Characterization of surgical site infections in patients undergoing neurosurgery in a public hospital between 2017 and 2019
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , |
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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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 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion "Peer-reviewed article" "Artículo revisado por pares" "Artigo avaliado pelos pares" |
format |
article |
status_str |
publishedVersion |
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 |
identifier_str_mv |
10.22239/2317-269X.01472 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
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 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by-nc/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by-nc/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
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 reponame:Vigilância Sanitária em Debate instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Vigilância Sanitária em Debate |
collection |
Vigilância Sanitária em Debate |
repository.name.fl_str_mv |
Vigilância Sanitária em Debate - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
incqs.visaemdebate@fiocruz.br || gisele.neves@fiocruz.br |
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1797042045872766976 |