Characterization of surgical site infections in patients undergoing neurosurgery in a public hospital between 2017 and 2019

Detalhes bibliográficos
Autor(a) principal: Tauffer, Josni
Data de Publicação: 2021
Outros Autores: Ignásio Alves, Débora Cristina, Rodrigues da Silva Carvalho, Ariana, Gonçalves de Oliveira Azevedo Matos, Fabiana
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/1472
Resumo: Introduction: Surgical site infections in patients undergoing neurological procedures contribute to the development of complications, as they constitute a serious threat to patient safety. Objective: To characterize the profile of surgical site infections in patients undergoing neurosurgery at a teaching hospital in Paraná. Method: Retrospective study, from a documentary, quantitative source, carried out from January 2017 to December 2019. Data were collected and organized in tables and analyzed using descriptive statistics. Results: 100.0% (n = 439) infections were reported and, of these, 10.0% (n = 44) were part of the sample. There was a predominance of males 72.7% (n = 32) and the average age of  the participants was 31.2 years. The average hospital stay was 82.5 days. The implantation of peritoneal or external ventricular bypass was the surgical procedure performed in 40.9% (n = 18) of the patients and according to the potential for contamination, 100.00% of the surgeries were classified as clean. There were 68.1% (n = 30) infections clinically defined as infection of the surgical organ cavity site, with a prevalence of 33 75.0% (n = 33) cases. The prevalent microorganism was Pseudomonas spp. with 42.9% (n = 6). For the outcome of the cases, 29.5% (n = 13) of the patients developed other infections, 93.1% (n = 41) were discharged from the hospital and 6.8% (n = 3) patients died. Conclusions: SSIs directly influence the health of neurological patients, requiring the implementation of strategies aimed at reducing statistics and promoting patient safety.
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spelling Characterization of surgical site infections in patients undergoing neurosurgery in a public hospital between 2017 and 2019Caracterização das infecções de sítio cirúrgico em pacientes submetidos à neurocirurgia em um hospital público entre 2017 a 2019Introduction: Surgical site infections in patients undergoing neurological procedures contribute to the development of complications, as they constitute a serious threat to patient safety. Objective: To characterize the profile of surgical site infections in patients undergoing neurosurgery at a teaching hospital in Paraná. Method: Retrospective study, from a documentary, quantitative source, carried out from January 2017 to December 2019. Data were collected and organized in tables and analyzed using descriptive statistics. Results: 100.0% (n = 439) infections were reported and, of these, 10.0% (n = 44) were part of the sample. There was a predominance of males 72.7% (n = 32) and the average age of  the participants was 31.2 years. The average hospital stay was 82.5 days. The implantation of peritoneal or external ventricular bypass was the surgical procedure performed in 40.9% (n = 18) of the patients and according to the potential for contamination, 100.00% of the surgeries were classified as clean. There were 68.1% (n = 30) infections clinically defined as infection of the surgical organ cavity site, with a prevalence of 33 75.0% (n = 33) cases. The prevalent microorganism was Pseudomonas spp. with 42.9% (n = 6). For the outcome of the cases, 29.5% (n = 13) of the patients developed other infections, 93.1% (n = 41) were discharged from the hospital and 6.8% (n = 3) patients died. Conclusions: SSIs directly influence the health of neurological patients, requiring the implementation of strategies aimed at reducing statistics and promoting patient safety. Introdução: As infecções de sítio cirúrgico em pacientes submetidos a procedimentos neurológicos contribuem para o desenvolvimento e complicações, pois constituem séria ameaça à segurança do paciente. Objetivo: Caracterizar o perfil das infecções de sítio cirúrgico em pacientes submetidos a neurocirurgias em um hospital-escola do Paraná. Método: Estudo retrospectivo, de fonte documental, quantitativo, realizado no período de janeiro de 2017 a dezembro de 2019. Os dados foram coletados e organizados em tabelas e analisados por meio de estatística descritiva. Resultados: Foram notificadas 439 infecções de sítio cirúrgico e, destas, 10,0% (n = 44) fizeram parte da amostra. Houve predomínio do sexo masculino, 72,7% (n = 32), e a média de idade dos participantes foi de 31,2 anos. O tempo médio de internação foi de 82,5 dias. O implante de derivação ventricular peritoneal ou externa foi o procedimento cirúrgico realizado em 40,9% (n = 18) dos pacientes e, segundo o potencial de contaminação, 100,0% das cirurgias foram classificadas como limpas. Foram 68,1% (n = 30) de infecções clinicamente definidas como infecção de sítio cirúrgico de órgão cavidade, prevalecendo em 33 (75,0%) casos. O microrganismo prevalente foi Pseudomonas spp., com 42,9% (n = 6). Para o desfecho dos casos, 29,5% (n = 13) dos pacientes desenvolveram outras infecções, 93,1% (n = 41) tiveram alta hospitalar e 6,8% (n = 3) dos pacientes evoluíram a óbito. Conclusões: As infecções de sítio cirúrgico influenciam diretamente a saúde do paciente neurológico, sendo necessária a implementação de estratégias que visem reduzir as estatísticas e promovam a segurança do paciente. Instituto Nacional de Controle de Qualidade em Saúde2021-05-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion"Peer-reviewed article""Artículo revisado por pares""Artigo avaliado pelos pares"application/pdfapplication/pdfhttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/147210.22239/2317-269X.01472Health Surveillance under Debate: Society, Science & Technology ; Vol. 9 No. 2 (2021): May; 104-110Vigilancia en Salud en Debate: Sociedad, Ciencia y Tecnología; Vol. 9 Núm. 2 (2021): Puede; 104-110Vigil Sanit Debate, Rio de Janeiro; v. 9 n. 2 (2021): Maio; 104-1102317-269Xreponame:Vigilância Sanitária em Debateinstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporenghttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1472/1251https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1472/1368Copyright (c) 2021 Vigilância Sanitária em Debate: Sociedade, Ciência & Tecnologia (Health Surveillance under Debate: Society, Science & Technology) – Visa em Debatehttps://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessTauffer, JosniIgnásio Alves, Débora CristinaRodrigues da Silva Carvalho, ArianaGonçalves de Oliveira Azevedo Matos, Fabiana2023-06-27T15:13:26Zoai:ojs.visaemdebate.incqs.fiocruz.br:article/1472Revistahttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebatePUBhttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/oaiincqs.visaemdebate@fiocruz.br || gisele.neves@fiocruz.br2317-269X2317-269Xopendoar:2023-06-27T15:13:26Vigilância Sanitária em Debate - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.none.fl_str_mv Characterization of surgical site infections in patients undergoing neurosurgery in a public hospital between 2017 and 2019
Caracterização das infecções de sítio cirúrgico em pacientes submetidos à neurocirurgia em um hospital público entre 2017 a 2019
title Characterization of surgical site infections in patients undergoing neurosurgery in a public hospital between 2017 and 2019
spellingShingle Characterization of surgical site infections in patients undergoing neurosurgery in a public hospital between 2017 and 2019
Tauffer, Josni
title_short Characterization of surgical site infections in patients undergoing neurosurgery in a public hospital between 2017 and 2019
title_full Characterization of surgical site infections in patients undergoing neurosurgery in a public hospital between 2017 and 2019
title_fullStr Characterization of surgical site infections in patients undergoing neurosurgery in a public hospital between 2017 and 2019
title_full_unstemmed Characterization of surgical site infections in patients undergoing neurosurgery in a public hospital between 2017 and 2019
title_sort Characterization of surgical site infections in patients undergoing neurosurgery in a public hospital between 2017 and 2019
author Tauffer, Josni
author_facet Tauffer, Josni
Ignásio Alves, Débora Cristina
Rodrigues da Silva Carvalho, Ariana
Gonçalves de Oliveira Azevedo Matos, Fabiana
author_role author
author2 Ignásio Alves, Débora Cristina
Rodrigues da Silva Carvalho, Ariana
Gonçalves de Oliveira Azevedo Matos, Fabiana
author2_role author
author
author
dc.contributor.author.fl_str_mv Tauffer, Josni
Ignásio Alves, Débora Cristina
Rodrigues da Silva Carvalho, Ariana
Gonçalves de Oliveira Azevedo Matos, Fabiana
description Introduction: Surgical site infections in patients undergoing neurological procedures contribute to the development of complications, as they constitute a serious threat to patient safety. Objective: To characterize the profile of surgical site infections in patients undergoing neurosurgery at a teaching hospital in Paraná. Method: Retrospective study, from a documentary, quantitative source, carried out from January 2017 to December 2019. Data were collected and organized in tables and analyzed using descriptive statistics. Results: 100.0% (n = 439) infections were reported and, of these, 10.0% (n = 44) were part of the sample. There was a predominance of males 72.7% (n = 32) and the average age of  the participants was 31.2 years. The average hospital stay was 82.5 days. The implantation of peritoneal or external ventricular bypass was the surgical procedure performed in 40.9% (n = 18) of the patients and according to the potential for contamination, 100.00% of the surgeries were classified as clean. There were 68.1% (n = 30) infections clinically defined as infection of the surgical organ cavity site, with a prevalence of 33 75.0% (n = 33) cases. The prevalent microorganism was Pseudomonas spp. with 42.9% (n = 6). For the outcome of the cases, 29.5% (n = 13) of the patients developed other infections, 93.1% (n = 41) were discharged from the hospital and 6.8% (n = 3) patients died. Conclusions: SSIs directly influence the health of neurological patients, requiring the implementation of strategies aimed at reducing statistics and promoting patient safety.
publishDate 2021
dc.date.none.fl_str_mv 2021-05-31
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dc.identifier.uri.fl_str_mv https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1472
10.22239/2317-269X.01472
url https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1472
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dc.language.iso.fl_str_mv por
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language por
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dc.relation.none.fl_str_mv https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1472/1251
https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1472/1368
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dc.publisher.none.fl_str_mv Instituto Nacional de Controle de Qualidade em Saúde
publisher.none.fl_str_mv Instituto Nacional de Controle de Qualidade em Saúde
dc.source.none.fl_str_mv Health Surveillance under Debate: Society, Science & Technology ; Vol. 9 No. 2 (2021): May; 104-110
Vigilancia en Salud en Debate: Sociedad, Ciencia y Tecnología; Vol. 9 Núm. 2 (2021): Puede; 104-110
Vigil Sanit Debate, Rio de Janeiro; v. 9 n. 2 (2021): Maio; 104-110
2317-269X
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repository.mail.fl_str_mv incqs.visaemdebate@fiocruz.br || gisele.neves@fiocruz.br
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