Comparative study of surgical wound infection diagnosed in-hospital and post discharge
Autor(a) principal: | |
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Data de Publicação: | 2002 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/31514 |
Resumo: | OBJECTIVE: Surgical wound infection (SWI) is a serious hospital infection due to its incidence, morbidity and mortality. Because of the short hospital stay, the majority of SWI appears post-discharge, and its incidence is often underreported when there is no follow-up of the surgical patient post discharge. The need of a surveillance system for surgical patient after discharge is critical for infection control. The study objective was to determine the incidence of SWI in surgical patients and to compare the frequency of SWI diagnosed in-hospital and after discharge. METHODS: A prospective cohort study was carried out in a university hospital. Patients admitted to the general surgery unit (504) and underwent digestive tract surgery in the first semester of the year 2000 were followed up during their hospital stay and after discharge. RESULTS: Of 504 surgical patients, 398 (79.0%) returned to follow up in the post discharge outpatient clinic. Of the total surgical wound infections diagnosed, most (62.9%) was detected in the post discharge outpatient clinic, and 88% of SWI diagnosed were classified as superficial, and 67% reported up to day 7 after discharge. CONCLUSIONS: This study showed the importance of following up surgical patients after discharge to achieve reliable incidence data on surgical wound infection because of the late occurrence of infection in the majority of cases, which results in underreporting when the patient is followed up only during the hospital stay. |
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Comparative study of surgical wound infection diagnosed in-hospital and post discharge Estudo comparativo do diagnóstico da infecção do sítio cirúrgico durante e após a internação Infecção hospitalar^i1^sepidemioloSeguimentosAssistência ambulatorialPacientes internadosAlta do pacienteInfecção de sítio cirúrgicoControle pós-altaCirurgia do aparelho digestivoCross infection^i2^sepidemiolDigestive system surgical proceduresFollow-up studiesAmbulatoryc careInpatientsPatient dischargeSurgical wound infectionPost discharge control OBJECTIVE: Surgical wound infection (SWI) is a serious hospital infection due to its incidence, morbidity and mortality. Because of the short hospital stay, the majority of SWI appears post-discharge, and its incidence is often underreported when there is no follow-up of the surgical patient post discharge. The need of a surveillance system for surgical patient after discharge is critical for infection control. The study objective was to determine the incidence of SWI in surgical patients and to compare the frequency of SWI diagnosed in-hospital and after discharge. METHODS: A prospective cohort study was carried out in a university hospital. Patients admitted to the general surgery unit (504) and underwent digestive tract surgery in the first semester of the year 2000 were followed up during their hospital stay and after discharge. RESULTS: Of 504 surgical patients, 398 (79.0%) returned to follow up in the post discharge outpatient clinic. Of the total surgical wound infections diagnosed, most (62.9%) was detected in the post discharge outpatient clinic, and 88% of SWI diagnosed were classified as superficial, and 67% reported up to day 7 after discharge. CONCLUSIONS: This study showed the importance of following up surgical patients after discharge to achieve reliable incidence data on surgical wound infection because of the late occurrence of infection in the majority of cases, which results in underreporting when the patient is followed up only during the hospital stay. OBJETIVO: A infecção do sítio cirúrgico constitui um grave problema dentre as infecções hospitalares por sua incidência, morbidade e mortalidade. Devido ao curto período de internação, a maioria dessas infecções se manifesta após a alta hospitalar, sendo subnotificada quando não há o seguimento do paciente cirúrgico. Programas de vigilância específicos do paciente após a alta são considerados fundamentais para controlar as infecções. O objetivo do estudo foi determinar a incidência de infecção do sítio cirúrgico e comparar sua freqüência durante a internação e após a alta. MÉTODOS: Realizou-se um estudo epidemiológico, tipo coorte, em um hospital universitário, com acompanhamento durante o período de internação e no seguimento pós-alta hospitalar, de 504 pacientes que se submeteram à cirurgia do aparelho digestivo no primeiro semestre de 2000. RESULTADOS: Das 504 cirurgias realizadas no período do estudo, 398 (79,0%) dos pacientes retornaram ao ambulatório de egressos. Do total de infecções do sítio cirúrgico diagnosticadas, a maioria (62,9%) foi notificada no ambulatório de egressos, sendo 88,0% superficiais, e 67,0% notificadas até o sétimo dia após a alta. CONCLUSÕES: Comprovou-se a importância do seguimento pós-alta para a obtenção de dados fidedignos sobre as infecções do sítio cirúrgico devido à manifestação tardia na maioria dos casos, levando a subnotificação quando o seguimento do paciente é realizado somente durante a internação. Universidade de São Paulo. Faculdade de Saúde