Eficacia y eficiencia de la conducta terapéutica de celulitis en hospitalizados del policlínico de la Policía Nacional del Perú – Trujillo
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Date
2024
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Universidad Nacional de Trujillo
Abstract
Objetivo: Valorar la eficacia y eficiencia de la conducta terapéutica en hospitalizados por
celulitis.
Material y Método: Estudio observacional, descriptivo, ambispectivo en una revisión
documentaria de 130 historias clínicas de pacientes con diagnóstico de
celulitis que fueron hospitalizados en el Policlínico de la Policía Nacional del Perú – Trujillo
(01 de junio del 2012 al 31 de mayo 2015).
Resultados: El 4.8 % de los ingresos hospitalarios fueron por celulitis, 75% de sexo
masculino. El rango de edad más prevalente estuvo entre 36 y 55 años. 86% tenían lesión
ubicada en miembros inferiores. La mayoría de ingresos se registraron en verano. 53%
tuvieron factores de riesgo, de los cuales 33% sistémicos y 20% locales. El factor de riesgo
sistémico más común fue diabetes, el factor de riesgo local más usual fue traumatismo y
herida. El 18% de toda la población tuvieron criterios de respuesta inflamatoria sistémica
(SIRS). La estancia hospitalaria más habitual fue 7 días y 7.4 la media de internamiento. El
uso de monoterapia fue de 55% y de politerapia 45%. El 17.7% de los pacientes recibieron
la monoterapia más usual con oxacilina, 25.4% recibieron la politerapia más habitual con
oxacilina y clindamicina. El esquema de tratamiento más eficaz y eficiente con monoterapia
incluye Oxacilina 1 gramo cada 6 horas durante 7 días con un costo de 773 soles. El esquema
con politerapia involucra Ciprofloxacino y Clindamicina durante 7 días con un costo de
775.1 soles. La guía para el tratamiento de hospitalizados con celulitis comprende las
medidas básicas que durante el estudio han dado resultados clínicos, minimizando costos de
atención médica sin afectar negativamente la calidad de la atención.
Conclusión: La conducta terapéutica en celulitis es eficaz y eficiente en el Policlínico de la
Policía Nacional del Perú – Trujillo desde el 01 de junio del 2012 al 31 de mayo 2015, El
esquema de tratamiento más eficaz y eficiente con monoterapia incluye Oxacilina con costo
de 773 soles, en cuanto a politerapia incluye Ciprofloxacino y Clindamicina con costo de
775.1 soles.
Objective: To assess the efficacy and efficiency of therapeutic behavior in hospitalized for cellulite. Material and Method: Observational, descriptive, ambispective study, in a documentary review of 130 clinical records of patients diagnosed with cellulitis who were hospitalized in the Polyclinic of the National Police of Peru - Trujillo (June 1, 2012 to May 31, 2015). Results: 4.8% of hospital admissions were for cellulitis, 75% male. The most prevalent age range was between 36 and 55 years. 86% had injuries located in the lower limbs. The majority of admissions were recorded in summer. 53% had risk factors, of which 33% systemic and 20% local. The most common systemic risk factor was diabetes, the most common local risk factor was trauma and wound. 18% of the entire population had criteria for systemic inflammatory response (SIRS). The most common hospital stay was 7 days and the average length of stay was 7.4. The use of monotherapy was 55% and polytherapy 45%. 17.7% of patients received the most common monotherapy with oxacillin, 25.4% received the most common polytherapy with oxacillin and clindamycin. The most effective and efficient treatment scheme with monotherapy includes Oxacillin 1 gram every 6 hours for 7 days at a cost of 773 soles. The polytherapy scheme involves Ciprofloxacin and Clindamycin for 7 days at a cost of 775.1 soles. The guide for the treatment of hospitalized patients with cellulitis includes the basic measures that during the study have given clinical results, minimizing medical care costs without negatively affecting the quality of care. Conclusion: The therapeutic behavior in cellulite is effective and efficient in the Polyclinic of the National Police of Peru - Trujillo from June 1, 2012 to May 31, 2015, The most effective and efficient treatment scheme with monotherapy includes Oxacillin at a cost of 773 soles, in terms of combination therapy includes Ciprofloxacin and Clindamycin with a cost of 775.1 soles.
Objective: To assess the efficacy and efficiency of therapeutic behavior in hospitalized for cellulite. Material and Method: Observational, descriptive, ambispective study, in a documentary review of 130 clinical records of patients diagnosed with cellulitis who were hospitalized in the Polyclinic of the National Police of Peru - Trujillo (June 1, 2012 to May 31, 2015). Results: 4.8% of hospital admissions were for cellulitis, 75% male. The most prevalent age range was between 36 and 55 years. 86% had injuries located in the lower limbs. The majority of admissions were recorded in summer. 53% had risk factors, of which 33% systemic and 20% local. The most common systemic risk factor was diabetes, the most common local risk factor was trauma and wound. 18% of the entire population had criteria for systemic inflammatory response (SIRS). The most common hospital stay was 7 days and the average length of stay was 7.4. The use of monotherapy was 55% and polytherapy 45%. 17.7% of patients received the most common monotherapy with oxacillin, 25.4% received the most common polytherapy with oxacillin and clindamycin. The most effective and efficient treatment scheme with monotherapy includes Oxacillin 1 gram every 6 hours for 7 days at a cost of 773 soles. The polytherapy scheme involves Ciprofloxacin and Clindamycin for 7 days at a cost of 775.1 soles. The guide for the treatment of hospitalized patients with cellulitis includes the basic measures that during the study have given clinical results, minimizing medical care costs without negatively affecting the quality of care. Conclusion: The therapeutic behavior in cellulite is effective and efficient in the Polyclinic of the National Police of Peru - Trujillo from June 1, 2012 to May 31, 2015, The most effective and efficient treatment scheme with monotherapy includes Oxacillin at a cost of 773 soles, in terms of combination therapy includes Ciprofloxacin and Clindamycin with a cost of 775.1 soles.
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Keywords
Celulitis, Hospitalización, Eficacia, Eficiencia, Costos