Prevention of surgical site infection in a university hospital: evaluation by indicators

• Autor(a) principal: Motta, Natiely Hayla
• Data de Publicação: 2017
• Outros Autores: Bohrer, Cristina Daiana, Oliveira, João Lucas Campos de, Azevedo Matos, Fabiana Gonçalves de Oliveira, Alves, Débora Cristina Ignácio
• 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/973
• topic: Infecção da Ferida Operatória; Indicadores de Qualidade em Assistência à Saúde; Segurança do Paciente; Gestão da Qualidade; Centros Cirúrgicos; Surgical Wound Infection; Quality Indicators; Health Care; Patient Safety; Quality Management; Surgicenters

Introduction: Surgical Site Infections (ISC) have a major impact on patient safety, and their evaluation through indicators becomes a necessary practice in the search for the quality of health services. Objective: To evaluate indicators of prevention of STI in a university hospital, and to verify the association of compliance of indicators between general surgery and orthopedic specialties. Method: Evaluative, transversal, observational and quantitative research. 200 elective surgeries performed from April to August 2016 at the Paraná University Hospital Surgical Center were analyzed by direct observation and recording of variables extraction forms that compose three indicators according to the Handbook of Evaluation of Control Practices for Hospital Infections. After tabulation of the data, descriptive statistical analysis and inferential were used. Results: The general compliance of the indicators was better for preoperative conditions (85.5%) and structural conditions (90.0%) than for intraoperative asepsis practices (74.0%). There was statistical significance (p-value=0,003) only for the “Distance Infection” component, with a worse result for orthopedics. Conclusions: No indicator achieved optimal compliance even with several fully adequate components. There are spaces to search for improvements in STI prevention, focusing on the registry of investigation of previous infections and in asepsis conditions.