{"id":6139,"date":"2021-06-29T08:00:03","date_gmt":"2021-06-29T13:00:03","guid":{"rendered":"https:\/\/arkanum.com.mx\/?p=6139"},"modified":"2021-06-15T10:35:46","modified_gmt":"2021-06-15T15:35:46","slug":"factor-de-riesgo-clave-relacionado-con-infecciones-en-el-sitio-quirurgico-ssi","status":"publish","type":"post","link":"https:\/\/arkanum.com.mx\/factor-de-riesgo-clave-relacionado-con-infecciones-en-el-sitio-quirurgico-ssi\/","title":{"rendered":"Factor de Riesgo Clave Relacionado con Infecciones en el Sitio Quir\u00fargico (SSI)"},"content":{"rendered":"<p><strong>Lineamientos para la Prevenci\u00f3n de Infecciones Recientes en el Sitio Quir\u00fargico (SSI) .<\/strong><\/p>\n<p><strong>Recientemente, Tres Autoridades Sanitarias Mundialmente Reconocidas han Agregado a sus Gu\u00edas de Prevenci\u00f3n de Infecciones en el Sitio Quir\u00fargico (SSI) las Suturas Recubiertas con Triclos\u00e1n.<\/strong><\/p>\n<p>Controle de una Mejor Manera un Factor de Riesgo Clave Relacionado con SSI<\/p>\n<p><strong>Ahora, las suturas recubiertas de Triclos\u00e1n tambi\u00e9n est\u00e1n cubiertas por:<\/strong><\/p>\n<p>Organizaci\u00f3n Mundial de la Salud (OMS) Gu\u00eda global de la OMS para la prevenci\u00f3n de infecciones de la herida quir\u00fargica*<br \/>\n\u2022 Independientemente del tipo de cirug\u00eda de que se trate, el panel sugiere el uso de suturas recubiertas de triclos\u00e1n con el objetivo de reducir el riesgo de SSI <sup>2<\/sup><br \/>\nColegio Americano de Cirujanos y Sociedad de Infecciones Quir\u00fargicas (ACS &amp; SIS) Gu\u00eda Cl\u00ednica de Infecciones Quir\u00fargicas, Actualizaci\u00f3n 2016*<br \/>\n\u2022 Se recomienda el uso de suturas antibacterianas con Triclos\u00e1n para el cierre de heridas en casos abdominales limpios y contaminados <sup>3<\/sup><br \/>\n*Los lineamientos de los CDC, la OMS y la ACS\/SIS para reducir el riesgo de infecciones en el sitio quir\u00fargico son generales para las suturas recubiertas con triclos\u00e1n y no son espec\u00edficas para ninguna marca en particular.<\/p>\n<p><strong><span style=\"font-size: 10pt;\">Referencias<\/span><\/strong><\/p>\n<p><span style=\"font-size: 8pt;\">1.Berr\u00edos-Torres SI, Umscheid CA, Bratzler DW, et al. Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. JAMA Surg.doi:10.1001\/jamasurg.2017.0904.<\/span><br \/>\n<span style=\"font-size: 8pt;\">2.Gu\u00eda para la prevenci\u00f3n de infecciones de la herida quir\u00fargica. Sitio electr\u00f3nico oficial de la Organizaci\u00f3n Mundial de la Salud (ingl\u00e9s) http:\/\/www.who.int\/gpsc\/ssi-preventionguidelines\/en\/. Accesado el 4 de abril de 2017.<\/span><br \/>\n<span style=\"font-size: 8pt;\">3. Ban KA, Minei JP, Laronga C, et al. American College of Surgeons and Surgical Infection Society: Surgical Site Infection Guidelines, 2016 Update. J Am Coll Surg. 2016;224:59-74.<\/span><\/p>\n<p><strong>Carga de las Infecciones del Sitio Quir\u00fargico (SSI)<\/strong><\/p>\n<p>Las SSI son un problema com\u00fan y costoso, representan alrededor del 15% de las infecciones relacionadas a la atenci\u00f3n de salud<sup>1<\/sup><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-6179 size-full\" src=\"https:\/\/arkanum.com.mx\/contenido\/uploads\/2021\/06\/SSI.jpg\" alt=\"\" width=\"881\" height=\"209\" srcset=\"https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/SSI.jpg 881w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/SSI-300x71.jpg 300w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/SSI-768x182.jpg 768w\" sizes=\"(max-width: 881px) 100vw, 881px\" \/><\/p>\n<p><span style=\"font-size: 12pt;\">Debido a que las SSI interrumpen el proceso natural de curaci\u00f3n, tambi\u00e9n est\u00e1n altamente correlacionadas con otras complicaciones de la herida.<\/span><\/p>\n<ul>\n<li>Los pacientes con SSI son 2 veces m\u00e1s propensos a desarrollar alguna hernia incisional<sup>3<\/sup><\/li>\n<li>Los pacientes con SSI son 6 veces m\u00e1s propensos a sufrir dehiscencia de la herida despu\u00e9s de una cirug\u00eda abdominal\u00aa<\/li>\n<\/ul>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone size-medium wp-image-6149\" src=\"https:\/\/arkanum.com.mx\/contenido\/uploads\/2021\/06\/herida-272x300.jpg\" alt=\"\" width=\"272\" height=\"300\" srcset=\"https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/herida-272x300.jpg 272w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/herida.jpg 759w\" sizes=\"(max-width: 272px) 100vw, 272px\" \/><\/p>\n<div>\n<div class=\"vrow\">\n<div class=\"vrow-content-container-wrapper\">\n<div>\n<p><span style=\"font-size: 10pt;\"><strong>Referencias<\/strong><\/span><\/p>\n<ol>\n<li style=\"text-align: justify;\"><span style=\"font-size: 8pt;\">Organizaci\u00f3n Mundial de la S Directrices de la OMS para la seguridad de la cirug\u00eda, 2009.<\/span><\/li>\n<li style=\"text-align: justify;\"><span style=\"font-size: 8pt;\">de Lissovoy G, Pan F, Patkar AD, Edmiston CE Jr, Peng Surgical site infection incidence and burden assessment using multiinstitutional real-world data. Presentado en: Sociedad Internacional de Farmacoeconom\u00eda y la Investigaci\u00f3n de Resultados 11vo Congreso Europeo Anual; Noviembre 5\u00b08, 2011; Madrid, Espa\u00f1a.<\/span><\/li>\n<li style=\"text-align: justify;\"><span style=\"font-size: 8pt;\">Israelsson LA, Jonsson Incisional Hernia After Midline Laparotomy: A Prospective Study. <em>Eur J Surg. <\/em>1996;162:125-132.<\/span><\/li>\n<li style=\"text-align: justify;\"><span style=\"font-size: 8pt;\">Van Ramshorst GH, Nieuwenhuizen J, Hop WC, et al. Abdominal Wound Dehiscence in Adults: Development and Validation of a Risk Model. <em>World J Surg. <\/em>2010;34:20\u00ba27. <\/span><\/li>\n<\/ol>\n<\/div>\n<div><strong><span style=\"font-size: 12pt;\">El Uso de Suturas Antibacterianas Plus para Ayudar a Tratar un Factor de Riesgo de Infecci\u00f3n del Sitio Quir\u00fargico (SSI)<\/span><\/strong><\/div>\n<\/div>\n<div>\n<h3><span style=\"font-size: 12pt;\">Las suturas pueden ser un lugar de infecci\u00f3n<\/span><\/h3>\n<p>Generalmente, se requiere un gran n\u00famero de bacterias para que se provoque una infecci\u00f3n. En un paciente t\u00edpico, la dosis infecciosa es de 2-8 millones de microorganismos por gramo de tejido.