Surgical risk index and surgical site infection in postpartum women submitted to cesarean section.

Backgound and Objectives: Considering the use of active surveillance assists in infection identification and the need for studies that use Surgical Risk Index (SRI) for assessment of Surgical Site Infection (SSI) in cesareans, this study aims to determine the incidence of SSI and analyze the applica...

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Main Authors: Luana Machado Chianca, Roberta Maia de Castro Romanelli, Tais Marina de Souza, Werlley Meira de Oliveira, Eduarda Almeida Wakabayashi, Lucas Vieira Rodrigues, Stella D'Ávila de Souza Ramos, Renata Paixão Pio Fernandes, Letícia Maria de Oliveira Aleixo Carvalho, André Tunes de Paula, Viviane Rosado, Henrique Vitor Leite, Regina Amelia Lopes Pessoa de Aguiar, Bruna Barbosa Coimbra, Wanessa Trindade Clemente
Format: Article
Language:Portuguese
Published: Universidade de Santa Cruz do Sul 2015-01-01
Series:Revista de Epidemiologia e Controle de Infecção
Online Access:https://online.unisc.br/seer/index.php/epidemiologia/article/view/4898
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spelling doaj-2ad9eeb3fdd7460ab9618cdf010b09162020-11-24T20:50:54ZporUniversidade de Santa Cruz do SulRevista de Epidemiologia e Controle de Infecção2238-33602015-01-0151172210.17058/reci.v5i1.48982803Surgical risk index and surgical site infection in postpartum women submitted to cesarean section.Luana Machado Chianca0Roberta Maia de Castro Romanelli1Tais Marina de Souza2Werlley Meira de Oliveira3Eduarda Almeida Wakabayashi4Lucas Vieira Rodrigues5Stella D'Ávila de Souza Ramos6Renata Paixão Pio Fernandes7Letícia Maria de Oliveira Aleixo Carvalho8André Tunes de Paula9Viviane Rosado10Henrique Vitor Leite11Regina Amelia Lopes Pessoa de Aguiar12Bruna Barbosa Coimbra13Wanessa Trindade Clemente14Hospital das Clinicas da Universidade Federal de Minas GeraisUniversidade Federal de Minas GeraisUniversidade Federal de MInas GeraisUniversidade Federal de Minas GeraisUniversidade Federal de Minas GeraisUniversidade Federal de Minas GeraisUniversidade Federal de Minas GeraisUniversidade Federal de Minas GeraisUniversidade Federal de Minas GeraisUniversidade Federal de Minas GeraisHospital das Clínicas da Universidade Federal de Minas GeraisUniversidade Federal de Minas GeraisUniversidade Federal de Minas GeraisUniversidade Federal de Minas GeraisUniversidade Federal de Minas GeraisBackgound and Objectives: Considering the use of active surveillance assists in infection identification and the need for studies that use Surgical Risk Index (SRI) for assessment of Surgical Site Infection (SSI) in cesareans, this study aims to determine the incidence of SSI and analyze the applicability of SRI in the prediction of SSI in women in the postpartum period after being submitted to a cesarean section at a university hospital between April 2012 and March of 2013. Methods: Prospective cohort study. Information notifying SSI by active surveillance was collected daily from the medical records. After hospital discharge, the mothers were contacted through telephone calls to identify infection criteria within 30 days after the cesarean. Descriptive and comparative analyses were performed. The chi-square test was used to compare groups. Results: 737 cesareans were performed. Telephone contact was achieved with 507 (68.8%) women up to 30 days postpartum, with loss of follow-up of 230 cases (31.2%). The medical consultation in the post-partum period occurred with 188 (37.08%) women, with whom telephone contact was obtained, on average, 17.28 days (SD=8.39) after delivery. It was verified that 21 patients met the criteria for SSI, with a 4.14% rate. A total of 12 cases (57.1%) were classified as superficial SSI, 5 (23.8%) as deep and 4 (19.1%) as infection of organs and cavities. The SRI and its risk variables were not associated with SSI in patients submitted to cesarean sections. Conclusion: The SRI and the risk variables included in this index were not associated to SSI in patients submitted to cesarean sections. KEYWORDS: Cesarean Section; Surgical Wound Infection; Epidemiological Surveillance; Infection Control; Risk Index; Disease Notification.https://online.unisc.br/seer/index.php/epidemiologia/article/view/4898
