Characterization of surgical site infections in a public teaching hospital in Cascavel, Paraná

• Autor(a) principal: Anchieta, Drieli Wawzeniak de
• Data de Publicação: 2019
• Outros Autores: Matos, Fabiana Gonçalves de Oliveira Azevedo, Alves, Débora Cristina Ignácio, Santos, Reginaldo Passoni dos, Oliveira, Joao Lucas Campos de, Dal Molin, Thiago
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Vigilância Sanitária em Debate
• Texto Completo: https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1277
• topic: Infecção; Infecção da ferida operatória; Segurança do paciente; Monitoramento epidemiológico; Infection; Surgical Wound Infection; Patient Safety; Epidemiological Monitoring

Introduction: Surgical Site Infection (SSI) is one of the major Health Care-Related Infections (HAI) and a persistent problem in the hospital setting. Objective: To characterize SSI in a public teaching hospital located in the city of Cascavel-PR. Method: cross-sectional retrospective study of documentary source and quantitative approach. The SSIs notified from May 2017 to May 2018 were analyzed. The variables of interest were tabulated and submitted to descriptive statistical analysis. Results: there were 5,169 surgical procedures in the period, with 196 (100%) cases of SSI. Of these, there was a predominance in young adults aged between 21 and 40 years (39.3%). The specialty of Gynecology / Obstetrics (30.1%) and General Surgery (29.1%) presented the highest rates of SSI, most frequently in Potentially Contaminated surgeries (53.1%); with superficial incisional SSI (59.7%); and with clinical confirmation criteria (79.1%). Regarding the microorganisms isolated in the cultures, Pseudomonas aeruginosa (16.7%) and Enterococcus spp (16.7%) stood out. Conclusions: It is noted that there is a need to review SSI prevention measures, especially due to the proportion of clean surgeries that developed the adverse event. However, considering the values reported in the literature, the overall rate of SSI was discrete.