Predictive factors of post-discharge surgical site infections among patients from a teaching hospital

• Autor(a) principal: Gomes, Adriana Estela Biasotti
• Data de Publicação: 2014
• Outros Autores: Cavalcante, Ricardo De Souza, Pavan, Érika Cibele Pereira, Freitas, Elaine Da Silva, Fortaleza, Carlos Magno Castelo Branco [UNESP]
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://dx.doi.org/10.1590/0037-8682-0069-2013; http://hdl.handle.net/11449/109926
• topic: Infection control; Surgical site infections; Surveillance

Introduction Surgical site infections (SSIs) often manifest after patients are discharged and are missed by hospital-based surveillance. Methods We conducted a case-reference study nested in a prospective cohort of patients from six surgical specialties in a teaching hospital. The factors related to SSI were compared for cases identified during the hospital stay and after discharge. Results Among 3,427 patients, 222 (6.4%) acquired an SSI. In 138 of these patients, the onset of the SSI occurred after discharge. Neurological surgery and the use of steroids were independently associated with a greater likelihood of SSI diagnosis during the hospital stay. Conclusions Our results support the idea of a specialty-based strategy for post-discharge SSI surveillance.