Oliveira Adriana Cristina de, Gama Camila Sarmento
Nursing School, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Rev Esc Enferm USP. 2015 Oct;49(5):767-74. doi: 10.1590/S0080-623420150000500009.
Evaluate pre- and intraoperative practices adopted by medical and nursing teams for the prevention of surgical infections.
A prospective study carried out in the period of April to May 2013, in a surgical center of a university hospital in Belo Horizonte, Minas Gerais.
18 surgeries were followed and 214 surgical gloves were analyzed, of which 23 (10.7%) had postoperative glove perforation detected, with 52.2% being perceived by users. Hair removal was performed on 27.7% of patients in the operating room, with the use of blades in 80% of the cases. Antibiotic prophylaxis was administered to 81.8% of patients up to 60 minutes prior to surgical incision. An average of nine professionals were present during surgery and the surgery room door remained open in 94.4% of the procedures.
Partial adhesion to the recommended measures was identified, reaffirming a need for greater attention to these critical steps/actions in order to prevent surgical site infection.
评估医疗和护理团队为预防手术感染所采取的术前和术中措施。
2013年4月至5月期间，在米纳斯吉拉斯州贝洛奥里藏特市一家大学医院的手术中心进行了一项前瞻性研究。
对18台手术进行了跟踪，并分析了214副手术手套，其中23副（10.7%）术后检测到手套穿孔，52.2%是使用者察觉到的。手术室中27.7%的患者进行了毛发去除，其中80%的情况使用了刀片。81.8%的患者在手术切口前60分钟内接受了抗生素预防。手术期间平均有9名专业人员在场，94.4%的手术过程中手术室门一直敞开。
发现对推荐措施的部分遵守情况，再次强调需要更加关注这些关键步骤/行动，以预防手术部位感染。
