Factors related to surgical site infections after obstetric procedures[Abstract in English]

Detalhes bibliográficos
Autor(a) principal: Petter, Catarina Escosteguy
Data de Publicação: 2013
Outros Autores: Franco Farret, Túlio Cícero, Scherer, Juliane de Souza, Antonello, Vicente Sperb
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Scientia Medica (Porto Alegre. Online)
Texto Completo: https://revistaseletronicas.pucrs.br/scientiamedica/article/view/12715
Resumo: AIMS: Surgical site infection is the second main cause of nosocomial infections and a major complication during postpartum period. This study aimed to describe characteristics and risk factors found in puerperal women who had surgical site infection. METHODS: A retrospective cross-sectional study was conducted at Hospital Femina, Porto Alegre, Rio Grande do Sul, Brazil, including deliveries from January 2009 to December 2010. From a total of 9528 deliveries, 110 records of patients diagnosed with surgical site infection after vaginal delivery or cesarean section were detected and analyzed. RESULTS: We found a rate of surgical site infection of 1.53% for cesarean deliveries and of 1.01% for vaginal deliveries (RR 1.5, 95%CI 1.3-1.7). Among the patients with surgical site infection many had low socioeconomic status, were obese and had incorrect administration of antibiotic prophylaxis in pre-partum. CONCLUSIONS: The risk of infection was one and a half times greater after a caesarean section than after a vaginal delivery. The rates of postpartum surgical site infection found in this study, as well as some characteristics of the patients who developed infections, stress the importance of identifying potential risk factors and to seek prevention in obstetric patients through standards of practice that include proper use of prophylactic antibiotics.
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spelling Factors related to surgical site infections after obstetric procedures[Abstract in English]Fatores relacionados a infecções de sítio cirúrgico após procedimentos obstétricosSURGICAL WOUND INFECTIONPUERPERIUMPUERPERAL INFECTIONDELIVERYOBSTETRICRISK FACTORSCESAREAN SECTIONNATURAL CHILDBIRTH.INFECÇÃO DA FERIDA OPERATÓRIAPUERPÉRIOINFECÇÃO PUERPERALPARTO OBSTÉTRICOFATORES DE RISCOCESÁREAPARTO NORMAL.AIMS: Surgical site infection is the second main cause of nosocomial infections and a major complication during postpartum period. This study aimed to describe characteristics and risk factors found in puerperal women who had surgical site infection. METHODS: A retrospective cross-sectional study was conducted at Hospital Femina, Porto Alegre, Rio Grande do Sul, Brazil, including deliveries from January 2009 to December 2010. From a total of 9528 deliveries, 110 records of patients diagnosed with surgical site infection after vaginal delivery or cesarean section were detected and analyzed. RESULTS: We found a rate of surgical site infection of 1.53% for cesarean deliveries and of 1.01% for vaginal deliveries (RR 1.5, 95%CI 1.3-1.7). Among the patients with surgical site infection many had low socioeconomic status, were obese and had incorrect administration of antibiotic prophylaxis in pre-partum. CONCLUSIONS: The risk of infection was one and a half times greater after a caesarean section than after a vaginal delivery. The rates of postpartum surgical site infection found in this study, as well as some characteristics of the patients who developed infections, stress the importance of identifying potential risk factors and to seek prevention in obstetric patients through standards of practice that include proper use of prophylactic antibiotics.OBJETIVOS: A infecção de sítio cirúrgico representa a segunda maior causa de infecções hospitalares e uma das principais complicações no pós-parto. O presente estudo teve como objetivo descrever características e fatores de risco presentes em puérperas que tiveram infecção de sítio cirúrgico. MÉTODOS: Um estudo transversal retrospectivo foi realizado no Hospital Fêmina, incluindo os partos ocorridos de janeiro de 2009 a dezembro de 2010. De um total de 9528 partos, foram detectados e avaliados 110 prontuários de pacientes com diagnóstico de infecção de sítio cirúrgico após parto vaginal ou cesáreo. RESULTADOS: Foi encontrada taxa de infecção de sítio cirúrgico de 1,53% para cesarianas e de 1,01% para partos vaginais (risco relativo 1,5; IC 95% 1,3-1,7). Entre as pacientes com infecção de sítio cirúrgico, muitas tinham baixo nível socioeconômico, eram obesas e não haviam sido submetidas a uma correta antibioticoprofilaxia no pré-parto. CONCLUSÕES: O risco de desenvolver infecção foi uma vez e meia maior após um parto cesáreo do que após um parto vaginal. Os índices de infecção de sítio cirúrgico pós-parto encontrados neste estudo, assim como algumas características das pacientes que desenvolveram infecções, reforçam a importância de identificar possíveis fatores de risco presentes e de buscar a prevenção nas pacientes obstétricas com a normatização de condutas, incluindo o uso correto de antibioticoterapia profilática.Editora da PUCRS - ediPUCRS2013-03-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/1271510.15448/1980-6108.2013.1.12715Scientia Medica; Vol. 23 No. 1 (2013); 28-33Scientia Medica; v. 23 n. 1 (2013); 28-331980-61081806-556210.15448/1980-6108.2013.1reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSporenghttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/12715/9042https://revistaseletronicas.pucrs.br/scientiamedica/article/view/12715/9043Petter, Catarina EscosteguyFranco Farret, Túlio CíceroScherer, Juliane de SouzaAntonello, Vicente Sperbinfo:eu-repo/semantics/openAccess2017-08-28T14:50:12Zoai:ojs.revistaseletronicas.pucrs.br:article/12715Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2017-08-28T14:50:12Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false
dc.title.none.fl_str_mv Factors related to surgical site infections after obstetric procedures[Abstract in English]
Fatores relacionados a infecções de sítio cirúrgico após procedimentos obstétricos
title Factors related to surgical site infections after obstetric procedures[Abstract in English]
spellingShingle Factors related to surgical site infections after obstetric procedures[Abstract in English]
Petter, Catarina Escosteguy
SURGICAL WOUND INFECTION
PUERPERIUM
PUERPERAL INFECTION
DELIVERY
OBSTETRIC
RISK FACTORS
CESAREAN SECTION
NATURAL CHILDBIRTH.