<sup>1<\/sup> Sin embargo, las suturas, como cualquier material implantado, pueden reducir sustancialmente el umbral infeccioso.<sup>2<\/sup> Estudios han demostrado que la presencia de una sutura puede disminuir la cantidad de bacterias necesarias para causar una SSI a s\u00f3lo 100-300 microorganismos por gramo de tejido.<sup>1<\/sup><\/p>\n<p>La concentraci\u00f3n bacteriana t\u00edpica para que se desarrolle una SSI es: 2,000,000-8,000,000 por gramo de tejido\u00b9.<br \/>\nLa concentraci\u00f3n de estafilococos necesaria en la sutura para el desarrollo de una SSI es de: 100-300 por gramo de tejido\u00b9<br \/>\nLa formaci\u00f3n de biopel\u00edcula aumenta la dificultad de tratar una infecci\u00f3n, incluso con presencia de antibi\u00f3ticos\u00b3<\/p>\n<figure id=\"attachment_6150\" aria-describedby=\"caption-attachment-6150\" style=\"width: 318px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-6150 size-full\" src=\"https:\/\/arkanum.com.mx\/contenido\/uploads\/2021\/06\/sutura_1.png\" alt=\"\" width=\"318\" height=\"217\" srcset=\"https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/sutura_1.png 318w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/sutura_1-300x205.png 300w\" sizes=\"(max-width: 318px) 100vw, 318px\" \/><figcaption id=\"caption-attachment-6150\" class=\"wp-caption-text\">Colonizaci\u00f3n del nudo de una sutura<\/figcaption><\/figure>\n<figure id=\"attachment_6151\" aria-describedby=\"caption-attachment-6151\" style=\"width: 277px\" class=\"wp-caption alignleft\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-6151 size-full\" src=\"https:\/\/arkanum.com.mx\/contenido\/uploads\/2021\/06\/sutura.png\" alt=\"\" width=\"277\" height=\"194\" \/><figcaption id=\"caption-attachment-6151\" class=\"wp-caption-text\">Colonizaci\u00f3n de una sutura trenzada<\/figcaption><\/figure>\n<\/div>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Se ha demostrado que las suturas Ethicon Plus inhiben la colonizaci\u00f3n bacteriana (de la sutura) durante 7 d\u00edas o m\u00e1s<sup>4-6<\/sup><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-6154 size-large\" src=\"https:\/\/arkanum.com.mx\/contenido\/uploads\/2021\/06\/bacteria-1024x314.png\" alt=\"\" width=\"1020\" height=\"313\" srcset=\"https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/bacteria-1024x314.png 1024w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/bacteria-300x92.png 300w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/bacteria-768x236.png 768w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/bacteria.png 1052w\" sizes=\"(max-width: 1020px) 100vw, 1020px\" \/><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 8pt;\">*La imagen de la placa de Petri es s\u00f3lo para fines ilustrativos, la zona de resultados de las pruebas de inhibici\u00f3n puede variar.<\/span><br \/>\n<span style=\"font-size: 8pt;\">Referencias<\/span><span style=\"font-size: 8pt;\"><br \/>\nElek SD, Conen PE. The Virulence of Staphylococcus Pyogenes for Man. A Study of the Problems of Wound Infection. <em>J Exp Pathol. <\/em>1957;38:573-86. 2. Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. Hospital Infection Control Practices Advisory Committee. Gu\u00eda para la prevenci\u00f3n de infecciones de la herida quir\u00fargica, 1999. <em>Infect Control Hosp Epidemiol. <\/em>1999;20(4):250-278. 3. Kathju S, Nistico L, Hall-Stoodley L, et al. Chronic surgical site infection due to suture-associated polymicrobial biofilm. <em>Su<\/em><em>r<\/em><em>g<\/em> <em>In<\/em><em>f<\/em><em>ec<\/em><em>t<\/em> <em>(<\/em><em>L<\/em><em>a<\/em><em>r<\/em><em>ch<\/em><em>m<\/em><em>t<\/em><em>)<\/em><em>.<\/em> 2009;10(5):457-461. 4. Ming X, Rothenburger S, Yang D. In vitro antibacterial efficacy of Monocryl Plus Antibacterial Suture (poligelcaprone 25 with triclosan). <em>Su<\/em><em>r<\/em><em>g<\/em> <em>In<\/em><em>f<\/em><em>ec<\/em><em>t<\/em> <em>(<\/em><em>L<\/em><em>a<\/em><em>r<\/em><em>ch<\/em><em>m<\/em><em>t<\/em><em>)<\/em><em>.<\/em> 2007;8(2):201-207. 5. Rothenburger S, Spangler D, Bhende S, Burkley D. In vitro antimicrobial evaluation of coated Vicryl Plus Antibacterial Suture (coated polyglactin 910 with triclosan) using zone of inhibition assays. <em>Su<\/em><em>r<\/em><em>g<\/em> <em>In<\/em><em>f<\/em><em>ec<\/em><em>t<\/em> <em>(<\/em><em>L<\/em><em>a<\/em><em>r<\/em><em>ch<\/em><em>m<\/em><em>t<\/em><em>)<\/em><em>.<\/em> 2002;3(suppl):S79-S87. \u00a06. Ming X, Rothenburger S, Nichols MM. In vivo and in vitro antibacterial efficacy of PDS Plus (polidioxanone with triclosan) suture. <em>Su<\/em><em>r<\/em><em>g<\/em> <em>In<\/em><em>f<\/em><em>ec<\/em><em>t<\/em> <em>(<\/em><em>L<\/em><em>a<\/em><em>r<\/em><em>ch<\/em><em>m<\/em><em>t<\/em><em>)<\/em><em>.<\/em> 2008;9(4):451-457.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Soporte Cl\u00ednico para Suturas Recubieras con Triclos\u00e1n -Resumen de los Meta-an\u00e1lisis<\/strong><\/p>\n<p>Una gran cantidad de pruebas cl\u00ednicas, incluidos 10 meta-an\u00e1lisis de 24 ensayos controlados aleatorios (RTCs), estudian la determinaci\u00f3n de la capacidad de las suturas recubiertas con triclos\u00e1n para ayudar a reducir el riesgo de infecci\u00f3n del sitio quir\u00fargico (SSI)<\/p>\n<h3><span style=\"font-size: 12pt;\">Meta-an\u00e1lisis sobre RCTs planeados y llevados a cabo en relaci\u00f3n con el uso de suturas que contienen triclos\u00e1n para disminuir las tasas de SSI<\/span><\/h3>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-6156 size-large\" src=\"https:\/\/arkanum.com.mx\/contenido\/uploads\/2021\/06\/meta-analisis-1024x399.jpg\" alt=\"\" width=\"1020\" height=\"397\" srcset=\"https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/meta-analisis-1024x399.jpg 1024w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/meta-analisis-300x117.jpg 300w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/meta-analisis-768x299.jpg 768w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/meta-analisis.jpg 1321w\" sizes=\"(max-width: 1020px) 100vw, 1020px\" \/><\/p>\n<p><strong>Referencias<\/strong><\/p>\n<ol>\n<li style=\"text-align: justify;\"><span style=\"font-size: 8pt;\">Apisarnthanarak A, Singh N, Bandong AN, et al. Triclosan-Coated Sutures Reduce the Risk of Surgical Site Infections: A Systematic Review and Meta-Analysis. <em>Infection Control &amp; Hospital Epidemiology <\/em>2015;36:169179. 