Infection of the Surgical Site: Incidence in Patients Submitted to Hernia Surgery

2.50
Hdl Handle:
http://hdl.handle.net/10755/154146
Type:
Presentation
Title:
Infection of the Surgical Site: Incidence in Patients Submitted to Hernia Surgery
Abstract:
Infection of the Surgical Site: Incidence in Patients Submitted to Hernia Surgery
Conference Sponsor:Sigma Theta Tau International
Conference Year:2009
Author:Avelar, Maria do Carmo Querido, RN, PhD
P.I. Institution Name:University Guarulhos
Title:Nurse
Co-Authors:Teresa Akiko Carbone Paula, RN; Maria Aparecida Neves, RN; Ivone Regina Fernandes, PhD, RN
[Research Presentation] Purpose: It is known that 24% of the nosocomial infections result from the Infections of the Surgical Site (ISS) and that 20% of these can be prevented by the implementation of epidemiological vigilance measures, taking heed, nevertheless, of the patient in the process of the infection generation. To determine the incidence of  ISS in patients submitted to hernia surgery  after the discharge from the hospital. Methods:  This is a descriptive, prospective, quantitative field study, developed on the surgical ambulatory of a philanthropic school hospital, in the city of Sao Paulo. It includes 4308 (100%) adult patients, of both sexes, submitted hernia surgery and with ambulatorial return in a period up to 30 days from the hospital discharge. We used a mixed search (active and passive) to detect the ISS cases, during a period of 6 years. Results: Of the 4308 (100%) patients that returned to the surgical ambulatory, 230 (5,33%) presented ISS. Of these, 137 (59,56%) were inpatients and 93 (40, 43%) were ambulatorial patients. The patients were classified  according to the topography of their hernias: inguinal (97 - 42, 17%); umbilical (60 - 26, 08%); incisory (48 - 20, 86%) and others ( 25 - 10, 86%). The ISS index for the five surgical teams ranged from 4, 33% to 9, 16%. The annual incidence, observed over a 6 years period, had the following distribution: first year -  8, 94%; 2 - 9, 86%; 3 - 5, 98%; 4 - 4, 38%; 5 - 2, 06%;  and, in the last year, 1, 25%. Conclusion: The incidence of ISS in patients submitted to hernia surgery, detected by the epidemiologic vigilance, was 230 (5, 33%) of the patients during the period of 6 years. Considering the work developed by the Nosocomial Infection Control Service we can see a reduction of incidence from 8, 37%  (first year) to 1, 25%  ( last year).
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleInfection of the Surgical Site: Incidence in Patients Submitted to Hernia Surgeryen_GB
dc.identifier.urihttp://hdl.handle.net/10755/154146-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Infection of the Surgical Site: Incidence in Patients Submitted to Hernia Surgery</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Avelar, Maria do Carmo Querido, RN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University Guarulhos</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nurse</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">carmoav@uol.com.br</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Teresa Akiko Carbone Paula, RN; Maria Aparecida Neves, RN; Ivone Regina Fernandes, PhD, RN</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] Purpose: It is known that 24% of the nosocomial infections result from the Infections of the Surgical Site (ISS) and that 20% of these can be prevented by the implementation of epidemiological vigilance measures, taking heed, nevertheless, of the patient in the process of the infection generation. To determine the incidence of&nbsp; ISS in patients submitted to hernia surgery&nbsp; after the discharge from the hospital. Methods: &nbsp;This is a descriptive, prospective, quantitative field study, developed on the surgical ambulatory of a philanthropic school hospital, in the city of Sao Paulo. It includes 4308 (100%) adult patients, of both sexes, submitted hernia surgery and with ambulatorial return in a period up to 30 days from the hospital discharge. We used a mixed search (active and passive) to detect the ISS cases, during a period of 6 years. Results: Of the 4308 (100%) patients that returned to the surgical ambulatory, 230 (5,33%) presented ISS. Of these, 137 (59,56%) were inpatients and 93 (40, 43%) were ambulatorial patients. The patients were classified&nbsp; according to the topography of their hernias: inguinal (97 - 42, 17%); umbilical (60 - 26, 08%); incisory (48 - 20, 86%) and others ( 25 - 10, 86%). The ISS index for the five surgical teams ranged from 4, 33% to 9, 16%. The annual incidence, observed over a 6 years period, had the following distribution: first year -&nbsp; 8, 94%; 2 - 9, 86%; 3 - 5, 98%; 4 - 4, 38%; 5 - 2, 06%;&nbsp; and, in the last year, 1, 25%. Conclusion: The incidence of ISS in patients submitted to hernia surgery, detected by the epidemiologic vigilance, was 230 (5, 33%) of the patients during the period of 6 years. Considering the work developed by the Nosocomial Infection Control Service we can see a reduction of incidence from 8, 37%&nbsp; (first year) to 1, 25%&nbsp; ( last year).</td></tr></table>en_GB
dc.date.available2011-10-26T12:46:42Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:46:42Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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