Carvalho Rafael Lima Rodrigues de, Campos Camila Cláudia, Franco Lúcia Maciel de Castro, Rocha Adelaide De Mattia, Ercole Flávia Falci
Doctoral student, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil. Professor, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Doctoral student, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Rev Lat Am Enfermagem. 2017 Dec 4;25:e2848. doi: 10.1590/1518-8345.1502.2848.
to estimate the incidence of surgical site infection in general surgeries at a large Brazilian hospital while identifying risk factors and prevalent microorganisms.
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.
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.
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.
评估巴西一家大型医院普通外科手术部位感染的发生率，同时确定危险因素和常见微生物。
对2008年至2011年接受普通外科手术的16882例患者的信息进行非同期队列研究。数据采用描述性、双变量和多变量分析。
手术部位感染的发生率为3.4%。与手术部位感染相关的危险因素有：术前住院时间超过24小时；手术时长（以小时计）；伤口类别为清洁-污染、污染和脏污/感染；以及美国麻醉医师协会（ASA）分级为ASA II、III和IV/V。鉴定出了金黄色葡萄球菌和大肠杆菌。
该发生率低于全国普通外科研究中的发生率。这些危险因素证实了国家医院感染监测系统风险指数所提出的危险因素，同时增加了术前住院时间这一因素。确定普通外科手术部位感染的实际发生率及相关危险因素，可能有助于医疗团队采取行动，以尽量减少手术部位感染引起的并发症。