2. Chang WK, Srinivasa S, Morton R, et al. Triclosan-Impregnated Sutures to Decrease Surgical Site Infections: Systematic Review and <\/span><span style=\"font-size: 8pt;\">Meta-Analysis of Randomized Trials. <em>Ann Surg <\/em>2012; 255:854859. 3. Daoud FC, Edmiston CE Jr, Leaper D. Meta-analysis of prevention of surgical site infections following incision closure with triclosan-coated sutures: Robustness to new evidence. <em>Surg Infect (Larchmt) <\/em>2014;15:165181. 4. Daoud FC. Systematic Literature Review Update of the PROUD Trial: Potential Usefulness of a Collaborative Database. Letter to <em>Surg Infect (Larchmt) <\/em>2014;15:857858. 5. Edmiston CE, Daoud FC, Leaper D. Is there an evidence-based argument for embracing an antimicrobial (triclosan)-coated suture technology to reduce the risk for surgical-site infections?: A meta-analysis. <em>Surgery <\/em>2013;154:89100. 6. Guo J, Pan LH, Li YX, et al. Efficacy of triclosan-coated sutures for reducing risk of surgical site infection in adults: a meta-analysis of randomized clinical trials. <em>J Surg Res <\/em>2016; 201:105117. 7. Sajid MS, Craciunas L, Sains P, et al. Use of antibacterial sutures for skin closure in controlling surgical site infections: a systematic review of published randomized, controlled trials. <em>Gastroenterol Rep <\/em>2013;1:4250. 8. Sandini M, Mattavelli I, Nespoli L, Uggeri F, Gianotti L. Systematic review and meta-analysis of sutures coated with triclosan for the prevention of surgical site infection after elective colorectal surgery according to the PRISMA statement. <em>Medicine<\/em>. 2016;95:35(e4057). 9. Wang ZX, Jiang CP, Cao Y, et al. Systematic review and meta-analysis of triclosan-coated sutures for the prevention of surgical-site infection. <em>Brit J Surg <\/em>2013;100:465473. 10. Wu X, Kubilay NZ, Ren J, et al. Antimicrobial-coated sutures to decrease surgical site infections: a systematic review and meta-analysis. <em>E<\/em><em>u<\/em><em>r<\/em> <em>J<\/em> <em>Cli<\/em><em>n<\/em> <em>Mic<\/em><em>r<\/em><em>obio<\/em><em>l<\/em> <em>In<\/em><em>f<\/em><em>e<\/em><em>c<\/em><em>t<\/em> <em>Dis<\/em>. 2016. DOI: 10.1007\/s10096-016-2765-y. \u00a011. de Jonge SW, Atema JJ, Solomkin JS, Boermeester MA. <\/span><span style=\"font-size: 8pt;\">Meta-analysis and trial sequential analysis of triclosan-coated sutures for the prevention of surgical site infection. <em>Brit J Surg. <\/em>2017;ePub-DOI: 10.1002\/bjs.10445.<\/span><\/li>\n<\/ol>\n<p><strong>Gu\u00eda de referencias cruzadas<\/strong><\/p>\n<p><strong>Ensayos controlados aleatorios (RCTs) evaluados en uno o m\u00e1s meta-an\u00e1lisis publicados<\/strong><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-6180 size-full\" src=\"https:\/\/arkanum.com.mx\/contenido\/uploads\/2021\/06\/analisis.jpg\" alt=\"\" width=\"913\" height=\"553\" srcset=\"https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/analisis.jpg 913w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/analisis-300x182.jpg 300w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/analisis-768x465.jpg 768w\" sizes=\"(max-width: 913px) 100vw, 913px\" \/><\/p>\n<p>Referencias<\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 8pt;\"><strong>1.<\/strong>Defazio A, Datta M, Nezhat C. Does the use of Vicryl\u2122 Plus antibacterial suture decrease the incidence of umbilical infection when compared to Vicryl\u2122 suture? <em>Fertil Steril. <\/em>2005;84(suppl 1):S161. <strong>2.<\/strong> Ford HR, Jones P, Gaines B, et al. Intraoperative handling and wound healing: controlled clinical trial comparing coated VICRYL\u00ae Plus antibacterial suture (coated polyglactin 910 suture with triclosan) with coated VICRYL\u00ae suture (coated polyglactin 910 suture). <em>Surg Infect (Larchmt). <\/em>2005;6(3):31321. <strong>3.<\/strong> Rozzelle CJ, Leonardo J, Li V. Antimicrobial suture wound closure for cerebrospinal fluid shunt surgery: a prospective, double-blinded, randomized controlled trial. <em>J<\/em> <em>N<\/em><em>eu<\/em><em>r<\/em><em>o<\/em><em>su<\/em><em>r<\/em><em>g<\/em> <em>P<\/em><em>edi<\/em><em>a<\/em><em>t<\/em><em>r<\/em><em>.<\/em> 2008;2(2):1117. <strong>4.<\/strong> Deliaert AE, Van den Kerckhove E, Tuinder S, et al. The effect of triclosan-coated sutures in wound healing. A double blind randomised prospective pilot study. <em>J Plast Reconstr Aesthet Surg. <\/em>2009; 62(6):7713. <strong>5.<\/strong> Mingmalairak C, Ungbhakorn P, Paocharoen V. Eicacy of antimicrobial coating suture coated polyglactin 910 with tricosan (Vicryl plus) compared with polyglactin 910 (Vicryl) in reduced surgical site infection of appendicitis, double blind randomized control trial, preliminary safety report. <em>J<\/em> <em>M<\/em><em>e<\/em><em>d<\/em> <em>A<\/em><em>sso<\/em><em>c<\/em> <em>Thai<\/em><em>.<\/em> 2009; 92(6): 7705. <strong>6. <\/strong><\/span><span style=\"font-size: 8pt;\">Zhuang CP, Cai GY, Wang YQ. Comparison of two absorbable sutures in abdominal wall incision. <em>J Clin Rehab Tissue Eng Res. <\/em>2009;13:40458. <strong>7.<\/strong> Singh H, Emmert MY, Sakaguchi H, et al. Antibacterial suture reduces surgical site infections in coronary artery bypass grafting. <em>Heart Surg Forum<\/em>. 2010;13:S85. <strong>8.<\/strong> Baracs J, Husz\u00e1r O, Sajjadi SG, et al. Surgical site infections after abdominal closure in colorectal surgery using triclosan-coated absorbable suture (PDS Plus) vs. uncoated sutures (PDS II): a randomized multicenter study. <em>Surg <\/em><em>In<\/em><em>f<\/em><em>e<\/em><em>c<\/em><em>t<\/em> <em>(<\/em><em>L<\/em><em>a<\/em><em>r<\/em><em>ch<\/em><em>m<\/em><em>t<\/em><em>)<\/em>. 2011;12(6):4839. <strong>9.<\/strong> Chen SY, Chen TM, et al. Do antibacterial-coated sutures reduce wound infection in head and neck cancer reconstruction? <em>E<\/em><em>u<\/em><em>r<\/em> <em>J<\/em> <em>Su<\/em><em>r<\/em><em>g<\/em> <em>On<\/em><em>c<\/em><em>ol<\/em><em>.<\/em> 2011; 37: 300-304. <strong>10.<\/strong> Galal I, El-Hindawy K. Impact of using triclosan-antibacterial sutures on incidence of surgical site infection. <em>Am J Surg. <\/em>2011; 202(2):1338 <strong>11.