Incidence and risk factors for surgical site infection in general surgeries.

Abstract:

OBJECTIVE:to estimate the incidence of surgical site infection in general surgeries at a large Brazilian hospital while identifying risk factors and prevalent microorganisms. METHOD:non-concurrent cohort study with 16,882 information of patients undergoing general surgery from 2008 to 2011. Data were analyzed by descriptive, bivariate and multivariate analysis. RESULTS:the incidence of surgical site infection was 3.4%. The risk factors associated with surgical site infection were: length of preoperative hospital stay more than 24 hours; duration of surgery in hours; wound class clean-contaminated, contaminated and dirty/infected; and ASA index classified into ASA II, III and IV/V. Staphyloccocus aureus and Escherichia coli were identified. CONCLUSION:the incidence was lower than that found in the national studies on general surgeries. These risk factors corroborate those presented by the National Nosocomial Infection Surveillance System Risk Index, by the addition of the length of preoperative hospital stay. The identification of the actual incidence of surgical site infection in general surgeries and associated risk factors may support the actions of the health team in order to minimize the complications caused by surgical site infection.

journal_name

Rev Lat Am Enfermagem

authors

Carvalho RLR,Campos CC,Franco LMC,Rocha AM,Ercole FF

doi

10.1590/1518-8345.1502.2848

subject

Has Abstract

pub_date

2017-12-04 00:00:00

pages

e2848

eissn

0104-1169

issn

1518-8345

pii

S0104-11692017000100390

journal_volume

25

pub_type

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