<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2011-7582</journal-id>
<journal-title><![CDATA[Revista Colombiana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[rev. colomb. cir.]]></abbrev-journal-title>
<issn>2011-7582</issn>
<publisher>
<publisher-name><![CDATA[Asociación Colombiana de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2011-75822005000200006</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Determinación de las características físicas, contaminación y estado de coagulabilidad de la sangre autotransfundida en pacientes con trauma]]></article-title>
<article-title xml:lang="en"><![CDATA[Determination of physical characteristics, contamination, and coagulation state in autotransfused blood in trauma patients]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cano Toro]]></surname>
<given-names><![CDATA[Humberto]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Velez Rojas]]></surname>
<given-names><![CDATA[Hernando]]></given-names>
</name>
<xref ref-type="aff" rid="A02"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez Pelaez]]></surname>
<given-names><![CDATA[Leonor]]></given-names>
</name>
<xref ref-type="aff" rid="A02"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Corrales Santa]]></surname>
<given-names><![CDATA[Mauricio]]></given-names>
</name>
<xref ref-type="aff" rid="A03"/>
</contrib>
</contrib-group>
<aff id="A01">
<institution><![CDATA[,Universidad de Antioquia sección de Cirugía General ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A02">
<institution><![CDATA[,Universidad de Antioquia sección Medicina Interna ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A03">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2005</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2005</year>
</pub-date>
<volume>20</volume>
<numero>2</numero>
<fpage>97</fpage>
<lpage>104</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2011-75822005000200006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2011-75822005000200006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2011-75822005000200006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[En la Universidad de Antioquia, desde 1984 se practica rutinariamente la autotransfusión de salvamento en pacientes quirúrgicos de urgencia. Se realiza manualmente con métodos aún &#8220;rudimentarios&#8221;, lo que genera temores en el equipo quirúrgico respecto a la posible contaminación y cambios del estado morfológico y fisiológico de esta sangre (hemólisis y riesgo de embolia o lesiones renales) y por el desconocimiento de su estado de coagulabilidad. Sin embargo, continúa practicándose con base en los buenos resultados observados; sólo durante 1995 se autotransfundieron en este centro 1.480 litros de sangre. Esta investigación midió los parámetros morfológicos, fisiológicos y bacteriológicos de esta sangre y demostró que los componentes sanguíneos y su morfología se conservan dentro de límites perfectamente tolerables, sin presencia de hemólisis importante. Esta sangre se encuentra en estado de fibrinólisis severa, con déficit de fibrinógeno y plaquetas, y rica en productos de la degradación de la fibrina (dímero D), por lo cual prácticamente no coagula. No obstante, al mezclarla con plasma normal, recupera toda su capacidad de coagulación. En consecuencia, la autotransfusión de salvamento se puede considerar un procedimiento fácil, seguro y de bajo costo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Surgical site infection (SSI) is the second most common type of nosocomial infection. The Committee on Epidemiologic Surveillance of Hospital Mario Correa Rengifo, Cali, Colombia, began activities in December, 2001, including surveillance of SSI. The purpose of this study was to describe the situation of SSI at this hospital. One hundred and thirty three patients with SSI were identified in a two year period, corresponding to an average incidence of 1.84%; 53.4% of patients were male, with ages between 14 and 85 years. Most common surgical procedures were open cholecystectomy (15.8%), appendectomy (12.8%), and intestinal suture repair (9.8%). Among the risk factors described in the literature we found the use of drains (17.4%), preoperative hospital stay longer than 72 hours (14.4%), previous surgery (14.4%), and age older than 65 years (12.9%). Most frequent diagnostic criteria of infection were seropurulent secretion (75.2%), positive culture (26.3%), and erythema (19.5%). Most frequent isolate was E.coli (36%), followed by S. areus (27%). Mortality rate was 3.76%.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[infección de honda operativa]]></kwd>
<kwd lng="es"><![CDATA[cirugía]]></kwd>
<kwd lng="es"><![CDATA[vigilancia epidemiológica]]></kwd>
<kwd lng="en"><![CDATA[surgical site infection]]></kwd>
<kwd lng="en"><![CDATA[surgery]]></kwd>