<\/strong> Khachatryan N, Dibirov M, Omelyanovsky V, et al. Prevention of postoperative infections in abdominal surgery using reabsorbable suture with antibacterial activity (Vicryl Plus) versus reabsorbable sutures. <em>Surg Infect (Larchmt). <\/em>2011;12(2):A134. <strong>12.<\/strong> Mattavelli I, Nespoli L, Alieri S, et al. Triclosan-coated suture to reduce surgical site infection after colorectal surgery. <em>Surg Infect (Larchmt).<\/em> 2011;12(2):A145. <strong>13.<\/strong> Ra\u0161ic Z, Schwarz D, Adam VN, et al. Eicacy of antimicrobial triclosan-coated polyglactin 910 (Vicryl* Plus) suture for closure of the abdominal wall after colorectal surgery. <em>Coll Antropol. <\/em>2011; 35(2):43943. <strong>14.<\/strong> Williams N, Sweetland H, Goyal S, et al. Randomized trial of antimicrobial-coated sutures to prevent surgical site infection after breast cancer surgery. <em>Surg Infect (Larchmt). <\/em>2011;12(6):46974. <strong>15.<\/strong> Zhang ZT, Zhang HW, Fang XD, et al. Cosmetic outcome and surgical site infection rates of antibacterial absorbable (Polyglactin 910) suture compared to Chinese silk suture in breast cancer surgery: a randomized pilot research. <em>Chin Med<\/em> <em>J (Engl).<\/em> 2011;124(5):71924. <strong>16.<\/strong> Isik I, Selimen D, Senay S, et al. Eiciency of antibacterial suture material in cardiac surgery: a double-blind randomized prospective study. <em>Heart Surg Forum. <\/em>2012;15(1):E405. <strong>17.<\/strong> Seim BE, T\u00f8nnessena T, Woldbaek PR. Triclosan-coated sutures do not reduce leg wound infections after coronary artery bypass grafting. <em>Interact Cardiovasc Thorac Surg. <\/em>2012;15(3):4115. <strong>18.<\/strong> Turtiainen J, Saimanen EI, Makinen KT, et al. Eect of triclosan-coated sutures on the incidence of surgical wound infection after lower limb revascularization surgery: a randomized controlled trial. <em>World J Surg.<\/em> 2012;36(10):252834. <strong>19.<\/strong> Justinger C, Slotta JE, Ningel S, et al. Surgical-site infection after abdominal wall closure with triclosan-impregnated polydioxanone sutures: results of a randomized clinical pathway facilitated trial (NCT00998907). <em>Surgery<\/em>. 2013;154(3):58995. <strong>20.<\/strong> Nakamura T, Kashimura N, Noji T, et al. Triclosan-coated sutures reduce the incidence of wound infections and the costs after colorectal surgery: a randomized controlled trial. <em>Surgery<\/em>. 2013;153(4):57683. <strong>21.<\/strong> Thimour-Bergstr\u00f6m L, Roman-Emanuel C, Scherst\u00e9n H, et al. Triclosan-coated sutures reduce surgical site infection after open vein harvesting in coronary artery bypass grafting patients: a randomized controlled trial. <em>Eur J Cardiothorac Surg.<\/em> 2013;44(5):9318.<strong> 22.<\/strong> Yam JM, Orlina EA. Effectiveness of antimicrobial sutures in preventing surgical site infection in clean-contaminated wounds \u2013 a preliminary study. <em>Surg Infect (Larchmt). <\/em>2013;14: S29. <strong>23.<\/strong> Arslan N, Terzi C, Atasoy G, et al. Effect of triclosan coated sutures on surgical site infection rate in pilonidal sinus disease: single-blinded randomized trial. <\/span><span style=\"font-size: 8pt;\"><em>Dis<\/em> <em>Colon<\/em> <em>Rectum.<\/em> 2014; 57: e255. <strong>24.<\/strong> Diener MK, Knebel P, Kieser M, et al. Eectiveness of triclosan-coated PDS Plus versus uncoated PDS II sutures for prevention of surgical site <\/span><span style=\"font-size: 8pt;\">infection after abdominal wall closure: the randomised controlled PROUD trial. <em>Lancet. <\/em>2014;384(9938):14252.<\/span><\/p>\n<h1><span style=\"font-size: 12pt;\">Impacto Econ\u00f3mico de las Suturas Recubiertas con Triclos\u00e1n<\/span><\/h1>\n<p style=\"text-align: justify;\">Al tratar un factor de riesgo conocido para la infecci\u00f3n del sitio quir\u00fargico (SSI), las suturas antibacterianas Plus pueden proporcionar un ahorro de costos para los sistemas de salud y los pacientes.<\/p>\n<p style=\"text-align: justify;\">La Organizaci\u00f3n Mundial de la Salud (OMS) Directrices mundiales para la prevenci\u00f3n de infecciones quir\u00fargicas:<\/p>\n<p style=\"text-align: justify;\"><em>El uso de suturas recubiertas de antimicrobianos podr\u00eda aumentar el costo por <\/em><em>pacien<\/em><em>t<\/em><em>e<\/em><em>,<\/em> <em>per<\/em><em>o<\/em> <em>podr\u00eda<\/em> <em>r<\/em><em>educir<\/em> <em>la<\/em> <em>dur<\/em><em>aci\u00f3n<\/em> <em>media<\/em> <em>de<\/em> <em>la<\/em> <em>e<\/em><em>s<\/em><em>tancia<\/em> <em>ho<\/em><em>s<\/em><em>pitalaria<\/em> <em>y<\/em> <em>r<\/em><em>educir <\/em><em>los potenciales costos al sistema de salud, ya que evita el riesgo de SSI.<\/em><em>\u201d<\/em><em><sup>1-3<\/sup><\/em><em>\u00a0<\/em><\/p>\n<h4>AN\u00c1LISIS DEL POTENCIAL IMPACTO ECON\u00d3MICO SOBRE EL USO DE SUTURAS RECUBIERTAS DE TRICLOS\u00c1N<\/h4>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-6181 size-full\" src=\"https:\/\/arkanum.com.mx\/contenido\/uploads\/2021\/06\/estudios.jpg\" alt=\"\" width=\"716\" height=\"537\" srcset=\"https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/estudios.jpg 716w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/estudios-300x225.jpg 300w\" sizes=\"(max-width: 716px) 100vw, 716px\" \/><\/p>\n<p><strong>Referencias<\/strong><\/p>\n<ol>\n<li style=\"text-align: justify;\"><span style=\"font-size: 8pt;\">Galal I, El-Hindawy Impact of using triclosan-antibacterial sutures on incidence of surgical site infection. <em>Am J Surg. <\/em>2011;202(2):133-8. 2. Nakamura T, Kashimura N, Noji T, Suzuki O, Ambo Y, Nakamura F, et al. Triclosan-coated sutures reduce the incidence of wound infections and the costs after colorectal surgery: a randomized controlled trial. <em>Surgery. <\/em>2013;153(4):576-83. 3. Fleck T, Moidl R, Blacky A, Fleck M, Wolner E, Grabenwoger M, et al. Triclosan-coated sutures for the reduction of sternal wound infections: economic considerations. <em>Ann Thorac Surg. <\/em>2007;84(1):232-6.