Madeira Maria Zélia de Araújo, Trabasso Plínio
Departamento de Enfermagem, Centro de Ciências da Saúde, Universidade Federal do Piauí, Teresina, PI, Brasil.
Departamento de Clínica Médica, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, BRAZIL.
Rev Soc Bras Med Trop. 2014 Jul;47(4):457-61. doi: 10.1590/0037-8682-0125-2014.
Surgical site infections (SSIs) can affect body tissues, cavities, or organs manipulated in surgery and constitute 14% to 16% of all infections. This study aimed to determine the incidence of SSIs in women following their discharge from a gynecology outpatient clinic, to survey different types of SSIs among women, and to verify the association of SSIs with comorbidities and clinical conditions.
Data were collected via analytical observation with a cross-sectional design, and the study was conducted in 1,026 women who underwent gynecological surgery in a teaching hospital in the municipality of Teresina, in the northeast Brazilian State of Piauí, from June 2011 to March 2013.
The incidence of SSIs after discharge was 5.8% among the women in the outpatient clinic. The most prevalent surgery among the patients was hysterectomy, while the most prevalent type of SSI was superficial incisional. Comorbidities in women with SSIs included cancer, diabetes mellitus, and hypertension.
Surveillance of SSIs during the post-discharge period is critical for infection prevention and control. It is worth reflecting on the planning of surgical procedures for patients who have risk factors for the development of SSIs.
手术部位感染（SSIs）可影响手术中操作的身体组织、腔隙或器官，占所有感染的14%至16%。本研究旨在确定妇科门诊女性患者出院后的手术部位感染发生率，调查女性患者中不同类型的手术部位感染情况，并验证手术部位感染与合并症及临床状况之间的关联。
采用横断面设计的分析性观察方法收集数据，研究对象为2011年6月至2013年3月在巴西东北部皮奥伊州特雷西纳市一家教学医院接受妇科手术的1026名女性。
门诊女性患者出院后的手术部位感染发生率为5.8%。患者中最常见的手术是子宫切除术，而最常见的手术部位感染类型是表浅切口感染。发生手术部位感染的女性患者的合并症包括癌症、糖尿病和高血压。
出院后对手术部位感染进行监测对于感染预防和控制至关重要。对于有发生手术部位感染风险因素的患者，值得反思手术程序的规划。
