masterThesis
Niveles de evidencia y grados de recomendación para la administración subcutánea de antibióticos en una clínica de Bogotá D.C.
Fecha
2017Autor
Fuentes Bermudez, Genny Paola
Buitrago Florián, Paula
Institución
Resumen
Introduction: The cases of patient with infections at end of life show the neccesity of have therapeutic alternatives, that guarantee the care and therapeutic management, the clasic intravenous, oral and intramuscular routes are limited, the subcutaneous route show as a important alternative; however, the low cientific evidence reflected in the low number of investigations, show the need to explore and generate cientific products that show this practice. Objective: Evaluate the evidence levels and recomendations grade of the actions incluids in the antibiotic therapy subcutaned in a Bogota Clinic.
Methodology: Documental study with base in a systematic revisión in where is perfomed the search of 10 actions described in a protocol. The selection are 34 articles in english and spanish, the keyword for the search are antibacterial, palliative care, protocol, subcutaneous tissue, and 17 articles are excluded of study. The articles are classified with the scale of Centre for Evidence-Based Medicine, Oxford, search in database Nursing Skills, Clinicalkey, Pubmed, Springerlink, Science direct, ProQuest y Cochrane. The descriptor are antibacterial, palliative care, protocol, catheter, subcutaneous, sygns, time, antibiotic, nurse, registry, informed consent, assessment. Results: 60% of the actions in the protocol dont have articles that support your practice, just the 40% equivalent to 17 articles are clasified. Conclusion: There are diferents studies of antibiotic therapy subcutaneous route, however, in a revisión, just found two with high levels of evidence and recomendation grade, for it must be increase the review in a clinic practice to the use of antibiotic subcutaneous routes.