Surgical site infection in a university hospital in northeast Brazil



Document title: Surgical site infection in a university hospital in northeast Brazil
Journal: The brazilian journal of infectious diseases
Database: PERIÓDICA
System number: 000290950
ISSN: 1413-8670
Authors: 1




Institutions: 1Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte. Brasil
Year:
Season: Ago
Volumen: 9
Number: 4
Pages: 310-314
Country: Brasil
Language: Inglés
Document type: Artículo
Approach: Caso clínico
English abstract We examined prevention of surgical site infection (SSI) in a tertiary teaching hospital in northeast Brazil, from January 1994 to December 2003. The survey included 5,742 patients subjected to thoracic, urologic, vascular and general surgery. The criteria for diagnosing SSI were those of the Centers for Disease Control, USA, and the variables of the National Nosocomial Infection Surveillance risk index were used. Data analysis revealed that anesthetic risk scores, wound class and duration of surgery were significantly associated with SSI. A total of 296 SSIs were detected among the 5,742 patients (5.1%). The overall incidence of SSI was 8.8% in 1994; it decreased to 3.3% in 2003. In conclusion, the use of educational strategies, based on guidelines for SSI prevention reduced SSI incidence. Appropriate management of preoperative, intraoperative, and postoperative incision care, and a surveillance system based on international criteria, were useful in reducing SSI rates in our hospital
Disciplines: Medicina
Keyword: Cirugía,
Hospitales,
Microbiología,
Infección hospitalaria,
Factores de riesgo,
Vigilancia,
Prevención,
Manejo
Keyword: Medicine,
Hospitals,
Microbiology,
Surgery,
Nosocomial infections,
Risk factors,
Surveillance,
Prevention,
Management
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