<?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>1134-928X</journal-id>
<journal-title><![CDATA[Gerokomos]]></journal-title>
<abbrev-journal-title><![CDATA[Gerokomos]]></abbrev-journal-title>
<issn>1134-928X</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Enfermería Geriátrica y Gerontológica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1134-928X2017000200098</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Coste-eficiencia de la elección de apósitos en heridas crónicas con biofilm basado en un modelo teórico]]></article-title>
<article-title xml:lang="en"><![CDATA[Cost efficiency of the choice of dressings in chronic wounds with biofilm based on a theoretical model]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carrión Jiménez]]></surname>
<given-names><![CDATA[Andoni]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Núñez Ortiz]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gallego Galisteo]]></surname>
<given-names><![CDATA[Myriam]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Cardoso]]></surname>
<given-names><![CDATA[Rosa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Meléndez]]></surname>
<given-names><![CDATA[Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital La Línea Cuidados de Consultas Externas y Atención Ambulatoria ]]></institution>
<addr-line><![CDATA[La Línea de la Concepción Cádiz]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital La Línea Cuidados UGC Medicina Interna ]]></institution>
<addr-line><![CDATA[La Línea de la Concepción Cádiz]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Punta de Europa Servicio de Farmacia ]]></institution>
<addr-line><![CDATA[Algeciras Cádiz]]></addr-line>
<country>España</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital La Línea UGC Medicina Interna ]]></institution>
<addr-line><![CDATA[La Línea de la Concepción Cádiz]]></addr-line>
<country>España</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Centro de Salud Velada La Línea UGC ]]></institution>
<addr-line><![CDATA[La Línea de la Concepción Cádiz]]></addr-line>
<country>España</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,AGSCG Grupo de mejora en prevención y cuidados de UPP ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2017</year>
</pub-date>
<volume>28</volume>
<numero>2</numero>
<fpage>98</fpage>
<lpage>102</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1134-928X2017000200098&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1134-928X2017000200098&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1134-928X2017000200098&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La elección del apósito correcto es una de las principales preocupaciones en la cura avanzada de heridas. Por un lado, se encuentra el continuo desarrollo de productos y, por otro, la reciente preocupación por el impacto en los costes de una indicación correcta. Uno de los factores que favorecen el de los costes es la evolución tórpida de las heridas, siendo la presencia de biofilm uno de los motivos de esta mala evolución. El cuidado de la herida con biofilm es uno de los mayores retos para los clínicos.  Objetivo:  Evaluar la costo-eficiencia de un apósito de hidrofibra con plata, EDTA y cloruro de benzetonio como apósito de primera elección en las heridas con presencia de biofilm.  Metodología:  Mediante un modelo teórico de heridas crónicas divididas en dos grupos y considerando que el 60% de las heridas de ambos grupos presentan biofilm, se han comparado los costes de utilizar un apósito de alginato con plata como primera elección en un primer grupo y un apósito de hidrofibra con plata, EDTA y cloruro de benzetonio como primera elección en el segundo grupo. Para el cálculo de costes se ha considerado la oferta de precios del concurso público de apósitos de la Plataforma Logística Provincial de Sevilla.  Resultados:  El coste medio herida/día para las heridas del primer grupo es de 0,59 &#8364;, mientras para el segundo grupo de 0,55 &#8364;.  Conclusiones:  El apósito de hidrofibra con plata, EDTA y cloruro de benzetonio es el apósito de elección y resulta costoefectivo frente al apósito comparado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Choosing the right dressing is one of the most important preoccupations in advanced wound healing. On the one hand, a constant development of wound dressings is found and, on the other, an increasing concern about the impact of a correct indication on costs. One of the factors increasing costs is wounds' torpid evolution, being the presence of biofilm one of the reasons of this bad evolution. Wound care managing biofilm is one of the biggest challenges for the clinicians.  Objective:  To evaluate the cost efficiency of a hydrofiber dressing with silver, EDTA and benzethonium chloride as first choice in dressing wounds with the presence of biofilm.  Methodology:  Using a theoretical model of chronic wounds divided into two groups and considering that 60% of the wounds of both groups have biofilm, have compared the costs of using an alginate dressing with silver as first choice in a first group and a hydrofiber dressing with silver, EDTA and benzethonium chloride as the first choice in the second group. To calculate costs, a public tender for dressings costs by the Provincial logistics platform in Seville has being considered.  Results:  The average cost wound / day for wounds of the first group is 0.59&#8364; while for the second group is 0.55 &#8364;.  Conclusions:  Hydrofiber dressing with silver, EDTA and benzethonium chloride is the dressing of choice and cost-effective dressing against the other compared dressing.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[heridas crónicas]]></kwd>
<kwd lng="es"><![CDATA[biofilms]]></kwd>
<kwd lng="es"><![CDATA[hidrofibra]]></kwd>
<kwd lng="es"><![CDATA[alginato]]></kwd>
<kwd lng="es"><![CDATA[plata]]></kwd>
<kwd lng="es"><![CDATA[apósitos de plata]]></kwd>
<kwd lng="en"><![CDATA[chronic wounds]]></kwd>
<kwd lng="en"><![CDATA[biofilms]]></kwd>
<kwd lng="en"><![CDATA[hydrofiber]]></kwd>
<kwd lng="en"><![CDATA[alginate]]></kwd>
<kwd lng="en"><![CDATA[silver wound dressings]]></kwd>
</kwd-group>
</article-meta>
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