<\/span><\/li>\n<\/ol>\n<h1><span style=\"font-size: 12pt;\">Datos sobre Triclos\u00e1n &#8211; El agente antibacteriano utilizado en las suturas antibacterianas Plus<\/span><\/h1>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-6158 size-large\" src=\"https:\/\/arkanum.com.mx\/contenido\/uploads\/2021\/06\/suturas_plus-1024x238.jpg\" alt=\"\" width=\"1020\" height=\"237\" srcset=\"https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/suturas_plus-1024x238.jpg 1024w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/suturas_plus-300x70.jpg 300w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/suturas_plus-768x178.jpg 768w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/suturas_plus.jpg 1202w\" sizes=\"(max-width: 1020px) 100vw, 1020px\" \/><\/p>\n<h3>El Triclos\u00e1n tiene un perfil de seguridad ampliamente documentado<\/h3>\n<ul>\n<li>Estudios de toxicidad del triclos\u00e1n no han encontrado evidencia de\u00b9:<\/li>\n<\/ul>\n<p>&#8211; Toxicidad cr\u00f3nica\u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u2013 Carcinogenicidad\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2013 Reprotoxicidad<\/p>\n<p>&#8211; Inmunotoxicidad\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u2013 Citotoxicidad\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u2013 Reactividad intracut\u00e1nea<\/p>\n<p>&#8211; Pirogenicidad inducida por material<\/p>\n<ul>\n<li>No se ha demostrado que Triclos\u00e1n promueva la resistencia bacteriana\u00b2<\/li>\n<\/ul>\n<p>La exposici\u00f3n al triclos\u00e1n por sutura es m\u00ednima comparada con la exposici\u00f3n a trav\u00e9s de productos para el cuidado personal<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-6159 size-large\" src=\"https:\/\/arkanum.com.mx\/contenido\/uploads\/2021\/06\/suturas_grafica-1024x377.jpg\" alt=\"\" width=\"1020\" height=\"376\" srcset=\"https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/suturas_grafica-1024x377.jpg 1024w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/suturas_grafica-300x110.jpg 300w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/suturas_grafica-768x283.jpg 768w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/suturas_grafica.jpg 1204w\" sizes=\"(max-width: 1020px) 100vw, 1020px\" \/><\/p>\n<p><strong>Se ha demostrado que el triclos\u00e1n in vitro inhibe la colonizaci\u00f3n bacteriana de la sutura durante 7 d\u00edas o m\u00e1s, incluyendo bacterias normalmente asociadas con la infecci\u00f3n del sitio quir\u00fargico (SSI)7-9:<\/strong><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-6161 \" src=\"https:\/\/arkanum.com.mx\/contenido\/uploads\/2021\/06\/epidermis.jpg\" alt=\"\" width=\"698\" height=\"413\" srcset=\"https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/epidermis.jpg 902w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/epidermis-300x178.jpg 300w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/epidermis-768x455.jpg 768w\" sizes=\"(max-width: 698px) 100vw, 698px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>*Solamente Sutura MONOCRYL\u00ae Plus Antibacterial (poliglecaprone 25) y Sutura PDS\u00ae Plus Antibacterial (polidioxanona)<\/p>\n<p><strong>Referencias<\/strong><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 8pt;\"><strong>1.<\/strong>Barbolt TA. Chemistry and safety of triclosan, and its use as an antimicrobial coating on Coated Vicryl Plus Antibacterial Suture (coated polyglactin 910 suture with triclosan). <em>Surg Infect (Larchmt). <\/em>2002;3(suppl):S45-S53. <strong>2.<\/strong> Goodfellow G, Lee-Brotherton V, Daniels J, et al. CANTOX Health Sciences International\u2013Antibacterial Resistance and Triclosan Poster, 2003. Data on File, Ethicon, Inc.<strong> 3.<\/strong> Navarro LE, Plautz JR. Human Health Risk Assessment for Triclosan Antimicrobial Active in Personal Care Products. 2009. Ethicon, Inc. <strong>4.<\/strong> Barbolt TA to Scalzo H. Biocompatibility risk assessment for Coated Vicryl Plus Antibacterial (polyglactin 910) Suture\u2014Phase II (472 \u00b5g\/m)\u2014Updated. February 26, 2006. Ethicon, Inc. <strong>5.<\/strong> Barbolt TA to Scalzo H. Biocompatibility risk assessment for PDS Plus Antibacterial (polydioxanone) Suture. November 5, 2007 Ethicon, Inc. <strong>6.<\/strong> Barbolt TA to Scalzo H. Biocompatibility risk assessment for MONOCRYL Plus Antibacterial (poliglecaprone 25) Suture. March 29, 2005. Ethicon, Inc.<strong> 7.<\/strong> Ming X, Rothenburger S, Yang D. In vitro antibacterial efficacy of Monocryl Plus Antibacterial Suture (poligelcaprone 25 with triclosan). <em>Sur<\/em><em>g<\/em> <em>Inf<\/em><em>ec<\/em><em>t<\/em> <em>(L<\/em><em>ar<\/em><em>chm<\/em><em>t<\/em><em>).<\/em> 2007;8(2):201-207. <strong>8.<\/strong> Rothenburger S, Spangler D, Bhende S, Burkley D. In vitro antimicrobial evaluation of coated Vicryl Plus Antibacterial Suture (coated polyglactin 910 with triclosan) using zone of inhibition assays. <em>Surg Infect (Larchmt). <\/em>2002;3(suppl):S79-S87. <strong>9.<\/strong> Ming X, Rothenburger S, Nichols MM. In vivo and in vitro antibacterial efficacy of PDS Plus (polidioxanone with triclosan) suture. <em>Sur<\/em><em>g<\/em> <em>Inf<\/em><em>ec<\/em><em>t<\/em> <em>(L<\/em><em>ar<\/em><em>chm<\/em><em>t<\/em><em>). <\/em>2008;9(4):451-457.<\/span><\/p>\n<p><strong>Sutura Recubierta VICRYL\u00ae Plus Antibacteriana (poliglactina 910)<\/strong><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-6162 size-full\" src=\"https:\/\/arkanum.com.mx\/contenido\/uploads\/2021\/06\/irgacare.jpg\" alt=\"\" width=\"922\" height=\"373\" srcset=\"https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/irgacare.jpg 922w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/irgacare-300x121.jpg 300w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/irgacare-768x311.jpg 768w\" sizes=\"(max-width: 922px) 100vw, 922px\" \/><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-6165 size-full\" src=\"https:\/\/arkanum.com.mx\/contenido\/uploads\/2021\/06\/vicryl.jpg\" alt=\"\" width=\"907\" height=\"375\" srcset=\"https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/vicryl.jpg 907w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/vicryl-300x124.jpg 300w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/vicryl-768x318.jpg 768w\" sizes=\"(max-width: 907px) 100vw, 907px\" \/><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-6164 size-full\" src=\"https:\/\/arkanum.com.mx\/contenido\/uploads\/2021\/06\/vicryl_2.jpg\" alt=\"\" width=\"915\" height=\"329\" srcset=\"https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/vicryl_2.jpg 915w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/vicryl_2-300x108.jpg 300w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/vicryl_2-768x276.jpg 768w\" sizes=\"(max-width: 915px) 100vw, 915px\" \/><\/p>\n<p><strong>Sutura MONOCRYL\u00ae Plus Antibacteriana (poliglecaprona 25)<\/strong><\/p>\n<h3>Fuerte y suave, adem\u00e1s de un efecto antibacteriano<\/h3>\n<p style=\"text-align: justify;\">La Sutura MONOCRYL Plus es una sutura sint\u00e9tica absorbible de monofilamento que ofrece una alta resistencia inicial a la rotura m\u00e1s un paso suave del tejido,<sup>1,2<\/sup> dise\u00f1ada para mantener la aproximaci\u00f3n de la herida durante los primeros d\u00edas cr\u00edticos de curaci\u00f3n.