[Limits of therapeutic effort. Professional opinions]. / Limitación del esfuerzo terapéutico. Opinión de los profesionales.

INTRODUCTION: In our clinical practice we find the need to care for patients with irreversible conditions, due to advanced age or underlying chronic disease, and a change in the types of disease currently facing the health workforce.The objective of this research was to study the ethical assessment of health professionals in our Hospital on extraordinary life support measures. MATERIAL AND METHODS: Prospective descriptive study conducted at the Hospital General Universitario de Ciudad Real during the months of April to August 2010. The convenience sample consisted of 189 professionals from different categories working in our hospital during the study period.It included a questionnaire adapted for use in hospitals, comprising 18 items with dichotomous responses.Informed consent was requested and the confidentiality of information ensured. RESULTS: A sample of 189 professionals, of whom 21.7% were male and 78.3% were female. The mean age was 40.39 years SD + 10, with a mode of 31 years.The professionals involved were doctors, nurses and nursing assistants, with an average experience of 15.8% ± 10.4 SD years.A total of 79.9% were in favour of euthanasia, 93.6% against dysthanasia, 92.6% for antidysthanasia, and 99.5% for orthotonasia. The medical group was the one most against the use of euthanasia P=.0001. Differences were found between religious practice and the ethical situations at the end of life. CONCLUSIONS: Most participants took into account the patient's decision to limit extraordinary measures in terminal disease situations.The study reveals that the effectiveness and usefulness of our clinical practice should include an ethical evaluation by professionals with the patient. It became clear that the majority of the sample of professionals is against over-aggressive treatment, and for a dignified death.

Infección de la herida quirúrgica urológica. Factores asociados / No disponible

La infección de la herida quirúrgica causa altas tasas de morbimortalidad, constituyendo la primera infección intrahospitalaria entre pacientes quirúrgicos del total de infecciones nosocomiales. El objetivo de este trabajo fue determinar el índice de infección de herida quirúrgica en los pacientes intervenidos por patología urológica en nuestra unidad y ver qué factores asociados se relacionaban con ella (AU)

The surgical wound infection causes high morbidity and mortality rates, being the leading nosocomial infection among surgical patients of all nosocomial infections. The aim of this study was to determine the rate of surgical wound infection in patients undergoing urological pathology in our unit and see what factors were related to her partner (AU)