Publications by authors named "Ines Rubio Perez"
Appropriate Use of Antibiotics in Acute Pancreatitis: A Scoping Review.
Antibiotics (Basel)
September 2024
Background: While selective use of antibiotics for infected pancreatic necrosis (IPN) in acute pancreatitis (AP) is recommended, studies indicate a high rate of inadequate treatment.
Methods: A search of PubMed, Scopus, and Cochrane databases was conducted, focusing on primary research and meta-analyses. Data were categorized based on core concepts, and a narrative synthesis was performed.
This comprehensive review aims to provide a practical guide for intensivists, focusing on enhancing patient care associated with nosocomial peritonitis (NP). It explores the epidemiology, diagnosis, and management of NP, a significant contributor to the mortality of surgical patients worldwide. NP is, per definition, a hospital-acquired condition and a consequence of gastrointestinal surgery or a complication of other diseases.
View Article and Find Full Text PDFSurgeons in their daily practice are at the forefront in preventing and managing infections. However, among surgeons, appropriate measures of infection prevention and management are often disregarded. The lack of awareness of infection and prevention measures has marginalized surgeons from this battle.
View Article and Find Full Text PDFBackground: Surgical site occurrences pose a threat to patient health, potentially resulting in significant increases in health care spending caused by using additional resources. The objective of this study was to reach a consensus among a group of experts in incisional negative pressure wound therapy to determine the indications for using this type of treatment prophylactically and to analyze the associated risk factors of surgical site occurrences in abdominal surgery.
Methods: A group of experts in incisional negative pressure wound therapy from Spain and Portugal was formed among general surgery specialists who frequently perform colorectal, esophagogastric, or abdominal wall surgery.
Surgical site infection is the most frequent and avoidable complication of surgery, but clinical guidelines for its prevention are insufficiently followed. We present the results of a Delphi consensus carried out by a panel of experts from 17 Scientific Societies with a critical review of the scientific evidence and international guidelines, to select the measures with the highest degree of evidence and facilitate their implementation. Forty measures were reviewed and 53 recommendations were issued.
View Article and Find Full Text PDFEvaluation of optical tracking and augmented reality for needle navigation in sacral nerve stimulation.
Comput Methods Programs Biomed
September 2022
Background And Objective: Sacral nerve stimulation (SNS) is a minimally invasive procedure where an electrode lead is implanted through the sacral foramina to stimulate the nerve modulating colonic and urinary functions. One of the most crucial steps in SNS procedures is the placement of the tined lead close to the sacral nerve. However, needle insertion is very challenging for surgeons.
View Article and Find Full Text PDFAnalysis of the broadcasting and perceived utility through the implementation of a virtual training platform during the pandemic.
Cir Esp (Engl Ed)
January 2023
Article Synopsis
- - The study evaluates the impact of the SARS-CoV-2 pandemic on healthcare training, specifically analyzing the participation and satisfaction of the AEC Virtual Classroom sessions during its first year.
- - Over 50 sessions were held, showing a global average of 509 views per session, while live attendance decreased during peak pandemic times, yet the overall satisfaction rating was high at 8.46 out of 10.
- - A significant majority (90%) of participants found the sessions beneficial, and an impressive 97.2% want the program to continue after the pandemic, indicating its value as a surgical teaching resource.
Article Synopsis
- The study investigates the effects of virtual congresses held by the American College of Surgeons (ACSCC2020) and the National Surgery Congress of the Spanish Association of Surgeons (CNC2020) during the COVID-19 pandemic through Twitter activity.
- Data was collected and analyzed via hashtags #ACSCC20 and #CNCirugia2020, focusing on tweets, retweets, user engagement, and the influence of specific accounts from 2015 to 2020.
- Results show that while the ACS maintained consistent impressions with fewer tweets, the CNC experienced significant growth in 2020, highlighting the varying impact of virtual congresses on knowledge dissemination via social media.
Article Synopsis
- The text discusses the importance of understanding how well preventative measures against postoperative infections are being implemented before strategizing improvements.
- It presents findings from three surveys conducted by the Observatory of Infection in Surgery, revealing that many healthcare professionals are unaware of infection rates in their units and lack knowledge of key prevention practices.
- The surveys highlight a significant gap between scientific evidence and actual clinical practices, emphasizing the need for better compliance with preventive guidelines across various surgical specialties.
Article Synopsis
- The study investigates the safety of early laparoscopic cholecystectomy (ELC) for patients aged 85 and older with acute calculous cholecystitis (ACC) by comparing outcomes with younger patients from 2013 to 2018.
- Results show that the oldest-old group had a higher 90-day mortality and more complications before adjustments, indicating that they had more severe health issues.
- After using propensity score matching to balance groups, findings suggested that ELC is relatively safe for selected older patients, indicating that age alone shouldn't prevent surgery for ACC.
Background: Previous studies have focused on the development and evaluation of care bundles to reduce the risk of surgical site infection (SSI) throughout the perioperative period. A focused examination of the technical/surgical aspects of SSI reduction during CRS has not been conducted. This study aimed to develop an expert consensus on intraoperative technical/surgical aspects of SSI prevention by the surgical team during colorectal surgery (CRS).
