Readmissão por infecção de sítio cirúrgico em um hospital público de Belo Horizonte (MG)

Torres, Lílian Machado

doi:10.11606/d.7.2011.tde-22072011-114317

Cited by 2 publications

(9 citation statements)

References 132 publications

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“…Extrinsic factors include preparation of the patient's skin and staff surgical scrubs before surgery, surgery time and technique, surgical staging environment, and processing of materials and medical and hospital items [9][10][11][12] .…”

Section: Introductionmentioning

confidence: 99%

Surgical site infections in women and their association with clinical conditions

Madeira

Trabasso

2014

Rev. Soc. Bras. Med. Trop.

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Introduction: 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. Methods: 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. Results: 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 superfi cial incisional. Comorbidities in women with SSIs included cancer, diabetes mellitus, and hypertension. Conclusions: Surveillance of SSIs during the post-discharge period is critical for infection prevention and control. It is worth refl ecting on the planning of surgical procedures for patients who have risk factors for the development of SSIs.

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Section: Introductionmentioning

confidence: 99%

Surgical site infections in women and their association with clinical conditions

Madeira

Trabasso

2014

Rev. Soc. Bras. Med. Trop.

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“…O sistema de saúde, as instituições e os profissionais deveriam incluir em suas discussões para a qualificação da assistência, todos os aspectos envolvidos quando um indivíduo desenvolve ISC (Torres, 2011). Anderson et al (2010), para minimizar o sofrimento decorrente das ISC, defende o emprego, em todas as fases do cuidado, de estratégias para a sua prevenção.…”

Section: Dados Do Estudo Brasileiro Da Magnitude Das Ih E Avaliação Daunclassified

“…De forma geral a infecção hospitalar, de sitio cirúrgico, manifesta-se de 4 a 6 dias após o procedimento cirúrgico e, no máximo, até 30 dias ,se não ocorreu implante de material protético. Quando houve necessidade de colocar prótese / parafuso, a ISC pode ser diagnosticada até um ano após a cirurgia ortopédica (RABHAE et al, 2007).No presente estudo, constatou-se que o início dos sintomas, após a cirurgia ortopédica, variou de um a dois dias até 16 anos, sendo que, dentre os diferentes sinais e sintomas, relatados pelos pacientes, os mais prevalentes foram dor, secreção, edema e febre.Os resultados encontrados nesta revisão confirmam a literatura consultada, quanto aos sinais e sintomas de ISC apresentados pelos pacientes, após procedimentos cirúrgicos ortopédicos, independente do agente isolado, principalmente, em cirurgias de médio e grande porte (Barrteo, 2002;Cabral, 2010;Torres, 2011 No presente estudo, a moxiflocina foi testada em apenas um paciente e com resultado de sesnibilidade positivo.A estratificação dos pacientes, de acordo com a localização, a extensão do acometimento das lesões e a presença ou não de comorbidades, são de suma importância para se elaborar a estratégia terapêutica . Em algumas situações a hospitalização será necessária para prover esquema de antibioticoterapia, por via parenteral.…”

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“…Os resultados encontrados nesta revisão confirmam a literatura consultada, quanto aos sinais e sintomas de ISC apresentados pelos pacientes, após procedimentos cirúrgicos ortopédicos, independente do agente isolado, principalmente, em cirurgias de médio e grande porte (Barrteo, 2002;Cabral, 2010;Torres, 2011 No presente estudo, a moxiflocina foi testada em apenas um paciente e com resultado de sesnibilidade positivo.…”

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“…Diversos estudos reforçam a necessidade de vigilância e desenvolvimento de estratégias de controle, considerando-se a crescente resistência dos micro-organismos aos antimicrobianos disponíveis (Croft et al, 2007; Anderson et al, 2009; Alexiou et al, 2010;Weigelt et al, 2010;Wright, 2010;Torres, 2011 …”

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Infecções cirúrgicas em ortopedia causadas por micobactérias de crescimento rápido: revisão integrativa da literatura

Azevedo¹

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The mycobacteriosis is a disease caused by nontuberculous mycobacteria belonged to the Mycobacterium genus. Infections due to rapidly growing mycobacteria (RGM) are strongly related to failures in the processes of cleaning, disinfection and sterilization of medical products. The objective is to analyze the occurrence of surgical site infections by RGM in patients undergoing orthopedic procedures through integrative review; to characterize the surgical site infections (SSI) by RGM; and to verify the presence of factors that may explain the surgical site infections by RGM. The method was the integrative review, which includes the following steps: elaboration of the research question; establishment of inclusion and exclusion criteria; definition of information to be extracted from the study; assessment of the included studies; interpretation of results; and presentation of the review. 21 articles were found, mostly published in English and two in French, varying considering the continent and country of the origin of the article. The time between surgery and onset of symptoms was reported by 34 (100%) patients, but the analysis was performed for 33 patients because it was considered only the first episode of infection by RGM. The average time to diagnosis of SSI was 653.6 days (93 weeks), standard deviation ± 1343 days (192 weeks), median of 80 days (11.4 weeks) and mode of 90 days (three months). The most prevalent signs and symptoms reported by patients were: pain (61.8%), secretion (50.0%), edema (41.2%), fever (41.2%), erythema (26.5%), fistula (20.6%), heat (14.7%), tremor (5.9%), abscess (5.9%) and hematoma (3.0%). Regarding surgical interventions performed in patients after diagnosis of SSI, the most frequent was antibiotic therapy (100%), removal of dentures (50.0%), drainage (41.2%), surgical debridement (41.2%), irrigation (23.5%), surgical revision (17.6%), replacement of dentures (8.8%), removal of the prosthetic components (8.8%), and reimplantation of the prosthesis (2.9%). The identification of etiological agent(s) of SSI did not follow a routine methodology, which can influence the reliability of the results, especially regarding the kind of etiologic agent.Related to the kind of isolated RGM of the infection sites, it was found that M.fortuitum was the most prevalent; being also isolated the M.chelonae, M.abscessus, M.goodii, M.smegmatis, M.farcinogenes and M.wolinskyi. Regarding the sources investigated: probably from iatrogenic origin, it is habits of residents in orthopedics during surgeries to use hydromassage before operating; liquid components or cement powder of methylmethacrylate or metal prosthesis; cortisone injections for chronic synovitis during 5 years before surgery; air conditioning system or soaking solution to rinse the denture; soap in the water, where it was accomplished the immersion foot (podiatrist's recommendation); bioabsorbable screws used in surgery; intraarticular injections of dexamethasone; however, none of them can be confirmed. When the sensitivity test w...

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Readmissão por infecção de sítio cirúrgico em um hospital público de Belo Horizonte (MG)

Cited by 2 publications

References 132 publications

Surgical site infections in women and their association with clinical conditions

Surgical site infections in women and their association with clinical conditions

Infecções cirúrgicas em ortopedia causadas por micobactérias de crescimento rápido: revisão integrativa da literatura

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