Incidência e fatores de risco associados à infecção do sítio cirúrgico na clínica de cães e gatos do hospital veterinário da Universidade Federal de Viçosa

Detalhes bibliográficos
Autor(a) principal: Braga, Daniel Pontes
Data de Publicação: 2008
Tipo de documento: Dissertação
Idioma: por
Título da fonte: LOCUS Repositório Institucional da UFV
Texto Completo: http://locus.ufv.br/handle/123456789/4981
Resumo: The objective of this study was to verify the incidence of infection in the surgical site at the Dog and Cat Surgery Clinic at the Veterinary Hospital of the Universidade Federal de Viçosa (UFV) and the association of occurrence of infection with the risk factors previously described. Another aim was to attract interest to this issue, since hospital infections very often remain unnoticed or are not duly recorded, to propose measures for their prevention and control. A concurrent prospective cohort study was carried out. The epidemiological surveillance method applied was based on the active search of “clues” indicating the occurrence of ICS. All the patients submitted to surgical procedures under the day clinic scheme during the period proposed were analyzed through their clinical, surgical and anesthesic records, as well as through the collection of information from veterinarians, animal caretakers and owners. A total of 307 patients (356 surgical procedures) were analyzed from May 11 to November 11, 2007. Possible cases were evaluated by the researcher and observing veterinarians, with 34 ICS cases being identified among the patients submitted to surgery during the period proposed. Data analysis and hospital documentation provided a precise assessment of all the procedures carried out during the period and the dynamics of filling the hospital forms was also verified. The absence of a standardization of the records and prescribed surgical antibiotic prophylaxy was verified. A global ICS incidence of 9.5% was found, compatible with the rates described in the literature consulted and an incidence of 10.4 % in clean surgeries and 7.4% in potentially contaminated ones, with these indices being higher than those observed in the literature studied. No association among ICS, surgery duration time, orthopedic and non-orthopedic surgeries, with or without use of protheses. However, association between record of patient’s interference in the surgical wound and ISC occurrence were recorded. The following likely risk factors for ISC were verified: lack of a hospital infection surveillance process, non-standardized use of antibiotic prophylaxy, lack of norms and routine concerning the prevention and control of hospital infections, lack of adequate professional training and guidance, and non compliance to current legislation. Thus, based on the data investigated and observations conducted in this study, the need for actions was verified.
id UFV_addb73ca707def8a57b3856555159105
oai_identifier_str oai:locus.ufv.br:123456789/4981
network_acronym_str UFV
network_name_str LOCUS Repositório Institucional da UFV
repository_id_str 2145
spelling Braga, Daniel PontesBevilacqua, Paula Diashttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4727999P6Viana, José Antoniohttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4797107Y8Borges, Andrea Pacheco Batistahttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4767373D8Carlo, Ricardo Junqueira Delhttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4788143A9Salimena, Anna Maria de Oliveirahttp://lattes.cnpq.br/84730492072612492015-03-26T13:46:41Z2009-12-232015-03-26T13:46:41Z2008-12-08BRAGA, Daniel Pontes. Incidence and risk factors associated to surgical site infection in the Dog and Cat Clinic at the Veterinary Hospital of the Universidade Federal de Viçosa. 2008. 121 f. Dissertação (Mestrado em Biotecnologia, diagnóstico e controle de doenças; Epidemiologia e controle de qualidade de prod. de) - Universidade Federal de Viçosa, Viçosa, 2008.http://locus.ufv.br/handle/123456789/4981The objective of this study was to verify the incidence of infection in the surgical site at the Dog and Cat Surgery Clinic at the Veterinary Hospital of the Universidade Federal de Viçosa (UFV) and the association of occurrence of infection with the risk factors previously described. Another aim was to attract interest to this issue, since hospital infections very often remain unnoticed or are not duly recorded, to propose measures for their prevention and control. A concurrent prospective cohort study was carried out. The epidemiological surveillance method applied was based on the active search of “clues” indicating the occurrence of ICS. All the patients submitted to surgical procedures under the day clinic scheme