Profile of surgical site infections in gynecology and obstetrics in a public teaching hospital
DOI:
https://doi.org/10.33448/rsd-v10i14.22241Keywords:
Infections; Surgical wound infection; Puerperal infection; Epidemiological monitoring; University hospitals.Abstract
The aim of the study was to identify surgical site infections related to gynecological and obstetric procedures. Method: documentary, cross-sectional, retrospective and quantitative study. The SSI were analyzed between March 2017 and March 2019. The study variables were: age, anatomical planes involved, surgical procedure, confirmation criteria, isolated microorganism, case outcome and time of outpatient return. Descriptive analysis was used for data exploration. Results: 322 cases of SSI were reported, 41% of which were gynecological-obstetric. The ISC rate was calculated at 1.5%. The most affected age group was 21 to 30 years, with a predominance of superficial incisional infections (63%), clinically diagnosed (97%), especially cesarean delivery (90%). Most patients (68%) returned for postoperative evaluation within ten days, with clinical discharge (100%). Conclusion: despite the disclosure of diagnostic criteria, the SSI were high in the hospital under study, indicating the need to adopt preventive protocol measures.
References
Scardoni, A. Balzarini, F. Signorelli, C. Federico Cabitza, F., & Odone, A. (2020). Artificial intelligence-based tools to control healthcare associatedinfections: A systematic review of the literature. Journal of Infection and Public Health, 13(8), 1061-1077.
Anchieta, D.W. Matos, F.G.O.A. Alves, D.C.I. Santos, R.P. Oliveira, J.L.C., & Molin, T.D. (2019). Characterization of surgical site infections in a public teaching hospital in Cascavel, Paraná Vigil. Sanit. Debate, 7(3), 31-36.
Cruz, L.A. Freitas, L.V. Barbosa, M. Gomes, L.F.S., & Vasconcelos, C.M.T. (2013). Infección de herida operatoria tras cesárea en un hospital público de Fortaleza. Enfermeria Global, 29, 118-129.
Martins, M.A. Goulart, E.M.A. França, E., & Albert LR. (2012). Surgery infections in children and adolescents. Rev Med Minas Gerais, 22(3), 308-314.
Brasil. (2017a). Agência Nacional de Vigilância Sanitária. Critérios Diagnósticos de Infecções Relacionadas à Assistência à Saúde/Agência Nacional de Vigilância Sanitária.
Brasil. (2019b). Agência Nacional de Vigilância Sanitária. Nota Técnica GVMS/GGTES 03/2019. Critérios Diagnósticos das Infecções Relacionadas à Assistência à Saúde. Brasília.
Souza, I.S.B. Santana, A.C., & Júnior, G.D. (2018). The occurrence of surgical site infection: a review study. Rev. Med Minas Gerais,28(5), 168-175.
Padoveze, M.C., & Fortaleza, C.M.C.B. (2014). Healthcare-associated infections: challenges to public health in Brazil. Rev Saúde Pública, 48(6), 995-1001.
Costa, G.S. (2019). Propostas de melhoria nas ações de cuidado ao paciente, a partir do diagnóstico de infecções relacionadas à assistência à saúde (IRAS) em um hospital universitário de Fortaleza. - Dissertação (Mestrado) - Universidade Federal do Ceará, Programa de Pós-graduação em Políticas Públicas e Gestão da Educação Superior, Fortaleza (CE),
Brasil. (2016c) Portaria 306, de 28 de março de 2016. Aprova as Diretrizes de Atenção à Gestante: a operação cesariana. Ministério da Saúde.
Carvalho, I.C.R. Medeiros, G.O., & Souza, L.M. (2010). Proposal of establishment of a nursing protocol for the care of patients with abscess wall after cesarean section. Comum. Ciênc. Saúde; 21(1), 9-20.
PARANÁ. (2018). Secretaria de Estado da Saúde (SESA). Linha guia rede mãe paranaense. Paraná.
