<?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>S1134-928X2018000200105</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Abordaje de una herida por roce o fricción de categoría III, con presencia de biofilm, tras contención mecánica]]></article-title>
<article-title xml:lang="en"><![CDATA[Approach of a category III rub injury, with the presence of biofilm, after mechanical containment]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Ortiz]]></surname>
<given-names><![CDATA[Juan Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Navarro Fernández]]></surname>
<given-names><![CDATA[Ana María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Galera Barrero]]></surname>
<given-names><![CDATA[Ana María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Marín Bello]]></surname>
<given-names><![CDATA[María José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cazalilla Pérez]]></surname>
<given-names><![CDATA[Ana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lopes Pereira]]></surname>
<given-names><![CDATA[Ana María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Médico-Quirúrgico Unidad de Cuidados Intensivos ]]></institution>
<addr-line><![CDATA[Jaén ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario Médico-Quirúrgico Unidad de Cuidados Intensivos ]]></institution>
<addr-line><![CDATA[Jaén ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<volume>29</volume>
<numero>2</numero>
<fpage>105</fpage>
<lpage>107</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1134-928X2018000200105&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1134-928X2018000200105&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1134-928X2018000200105&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo: Reforzar y demostrar lo importante que es identificar, conocer y atender todos los factores relacionados con las biopelículas que nos encontramos en, prácticamente, todas las heridas crónicas.  Metodología: Se trata del caso de una paciente de intensivos, con ventilación mecánica invasiva. Durante el destete, presenta cuadro de delirio exacerbado que precisa contención mecánica, que produjo una lesión por fricción de categoría III, que evolucionó de manera muy agresiva hacia la presentación reiterada de biofilm.  Resultados: Tras un primer abordaje poco eficaz, instauramos cura en ambiente húmedo y procedimos a aplicar todos los cuidados más actuales indicados en el manejo de heridas con presencia de biofilm. Conseguimos cierre completo en 4 semanas.  Conclusiones: Se hace necesario entender qué significa una biopelícula para una herida y para un paciente. Si esto no se consigue, jamás podremos abordarla de manera categórica y eficaz.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objective: Reinforce and demonstrate the importance of identifying, knowing and attending to all the factors related to biofilms, which we find in practically all chronic wounds.  Methodology: It is a case of a Intensive Care Unit patient with invasive mechanical ventilation. During weaning, he presents exacerbated delirium that requires mechanical restraint, which produced a category III friction lesion, evolving in a very aggressive way towards the repeated presentation of biofilm.  Results: After an ineffective first approach, we established a cure in a humid environment and proceeded to apply all the most current care indicated in the management of wounds with the presence of biofilm. We got complete closure in four weeks.  Conclusions: It is necessary to understand what a biofilm means for a wound and for a patient. If this is not achieved, we can never address it categorically and effectively.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Biofilm]]></kwd>
<kwd lng="es"><![CDATA[carga bacteriana]]></kwd>
<kwd lng="es"><![CDATA[desbridamiento cortante]]></kwd>
<kwd lng="es"><![CDATA[cicatrización de heridas]]></kwd>
<kwd lng="es"><![CDATA[tratamiento en ambiente húmedo]]></kwd>
<kwd lng="es"><![CDATA[gestión del exudado de la herida]]></kwd>
<kwd lng="en"><![CDATA[Biofilm]]></kwd>
<kwd lng="en"><![CDATA[bacterial load]]></kwd>
<kwd lng="en"><![CDATA[sharp debridement]]></kwd>
<kwd lng="en"><![CDATA[wound healing]]></kwd>
<kwd lng="en"><![CDATA[treatment in a humid environment]]></kwd>
<kwd lng="en"><![CDATA[management of wound exudate]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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