during the period proposed were analyzed through their clinical, surgical and anesthesic records, as well as through the collection of information from veterinarians, animal caretakers and owners. A total of 307 patients (356 surgical procedures) were analyzed from May 11 to November 11, 2007. Possible cases were evaluated by the researcher and observing veterinarians, with 34 ICS cases being identified among the patients submitted to surgery during the period proposed. Data analysis and hospital documentation provided a precise assessment of all the procedures carried out during the period and the dynamics of filling the hospital forms was also verified. The absence of a standardization of the records and prescribed surgical antibiotic prophylaxy was verified. A global ICS incidence of 9.5% was found, compatible with the rates described in the literature consulted and an incidence of 10.4 % in clean surgeries and 7.4% in potentially contaminated ones, with these indices being higher than those observed in the literature studied. No association among ICS, surgery duration time, orthopedic and non-orthopedic surgeries, with or without use of protheses. However, association between record of patient’s interference in the surgical wound and ISC occurrence were recorded. The following likely risk factors for ISC were verified: lack of a hospital infection surveillance process, non-standardized use of antibiotic prophylaxy, lack of norms and routine concerning the prevention and control of hospital infections, lack of adequate professional training and guidance, and non compliance to current legislation. Thus, based on the data investigated and observations conducted in this study, the need for actions was verified.O objetivo deste estudo foi verificar a incidência de infecção do sítio cirúrgico na Clinica Cirúrgica de Cães e Gatos do Hospital Veterinário da Universidade Federal de Viçosa e a associação da ocorrência de infecção aos fatores de riscos já descritos. Objetivou-se ainda despertar o interesse para o problema, considerando que as infecções hospitalares muitas vezes passam despercebidas ou não são devidamente registradas, e consequentemente, propor medidas para sua prevenção e seu controle. Foi realizado um estudo de coorte concorrente prospectivo. O método de vigilância epidemiológica empregado foi baseado na busca ativa de “pistas” que indicassem a ocorrência de ISC.Todos os pacientes submetidos a procedimentos cirúrgicos, no esquema de ambulatório dia no período proposto foram analisados através de seus prontuários clínicos, fichas cirúrgicas e anestésicas, além de colheita de informações com veterinários, cuidadores e proprietários. Foram analisados 307 pacientes (356 procedimentos) cirúrgicos, no período de 11 de maio a 11 de novembro de 2007. Os possíveis casos foram avaliados pelo pesquisador e veterinários observadores sendo identificados 34 casos de ISC entre os pacientes submetidos à cirurgia no período proposto. A análise dos dados e documentação hospitalar propiciou um levantamento preciso de todos os procedimentos realizados no período e também foi verificada a dinâmica de preenchimento da documentação hospitalar. Verificou-se a inexistência de uma padronização dos registros realizados nos prontuários e da antibioticoprofilaxia cirúrgica prescrita. Encontrou-se uma incidência global de ISC de 9,5% sendo compatível com as taxas descritas na literatura consultada e uma incidência de 10,4 % em cirurgias limpas e 7,4% em potencialmente contaminadas, sendo estes índices maiores que os observados na literatura estudada. Não foi verificado a associação entre ISC, tempo de duração da cirurgia, cirurgias ortopédicas e não ortopédicas com ou sem utilização de próteses. Entretanto, registrou-se a associação entre o registro de interferência do paciente na ferida cirúrgica e a ocorrência de ISC. Verificou-se como possíveis fatores de risco para ISC: a falta de um processo de vigilância das infecções hospitalares, emprego não padronizado de antibioticoprofilaxia, falta de normas e rotinas referentes à prevenção e controle das infecções hospitalares, falta de treinamento e orientação adequada dos profissionais e falta do cumprimento da legislação vigente. Portanto, baseado nos dados apurados e observações realizadas durante o estudo, verificou-se a necessidade de providências no controle e prevenção das ISC.application/pdfporUniversidade Federal de ViçosaMestrado em Medicina VeterináriaUFVBRBiotecnologia, diagnóstico e controle de doenças; Epidemiologia e controle de qualidade de prod. deInfecçãoSítio cirúrgicoPequenos animaisInfectionSurgical siteSmall animalsCNPQ::CIENCIAS AGRARIAS::MEDICINA VETERINARIA::CLINICA E CIRURGIA ANIMALIncidência