The relationship between malnutrition parameters and pressure ulcers in hospitals and nursing homes

Enteral Nutrition in the Prevention and Treatment of Pressure Ulcers in Adult Critical Care Patients

“…17 Current guidelines 1,18 for the prevention and treatment of pressure ulcers support nutritional screening and nutritional interventions as important aspects of care for patients who are at risk for or have pressure ulcers. In the general hospitalized population, malnutrition has been significantly associated with the development of pressure ulcers [19][20][21] ; however, the exact causal relationship between nutrition and the development of these ulcers remains largely unknown and understudied. 1 For critical care patients, the evidence is sparse; the role of nutrition in development and treatment of pressure ulcers has been specifically investigated in only 2 studies.…”

O impacto da desnutrição no desenvolvimento e na gravidade das úlceras por pressão: uma revisão da literatura

“…Os estudos realizados em casas geriátricas e hospitais por Banks et al (2010) e Shahin et al (2010) associaram a desnutrição como um importante fator de risco de UP em ambas as instituições. O estudo transversal realizado por Banks et al (2010), em Queensland na Austrália teve como objetivo determinar o efeito do estado nutricional na presença e na severidade da UP em indivíduos de vinte hospitais e seis casas públicas de repouso.…”

“…Shahin et al (2010) conduziram um estudo transversal para avaliar a relação existente entre a nutrição e as úlceras por pressão adquiridas nos hospitais e lares da Alemanha. Foram avaliados 2393 indivíduos residentes em 29 lares e 4067 doentes de 22 hospitais.…”

Antibiotic Resistance in Nursing Homes

“…Vitamin, zinc and micronutrients deficiencies are also reported (Mandal SK & Ray AK, 1987;Girodon F & Al, 1997;Bates CJ & Al, 1999a;1999b;Gosney MA & Al, 2008). The reasons for this high frequency of malnutrition might be comorbidities (Bostrőm AM & Al, 2011;Shahin ES & Al, 2010), feeding difficulties (Hildebrandt GH & Al, 1997;Lamy M & Al, 1999;Lelovics Z, 2009;Chang CC & Roberts BL, 2011), impaired cognition (Blandford G & Al, 1998;Magri et Al, 2003;Bartholomeyczik S & Al, 2010;Bostrőm AM & Al, 2011), bacterial overgrowth of the small bowel (e.g. Escherichia coli or anaerobic organisms) leading to malabsorption (Mc Evoy AJ & Al, 1983;Elphick HL & Al, 2006;Ziegler TR & Cole R, 2011) and poorer clinical outcomes (Kaganski N & Al, 2005;Stratton RJ & Al, 2006) .…”