Atuação de enfermeiros estomaterapeutas na fasciíte necrosante e na síndrome de Fournier

Jéssica de Aquino Pereira; Karina Schopf; Rosana Moreira Sterque Pinto; Geraldo Magela Salomé; Patricia Yoshida; Thalita Rodrigues Hamasaki; Claudia Shimabukuro

Authors

Jéssica de Aquino Pereira Universidade do Vale do Sapucaí – Pouso Alegre (MG), Brazil. ,https://ror.org/025zd8760 https://orcid.org/0000-0002-6563-2960
Karina Schopf Prefeitura Municipal de Paraíso – Paraíso (SC), Brazil. https://orcid.org/0000-0001-8143-2056
Rosana Moreira Sterque Pinto Secretaria de Saúde do Distrito Federal – Brasília (DF), Brazil. https://orcid.org/0009-0004-1950-3203
Geraldo Magela Salomé Universidade do Vale do Sapucaí – Pouso Alegre (MG), Brazil. ,https://ror.org/025zd8760 https://orcid.org/0000-0002-7315-4866
Patricia Yoshida Prefeitura Municipal de Itapema – Itapema (SC), Brazil. https://orcid.org/0009-0004-9393-2153
Thalita Rodrigues Hamasaki Hospital Israelita Albert Einstein – São Paulo (SP), Brazil. ,https://ror.org/04cwrbc27 https://orcid.org/0009-0006-3447-4396
Claudia Shimabukuro Serviço de Atenção Domiciliar – Campo Grande (MS), Brazil. https://orcid.org/0009-0002-3338-1367

Abstract

Objective: To understand the role of the stomal therapist nurses in necrotizing fasciitis through the analysis of scientific articles. Method: This is a integrative review that addressed the question: What are the scientific evidences regarding the role of the nurse enterostomal therapist in Fournier's syndrome and necrotizing fasciitis? The descriptors were selected from the Medical Subject Headings Section (MeSH), Health Sciences Descriptors (DeCS), and CINAHL Subject Headings. A bibliographic search of scientific articles was conducted in EMBASE, Medline via PubMed, Scopus, Science Direct/Elsevier, and CINAHL-EBSCO, consulted up to May 2023. Results: Thirty-three studies were included, and the main interventions identified in the studies were categorized into six categories, namely: 1) Wound care; 2) Treatment; 3) Warning signs; 4) Patient care; 5) Adjunct therapies; and 6) Nursing team's work process. Conclusion: It was possible to identify the main interventions of the stomal therapist nurses and their importance in assisting people with necrotizing fasciitis, as their interventions range from direct wound care to comprehensive patient care, as well as establishing an interprofessional work process.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Antuña VL, Puchades F, Tapial JM, Ribelles JC, Sanz F, Tamarit JJ. Eosinophilic fasciitis following SARS-CoV-2 vaccination. JAAD Case Rep. 2023;36:11-4. https://doi.org/10.1016/j.jdcr.2022.11.038

Vlaic J, Fattorini MZ, Dukaric N, Tomas D. Proliferative fasciitis: a rare cause of disturbances in an adolescent hand. Acta Orthop Traumatol Turc. 2020;54(5):557-60. https://doi.org/10.5152/j.aott.2020.19033

Gomes P, Recchioni C, Vieira, WL, Canôas RS, Daruje R, Ramacciato J. Fasciíte necrosante cervical em adolescente: relato de caso. Braz J Develop. 2020;6(8):60473-81. https://doi.org/10.34117/bjdv6n8-456

Souza FSL, Gomes FC, Valle NSB, Coelho EE. Assistência de enfermagem ao portador da síndrome de Fournier: uma pesquisa integrativa. Braz J Surg Clin Res. 2019;26(2):54-62.

Santos EI, Vale ALVV, Reis ICPM, Neves PB, Pontes CM, Camara SGC. Brazilian scientific evidence on Fournier 's gangrene. Rev Rene. 2014;15(6):1047-55. https://doi.org/10.15253/2175-6783.2014000600019

Salcido RS. Necrotizing fasciitis: reviewing the causes and treatment strategies. Adv Skin Wound Care. 2007;20(5):288-93; quiz 294-5. https://doi.org/10.1097/01.ASW.0000269317.76380.3b

Soares TH, Penna JTM, Penna LG, Machado JA, Andrade IF, Almeida RC, et al. Diagnóstico e tratamento da Fasciíte Necrotizante: relato de dois casos. Revista Médica de Minas Gerais. 2008;18(2):136-40.