e fatores de risco associados à infecção do sítio cirúrgico na clínica de cães e gatos do hospital veterinário da Universidade Federal de ViçosaIncidence and risk factors associated to surgical site infection in the Dog and Cat Clinic at the Veterinary Hospital of the Universidade Federal de Viçosainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:LOCUS Repositório Institucional da UFVinstname:Universidade Federal de Viçosa (UFV)instacron:UFVORIGINALtexto completo.pdfapplication/pdf2845351https://locus.ufv.br//bitstream/123456789/4981/1/texto%20completo.pdf2eb8e1f7e1700a8e8454e0fddcbd1a8eMD51TEXTtexto completo.pdf.txttexto completo.pdf.txtExtracted texttext/plain237552https://locus.ufv.br//bitstream/123456789/4981/2/texto%20completo.pdf.txtd27ae9177377917bc000f9bbc461554bMD52THUMBNAILtexto completo.pdf.jpgtexto completo.pdf.jpgIM Thumbnailimage/jpeg3710https://locus.ufv.br//bitstream/123456789/4981/3/texto%20completo.pdf.jpg6fdbc2d927edfdbf437c76c1b1b03472MD53123456789/49812016-04-11 23:05:56.298oai:locus.ufv.br:123456789/4981Repositório InstitucionalPUBhttps://www.locus.ufv.br/oai/requestfabiojreis@ufv.bropendoar:21452016-04-12T02:05:56LOCUS Repositório Institucional da UFV - Universidade Federal de Viçosa (UFV)false
dc.title.por.fl_str_mv Incidência e fatores de risco associados à infecção do sítio cirúrgico na clínica de cães e gatos do hospital veterinário da Universidade Federal de Viçosa
dc.title.alternative.eng.fl_str_mv Incidence and risk factors associated to surgical site infection in the Dog and Cat Clinic at the Veterinary Hospital of the Universidade Federal de Viçosa
title Incidência e fatores de risco associados à infecção do sítio cirúrgico na clínica de cães e gatos do hospital veterinário da Universidade Federal de Viçosa
spellingShingle Incidência e fatores de risco associados à infecção do sítio cirúrgico na clínica de cães e gatos do hospital veterinário da Universidade Federal de Viçosa
Braga, Daniel Pontes
Infecção
Sítio cirúrgico
Pequenos animais
Infection
Surgical site
Small animals
CNPQ::CIENCIAS AGRARIAS::MEDICINA VETERINARIA::CLINICA E CIRURGIA ANIMAL
title_short Incidência e fatores de risco associados à infecção do sítio cirúrgico na clínica de cães e gatos do hospital veterinário da Universidade Federal de Viçosa
title_full Incidência e fatores de risco associados à infecção do sítio cirúrgico na clínica de cães e gatos do hospital veterinário da Universidade Federal de Viçosa
title_fullStr Incidência e fatores de risco associados à infecção do sítio cirúrgico na clínica de cães e gatos do hospital veterinário da Universidade Federal de Viçosa
title_full_unstemmed Incidência e fatores de risco associados à infecção do sítio cirúrgico na clínica de cães e gatos do hospital veterinário da Universidade Federal de Viçosa
title_sort Incidência e fatores de risco associados à infecção do sítio cirúrgico na clínica de cães e gatos do hospital veterinário da Universidade Federal de Viçosa
author Braga, Daniel Pontes
author_facet Braga, Daniel Pontes
author_role author
dc.contributor.author.fl_str_mv Braga, Daniel Pontes
dc.contributor.advisor-co1.fl_str_mv Bevilacqua, Paula Dias
dc.contributor.advisor-co1Lattes.fl_str_mv http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4727999P6
dc.contributor.advisor-co2.fl_str_mv Viana, José Antonio
dc.contributor.advisor-co2Lattes.fl_str_mv http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4797107Y8
dc.contributor.advisor1.fl_str_mv Borges, Andrea Pacheco Batista
dc.contributor.advisor1Lattes.fl_str_mv http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4767373D8
dc.contributor.referee1.fl_str_mv Carlo, Ricardo Junqueira Del
dc.contributor.referee1Lattes.fl_str_mv http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4788143A9
dc.contributor.referee2.fl_str_mv Salimena, Anna Maria de Oliveira
dc.contributor.referee2Lattes.fl_str_mv http://lattes.cnpq.br/8473049207261249
contributor_str_mv Bevilacqua, Paula Dias
Viana, José Antonio
Borges, Andrea Pacheco Batista
Carlo, Ricardo Junqueira Del
Salimena, Anna Maria de Oliveira
dc.subject.por.fl_str_mv Infecção
Sítio cirúrgico
Pequenos animais
topic Infecção
Sítio cirúrgico
Pequenos animais
Infection
Surgical site
Small animals
CNPQ::CIENCIAS AGRARIAS::MEDICINA VETERINARIA::CLINICA E CIRURGIA ANIMAL
dc.subject.eng.fl_str_mv Infection
Surgical site
Small animals
dc.subject.cnpq.fl_str_mv CNPQ::CIENCIAS AGRARIAS::MEDICINA VETERINARIA::CLINICA E CIRURGIA ANIMAL
