Incidence and risk factors for surgical site infection in general surgeries

Abstract

Objective:to estimate the incidence of surgical site infection in general surgeries at a large Brazilian hospital while identifying risk factors and prevalent microorganisms. Method:non-concurrent cohort study with 16,882 information of patients undergoing general surgery from 2008 to 2011. Data were analyzed by descriptive, bivariate and multivariate analysis. Results:the incidence of surgical site infection was 3.4%. The risk factors associated with surgical site infection were: length of preoperative hospital stay more than 24 hours; duration of surgery in hours; wound class clean-contaminated, contaminated and dirty/infected; and ASA index classified into ASA II, III and IV/V. Staphyloccocus aureus and Escherichia coli were identified. Conclusion:the incidence was lower than that found in the national studies on general surgeries. These risk factors corroborate those presented by the National Nosocomial Infection Surveillance System Risk Index, by the addition of the length of preoperative hospital stay. The identification of the actual incidence of surgical site infection in general surgeries and associated risk factors may support the actions of the health team in order to minimize the complications caused by surgical site infection.

A retrospective analysis of factors affecting surgical site infection in orthopaedic patients

“…In this current study, the overall SSI rate in over 25 000 patients undergoing orthopaedic surgery was 3.1%, which was similar to previously reported rates, 16,21 although slightly higher than that reported for spinal surgeries; 7 but much lower than rates reported in other developing countries (e.g. India 20.09%; 22 Egypt 22.6% 23 ).…”

Systematic review of the use of big data to improve surgery in low- and middle-income countries

“…). Following assessment, 68 articles, involving 708 032 patients across 71 LMICs, were included in the review ( Tables S1 and S2 , supporting information). Country‐specific patient numbers were reported in 60 studies but were absent from six and two provided total LMIC patient numbers only.…”

“…Outcomes following cancer surgery were common topics, including breast, gastric, colorectal and prostate cancer, and hepatocellular carcinoma. Cardiac surgery, caesarean section and genitourinary fistula were also well represented in included articles, whereas clinical presentations included burn management, trauma, appendicitis, groin hernias and orthopaedic fracture management.…”

Saberes dos enfermeiros sobre prevenção de infecção do sítio cirúrgico

“…Entre as IRAS, destacam-se as infecções do sítio cirúrgico (ISC) como uma das principais complicações relacionadas ao procedimento cirúrgico, com estimativa de 14 a 16% entre as infecções nos serviços de saúde 1 . Entre os fatores de risco, estão tempo de internação pré-operatório acima de 24 horas, tempo de duração da cirurgia, potencial de contaminação da ferida operatória e classificação das condições clínicas dos pacientes (índice da American Society of Anesthesiologists -ASA) 2 , obesidade, tabagismo, diabetes mellitus, uso de esteroides, imunossupressores, entre outros 1 .…”