Pública2002-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/.pdfhttps://www.revistas.usp.br/rsp/article/view/3151410.1590/S0034-89102002000700009Revista de Saúde Pública; Vol. 36 No. 6 (2002); 717-722 Revista de Saúde Pública; Vol. 36 Núm. 6 (2002); 717-722 Revista de Saúde Pública; v. 36 n. 6 (2002); 717-722 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rsp/article/view/31514/33399Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessOliveira, Adriana CristinaMartins, Maria AparecidaMartinho, Gláucia HelenaClemente, Wanessa TrindadeLacerda, Rúbia Aparecida2012-07-08T13:50:49Zoai:revistas.usp.br:article/31514Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-08T13:50:49Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Comparative study of surgical wound infection diagnosed in-hospital and post discharge Estudo comparativo do diagnóstico da infecção do sítio cirúrgico durante e após a internação |
title |
Comparative study of surgical wound infection diagnosed in-hospital and post discharge |
spellingShingle |
Comparative study of surgical wound infection diagnosed in-hospital and post discharge Oliveira, Adriana Cristina Infecção hospitalar^i1^sepidemiolo Seguimentos Assistência ambulatorial Pacientes internados Alta do paciente Infecção de sítio cirúrgico Controle pós-alta Cirurgia do aparelho digestivo Cross infection^i2^sepidemiol Digestive system surgical procedures Follow-up studies Ambulatoryc care Inpatients Patient discharge Surgical wound infection Post discharge control |
title_short |
Comparative study of surgical wound infection diagnosed in-hospital and post discharge |
title_full |
Comparative study of surgical wound infection diagnosed in-hospital and post discharge |
title_fullStr |
Comparative study of surgical wound infection diagnosed in-hospital and post discharge |
title_full_unstemmed |
Comparative study of surgical wound infection diagnosed in-hospital and post discharge |
title_sort |
Comparative study of surgical wound infection diagnosed in-hospital and post discharge |
author |
Oliveira, Adriana Cristina |
author_facet |
Oliveira, Adriana Cristina Martins, Maria Aparecida Martinho, Gláucia Helena Clemente, Wanessa Trindade Lacerda, Rúbia Aparecida |
author_role |
author |
author2 |
Martins, Maria Aparecida Martinho, Gláucia Helena Clemente, Wanessa Trindade Lacerda, Rúbia Aparecida |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Oliveira, Adriana Cristina Martins, Maria Aparecida Martinho, Gláucia Helena Clemente, Wanessa Trindade Lacerda, Rúbia Aparecida |
dc.subject.por.fl_str_mv |
Infecção hospitalar^i1^sepidemiolo Seguimentos Assistência ambulatorial Pacientes internados Alta do paciente Infecção de sítio cirúrgico Controle pós-alta Cirurgia do aparelho digestivo Cross infection^i2^sepidemiol Digestive system surgical procedures Follow-up studies Ambulatoryc care Inpatients Patient discharge Surgical wound infection Post discharge control |
topic |
Infecção hospitalar^i1^sepidemiolo Seguimentos Assistência ambulatorial Pacientes internados Alta do paciente Infecção de sítio cirúrgico Controle pós-alta Cirurgia do aparelho digestivo Cross infection^i2^sepidemiol Digestive system surgical procedures Follow-up studies Ambulatoryc care Inpatients Patient discharge Surgical wound infection Post discharge control |
description |
OBJECTIVE: Surgical wound infection (SWI) is a serious hospital infection due to its incidence, morbidity and mortality. Because of the short hospital stay, the majority of SWI appears post-discharge, and its incidence is often underreported when there is no follow-up of the surgical patient post discharge. The need of a surveillance system for surgical patient after discharge is critical for infection control. The study objective was to determine the incidence of SWI in surgical patients and to compare the frequency of SWI diagnosed in-hospital and after discharge. METHODS: A prospective cohort study was carried out in a university hospital. Patients admitted to the general surgery unit (504) and underwent digestive tract surgery in the first semester of the year 2000 were followed up during their hospital stay and after discharge. RESULTS: Of 504 surgical patients, 398 (79.0%) returned to follow up in the post discharge outpatient clinic. Of the total surgical wound infections diagnosed, most (62.9%) was detected in the post discharge outpatient clinic, and 88% of SWI diagnosed were classified as superficial, and 67% reported up to day 7 after discharge. CONCLUSIONS: This study showed the importance of following up surgical patients after discharge to achieve reliable incidence data on surgical wound infection because of the late occurrence of infection in the majority of cases, which results in underreporting when the patient is followed up only during the hospital stay. |
publishDate |
2002 |
dc.date.none.fl_str_mv |
2002-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/31514 10.1590/S0034-89102002000700009 |
url |
https://www.revistas.usp.br/rsp/article/view/31514 |
identifier_str_mv |
10.1590/S0034-89102002000700009 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/31514/33399 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/.pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 36 No. 6 (2002); 717-722 Revista de Saúde Pública; Vol. 36 Núm. 6 (2002); 717-722 Revista de Saúde Pública; v. 36 n. 6 (2002); 717-722 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221780603830272 |