Surgical site infections: surgical reoperation and infection in clean and potentially contaminated surgeries
Autor(a) principal: | |
---|---|
Data de Publicação: | 2022 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Revista de Enfermagem da Universidade Federal de Santa Maria |
Texto Completo: | http://periodicos.ufsm.br/reufsm/article/view/67474 |
Resumo: | Objective: to verify the association between the occurrences of surgical site infection (SSI) and the need for re-approach in patients undergoing clean and potentially contaminated surgeries. Method: longitudinal study, involving 75 patients with infection; data collection was carried out using a survey form evaluating sociodemographic and clinical aspects. The association was assessed by the odds ratio and its confidence intervals (95%CI). Results: patients hospitalized for external causes are four times more likely to be surgically re-approached (p=0.011), in the orthopedic specialty the reason was five times greater (p=0.003), readmissions are 10 times more likely to be re-approached (p=0.000), leukocytosis (p=0.002) and alteration in the value of c-reactive protein (p=0.016) were associated with the need for a new surgery. Positive culture (p=0.001) and therapeutic antibiotic (p=0.04) proved to be protective factors for re-approach. Conclusion: the data demonstrate the presence of SSI as a strong influencer in surgical reoperation, guiding hospitals with the same profile. |
id |
UFSM-12_b84a9dba93758dc183a106b93fa53e95 |
---|---|
oai_identifier_str |
oai:ojs.pkp.sfu.ca:article/67474 |
network_acronym_str |
UFSM-12 |
network_name_str |
Revista de Enfermagem da Universidade Federal de Santa Maria |
repository_id_str |
|
spelling |
Surgical site infections: surgical reoperation and infection in clean and potentially contaminated surgeriesInfecciones del sitio quirúrgico: reoperación quirúrgica e infección en cirugías limpias y potencialmente contaminadasInfecções de sítio cirúrgico: reabordagem cirúrgica e infecção em cirurgias limpas e potencialmente contaminadaInfecção hospitalarInfecção de ferida cirúrgicaCirurgia geralProcedimentos ortopédicosEnfermagem médico-cirúrgicaInfecção hospitalarInfecção de ferida cirúrgicaCirurgia geralProcedimentos ortopédicosEnfermagem médico-cirúrgicaCross infectionSurgical wound infectionGeneral surgeryOrthopedic proceduresMedical-surgical nursingInfección hospitalariaInfección de la herida quirúrgicaCirugía generalProcedimientos ortopédicosEnfermería médico-quirúrgicaObjective: to verify the association between the occurrences of surgical site infection (SSI) and the need for re-approach in patients undergoing clean and potentially contaminated surgeries. Method: longitudinal study, involving 75 patients with infection; data collection was carried out using a survey form evaluating sociodemographic and clinical aspects. The association was assessed by the odds ratio and its confidence intervals (95%CI). Results: patients hospitalized for external causes are four times more likely to be surgically re-approached (p=0.011), in the orthopedic specialty the reason was five times greater (p=0.003), readmissions are 10 times more likely to be re-approached (p=0.000), leukocytosis (p=0.002) and alteration in the value of c-reactive protein (p=0.016) were associated with the need for a new surgery. Positive culture (p=0.001) and therapeutic antibiotic (p=0.04) proved to be protective factors for re-approach. Conclusion: the data demonstrate the presence of SSI as a strong influencer in surgical reoperation, guiding hospitals with the same profile.Objetivo: verificar la asociación entre la ocurrencia de infecciones del sitio quirúrgico (ISQ) y la necesidad de reoperación en pacientes sometidos a cirugías limpias y potencialmente contaminadas. Método: estudio longitudinal, involucrando 75 pacientes con infección; la recogida de datos tuvo lugar en un formulario de investigación que evaluaba aspectos sociodemográficos y clínicos. La asociación se evaluó mediante odds ratio y sus intervalos de confianza (IC95%). Resultados: los pacientes hospitalizados por causas externas tienen cuatro veces más posibilidades de reoperación (p=0,011); en la especialidad de ortopedia, la proporción fue cinco veces mayor (p=0,003); los reingresos tienen 10 veces más posibilidades de reoperación (p=0,000); la leucocitosis (p=0,002) y la alteración en el valor de la proteína c-reactiva (p=0,016) se asociaron con la necesidad de nueva cirugía. La cultura positiva (p=0,001) y el antibiótico terapéutico (p=0,04) demostraron ser factores protectores para la reoperación. Conclusión: los datos demuestran la presencia de ISQ como una fuerte influencia en la reoperación quirúrgica, guiando a los hospitales con el mismo perfil.Objetivo: verificar a associação entre a ocorrência de infecção de sítio cirúrgico (ISC) e a necessidade de reabordagem em pacientes submetidos a cirurgias limpas e potencialmente contaminadas. Método: estudo longitudinal, envolvendo 75 pacientes com infecção; a coleta de dados foi em formulário de pesquisa avaliando aspectos sociodemográficos e clínicos. A associação foi avaliada pela razão de chances e seus intervalos de confiança (IC95%). Resultados: pacientes internados por causas externas têm chance quatro vezes maior de reabordar cirurgicamente (p=0,011), na especialidade ortopédica a razão foi cinco vezes maior (p=0,003), reinternações, têm 10 vezes mais chances de reabordagem (p=0,000), leucocitose (p=0,002) e alteração no valor de proteína c-reativa (p=0,016) mostraram-se associados à necessidade de realização de nova cirurgia. A cultura positiva (p=0,001) e antibiótico terapêutico (p=0,04) demonstraram-se fatores protetores para a reabordagem. Conclusão: os dados demonstram a presença de ISC como forte influenciador à reabordagem cirúrgica, norteando hospitais com o mesmo perfil.Universidade Federal de Santa Maria2022-04-05info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdftext/htmltext/htmlhttp://periodicos.ufsm.br/reufsm/article/view/6747410.5902/2179769267474Revista de Enfermagem da UFSM; v. 12 (2022); e122179-7692reponame:Revista de Enfermagem da Universidade Federal de Santa Mariainstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSMporenghttp://periodicos.ufsm.br/reufsm/article/view/67474/46568http://periodicos.ufsm.br/reufsm/article/view/67474/46569http://periodicos.ufsm.br/reufsm/article/view/67474/46570http://periodicos.ufsm.br/reufsm/article/view/67474/46571Copyright (c) 2022 Revista de Enfermagem da UFSMhttp://creativecommons.org/licenses/by-nc-sa/4.0info:eu-repo/semantics/openAccessStefani, LarissaBorges, Pollyanna Kássia de OliveiraGaspar, Maria Dagmar da Rocha2022-12-29T17:45:32Zoai:ojs.pkp.sfu.ca:article/67474Revistahttps://periodicos.ufsm.br/reufsmPUBhttp://cascavel.ufsm.br/revistas/ojs-2.2.2/index.php/reufsm/oaicentraldeperiodicos@ufsm.br||reufsm@gmail.com2179-76922179-7692opendoar:2022-12-29T17:45:32Revista de Enfermagem da Universidade Federal de Santa Maria - Universidade Federal de Santa Maria (UFSM)false |
dc.title.none.fl_str_mv |
Surgical site infections: surgical reoperation and infection in clean and potentially contaminated surgeries Infecciones del sitio quirúrgico: reoperación quirúrgica e infección en cirugías limpias y potencialmente contaminadas Infecções de sítio cirúrgico: reabordagem cirúrgica e infecção em cirurgias limpas e potencialmente contaminada |
title |
Surgical site infections: surgical reoperation and infection in clean and potentially contaminated surgeries |
spellingShingle |
Surgical site infections: surgical reoperation and infection in clean and potentially contaminated surgeries Stefani, Larissa Infecção hospitalar Infecção de ferida cirúrgica Cirurgia geral Procedimentos ortopédicos Enfermagem médico-cirúrgica Infecção hospitalar Infecção de ferida cirúrgica Cirurgia geral Procedimentos ortopédicos Enfermagem médico-cirúrgica Cross infection Surgical wound infection General surgery Orthopedic procedures Medical-surgical nursing Infección hospitalaria Infección de la herida quirúrgica Cirugía general Procedimientos ortopédicos Enfermería médico-quirúrgica |
title_short |
Surgical site infections: surgical reoperation and infection in clean and potentially contaminated surgeries |
title_full |
Surgical site infections: surgical reoperation and infection in clean and potentially contaminated surgeries |
title_fullStr |
Surgical site infections: surgical reoperation and infection in clean and potentially contaminated surgeries |
title_full_unstemmed |
Surgical site infections: surgical reoperation and infection in clean and potentially contaminated surgeries |
title_sort |