<\/p>\n<p style=\"text-align: justify;\">La sutura MONOCRYL Plus est\u00e1 impregnada con IRGACARE\u00ae MP* (triclos\u00e1n), lo que la hace activa contra m\u00e1s cepas bacterianas que la sutura multifilamento VICRYL\u00ae Plus Antibacterial (poliglactina 910).<sup>3<\/sup><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-6167 size-full\" src=\"https:\/\/arkanum.com.mx\/contenido\/uploads\/2021\/06\/monocryl.jpg\" alt=\"\" width=\"926\" height=\"463\" srcset=\"https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/monocryl.jpg 926w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/monocryl-300x150.jpg 300w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/monocryl-768x384.jpg 768w\" sizes=\"(max-width: 926px) 100vw, 926px\" \/><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-6166 size-full\" src=\"https:\/\/arkanum.com.mx\/contenido\/uploads\/2021\/06\/monocryl_2.jpg\" alt=\"\" width=\"1003\" height=\"325\" srcset=\"https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/monocryl_2.jpg 1003w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/monocryl_2-300x97.jpg 300w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/monocryl_2-768x249.jpg 768w\" sizes=\"(max-width: 1003px) 100vw, 1003px\" \/><\/p>\n<p>*Marca de BASF SE<\/p>\n<p><strong>Referencia<\/strong><\/p>\n<ol>\n<li style=\"text-align: justify;\"><span style=\"font-size: 8pt;\">MONOCRYL\u00ae Plus Antibacterial (poliglecaprone 25) Suture, Instructions for Somerville, NJ. Ethicon, Inc.<\/span><\/li>\n<li style=\"text-align: justify;\"><span style=\"font-size: 8pt;\">Ethicon Wound Closure Manual, 2007.<\/span><\/li>\n<li style=\"text-align: justify;\"><span style=\"font-size: 8pt;\">Ming X, Rothenburger S, Yang D. In vitro antibacterial efficacy of Monocryl Plus Antibacterial Suture (poligelcaprone 25 with triclosan). <em>Surg Infect (Larchmt). <\/em>2007;8(2):201-207.<\/span><\/li>\n<\/ol>\n<p style=\"text-align: justify;\"><strong><span style=\"font-size: 12pt;\">Sutura PDS\u00ae Plus Antibacteriana (polidioxanona)<\/span><\/strong><br \/>\n<strong><span style=\"font-size: 12pt;\">Cierre seguro con un plus<\/span><\/strong><br \/>\nCiertos procedimientos requieren suturas que proporcionan una mayor resistencia a los tejidos de lenta cicatrizaci\u00f3n. La Sutura PDS Plus es una sutura monofilamento sint\u00e9tico absorbible a largo plazo dise\u00f1ada para proporcionar apoyo durante todo el proceso de curaci\u00f3n, reteniendo el 60% de su fuerza original despu\u00e9s de 6 semanas.\u00b9 La adici\u00f3n de IRGACARE\u00ae MP* (triclos\u00e1n) proporciona un beneficio adicional en estos procedimientos.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-6170 size-full\" src=\"https:\/\/arkanum.com.mx\/contenido\/uploads\/2021\/06\/pds_plus.jpg\" alt=\"\" width=\"924\" height=\"537\" srcset=\"https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/pds_plus.jpg 924w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/pds_plus-300x174.jpg 300w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/pds_plus-768x446.jpg 768w\" sizes=\"(max-width: 924px) 100vw, 924px\" \/><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-6169 size-full\" src=\"https:\/\/arkanum.com.mx\/contenido\/uploads\/2021\/06\/pds_plus_2.jpg\" alt=\"\" width=\"915\" height=\"334\" srcset=\"https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/pds_plus_2.jpg 915w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/pds_plus_2-300x110.jpg 300w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/pds_plus_2-768x280.jpg 768w\" sizes=\"(max-width: 915px) 100vw, 915px\" \/><\/p>\n<p>* Marca de BASF SE<\/p>\n<p><strong>Referencia<\/strong><\/p>\n<ol>\n<li><span style=\"font-size: 8pt;\">PDS\u00ae Plus Antibacterial (polydioxanone) Suture, Instructions for Somerville, NJ. Ethicon, Inc.<\/span><\/li>\n<li><span style=\"font-size: 8pt;\">Ming\u00a0X,\u00a0Rothenburger\u00a0S,\u00a0Nichols\u00a0MM.\u00a0In\u00a0vivo\u00a0and\u00a0in\u00a0vitro\u00a0antibacterial\u00a0efficacy\u00a0of\u00a0PDS\u00a0Plus\u00a0(polidioxanone\u00a0with\u00a0triclosan)\u00a0suture.\u00a0<em>Surg\u00a0Infect\u00a0(Larchmt).\u00a0<\/em>2008;9(4):451-457.\u00a0<\/span><\/li>\n<\/ol>\n<p><strong>Dispositivo de Control de Tejido sin Nudos STRATAFIX\u2122 Plus con Tecnolog\u00eda Antibacteriana<\/strong><\/p>\n<p style=\"text-align: justify;\">La \u00fanica sutura de p\u00faas con protecci\u00f3n antibacteriana, en una combinaci\u00f3n de dise\u00f1os de anclaje y pol\u00edmeros para una m\u00e1xima versatilidad<\/p>\n<p style=\"text-align: justify;\">Con un n\u00famero significativamente mayor de puntos de fijaci\u00f3n que las suturas tradicionales, los dispositivos de control de tejidos sin nudos STRATAFIX proporcionan m\u00e1s seguridad, m\u00e1s consistencia y m\u00e1s eficacia<sup>1-10<\/sup><\/p>\n<h3>Dispositivo de Control de Tejido sin Nudos STRATAFIX\u2122 Plus<\/h3>\n<p>El \u00fanico dispositivo de control de tejidos sin nudos apropiado para cerrar \u00e1reas de alta tensi\u00f3n, como la fascia<sup>6,8,11-14<\/sup><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-6171 size-full\" src=\"https:\/\/arkanum.com.mx\/contenido\/uploads\/2021\/06\/strata.jpg\" alt=\"\" width=\"1058\" height=\"401\" srcset=\"https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/strata.jpg 1058w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/strata-300x114.jpg 300w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/strata-1024x388.jpg 