Profilaxia antimicrobiana em cirurgia vascular periférica: cefalosporina ainda é o padrão-ouro?

Lichtenfels, Eduardo; Lucas, Márcio Luı́s; Webster, Ronaldo; Azevedo, Pedro Alves d'

doi:10.1590/s1677-54492007000400012

Cited by 11 publications

(7 citation statements)

References 54 publications

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“…8 Lichtenfels et al showed incidences of 1.5-2.9% for clean wounds, 2.8-7.7% for clean and clean-contaminated, 6.4-15.2% for contaminated, and 7.1-40% for dirty wounds. 42 Similar figures were also described by others. 5,43,44 Likewise, we found a progressively higher incidence of SSI from clean to dirty wound procedures.…”

Section: Discussionsupporting

confidence: 81%

Surveillance of surgical site infections after gastrointestinal surgery in the south region of the Netherlands

Ramcharan

Smeets

Rouflart

et al. 2014

Int. j. infect. control

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A surgical site infection (SSI) is a serious and costly complication with the highest rates being reported after gastrointestinal surgery. The objective of this cross sectional study was to assess the incidence and risk factors of SSI after gastrointestinal surgery during and after hospitalization, and to evaluate the effect of the VMS (Dutch: "VeiligheidsManagementSysteem") safety programme on the SSI rate. We assessed the SSI rate from July 2008 until December 2011, according to the criteria of the Centres for Disease Control and Prevention (CDC), before and after implementation of the VMS safety programme which includes a bundle of four interventions. We differentiated between the SSI rate during and after hospitalization and between superficial, deep and organ/ space infections. The incidence of SSI in relation to the wound class, risk factors for SSI, and the compliance with the programme were assessed. Data were obtained during a thirty-day follow-up period after surgery. Surveillance after discharge significantly increased the overall SSI rate. Age higher than fifty years and contaminated or dirty wounds were risk factors for SSIs. Despite increased compliance with the safety programme, no significant decrease in SSI rate was found after implementation. The Dutch VMS safety programme did not show a significant effect on the decrease in incidence of SSI. Surveillance during and after hospitalization is essential for a reliable assessment of the SSI rate.

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Section: Discussionsupporting

confidence: 81%

Surveillance of surgical site infections after gastrointestinal surgery in the south region of the Netherlands

Ramcharan

Smeets

Rouflart

et al. 2014

Int. j. infect. control

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“…The infection rate was high, compared to other studies 20 , despite the sharp use of prophylactic antibiotics. This proves that the antibiotic must be associated with a set of measures to minimize the occurrence of infection.…”

Section: Discussion Discussion Discussion Discussion Discussioncontrasting

confidence: 58%

Avaliação perioperatória de pacientes em unidade de terapia intensiva

Pontes

Salazar

Torres

2013

Rev. Col. Bras. Cir.

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OBJETIVO: Avaliar as condições pré-operatórias e o procedimento cirúrgico relacionando-os à morbidade e mortalidade de pacientes cirúrgicos em uma unidade de terapia intensiva geral de um hospital universitário. MÉTODOS: Foram estudados os prontuários de pacientes submetidos a procedimentos cirúrgicos de médio e grande porte, admitidos na unidade de terapia intensiva geral. Foram analisados: dados demográficos, quadro clínico, registros de antecedentes pessoais e exames laboratoriais pré-operatórios e de admissão na unidade de terapia intensiva, exames de imagem, relato operatório, boletim anestésico e antibioticoprofilaxia. Após a admissão, as variáveis estudadas foram: tempo de internação, tipo de suporte nutricional, utilização de tromboprofilaxia, necessidade de ventilação mecânica, descrição de complicações e mortalidade. RESULTADOS: Foram analisados 130 prontuários. A mortalidade foi 23,8% (31 pacientes); Apache II maior do que 40 foi observado em 57 pacientes submetidos à operação de grande porte (64%); a classificação ASA e" II foi observada em 16 pacientes que morreram (51,6%); o tempo de permanência na unidade de terapia intensiva variou de um a nove dias e foi observado em 70 pacientes submetidos à cirurgia de grande porte (78,5%); a utilização da ventilação mecânica por até cinco dias foi observada em 36 pacientes (27,7%); hipertensão arterial sistêmica foi observada em 47 pacientes (47,4%); a complicação mais frequente foi a sepse. CONCLUSÃO: a correta estratificação do paciente cirúrgico determina sua alta precoce e menor exposição a riscos aleatórios

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“…Oliveira et al (2005) encontraram um perfil elevado de resistência à tetraciclina, concordando com os resultados encontrados no hospital humano, no qual todas as bacté-rias isoladas foram resistentes à tetraciclina, com exceção de Pseudomonas. Lichtenfels et al (2007) obtiveram alta resistência a ampicilina, ciprofloxacina, clindamicina e gentamicina. No hospital veterinário, a bactéria Staphylococcus apresentou resistência a todos os antimicrobianos testados, exceto a amoxacilina/ácido clavulânico.…”

Section: Discussionunclassified

Perfil epidemiológico e análise microbiológica da infecção de sítio cirúrgico em pacientes humanos e animais de companhia

et al. 2015

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Surgical site infection (SSI) has been indicated as the third cause of nosocomial infection. The present study aimed to determine the epidemiological profile of SSI and its association with the risk factors. It is a transversal study done at the São João Batista Hospital of Viçosa-MG and at the Surgery Service of the Small Animals Veterinary Hospital of the Universidade Federal de Viçosa-MG, from September 2012 to February 2013. Global SSI rates were 0.7% at the human and 3.46% at the veterinary hospitals. At the veterinary hospital, SSI rates were not related to contamination potential, with clean procedures presenting the greater rates. As for the type of surgery, orthopedic ones are the most common in both hospital and also the ones presenting the greater SSI rates. Surgeries during more than 120 minutes were 15.25% of the total of procedures at the human hospital and are even less common in the veterinary, with 1.26%. Rate of SSI does not seem to be related to surgery duration in this classification. Bacteria isolated from surgical wounds were multi-resistant and the obtained data indicated that no criteria of antibiotic prophylaxis existed, mainly for clean surgeries. This scenario shows that the action of a commission to control nosocomial infection are extremely relevant in order to guarantee reliable data so that the quality of service may be evaluated and thus, promoting a decrease the risk of in post-operative complications.INDEX TERMS: Hospital-acquired infection, infection control committee.

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Profilaxia antimicrobiana em cirurgia vascular periférica: cefalosporina ainda é o padrão-ouro?

Cited by 11 publications

References 54 publications

Surveillance of surgical site infections after gastrointestinal surgery in the south region of the Netherlands

Surveillance of surgical site infections after gastrointestinal surgery in the south region of the Netherlands

Avaliação perioperatória de pacientes em unidade de terapia intensiva

Perfil epidemiológico e análise microbiológica da infecção de sítio cirúrgico em pacientes humanos e animais de companhia

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