Infecção cirúrgica em pacientes submetidos a cirurgia ortopédica com implante

Franco, Lúcia Maciel de Castro; Ercole, Flávia Falci; Mattia, Adelaide De

doi:10.5327/z1414-4425201500030007

Cited by 15 publications

(24 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In a study of the National Healthcare Safety Network (NHSN) involving information of 850,000 general surgeries performed in the United States, it was found an overall incidence of SSI equal to 1.9% 2 . In Brazil, data on the incidence of SSI in general and specific surgeries vary from 1.4% to 38.8% 3 - 9 . It is important to note that, of these studies, only two refer to data from general surgeries 3 , 8 .…”

Section: Introductionmentioning

confidence: 99%

“…Other risk factors such as: Body Mass Index (BMI) 13 ), smoking 5 , video-assisted procedures 13 - 4 , blood transfusion 9 , non-performance of preoperative bath 9 and pre-existing chronic diseases 1 , 9 , 13 , are also mentioned in the literature and were identified as associated with SSI, in studies on the subject.…”

Section: Introductionmentioning

confidence: 99%

“…In the Brazilian literature, there is a lack of studies on general surgeries, which makes it difficult to estimate the SSI rates and the identification of risk factors associated with infection. Therefore this study arose from the need to identify risk factors for SSI in general surgeries, since the scientific production on this subject has privileged the survey in specific surgeries 4 - 7 , 9 .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Incidence and risk factors for surgical site infection in general surgeries

Carvalho

Campos

Franco

et al. 2017

Rev. Latino-Am. Enfermagem

Self Cite

114

View full text Add to dashboard Cite

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.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Incidence and risk factors for surgical site infection in general surgeries

Carvalho

Campos

Franco

et al. 2017

Rev. Latino-Am. Enfermagem

Self Cite

114

View full text Add to dashboard Cite

show abstract

“…Isso se dá devido às comorbidades presentes nos pacientes ortopé-dicos no momento da cirurgia e da necessidade de melhorar suas condições clínicas. 24 No entanto, outro estudo 25 mostra que o tempo médio de internação foi de 20 dias e acrescenta sobre a importância desse dado, já que pacien- 27 a dor pós-ATQ pode ser considerada multifatorial, de acordo com a etiologia (dano de tecido mole, dano ósseo, nervoso ou vascular). Quanto ao dano de tecido mole, a dor pode decorrer de alguma tendinopatia; se for dano ósseo, a dor pode se originar de ossificações heterotópicas, fraturas de fadiga, perda de densidade óssea por estresse, deslocamento da prótese ou prótese mal posicionada e infecção.…”

Section: Discussionunclassified

Perfil clínico-epidemiológico dos pacientes em pós-operatório de artroplastia em um hospital do sul de Minas Gerais / Epidemiological clinical profile of patients in arthroplasty postoperative period in a hospital south of Minas Gerais

Rezende

Cortez

2017

Rev Cienc Saude

View full text Add to dashboard Cite

Introdução: Conhecer a epidemiologia das artroplastias contribui para uma melhor assistência ao paciente, proporcionando medidas corretivas e preventivas das possíveis complicações. Objetivos: Traçar o perfil clínico-epidemiológico dos pacientes em pós-operatório (PO) de artroplastia em um Hospital do Sul de Minas Gerais. Métodos: Foi realizado um estudo observacional, retrospectivo e transversal a partir da análise de prontuários e exames complementares de pacientes submetidos à artroplastia de quadril e joelho no Hospital Escola da Faculdade de Medicina de Itajubá (HE/FMIt). Resultados: Houve prevalência do gênero feminino; a idade média foi de 69,1 anos; 93,6% eram brancos; 49,4% eram casados; 92,0% eram católicos. Em relação à artroplastia de quadril e joelho, respectivamente, 48,4% tiveram fratura de fêmur e 73,3% artrose; 83,4% foram submetidos à artroplastia total de quadril e 100,0% à artroplastia total de joelho; 82,2% e 100,0% utilizaram prótese cimentada; 91,1% internados de 5 a 10 dias e 86,7% internados de 1 a 5 dias; 42,7% negaram comorbidades e 66,7% tinham hipertensão arterial; 46,5% e 60,0% relataram dor, 5,1% apresentaram luxação e 80,0% sem complicações. Destaca-se que 100,0% dos pacientes não foram encaminhados à fisioterapia. Conclusão: Conclui-se que a organização e sistematização de dados são fundamentais para a promoção da segurança do paciente, prevenindo suas complicações e aumentando a sua qualidade de vida.Palavras-Chave: Perfil epidemiológico; Ortopedia; Artroplastia de quadril; Artroplastia de joelhoIntroduction: To know the epidemiology of arthroplasties is a way to contribute to better patient care, by providing corrective and preventive measures of possible complications. Aims: To describe the clinical-epidemiological profile of patients in the postoperative period (PO) of arthroplasty in a Hospital in the South of Minas Gerais State. Methods: An observational, retrospective and cross-sectional study was carried out and it was based on the analysis of charts and complementary exams of patients who underwent hip and knee arthroplasty at the School Hospital of the Medical School of Itajubá (HE/FMIt). Results: There was a prevalence of female gender; mean age was 69.1 years of age; 93.6% of the patients were Caucasian; 49.4% were married; 92.0% were catholic. Concerning hip and knee arthroplasty, 48.4% had a femur fracture and 73.3% had arthrosis; 83.4% underwent total hip arthroplasty and 100.0% underwent total knee arthroplasty; 82.2% and 100.0% used cemented prosthesis; 91.1% were hospitalized for 5 to 10 days and 86.7% hospitalized for 1 to 5 days; 42.7% denied comorbidities and 66.7% had arterial hypertension; 46.5% and 60.0% reported pain; 59.0% presented pain dislocation and 80.0% had no complications. It is highlighted that 100.0% of patients were not referred to physical therapy. Conclusion: It is concluded that the organization and systematization of data are fundamental for the promotion of patient safety, preventing complications and increasing their quality of life.Keywords: Epidemiological profile; Orthopedics; Hip arthroplasty; Knee arthroplasty