<kwd lng="en"><![CDATA[epidemiology]]></kwd>
<kwd lng="en"><![CDATA[survaillance]]></kwd>
</kwd-group>
</article-meta>
</front><body><![CDATA[  ]]></body><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vélez]]></surname>
<given-names><![CDATA[Rojas]]></given-names>
</name>
</person-group>
<article-title xml:lang="es"><![CDATA[La autotransfusión en 110 pacientes urgentes]]></article-title>
<source><![CDATA[Anales Academia de Medicina]]></source>
<year>1989</year>
<volume>2</volume>
<page-range>3-5</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vélez Rojas]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang="es"><![CDATA[Autotransfusión]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Olarte]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Aristizábal]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Echavarría]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Restrepo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Cirugía: Principios básicos]]></source>
<year>1996</year>
<edition>1ª Ed.</edition>
<page-range>308-333</page-range><publisher-loc><![CDATA[Medellín ]]></publisher-loc>
<publisher-name><![CDATA[Universidad de Antioquia]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="">
<collab>Medtronic</collab>
<source><![CDATA[Electromedics Elmd-500. Protocolo para la máquina de autotransfusión]]></source>
<year>1998</year>
<page-range>1-21</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alujas Sotolongo]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Pino Santiesteban]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Fleites]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang="es"><![CDATA[Desarrollo de la autotransfusión en el INOR]]></article-title>
<source><![CDATA[Revista Cubana de Oncología]]></source>
<year>1995</year>
<page-range>1-5</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ozmen]]></surname>
<given-names><![CDATA[Vaith]]></given-names>
</name>
<name>
<surname><![CDATA[McSwain]]></surname>
<given-names><![CDATA[Norman]]></given-names>
</name>
<name>
<surname><![CDATA[Nichols]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Autotransfusion of potentially culture positive blood (CPB) in abdominal trauma: preliminary data from a prospective study]]></article-title>
<source><![CDATA[J Trauma]]></source>
<year>1992</year>
<volume>1</volume>
<page-range>36-39</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Brener]]></surname>
<given-names><![CDATA[BJ]]></given-names>
</name>
<name>
<surname><![CDATA[Raines]]></surname>
<given-names><![CDATA[JK]]></given-names>
</name>
<name>
<surname><![CDATA[Darling]]></surname>
<given-names><![CDATA[RC]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Intraoperative autotransfusion in abdominal aortic resections]]></article-title>
<source><![CDATA[Arch Surg]]></source>
<year>1973</year>
<volume>107</volume>
<page-range>78-84</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Glover]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Brodie]]></surname>
<given-names><![CDATA[TA]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Intraoperative autotransfusion]]></article-title>
<source><![CDATA[World J Surg]]></source>
<year>1987</year>
<volume>11</volume>
<page-range>60-69</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moore]]></surname>
<given-names><![CDATA[EE]]></given-names>
</name>
<name>
<surname><![CDATA[Dunn]]></surname>
<given-names><![CDATA[EL]]></given-names>
</name>
<name>
<surname><![CDATA[Breslich]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
<name>
<surname><![CDATA[Galloway]]></surname>
<given-names><![CDATA[WB]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Platelet abnormalities associated with massive autotransfusion]]></article-title>
<source><![CDATA[J Trauma]]></source>
<year>1980</year>
<volume>20</volume>
<page-range>1052-1056</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gervin]]></surname>
<given-names><![CDATA[AS]]></given-names>
</name>
</person-group>
<source><![CDATA[General management of the trauma patient transfusion: autotransfusion and blood substitute]]></source>
<year>1987</year>
<page-range>169: 171</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cano]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Vélez]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Giraldo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang="es"><![CDATA[Transfusión y autotransfusión en trauma]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Jaime]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Restrepo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Manual de normas y procedimientos en trauma]]></source>
<year>2001</year>
<page-range>89-106</page-range><publisher-loc><![CDATA[Medellín ]]></publisher-loc>
<publisher-name><![CDATA[Universidad de Antioquia]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
