SURGICAL SITE INFECTION: ARE SURVEILLANCE AND RISK PREVENTION MEASURES INSTITUTIONALLY APPLIED?

• Main Authors: Larissa Bianca Leite Batista, Sabrina Bianca Azevedo Silva, Dulce Aparecida Martins, Maristela Oliveira Lara, Thabata Coaglio Lucas
• Format: Article
• Language: English
• Published: Universidade Federal do Paraná 2019-08-01
• Series: Cogitare Enfermagem
• Subjects: Surgicenters; Surgical Wound Infection; Antibiotic Prophylaxis; Guideline Adherence; Public Health Surveillance
• Online Access: http://dx.doi.org/10.5380/ce.v24i0.62968
• ISSN: 1414-8536; 2176-9133

Objective: this study aimed to evaluate measures of surveillance and prevention of surgical site infections in a philanthropic institution in the interior of Minas Gerais.Method: quasi-experimental study with pre-intervention, intervention and post-intervention period. We used Pearson’s Chi-Square test when the expected value was >5 and Fisher’s exact test for the expected value <5. The Bonferroni correction was applied for multiple comparisons (p<0.01). Results: the trichotomy was performed with a slide for removal by 66% of professionals. The patient’s temperature was significant (p=0.03) when associated with the professional category. 84% of the surgeons did antimicrobial prophylaxis prior to surgical incision. In the post-intervention phase, there was a reduction of 84.6% of the professionals who prepared the skin before the surgical incision. Conclusion: the present study generated quality indicators for the surgical center and, in the absence of follow-up protocols, underestimated adverse events resulting from surgery.