View Article and Find Full Text PDFSkin and soft-tissue infections (SSTIs) encompass a variety of pathological conditions that involve the skin and underlying subcutaneous tissue, fascia, or muscle, ranging from simple superficial infections to severe necrotizing infections.Together, the World Society of Emergency Surgery, the Global Alliance for Infections in Surgery, the Surgical Infection Society-Europe, The World Surgical Infection Society, and the American Association for the Surgery of Trauma have jointly completed an international multi-society document to promote global standards of care in SSTIs guiding clinicians by describing reasonable approaches to the management of SSTIs.An extensive non-systematic review was conducted using the PubMed and MEDLINE databases, limited to the English language.
View Article and Find Full Text PDF[Analysis of the broadcasting and perceived utility through the implementation of a virtual training platform during the pandemic].
Cir Esp
January 2023
Article Synopsis
- - The SARS-CoV-2 pandemic led to the cancellation of face-to-face training for healthcare professionals, prompting the use of the AEC Virtual Classroom for remote learning, which included live webinars and on-demand viewing.
- - During its first year (April 2020 - April 2021), the program hosted 50 sessions with an average of 509 views per session, noting a drop in live attendance coinciding with pandemic surges, but achieving a high satisfaction rating of 8.46 out of 10.
- - Outcomes showed that 90% of participants found the sessions useful, with a strong preference for continuing the virtual format post-pandemic, establishing the AEC Virtual Classroom as an effective surgical teaching resource.
Intra-abdominal infections (IAIs) are common surgical emergencies and have been reported as major contributors to non-trauma deaths in hospitals worldwide. The cornerstones of effective treatment of IAIs include early recognition, adequate source control, appropriate antimicrobial therapy, and prompt physiologic stabilization using a critical care environment, combined with an optimal surgical approach. Together, the World Society of Emergency Surgery (WSES), the Global Alliance for Infections in Surgery (GAIS), the Surgical Infection Society-Europe (SIS-E), the World Surgical Infection Society (WSIS), and the American Association for the Surgery of Trauma (AAST) have jointly completed an international multi-society document in order to facilitate clinical management of patients with IAIs worldwide building evidence-based clinical pathways for the most common IAIs.
View Article and Find Full Text PDFArticle Synopsis
- The study analyzes the effects of two virtual surgery congresses, ACSCC2020 and CNC2020, on social media engagement during the COVID-19 pandemic using Twitter data.
- It found that while both congresses saw increases in engagement over the years, the CNC2020 had its best metrics in 2020, while ACSCC maintained steady impressions but fewer tweets.
- Ultimately, the research highlighted that virtual congresses effectively spread knowledge on social media, with the ACSCC achieving the greatest overall impact from 2015 to 2020 despite the CNC's significant growth in 2020.
Introduction: The extraordinary impact of COVID-19 pandemic on Spanish hospitals has led to a redistribution of resources for the treatment of these patients, with a decreased capacity of care for other common diseases. The aim of the present study is to analyse how this situation has affected the treatment of cholecystitis and cholelythiasis.
Methods: It is a descriptive national study after online voluntary distribution of a specific questionnaire with Google Drive™ to members of the Spanish Association of Surgeons (AEC).
The aim of this study was to identify risk factors for acquisition of intra-abdominal infections (IAI) caused by carbapenemase-producing Enterobacteriaceae (CPE) in surgical patients. A matched case-control study was performed. We included all cases with CPE-related IAI acquired during admission to a general surgery department from January 2013 to December 2018, and they were matched with control subjects with IAI caused by non-resistant bacteria (ratio 1:3).
View Article and Find Full Text PDFArticle Synopsis
- The study aimed to review existing patient-reported outcome measures (PROMs) for colorectal cancer and inflammatory bowel disease (IBD), while also creating a plan to develop a core outcome set through social media engagement.
- It involved collaborative input from various stakeholders—including patients, healthcare professionals, and organizations—gathering insights via Twitter, and ultimately presented and discussed five commonly used PROMs in the field.
- A new general psycho-physical well-being score was proposed, with survey results indicating strong agreement on its importance, demonstrating innovative ways to involve patients in clinical research despite some limitations of this initial exploratory study.
How to Predict Postoperative Complications After Early Laparoscopic Cholecystectomy for Acute Cholecystitis: the Chole-Risk Score.
J Gastrointest Surg
November 2021
Article Synopsis
- Early laparoscopic cholecystectomy (ELC) is the standard treatment for acute calculous cholecystitis (ACC), but it can lead to significant postoperative complications; this study aims to identify risk factors for these complications and create a predictive score.
- A multicentric analysis of 1868 ACC patients revealed that factors such as previous surgeries, diabetes, high bilirubin levels, and gallbladder perforation significantly increased the risk of complications post-surgery.
- The newly developed Chole-Risk Score categorizes patients based on these factors, showing a clear correlation between higher scores and increased complication rates, making it a useful tool for predicting outcomes in ACC surgeries.
Article Synopsis
- * The AEC proposes a comprehensive plan for managing patients with hepatopancreatobiliary (HPB) cancers during various pandemic scenarios to prioritize patient safety and care efficiency.
- * Effective coordination among multiple medical departments is essential to provide optimal treatment while minimizing the risks of COVID-19 for both patients and healthcare professionals.