description The objective of this study was to verify the incidence of infection in the surgical site at the Dog and Cat Surgery Clinic at the Veterinary Hospital of the Universidade Federal de Viçosa (UFV) and the association of occurrence of infection with the risk factors previously described. Another aim was to attract interest to this issue, since hospital infections very often remain unnoticed or are not duly recorded, to propose measures for their prevention and control. A concurrent prospective cohort study was carried out. The epidemiological surveillance method applied was based on the active search of “clues” indicating the occurrence of ICS. All the patients submitted to surgical procedures under the day clinic scheme during the period proposed were analyzed through their clinical, surgical and anesthesic records, as well as through the collection of information from veterinarians, animal caretakers and owners. A total of 307 patients (356 surgical procedures) were analyzed from May 11 to November 11, 2007. Possible cases were evaluated by the researcher and observing veterinarians, with 34 ICS cases being identified among the patients submitted to surgery during the period proposed. Data analysis and hospital documentation provided a precise assessment of all the procedures carried out during the period and the dynamics of filling the hospital forms was also verified. The absence of a standardization of the records and prescribed surgical antibiotic prophylaxy was verified. A global ICS incidence of 9.5% was found, compatible with the rates described in the literature consulted and an incidence of 10.4 % in clean surgeries and 7.4% in potentially contaminated ones, with these indices being higher than those observed in the literature studied. No association among ICS, surgery duration time, orthopedic and non-orthopedic surgeries, with or without use of protheses. However, association between record of patient’s interference in the surgical wound and ISC occurrence were recorded. The following likely risk factors for ISC were verified: lack of a hospital infection surveillance process, non-standardized use of antibiotic prophylaxy, lack of norms and routine concerning the prevention and control of hospital infections, lack of adequate professional training and guidance, and non compliance to current legislation. Thus, based on the data investigated and observations conducted in this study, the need for actions was verified.
publishDate 2008
dc.date.issued.fl_str_mv 2008-12-08
dc.date.available.fl_str_mv 2009-12-23
2015-03-26T13:46:41Z
dc.date.accessioned.fl_str_mv 2015-03-26T13:46:41Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
status_str publishedVersion
dc.identifier.citation.fl_str_mv BRAGA, Daniel Pontes. Incidence and risk factors associated to surgical site infection in the Dog and Cat Clinic at the Veterinary Hospital of the Universidade Federal de Viçosa. 2008. 121 f. Dissertação (Mestrado em Biotecnologia, diagnóstico e controle de doenças; Epidemiologia e controle de qualidade de prod. de) - Universidade Federal de Viçosa, Viçosa, 2008.
dc.identifier.uri.fl_str_mv http://locus.ufv.br/handle/123456789/4981
identifier_str_mv BRAGA, Daniel Pontes. Incidence and risk factors associated to surgical site infection in the Dog and Cat Clinic at the Veterinary Hospital of the Universidade Federal de Viçosa. 2008. 121 f. Dissertação (Mestrado em Biotecnologia, diagnóstico e controle de doenças; Epidemiologia e controle de qualidade de prod. de) - Universidade Federal de Viçosa, Viçosa, 2008.
url http://locus.ufv.br/handle/123456789/4981
dc.language.iso.fl_str_mv por
language por
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de Viçosa
dc.publisher.program.fl_str_mv Mestrado em Medicina Veterinária
dc.publisher.initials.fl_str_mv UFV
dc.publisher.country.fl_str_mv BR
dc.publisher.department.fl_str_mv Biotecnologia, diagnóstico e controle de doenças; Epidemiologia e controle de qualidade de prod. de
publisher.none.fl_str_mv Universidade Federal de Viçosa
dc.source.none.fl_str_mv reponame:LOCUS Repositório Institucional da UFV
instname:Universidade Federal de Viçosa (UFV)
instacron:UFV
instname_str Universidade Federal de Viçosa (UFV)
instacron_str UFV
institution UFV
reponame_str LOCUS Repositório Institucional da UFV
collection LOCUS Repositório Institucional da UFV
bitstream.url.fl_str_mv https://locus.ufv.br//bitstream/123456789/4981/1/texto%20completo.pdf
https://locus.ufv.br//bitstream/123456789/4981/2/texto%20completo.pdf.txt
https://locus.ufv.br//bitstream/123456789/4981/3/texto%20completo.pdf.jpg
bitstream.checksum.fl_str_mv 2eb8e1f7e1700a8e8454e0fddcbd1a8e
d27ae9177377917bc000f9bbc461554b
6fdbc2d927edfdbf437c76c1b1b03472
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
MD5
repository.name.fl_str_mv LOCUS Repositório Institucional da UFV - Universidade Federal de Viçosa (UFV)
repository.mail.fl_str_mv fabiojreis@ufv.br
_version_ 1801213132426706944