confirming infection in 279 through PCR testing.
- Key findings revealed common symptoms like rash and arthralgia, with Zika patients showing more arthralgia, asthenia, and diarrhea; however, the symptoms alone were insufficient for clear clinical diagnosis.
Background: Pulmonary valve replacement is one of the most common procedures in patients with congenital heart disease. Little is known about prosthetic valve endocarditis in this population.
Objectives: To review management and outcomes of pediatric and adult patients with a prosthetic pulmonary valve or right ventricle-to-pulmonary artery conduit infective endocarditis.
Objectives: To validate hand hygiene (HH) observers following training and determine the concordance between the observers and the Kappa index.
Methods: This study was conducted during June 2017. HH observers from 15 hospital units received eight-hours training including a two-hour workshop conducted by the infection control practitioner and hospital epidemiologist.
Unlabelled: Routine screening of latent tuberculosis infection (LTBI) is recommended as an essential component in the prevention of TB transmission in healthcare facilities.
Objective: To determine the prevalence of LTBI among healthcare workers (HCWs) in a community hospital.
Methods: A descriptive study was carried out at The Cuban Hospital from August 2012 to May 2013 for newly hired medical staff.
Introduction: The aim of this article is to present our experience in performing distal femoral bypass under local anaesthesia for high risk patients.
Material And Methods: Lower limb revascularisation surgery under local anaesthesia was performed on 8 patients in our centre between January and May 2010. The common characteristics of the patients were, advanced age, chronic ischaemic heart disease on antiplatelet treatment, and chronic obstructive pulmonary disease (COPD).
Objective: Demonstrate the efficacy of a quality control program on antibiotic prescription in Joaquín Albarrán Hospital in Havana, Cuba.
Methods: An interventional study was conducted from 1 May 2008 to 31 March 2011. The study included evaluation of prescription quality, information feedback, educational activities, the operations of an antibiotic committee, and the preparation of protocols on antimicrobial drug use.
Introduction And Objectives: The duration of the QRS interval measured by ECG is a marker of ventricular dysfunction and indicates a poor prognosis. Its value in patients undergoing coronary revascularization surgery has not been established.
Methods: The study involved 203 consecutive patients (age 64+/-9 years, 74% male) scheduled for elective coronary surgery.
Objective: To determine the effectiveness of a method to reduce road traffic accidents and their consequences in the province of Villa Clara (Cuba).
Design: From May to October 2003, active surveillance of drink-driving was carried out. Analysis of chronological series was used.
Introduction And Objectives: Postoperative atrial fibrillation (PAF) is a frequent complication of coronary artery bypass grafting (CABG). Our aims were to study its epidemiology and to identify predictors in everyday clinical practice, while taking into account statin use, extracorporeal circulation, and new biomarkers of inflammation and ventricular stress.
Methods: The study included 102 consecutive patients (65 [9] years, 72% male) who were undergoing CABG.
To determine the frequency of drunk driving in professional drivers (Via Blanca, Havana City), we carried out a descriptive study of 832 drivers selected by multistage stratified sampling. A structured interview with each driver was carried out to record the variables under study, and a breath alcohol test was subsequently performed. The frequency of drunk driving was 8.
View Article and Find Full Text PDFBackground And Objective: A quasi-experimental study to determine the effects of a body weight reduction treatment on lipids and lipoprotein (a) serum levels.
Patients And Method: Ponderal and lipidogram values were determined in 69 premenopausic obese women before and after treatment. Differences were determined at a given time and at intervals.