Surgical site infections: surgical reoperation and infection in clean and potentially contaminated surgeries |
author |
Stefani, Larissa |
author_facet |
Stefani, Larissa Borges, Pollyanna Kássia de Oliveira Gaspar, Maria Dagmar da Rocha |
author_role |
author |
author2 |
Borges, Pollyanna Kássia de Oliveira Gaspar, Maria Dagmar da Rocha |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Stefani, Larissa Borges, Pollyanna Kássia de Oliveira Gaspar, Maria Dagmar da Rocha |
dc.subject.por.fl_str_mv |
Infecção hospitalar Infecção de ferida cirúrgica Cirurgia geral Procedimentos ortopédicos Enfermagem médico-cirúrgica Infecção hospitalar Infecção de ferida cirúrgica Cirurgia geral Procedimentos ortopédicos Enfermagem médico-cirúrgica Cross infection Surgical wound infection General surgery Orthopedic procedures Medical-surgical nursing Infección hospitalaria Infección de la herida quirúrgica Cirugía general Procedimientos ortopédicos Enfermería médico-quirúrgica |
topic |
Infecção hospitalar Infecção de ferida cirúrgica Cirurgia geral Procedimentos ortopédicos Enfermagem médico-cirúrgica Infecção hospitalar Infecção de ferida cirúrgica Cirurgia geral Procedimentos ortopédicos Enfermagem médico-cirúrgica Cross infection Surgical wound infection General surgery Orthopedic procedures Medical-surgical nursing Infección hospitalaria Infección de la herida quirúrgica Cirugía general Procedimientos ortopédicos Enfermería médico-quirúrgica |
description |
Objective: to verify the association between the occurrences of surgical site infection (SSI) and the need for re-approach in patients undergoing clean and potentially contaminated surgeries. Method: longitudinal study, involving 75 patients with infection; data collection was carried out using a survey form evaluating sociodemographic and clinical aspects. The association was assessed by the odds ratio and its confidence intervals (95%CI). Results: patients hospitalized for external causes are four times more likely to be surgically re-approached (p=0.011), in the orthopedic specialty the reason was five times greater (p=0.003), readmissions are 10 times more likely to be re-approached (p=0.000), leukocytosis (p=0.002) and alteration in the value of c-reactive protein (p=0.016) were associated with the need for a new surgery. Positive culture (p=0.001) and therapeutic antibiotic (p=0.04) proved to be protective factors for re-approach. Conclusion: the data demonstrate the presence of SSI as a strong influencer in surgical reoperation, guiding hospitals with the same profile. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-04-05 |
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 |
http://periodicos.ufsm.br/reufsm/article/view/67474 10.5902/2179769267474 |
url |
http://periodicos.ufsm.br/reufsm/article/view/67474 |
identifier_str_mv |
10.5902/2179769267474 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
http://periodicos.ufsm.br/reufsm/article/view/67474/46568 http://periodicos.ufsm.br/reufsm/article/view/67474/46569 http://periodicos.ufsm.br/reufsm/article/view/67474/46570 http://periodicos.ufsm.br/reufsm/article/view/67474/46571 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2022 Revista de Enfermagem da UFSM http://creativecommons.org/licenses/by-nc-sa/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2022 Revista de Enfermagem da UFSM http://creativecommons.org/licenses/by-nc-sa/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf text/html text/html |
dc.publisher.none.fl_str_mv |
Universidade Federal de Santa Maria |
publisher.none.fl_str_mv |
Universidade Federal de Santa Maria |
dc.source.none.fl_str_mv |
Revista de Enfermagem da UFSM; v. 12 (2022); e12 2179-7692 reponame:Revista de Enfermagem da Universidade Federal de Santa Maria instname:Universidade Federal de Santa Maria (UFSM) instacron:UFSM |
instname_str |
Universidade Federal de Santa Maria (UFSM) |
instacron_str |
UFSM |
institution |
UFSM |
reponame_str |
Revista de Enfermagem da Universidade Federal de Santa Maria |
collection |
Revista de Enfermagem da Universidade Federal de Santa Maria |
repository.name.fl_str_mv |
Revista de Enfermagem da Universidade Federal de Santa Maria - Universidade Federal de Santa Maria (UFSM) |
repository.mail.fl_str_mv |
centraldeperiodicos@ufsm.br||reufsm@gmail.com |
_version_ |
1799944045161611264 |