1024w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/strata-768x291.jpg 768w\" sizes=\"(max-width: 1058px) 100vw, 1058px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-6173 size-full\" src=\"https:\/\/arkanum.com.mx\/contenido\/uploads\/2021\/06\/strata_2.jpg\" alt=\"\" width=\"1141\" height=\"561\" srcset=\"https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/strata_2.jpg 1141w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/strata_2-300x148.jpg 300w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/strata_2-1024x503.jpg 1024w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/strata_2-768x378.jpg 768w\" sizes=\"(max-width: 1141px) 100vw, 1141px\" \/><\/p>\n<p>&nbsp;<\/p>\n<h3><span style=\"font-size: 12pt;\">Dispositivo de Control de Tejido sin Nudos STRATAFIX\u2122 Spiral PDS\u2122 Plus<\/span><\/h3>\n<p><strong>Dispositivo de Control de Tejido sin Nudos STRATAFIX\u2122 Spiral MONOCRYL\u2122 Plus<\/strong><\/p>\n<p>La comodidad de un cierre sin nudos y el deslizamiento suave de la sutura tradicional<sup>1-7<\/sup><\/p>\n<p>&nbsp;<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-6174 size-full\" src=\"https:\/\/arkanum.com.mx\/contenido\/uploads\/2021\/06\/strata_spiral.jpg\" alt=\"\" width=\"984\" height=\"353\" srcset=\"https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/strata_spiral.jpg 984w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/strata_spiral-300x108.jpg 300w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/strata_spiral-768x276.jpg 768w\" sizes=\"(max-width: 984px) 100vw, 984px\" \/><\/p>\n<p><strong>Los dispositivos espirales STRATAFIX ofrecen a los cirujanos una combinaci\u00f3n \u00fanica de beneficios<\/strong><\/p>\n<p>Tecnolog\u00eda Antibacteriana Plus<\/p>\n<p>Se ha demostrado in vitro que inhibe una amplia gama de bacterias grampositivas y gramnegativas, incluidas las bacterias com\u00fanmente asociadas con la infecci\u00f3n del sitio quir\u00fargico (SSI)16,17<\/p>\n<p>Suavidad y comodidad en el paso de los tejidos<\/p>\n<ul>\n<li>Los anclajes colapsan en el dispositivo, facilitando el paso de los tejidos antes de volver a la posici\u00f3n original<\/li>\n<li>Dise\u00f1ado para ser utilizado en un patr\u00f3n de sutura continua, lo que permite un r\u00e1pido aprendizaje y dominio<\/li>\n<li>Elimina el atado de nudos, los clips y las engrapadoras<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-6175 size-full\" src=\"https:\/\/arkanum.com.mx\/contenido\/uploads\/2021\/06\/placa_petri.jpg\" alt=\"\" width=\"348\" height=\"418\" srcset=\"https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/placa_petri.jpg 348w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/placa_petri-250x300.jpg 250w\" sizes=\"(max-width: 348px) 100vw, 348px\" \/><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 8pt;\">Referencia : 1. Moran ME, Marsh C, Perrotti M. Bidirectional-barbed sutured knotless running anastomosis v classic Van Velthoven suturing in a model system. <em>J<\/em> <em>Endou<\/em><em>r<\/em><em>ol<\/em>. 2007;21(10):1175-1178. 2. Vakil JJ, O&#8217;Reilly MP, Sutter EG, Mears SC, Belko SM, Khanuja HS. Knee arthrotomy repair with a continuous barbed suture: a biomechanical study. <em>J<\/em> <em>A<\/em><em>r<\/em><em>th<\/em><em>r<\/em><em>opl<\/em><em>a<\/em><em>s<\/em><em>t<\/em><em>y<\/em>. 2011;26(5):710-713. 3. Eickmann T, Quane E. Total knee arthroplasty closure with barbed sutures. <em>J<\/em> <em>Knee<\/em> <em>Surg.<\/em> 2010;23(3):163-167. 4. Einarsson JI, Chavan NR, Suzuki Y, Jonsdottir G, Vellinga TT, Greenberg JA. Use of bidirectional barbed suture in laparoscopic myomectomy: evaluation of perioperative outcomes, safety, and efficacy. <em>J Minim Invasive Gynecol. <\/em>2011;18(1):92-95. 5. Levine BR, Ting N, Della Valle CJ. Use of a barbed suture in the closure of hip and knee arthroplasty wounds. <em>Orthopedics<\/em>. 2011;34(9):e473-e475. doi: 10.3928\/01477447-20110714-35. 6. 100326296: Time Zero Tissue Holding &#8211; Competitive Claims Comparisons for STRATAFIX Knotless Tissue Control Devices vs Various Products. 2015. Ethicon, Inc. 7. Ethicon study AST-2012-0331. Tissue gapping under tension of porcine cadaveric skin incisions closed with Stratafix Spiral in comparison to Monocryl in both interrupted and continuous stitching patterns. Approved on August 24, 2012. Ethicon, Inc. 8. Performance Testing of STRATAFIX SYMMETRIC PDS PLUS Size 0 &amp; 1 Devices \u2013 Initiation Strength in Porcine Tissue. AST-2013-0603. Ethicon. Inc. 9. Ethicon Performance Evaluation Memo AST-2012-0510. Performance Testing of STRATAFIX Symmetric Size 2-0 suture device for Tissue Holding Strength with an Incision Defect to Measure Gapping. Dated December 3, 2012. Ethicon, Inc. 10. AST-2013-0056 Performance Testing of STRATAFIX Symmetric PDS Size2-0 suture device for Tissue Holding Strength with Multiple Incision Defects to Measure Gapping. Ethicon, Inc. 11. Ethicon study AST-2011-0210. Study to evaluate the tissue holding performance at time zero of DOLFIN PDS PLUS barbed suture sizes 1 and 2-0 vs dyed PDS II Plus suture sizes 1 and 2-0 in a continuous stitch pattern\u2013Project DOLFIN 11822, version 1. Approved on July 15, 2011. Ethicon, Inc. Ethicon study AST-2011-0341. Performance testing of DOLFIN PDS PLUS size 3-0 suture\u2013tissue holding 10 cm incision. Approved on August 22, 2011. Ethicon, Inc. 13. Ethicon study PSE 09-0204, project number 11822. Exploratory histological and biomechanical evaluation of DOLFIN following closure of the ventral abdominal wall in a porcine model at 7\u00b11 days. Approved on July 7, 2010. Ethicon, Inc. 14. Ethicon study PSE 10-0012, project number 11822. Model development: histological and biomechanical evaluation of 3-0 DOLFIN barbed suture prototypes, 3-0 Quill suture, and 3-0 V-loc suture at 7\u00b11 days following closure of the ventral abdominal wall in a rabbit model. Approved on August 8, 2011. Ethicon, Inc. 15. Technical Memo. STRATAFIX Symmetric PDS Plus \u2013 Mass of Size 1 Fixation Tab vs. Size 1 PDS Suture Knot Tower. 10-31-2012. Ethicon, Inc. 16. Ming X, Rothenburger S, Nichols MM. In vivo and in vitro antibacterial efficacy of PDS Plus (polidioxanone with triclosan) suture. <em>Su<\/em><em>r<\/em><em>g<\/em> <em>In<\/em><em>f<\/em><em>ec<\/em><em>t<\/em> <em>(<\/em><em>L<\/em><em>a<\/em><em>r<\/em><em>ch<\/em><em>m<\/em><em>t<\/em><em>)<\/em><em>.