INFECÇÃO DA FERIDA OPERATÓRIA
PUERPÉRIO
INFECÇÃO PUERPERAL
PARTO OBSTÉTRICO
FATORES DE RISCO
CESÁREA
PARTO NORMAL.
title_short Factors related to surgical site infections after obstetric procedures[Abstract in English]
title_full Factors related to surgical site infections after obstetric procedures[Abstract in English]
title_fullStr Factors related to surgical site infections after obstetric procedures[Abstract in English]
title_full_unstemmed Factors related to surgical site infections after obstetric procedures[Abstract in English]
title_sort Factors related to surgical site infections after obstetric procedures[Abstract in English]
author Petter, Catarina Escosteguy
author_facet Petter, Catarina Escosteguy
Franco Farret, Túlio Cícero
Scherer, Juliane de Souza
Antonello, Vicente Sperb
author_role author
author2 Franco Farret, Túlio Cícero
Scherer, Juliane de Souza
Antonello, Vicente Sperb
author2_role author
author
author
dc.contributor.author.fl_str_mv Petter, Catarina Escosteguy
Franco Farret, Túlio Cícero
Scherer, Juliane de Souza
Antonello, Vicente Sperb
dc.subject.por.fl_str_mv SURGICAL WOUND INFECTION
PUERPERIUM
PUERPERAL INFECTION
DELIVERY
OBSTETRIC
RISK FACTORS
CESAREAN SECTION
NATURAL CHILDBIRTH.
INFECÇÃO DA FERIDA OPERATÓRIA
PUERPÉRIO
INFECÇÃO PUERPERAL
PARTO OBSTÉTRICO
FATORES DE RISCO
CESÁREA
PARTO NORMAL.
topic SURGICAL WOUND INFECTION
PUERPERIUM
PUERPERAL INFECTION
DELIVERY
OBSTETRIC
RISK FACTORS
CESAREAN SECTION
NATURAL CHILDBIRTH.
INFECÇÃO DA FERIDA OPERATÓRIA
PUERPÉRIO
INFECÇÃO PUERPERAL
PARTO OBSTÉTRICO
FATORES DE RISCO
CESÁREA
PARTO NORMAL.
description AIMS: Surgical site infection is the second main cause of nosocomial infections and a major complication during postpartum period. This study aimed to describe characteristics and risk factors found in puerperal women who had surgical site infection. METHODS: A retrospective cross-sectional study was conducted at Hospital Femina, Porto Alegre, Rio Grande do Sul, Brazil, including deliveries from January 2009 to December 2010. From a total of 9528 deliveries, 110 records of patients diagnosed with surgical site infection after vaginal delivery or cesarean section were detected and analyzed. RESULTS: We found a rate of surgical site infection of 1.53% for cesarean deliveries and of 1.01% for vaginal deliveries (RR 1.5, 95%CI 1.3-1.7). Among the patients with surgical site infection many had low socioeconomic status, were obese and had incorrect administration of antibiotic prophylaxis in pre-partum. CONCLUSIONS: The risk of infection was one and a half times greater after a caesarean section than after a vaginal delivery. The rates of postpartum surgical site infection found in this study, as well as some characteristics of the patients who developed infections, stress the importance of identifying potential risk factors and to seek prevention in obstetric patients through standards of practice that include proper use of prophylactic antibiotics.
publishDate 2013
dc.date.none.fl_str_mv 2013-03-30
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://revistaseletronicas.pucrs.br/scientiamedica/article/view/12715
10.15448/1980-6108.2013.1.12715
url https://revistaseletronicas.pucrs.br/scientiamedica/article/view/12715
identifier_str_mv 10.15448/1980-6108.2013.1.12715
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://revistaseletronicas.pucrs.br/scientiamedica/article/view/12715/9042
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/12715/9043
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
dc.source.none.fl_str_mv Scientia Medica; Vol. 23 No. 1 (2013); 28-33
Scientia Medica; v. 23 n. 1 (2013); 28-33
1980-6108
1806-5562
10.15448/1980-6108.2013.1
reponame:Scientia Medica (Porto Alegre. Online)
instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron:PUC_RS
instname_str Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron_str PUC_RS
institution PUC_RS
reponame_str Scientia Medica (Porto Alegre. Online)
collection Scientia Medica (Porto Alegre. Online)
repository.name.fl_str_mv Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
repository.mail.fl_str_mv scientiamedica@pucrs.br || editora.periodicos@pucrs.br
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