Rosich Soteras A, Serrahima Mackay A, Borràs-Maixenchs N, Arcarons Martí J. Catheter related necrotizing fasciitis in hematological patients: case report and implications for nursing. Ann Oncol. 2019;30(Suppl 5):843. https://doi.org/10.1093/annonc/mdz276.028

Elliott D, Kufera JA, Myers RA. The microbiology of necrotizing soft tissue infections. Am J Surg. 2000;179(5):361-6. https://doi.org/10.1016/s0002-9610(00)00360-3

Timmons J. Necrotizing fasciitis in primary care: presentation, risk factors and treatment. Br J Community Nurs. 2004;9(9):S16-24. https://doi.org/10.12968/bjcn.2004.9.Sup3.15942

Fritzsche SD. Soft-tissue infection: necrotizing fasciitis. Plast Surg Nurs. 2013;23(4):155-9. https://doi.org/10.1097/00006527-200323040-00003

Suijker J, Zheng KJ, Pijpe A, Nasroe F, Meij-de Vries A. The skin-sparing debridement technique in necrotizing soft-tissue infections: a systematic review. J Surg Res. 2021;264:296-308. https://doi.org/10.1016/j.jss.2021.03.001

Vallejo AC, Carrasco RG, Fernández MAM. Utilización de un sistema de derivación fecal en una paciente que desarrolla una fascitis necrotizante de la zona génito-perineal en una unidad de traumatología. Enferm Clín. 2010;20(6):370-3. https://doi.org/10.1016/j.enfcli.2010.07.007

Fink A, DeLuca G. Necrotizing fasciitis: pathophysiology and treatment. Dermatol Nurs. 2002;14(5):324-7. PMID: 12430520.

Carbonetti F, Carusi V, Guidi M, David V. Necrotizing fasciitis: a comprehensive review. Clin Ter. 2015;166(2):e132-9. https://doi.org/10.7417/CT.2015.1836

Egerod I, Knudsen VE, Andersson AE, Fagerdahl AM. Patient and family experience 2 years after necrotizing soft‐tissue infection: a longitudinal qualitative investigation. J Adv Nurs. 2023;79(8):2924-35. https://doi.org/10.1111/jan.15535

Heerschap C, Duff V. The value of nurses specialized in wound, ostomy, and continence: a systematic review. Adv Skin Wound Care. 2021;34(10):551-9. https://doi.org/10.1097/01.ASW.0000790468.10881.90

Souza MT, Silva MD, Carvalho R. Integrative review: what is it? How to do it? Einstein (São Paulo). 2010;8(1):102-6. https://doi.org/10.1590/S1679-45082010RW1134

Karino ME, Felli VEA. Evidence-based nursing: advances and innovations in systematic reviews. Ciência, Cuidado e Saúde. 2012;11:11-5.

Harrington DH, Lenahan CM, Sanders RM. A practitioner's guide to necrotizing fasciitis. Nurse Pract. 2015;40(4):48-54; quis 54-5. https://doi.org/10.1097/01.NPR.0000461947.30915.0c

Gillen PB. Necrotizing fasciitis: early recognition and aggressive treatment remain important. J Wound Ostomy Continence Nurs. 1995;22(5):219-22. https://doi.org/10.1097/00152192-199509000-00008

Astorino T, Genrich I, Macgregor L, Victor CS, Eckhouse DR, Barbour L. Necrotizing fasciitis: early detection may save your patient´s limb. Orthop Nurs. 2009;28(2):70-6; quiz 77-8. https://doi.org/10.1097/NOR.0b013e318199ecb4

Magel DC. The nurse's role in managing necrotizing fasciitis. AORN J. 2008;88(6):977-82; quiz 983-6. https://doi.org/10.1016/j.aorn.2008.08.014

Purnell D, Hazlett T, Alexander SL. A new weapon against severe sepsis related to necrotizing fasciitis. Dimens Crit Care Nurs. 2004;23(1):18-23. https://doi.org/10.1097/00003465-200401000-00006

Schroeder JL, Steinke EE. Necrotizing fasciitis--the importance of early diagnosis and debridement. AORN J. 2005;82(6):1031-40. https://doi.org/10.1016/s0001-2092(06)60255-x

