Infecção de sítio cirúrgico no seguimento pós-alta: impacto na incidência e avaliação dos métodos utilizados

Oliveira, Adriana Cristina de; Ciosak, Suely Itsuko

doi:10.1590/s0080-62342004000400003

Cited by 19 publications

(29 citation statements)

References 8 publications

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“…In another prospective study in two teaching hospitals, 501 patients underwent gastrointestinal surgery, and 140 SSI cases were diagnosed, of which, 31 reported during hospitalization and 109 during post-discharge, with incidence rates of 6.2% and 28%, respectively (11) . Without completing the post-discharge follow-up, 77.9% of the SSI cases would not be notified (11) . This shows that if the post-discharge surveillance had not been performed, the overall rate of SSI would be greatly underreported.…”

Section: Discussionmentioning

confidence: 99%

“…In the literature, the SSI rates in colon surgery varied from 3.5 to 21.3%, and are pointed as the largest SSI rates among elective procedures (5)(6)(7)(8)(9)(10)(11) . But diagnosing SSI only during hospital stay has not provided actual rates, which may underestimate the real values, as shown in a national study that notified 75% of SSI during post-discharge surveillance (10) .…”

Section: Introductionmentioning

confidence: 99%

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Surgical site infection and its risk factors in colon surgeries

Fusco

Massarico

Alves

et al. 2016

Rev. esc. enferm. USP

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Objective:To identify the occurrence of surgical site infection (SSI) and its risk factors in patients undergoing colon surgery in a tertiary hospital located in the countryside of the state of São Paulo. Method: Retrospective cohort study, with collection of information contained in the medical records of patients undergoing colon surgery in the period between January 2010 and December 2013. The studied variables were the possible risk factors related to the patient, to demographic characteristics and the surgical procedure. Results: In total, were evaluated 155 patients with an overall SSI incidence of 16.7%. A statistically significant association was found both in the univariate as in the multivariate analysis between the SSI and the following variables: male gender, Charlson index and mechanical bowel preparation. Conclusion: The understanding of health professionals about the factors that influence the incidence of SSI in colon surgery may contribute to the quality of care provided to surgical patients, from effective actions to minimize the risk of infections. DESCRIPTORSSurgical Wound Infection; Colorectal Surgery; Perioperative Nursing. Surgical site infection and its risk factors in colon surgeriesInfecção de sítio cirúrgico e seus fatores de risco em cirurgias de cólon Infección de sitio quirúrgico y sus factores de riesgo en cirugías de colon

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Surgical site infection and its risk factors in colon surgeries

Fusco

Massarico

Alves

et al. 2016

Rev. esc. enferm. USP

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“…Surgical site infecti on is the second most important infecti on in hospitalized pati ents, leading to a rise in treatment costs, increasing the probability of surgical re-interventi ons and increasing mortality rates (10) . Although risk factors for infecti on development in surgical pati ents can be esti mated, its predicti on, with high probability levels, sti ll represents a challenge.…”

Section: Discussionmentioning

confidence: 99%

Revisão sistemática e metanálise sobre o valor preditivo da proteína C-reativa em infecção pós-operatória

Nunes

Lacerda

Jardim

2011

Rev. esc. enferm. USP

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Português / Inglês www.scielo.br/reeusp RESUMORevisão sistemáti ca sobre a proteína C--reati va (PCR) a fi m de identi fi car seu valor prediti vo no prognósti co/diagnósti co de infecção em pacientes cirúrgicos. As fontes de busca foram: COCHRANE, EMBASE, LILACS, MEDLINE E OVID, e referências bibliográfi cas dos estudos encontrados. Em todos os estudos a elevação dos níveis de PCR foi observada após a cirurgia e na presença de infecções pós-operatórias (PO), em oito estudos um pico de PCR entre o segundo e o terceiro PO foi relatado como aspecto normal da curva de PCR, declinando em pacientes sem complicações pós-operatórias, e elevando em pacientes com complicações. A metanálise revelou média de 85% (sensibilidade), 86% (especifi cidade), a área sob a curva SROC foi de 0,9060, e a Odds Rati o foi de 23,56. A PCR com outras intervenções clínicas apresenta alto valor no prognósti co/ diagnósti co de infecção pós-cirúrgica. DESCRITORES Proteína C-reati va Período pós-operatório Infecção da ferida operatória Revisão ABSTRACTThis systemati c review on C-reacti ve protein (CRP) was performed with the purpose to identi fy its predicti ve value in the prognosis/diagnosis of infecti on in surgical pati ents. The sources used in the search were: COCHRANE, EMBASE, LILACS, MED-LINE and OVID, and bibliographic references of the located studies. All studies found increased CRP levels aft er surgery in cases of postoperati ve infecti on (PO), in eight studies a CRP peak between the second and third PO was reported as normal aspect of the CRP curve, reducing in pati ents without postoperati ve complicati ons and increasing in pati ents with complicati ons. The meta-analysis revealed an average of 85% (sensiti vity), 86% (specifi city), the area under the SROC curve was 0.9060, and the Odds Rati o was 23.56. Along with other clinical interventi ons, CRP is considerably valuable in the prognosis/diagnosis of postoperati ve infecti ons. DESCRIPTORS C-reacti ve protein Postoperati ve period Surgical wound infecti on Review RESUMENRevisión sistemáti ca sobre la proteína Creacti va (PCR) para identi fi car su valor predicti vo en pronósti co/diagnósti co de infección en pacientes quirúrgicos. Las fuentes de búsqueda fueron: COCHRANE, EMBASE, LILACS, MEDLINE y OVID, y referencias bibliográfi cas de los estudios encontrados. En todos los estudios la elevación de los niveles de PCR fue observada después de la cirugía y en presencia de infecciones postoperatorias (PO), en 8 estudios un pico de PCR entre el 2º y el 3º PO fue defi nida como aspecto normal de la curva de PCR, declinando en pacientes sin complicaciones postoperatorias, y elevándose en pacientes con tales complicaciones. El meta-análisis determinó una media de 85% (sensibilidad), 86% (especifi cidad), el área bajo la curva SROC fue de 0,9060, y el Odds Rati o fue de 23,56. La PCR junto a otras intervenciones clínicas presenta alto valor en el pronósti co/diagnósti co de infección post quirúrgica. DESCRIPTORESProteína C-reacti va Periodo postoperatorio Infección de herida op...

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“…Hence, it is the HICC's responsibility to perform epidemiologic surveillance for every patient, especially those with higher infection risks, such as surgical patients. It is also suggested that surveillance be done through prospective methods, such as the active, systematic, and continuous search for hospital infections and their dissemination (1)(2)(3)(4)(5) .…”

Section: Programs (Hicp) Developed By Hospital Infectionmentioning

confidence: 99%

“…Studies that performed surgical patient follow-up after discharge estimate that 12 to 84% of the SSI appears after discharge. This causes underreported rates, since surveillance occurs exclusively during hospitalization (1)(2)(4)(5)(6)(7)(8) .…”

Section: Programs (Hicp) Developed By Hospital Infectionmentioning

confidence: 99%