<\/em> 2008;9(4):451-457. 17. Ming X, Rothenburger S, Yang D. In vitro antibacterial efficacy of Monocryl Plus Antibacterial Suture (poligelcaprone 25 with triclosan). <em>Su<\/em><em>r<\/em><em>g<\/em> <em>In<\/em><em>f<\/em><em>ec<\/em><em>t<\/em> <em>(<\/em><em>L<\/em><em>a<\/em><em>r<\/em><em>ch<\/em><em>m<\/em><em>t<\/em><em>)<\/em><em>.<\/em> 2007;8(2):201-207.<\/span><\/p>\n<p><strong>Especificaciones del Producto<\/strong><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-6176 size-full\" src=\"https:\/\/arkanum.com.mx\/contenido\/uploads\/2021\/06\/especificaciones.jpg\" alt=\"\" width=\"859\" height=\"567\" srcset=\"https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/especificaciones.jpg 859w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/especificaciones-300x198.jpg 300w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/especificaciones-768x507.jpg 768w\" sizes=\"(max-width: 859px) 100vw, 859px\" \/><\/p>\n<p><strong>Referencias<\/strong><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 8pt;\">MONOCRYL\u00ae Plus Antibacterial (poliglecaprone 25) Suture, Instructions for Use. Somerville, NJ. Ethicon, Inc. 2. Coated VICRYL\u00ae Plus Antibacterial (polyglactin 910) Suture, Instructions for Use. Somerville, NJ. Ethicon, Inc. 3. PDS\u00ae Plus Antibacterial (polydioxanone) Suture, Instructions for Use. Somerville, NJ. Ethicon, Inc. 4. Ming X, Rothenburger S, Yang D. In vitro antibacterial efficacy of Monocryl Plus Antibacterial Suture (poligelcaprone 25 with triclosan). <em>Sur<\/em><em>g<\/em> <em>Inf<\/em><em>ec<\/em><em>t<\/em> <em>(L<\/em><em>ar<\/em><em>chm<\/em><em>t<\/em><em>).<\/em> 2007;8(2):201-207. 5. Rothenburger S, Spangler D, Bhende S, Burkley D. In vitro antimicrobial evaluation of coated Vicryl Plus Antibacterial Suture (coated polyglactin 910 with triclosan) using zone of inhibition assays. <em>Surg Infect (L<\/em><em>ar<\/em><em>chm<\/em><em>t<\/em><em>).<\/em> 2002;3(suppl):S79-S87. 6. Ming X, Rothenburger S, Nichols MM. In vivo and in vitro antibacterial efficacy of PDS Plus (polidioxanone with triclosan) suture. <em>Sur<\/em><em>g<\/em> <em>Inf<\/em><em>ec<\/em><em>t <\/em><em>(Larchmt).\u00a0<\/em>2008;9(4):451-457.\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Especificaciones del Producto<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-6177 size-full\" src=\"https:\/\/arkanum.com.mx\/contenido\/uploads\/2021\/06\/especificaciones_2.jpg\" alt=\"\" width=\"940\" height=\"604\" srcset=\"https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/especificaciones_2.jpg 940w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/especificaciones_2-300x193.jpg 300w, https:\/\/arkanum.com.mx\/wp-content\/uploads\/2021\/06\/especificaciones_2-768x493.jpg 768w\" sizes=\"(max-width: 940px) 100vw, 940px\" \/><\/p>\n<p>&nbsp;<\/p>\n<h4>Para indicaciones completas, contraindicaciones, advertencias, precauciones y reacciones adversas, consulte el prospecto completo.<\/h4>\n<p>Contenido destinado a profesionales de la salud<\/p>\n<p>Johnson &amp; Johnson de M\u00e9xico, S.A. Blvd. Adolfo Ru\u00edz Cortines #3720, Torre 1 &#8211; Piso 3, Col. Jardines del Pedegral, C.P. 01900, Del \u00c1lvaro Obreg\u00f3n, CDMX. Johnson &amp; Johnson de M\u00e9xico, S.A. de C.V., 2020.<\/p>\n<p>135389-200324 (C)Johnson &amp; Johnson de M\u00e9xico, S.A. de C.V., 2020<\/p>\n<p>Registros Sanitarios en Mexico: 0165C2016 SSA, 0440C2017 SSA, 0303C2017 SSA, 0942C2007 SSA, 0834C2003 SSA, 1118C2009 SSA<\/p>\n<p><strong>Referencias:<\/strong><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 8pt;\"><strong>1.<\/strong> STRATAFIX\u2122 Symmetric PDS\u2122 Plus Knotless Tissue Control Device, Instructions for Use. Somerville, NJ; Ethicon, Inc.<strong> 2.<\/strong> STRATAFIX\u2122 Spiral PDS\u2122 Plus Knotless Tissue Control Device, Instructions for Use. Somerville, NJ; Ethicon, Inc. <strong>3.<\/strong> STRATAFIX\u2122 Spiral MONOCRYL\u2122 Plus Knotless Tissue Control Device. Instructions for Use. Somerville, NJ; Ethicon, Inc. <strong>4.<\/strong> Ming X, Rothenburger S, Nichols In vivo and in vitro antibacterial efficacy of PDS Plus (polidioxanone with triclosan) suture. <em>Sur<\/em><em>g<\/em> <em>Inf<\/em><em>ec<\/em><em>t<\/em> <em>(L<\/em><em>ar<\/em><em>chm<\/em><em>t<\/em><em>).<\/em> 2008;9(4):451-457. <strong>5.<\/strong> Ming X, Rothenburger S, Yang D. In vitro antibacterial efficacy of Monocryl Plus Antibacterial Suture (poligelcaprone 25 with triclosan). <em>Sur<\/em><em>g<\/em> <em>Inf<\/em><em>ec<\/em><em>t<\/em> <em>(L<\/em><em>ar<\/em><em>chm<\/em><em>t<\/em><em>).<\/em> 2007;8(2):201-207.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Lineamientos para la Prevenci\u00f3n de Infecciones Recientes en el Sitio Quir\u00fargico (SSI) . Recientemente, Tres Autoridades Sanitarias Mundialmente Reconocidas han Agregado a sus Gu\u00edas de Prevenci\u00f3n de Infecciones en el Sitio Quir\u00fargico (SSI) las Suturas Recubiertas con Triclos\u00e1n. Controle de una Mejor Manera un Factor de Riesgo Clave Relacionado con SSI Ahora, las suturas recubiertas [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":6183,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[27],"tags":[],"_links":{"self":[{"href":"https:\/\/arkanum.com.mx\/wp-json\/wp\/v2\/posts\/6139"}],"collection":[{"href":"https:\/\/arkanum.com.mx\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/arkanum.com.mx\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/arkanum.com.mx\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/arkanum.com.mx\/wp-json\/wp\/v2\/comments?post=6139"}],"version-history":[{"count":0,"href":"https:\/\/arkanum.com.mx\/wp-json\/wp\/v2\/posts\/6139\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/arkanum.com.mx\/wp-json\/wp\/v2\/media\/6183"}],"wp:attachment":[{"href":"https:\/\/arkanum.com.mx\/wp-json\/wp\/v2\/media?parent=6139"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/arkanum.com.mx\/wp-json\/wp\/v2\/categories?post=6139"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/arkanum.com.mx\/wp-json\/wp\/v2\/tags?post=6139"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}