Ferreira MC, Tuma Júnior P, Carvalho VF, Kamamoto F. Complex wounds. Clinics. 2006;61(6):571-8. https://doi.org/10.1590/S1807-59322006000600014

Fodel LP, Smith AM. Necrotizing soft tissue infections: a review of diagnosis, management, and implications for NP practice. J Nurse Pract. 2014;10(4):245-8. https://doi.org/10.1016/j.nurpra.2014.01.003

Ruth-Sahd L, Gonzales M. Multiple dimensions of caring for a patient with acute necrotizing fasciitis. Dimens Crit Care Nurs. 2006;25(1):15-21. https://doi.org/10.1097/00003465-200601000-00005

Guevel LH, Shifrin MM. Necrotizing fasciitis in the adult patient: implications for nurse practitioners. J Nurse Pract. 2020;16(5):335-7. https://doi.org/10.1016/j.nurpra.2020.02.008

Jones EG, El-Zawahry AM. Curative treatment without surgical reconstruction after perineal debridement of Fournier's gangrene. J Wound Ostomy Continence Nurs. 2012;39(1):98-102. https://doi.org/10.1097/WON.0b013e31823fe212

Alves AMRS, Morais JLP, Nóbrega LMB, Lima KA, Rodrigues FA, Oliveira JS, et al. Gangrena de Fournier: conhecimento de enfermeiros sobre a doença e suas experiências no cuidado aos pacientes. Enferm Bras. 2002;21(4):375-87. https://doi.org/10.33233/eb.v21i4.4805

Cano A, Wigoda P. State-of-the-art adjuncts in the treatment of necrotizing fasciitis improves survivability and cosmesis. J Wound Ostomy Continence Nurs. 2007;34(3):S9. https://doi.org/10.1097/01.WON.0000270862.84535.16

Özşaker E, Yavuz M, Altınbaş Y, Kozë BS, Nurülke B. The care of a patient with Fournier's gangrene. Ulus Travma Acil Cerrahi Derg. 2015;21(1):71-4. https://doi.org/10.5505/tjtes.2015.22735

Bashford C, Yin T, Pack J. Necrotizing fasciitis: a model nursing care plan. Medsurg Nurs. 2002;11(1):37-42; quis 43. PMID: 11901612.

Santos AA, Silva FCL, Souza KRF, Póvoas FTX, Bastos MLA, Lúcio IML. Assistência de enfermagem a puérpera com fasceíte necrotizante: relato de experiência. Rev Enferm UFPE on line. 2013;7(4):1248-53. https://doi.org/10.5205/r euol.3188-26334-1-LE.0704201323

Mondragón-Gómez S, Jiménez-Utrilla J. Proceso de atención de Enfermería a pacientes con gangrena de Fournier. Enferm Univ. 2013;10(2):58-66.

Symonds H. The community nurse's role in early identification of necrotising fasciitis: raising awareness. J Community Nurs. 2018;32(3):45-9.

Skacel C, Boyle M. A five year review of anaerobic, necrotizing soft tissue infections: a nursing perspective. Aust Crit Care. 1992;5(4):15-7, 18-20. https://doi.org/10.1016/s1036-7314(92)70064-2

Durham LM. Necrotising fasciitis--the importance of both evidence-based nursing care and reflective practice. Journal of Stomal Therapy Australia. 2015;35(4):12-4.

Foster L, Smith E, Moore P, Turton P. The use of a hydrofiber dressing in fulminating necrotizing fasciitis. Br J Nurs. 2001;10(11 Suppl):S36-8, S41-2. https://doi.org/10.12968/bjon.2001.10.Sup2.12343

Cruz RAO, Andrade LL, Arruda AJCG. Produção científica sobre gangrena de Fournier e os cuidados de enfermagem: revisão integrativa. Rev Enferm UFPE on line. 2016;10(5):4329-35. https://doi.org/10.5205/1981-8963-v10i5a11180p4329-4335-2016

Pour SM. Use of negative pressure wound therapy with silver base dressing for necrotizing fasciitis. J Wound Ostomy Continence Nurs. 2011;38(4):449-52. https://doi.org/10.1097/WON.0b013e31821e43f1

Meekul J, Chotirosniramit A, Himakalasa W, Orrapin S, Wongthanee A, Pongtam O, et al. A randomized controlled trial on the outcome in comparing an alginate silver dressing with a conventional treatment of a necrotizing fasciitis wound. Int J Low Extrem Wounds. 2017;16(2):108-13. https://doi.org/10.1177/1534734617701051