show abstract

“…21,22 Ayrıca yüzeyel cerrahi alan enfeksiyonu gelişimi için yüksek VKI, ostomi varlığı gibi risk faktörleri öne sürülürken 23,24 , derin cerrahi alan enfeksiyonlarının daha çok kan transfüzyonu, daha önce geçirilmiş abdominal cerrahi ve kötü nütrisyonel durumla ilgili olduğu öne sürülmüştür. 23,25 Yine literatürde tanımlanan ve CAE 'a neden olduğu gösterilen diğer faktörler; ASA skoru, yara sınıfı 26 , operasyon süresi 27 , vücut kitle indexi 28 , kronik hastalık varlığı 28 , video-assisted prosedürler 28 , sigara kullanımı 29 , kan transfüzyonu ve preoperatif banyodur. 30 CAE gelişen hastalarda ortaya çıkan ciddi sonuçlar, bu enfeksiyonların önlenmesine yönelik stratejiler oluşturma gereksinimine neden olmaktadır.…”

unclassified

Predictive Factors for the Development of Surgical Site Infection After Colorectal Cancer Surgery

Aydın¹,

Soylu²

2018

TJCD

View full text Add to dashboard Cite

Aim: In this study, we wanted to reveal the predisposing factors and cut-off values for surgical site infection in patients who were operated for colorectal cancer. Method: We retrospectively analyzed data of 86 patients who were operated for colorectal cancer in our general surgery department in between 2015-2017. Age, gender, body mass index, ASA score, presence of chronic pulmonary disease, Hct levels, albumin level, duration of operation, localization of the disease (colon or rectum), presence or absence of ileostomy or colostomy in operation, presence of hyperglycaemia, surgeon volume were compared whether it affected the development of superficial or deep surgical site infection. Results: All parameters were found to be significant for the development surgical site infection except sex and body mass index. Cut-off values were found for age; 63,5, operation time; 167.5 minutes, albumin; 3.05 and Hct; 33,15. Conclusion: We think that the probabality of surgical site infection after colorectal cancer surgery is high in patients older than 63,5 years, who had surgery longer than 167.5 minutes, preoperatively albumin value of 3.05 and Hct value of less than 33.15. If the patients diabetic, in ASA 3 risk group and have chronic lung disease and also cancer is located in the rectum and postoperative classification is Stage 3, ileostomy or colostomy is performed during operation it is evaluated together with the above cut-off values to determine whether superficial or deep surgical site infection we think that it is necessary to keep in mind that the possibility is high and to evaluate the signs and symptoms of the infection well. Keywords: Colorectal cancer, surgical site infection, predictive value ÖZ Amaç: Bu çalışmada kolorektal kanser nedeniyle opere edilen hastalarda cerrahi alan enfeksiyonu gelişmesine predispozisyon yaratan faktörler ve kesim değerleri ortaya konmak istendi Yöntem: 2015-2017 yılları arasında hastanemiz Genel Cerrahi bölümünde kolorektal kanser nedeniyle acil ya da elektif olarak opere edilmiş 86 hastaya ait datalar retrospektif olarak incelendi. Hastalara ait; yaş, cinsiyet, vücut kitle indexi, ASA skoru, kronik akciğer hastalığı varlığı, Hct seviyeleri, albümin düzeyi, operasyon süresi, hastalığın lokalizasyonu (kolon ya da rektum), operasyonda kolostomi ya da ileostomi açılıp açılmadığı, hiperglisemi varlığı, cerrah volümünün; yüzeyel ya da derin cerrahi alan enfeksiyonu gelişimini etkileyip etkilemediğinin değerlendirilmesi amaçlandı. Bulgular: Cinsiyet ve vücut kitle indexi dışında kalan tüm parametrelerin cerrahi alan enfeksiyonu gelişmesinde anlamlı olduğu tespit edildi. Yaş için; 63,5, operasyon süresi için; 167,5 dakika, albümin için; 3,05 ve HCT için de; 33,15 kesim değeri olarak bulundu. Sonuç: 63,5 yaşın üzerinde, ameliyatı 167,5 dakikadan daha uzun süren, ameliyat öncesi albumin değeri 3,05'in ve Hct değeri 33,15'in altında olan hastalarda ameliyat sonrası cerrahi alan enfeksiyonu gelişme ihtimalinin yüksek olduğunu düşünmekteyiz. Eğer kolorektal kanser nedeniyle opere edilecek ...

show abstract

Infecção cirúrgica em pacientes submetidos a cirurgia ortopédica com implante

Abstract: Surgical infection in patients undergoing orthopedic surgery with implant Infección quirúrgica en pacientes sometidos a cirugía ortopédica con la implante

Cited by 15 publications

References 21 publications

Incidence and risk factors for surgical site infection in general surgeries

Incidence and risk factors for surgical site infection in general surgeries

Perfil clínico-epidemiológico dos pacientes em pós-operatório de artroplastia em um hospital do sul de Minas Gerais / Epidemiological clinical profile of patients in arthroplasty postoperative period in a hospital south of Minas Gerais

Predictive Factors for the Development of Surgical Site Infection After Colorectal Cancer Surgery

Contact Info

Product

Resources

About