collection DOAJ
language Portuguese
format Article
sources DOAJ
author Luana Machado Chianca
Roberta Maia de Castro Romanelli
Tais Marina de Souza
Werlley Meira de Oliveira
Eduarda Almeida Wakabayashi
Lucas Vieira Rodrigues
Stella D'Ávila de Souza Ramos
Renata Paixão Pio Fernandes
Letícia Maria de Oliveira Aleixo Carvalho
André Tunes de Paula
Viviane Rosado
Henrique Vitor Leite
Regina Amelia Lopes Pessoa de Aguiar
Bruna Barbosa Coimbra
Wanessa Trindade Clemente
spellingShingle Luana Machado Chianca
Roberta Maia de Castro Romanelli
Tais Marina de Souza
Werlley Meira de Oliveira
Eduarda Almeida Wakabayashi
Lucas Vieira Rodrigues
Stella D'Ávila de Souza Ramos
Renata Paixão Pio Fernandes
Letícia Maria de Oliveira Aleixo Carvalho
André Tunes de Paula
Viviane Rosado
Henrique Vitor Leite
Regina Amelia Lopes Pessoa de Aguiar
Bruna Barbosa Coimbra
Wanessa Trindade Clemente
Surgical risk index and surgical site infection in postpartum women submitted to cesarean section.
Revista de Epidemiologia e Controle de Infecção
author_facet Luana Machado Chianca
Roberta Maia de Castro Romanelli
Tais Marina de Souza
Werlley Meira de Oliveira
Eduarda Almeida Wakabayashi
Lucas Vieira Rodrigues
Stella D'Ávila de Souza Ramos
Renata Paixão Pio Fernandes
Letícia Maria de Oliveira Aleixo Carvalho
André Tunes de Paula
Viviane Rosado
Henrique Vitor Leite
Regina Amelia Lopes Pessoa de Aguiar
Bruna Barbosa Coimbra
Wanessa Trindade Clemente
author_sort Luana Machado Chianca
title Surgical risk index and surgical site infection in postpartum women submitted to cesarean section.
title_short Surgical risk index and surgical site infection in postpartum women submitted to cesarean section.
title_full Surgical risk index and surgical site infection in postpartum women submitted to cesarean section.
title_fullStr Surgical risk index and surgical site infection in postpartum women submitted to cesarean section.
title_full_unstemmed Surgical risk index and surgical site infection in postpartum women submitted to cesarean section.
title_sort surgical risk index and surgical site infection in postpartum women submitted to cesarean section.
publisher Universidade de Santa Cruz do Sul
series Revista de Epidemiologia e Controle de Infecção
issn 2238-3360
publishDate 2015-01-01
description Backgound and Objectives: Considering the use of active surveillance assists in infection identification and the need for studies that use Surgical Risk Index (SRI) for assessment of Surgical Site Infection (SSI) in cesareans, this study aims to determine the incidence of SSI and analyze the applicability of SRI in the prediction of SSI in women in the postpartum period after being submitted to a cesarean section at a university hospital between April 2012 and March of 2013. Methods: Prospective cohort study. Information notifying SSI by active surveillance was collected daily from the medical records. After hospital discharge, the mothers were contacted through telephone calls to identify infection criteria within 30 days after the cesarean. Descriptive and comparative analyses were performed. The chi-square test was used to compare groups. Results: 737 cesareans were performed. Telephone contact was achieved with 507 (68.8%) women up to 30 days postpartum, with loss of follow-up of 230 cases (31.2%). The medical consultation in the post-partum period occurred with 188 (37.08%) women, with whom telephone contact was obtained, on average, 17.28 days (SD=8.39) after delivery. It was verified that 21 patients met the criteria for SSI, with a 4.14% rate. A total of 12 cases (57.1%) were classified as superficial SSI, 5 (23.8%) as deep and 4 (19.1%) as infection of organs and cavities. The SRI and its risk variables were not associated with SSI in patients submitted to cesarean sections. Conclusion: The SRI and the risk variables included in this index were not associated to SSI in patients submitted to cesarean sections. KEYWORDS: Cesarean Section; Surgical Wound Infection; Epidemiological Surveillance; Infection Control; Risk Index; Disease Notification.
url https://online.unisc.br/seer/index.php/epidemiologia/article/view/4898
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