Niehuser ME. Negative pressure therapy dressing application in a patient with Fournier's gangrene. J Wound Ostomy Continence Nurs. 2008;35(3):S19. https://doi.org/10.1097/01.WON.0000319303.21186.53

Moorman S. Surviving life-threatening illness: keys to optimal nursing care. J Christ Nurs. 2010;27(1):18-24; quiz 25-6. https://doi.org/10.1097/01.cnj.0000365985.95141.3d

Gully S. Nursing management of necrotising fasciitis. Nurs Stand. 2022;16(52):39-42. https://doi.org/10.7748/ns2002.09.16.52.39.c3265

Gwyn L. A divine encounter. J Christ Nurs. 2012;29(3):178-9. https://doi.org/10.1097/cnj.0b013e3182579951

Mota CMG, Borges JA, Araújo AKL, Batista NJC. Atuação do enfermeiro na prevenção da gangrena de Fournier: atenção à saúde do homem. Enfermagem. 2014;13(4):242-8.

Melnyk BM, Fineout-Overholt E. Evidence-based practice in nursing & healthcare: a guide to best practice. Philadelphia: Lippincott Willians & Wilkins; 2022.

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. A declaração PRISMA 2020: diretriz atualizada para relatar revisões sistemáticas. Rev Panam Salud Publica. 2022;46:e112. https://doi.org/10.26633/RPSP.2022.112

Ferreira E, Lucas R, Rossi LA, Andrad, D. Dressing of burned patients' wounds: a literature review. Rev Esc Enferm USP. 2003;37(1):44-51. https://doi.org/10.1590/S0080-62342003000100006

Inácio MF, Lima RP, Rizzo Neto S, Lopes FA, Pantaroto M, Sousa AV. Epidemiological study on Fournier syndrome in a tertiary hospital in Jundiaí-SP from October 2016 to October 2018. J Coloproctol (Rio J.). 2020;40(1):37-42. https://doi.org/10.1016/j.jcol.2019.10.005

Coutinho Júnior NFL, Bezerra SMG, Branco NFLC, Carvalho MRD, Rocha Júnior K, Ferreira LFO, et al. TIME wound assessment tool: interobserver agreement. Estima, Braz J Enterostomal Ther. 2020;18:e1720. https://doi.org/10.30886/estima.v18.875_IN

Salomé GM, Arbage CC. A aplicabilidade da hidrofibra com prata em lesão provocada pela Síndrome de Fournier: relato de experiência. Nursing (Säo Paulo). 2008;11(127):566-70.

Tenório CEL, Lima SVC, Albuquerque AV, Cavalcanti MP, Teles F. risk factors for mortality in Fournier’s gangrene in a General Hospital: use of Simplified Founier Gangrene Severe Index Score (SFGSI). Int Braz J Urol. 2018;44(1):95-101. https://doi.org/10.1590/S1677-5538.IBJU.2017.0193

Araujo LC, Romero B. Pain: evaluation of the fifth vital sign. A theoretical reflection. Rev Dor. 2015;16(4):291-2. https://doi.org/10.5935/1806-0013.20150060

Tikami KF, Simão JC, Passerotti LC, Barbosa ASAA. Perfil dos pacientes com gangrena de Fournier utilizando a oxigenoterapia hiperbárica como tratamento adjuvante. Medicina (Ribeirão Preto). 2020;53(1):21-5. https://doi.org/10.11606/issn.2176-7262.v53i1p21-25

Rocha ST, Castelan Filho JB, Petry MS, Bernardi RM, Bueno GB, Warmling CZ. Experiência inicial da terapia hiperbárica na síndrome de Fournier em um hospital de referência no sul catarinense. Arq Catarin Med. 2012;41(4):71-6.

Cirino GAR, Paiva DFF, Azevedo AH. Hyperbaric oxygen therapy or negative pressure therapy: what is the best form of treatment for patients with Fournier Syndrome? A systematic review of the literature. Res Soc Dev. 2022;11(12): e249111234558. https://doi.org/10.33448/rsd-v11i12.34558

Lima RVKS, Coltro PS, Farina Júnior JA. Terapia por pressão negativa no tratamento de feridas complexas. Rev Col Bras Cir. 2017;44(1):81-93. https://doi.org/10.1590/0100-69912017001001