Prates, C.G. Stadñik, C.M.B. Bagatini, A. Caregnato, R.C.A., & Moura G.M.S.S. (2018). Comparación de las tasas de infección quirúrgica luego de implantación del checklist de seguridade. ACTA PAUL. ENFERM., 31(2), 116-122.
Anderson, D.J. et al (2014). Strategies to prevent surgical site infections in acute care hospitals: 2014 UPDATE. Infect control hosp epidemiol., 35(6), 605–27.
Brasil. (2017d). Agência Nacional de Vigilância Sanitária. Medidas de Prevenção e Critérios Diagnósticos de Infecções Puerperais em Parto Vaginal e Cirurgia Cesariana, 2017d.
Lima, D.M. Wall, M.L. Hey, A. Falcade, A.C. Chaves, A.C.M., & Souza, M.A.R. (2014). Fatores de riscos para infecção no puerpério cirúrgico. Cogitare Enferm.,19(4), 734-40.
Brasil. (2015e) Agência Nacional de Vigilância Sanitária. Boletim Informativo: Segurança do Paciente e Qualidade em Serviços de Saúde nº 13. Avaliação dos indicadores nacionais de infecção relacionada à assistência à saúde e resistência microbiana ano de 2015. Brasília: ANVISA.
Feitosa, R.G.F. Fernandes, F.A.M. Junior, J.N. Junio, O.N.A. Costa, F.A., & Cavalcante LDV. (2014). Analysis of the incidence of surgical site infection in oncologic surgeryof the digestive tract in Hospital Geral de Fortaleza. Rev. Medicina (Ribeirão Preto),47 (2), 157-64.
Cunha, M.R. Padoveze, M.C. Melo, C.R.M., & Nichiata, L.Y.I. (2018). Identification of post-cesarean surgical site infection: nursing consultation. Rev Bras enferm ., 71(3),1478-86.
Say, L., et al. (2014). Global causes of maternal death: a WHO systematic analysis. Lancet Glob Health,2, 323-333.
Martins Filho, E.D. Santos, A.C. Rodrigues Junior, R.S.T. Adeodato, L. Coutinho, I., & Katz L. (2010). Perfil epidemiológico e clínico de pacientes admitidas com diagnóstico de sepse puerperal de origem pélvica em uma UTI obstétrica no Nordeste do Brasil. Rev. Bras. Saude Mater. Infant.,10(4),469-475.
Brasil. (2018f). Ministério da Saúde fará monitoramento online de partos cesáreos no país. Agencia Saúde.
Costa, E.A.M. Moreira, L.L., & Gusmão. (2019). Menincidence of infection of surgical site in hospital day: cohort of 74,213 patients monitored. Rev Sobecc,24(4), 211-216.
Ferraz, C.C.B. Ortega, F.B. Silva, R.B. Leite, L.R.C., & Hildebrand, C.R. (2016). Fatores associados a infecções hospitalares causadas por microrganismos multirresistentes num hospital de ensino. PECIBES, 2,52-57.
MOTA, L.M. et al. (2010). Uso Racional de Antimicrobianos. Medicina, Ribeirão Preto, 43(2), 64-72.
Santos, W.B. Araújo, M.G.S. Silva, J.C. Bernardo, T.H.L. Bastos, M.L.A., & Verissimo, R.C.S.S. (2016). Surgical wounds infective microbiota: national and international analysis of scientific production. Rev Sobecc, 21(1), 46-51.
Carvalho, R.L.R. Campos, C.C. Franco, L.M.C. Rocha, A.D.M., & Ercole FF. (2017). Incidência e fatores de risco para infecção de sítio cirúrgico em cirurgias gerais. Rev. Latino-Am. Enfermagem, 25.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Manoela Cristina Berticelli ; Fabiana Gonçalves de Oliveira Azevedo Matos; Débora Cristina Ignácio Alves; Graziela Braun; Maria Júlia Navarro Kassim
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
