Incidence of infection of surgical site in hospital day: cohort of 74,213 patients monitored

Authors

  • Eliana Auxiliadora Magalhães Costa Profa. Adjunta da Universidade do Estado da Bahia. http://orcid.org/0000-0002-2389-0734
  • Lícia Lígia Moreira Mestre em Ciências da Saúde. Enfermeira de Controle de Infecção Hospitalar do Serviço Especializado em Controle de Infecção Hospitalar
  • Maria Enoy Neves Gusmão Doutora em Saúde Pública. Profa. Adjunta da Universidade Federal da Bahia.

DOI:

https://doi.org/10.5327/Z1414-4425201900040006

Keywords:

Infecção da ferida cirúrgica. Hospital dia. Segurança do paciente.

Abstract

Objectives: To describe the incidence of surgical site infection (SSI) after discharge from a Daycare Unit (DU) and to compare these indicators with data from conventional hospitals. Method: This is a historical cohort study including 74,213 patients who underwent surgery and were monitored at a DU in Salvador (Bahia State, Brazil), between 2012 and 2017. Results: During the studied period, the DU surveillance system monitored 85.1% of patients after discharge. We found a total SSI incidence of 0.3%, varying between 0.2 and 0.4% in those years. These rates were statistically lower than those reported for SSI in hospitalized patients. Conclusion: The SSI indicators revealed in this study confirm that outpatient surgical care poses lower risks of infection acquisition for the operated patients, when compared with surgical infection data of patients from conventional hospitals. However, a follow-up system for patients after discharge is essential to avoid sub-reporting and sub-records regarding SSI data, considering that risks can be hidden and unrealistic rates can be identified in their absence.

Author Biographies

Eliana Auxiliadora Magalhães Costa, Profa. Adjunta da Universidade do Estado da Bahia.

Pós-Doutora em Saúde Pública. Profa. Adjunta da Universidade do Estado da Bahia.

Lícia Lígia Moreira, Mestre em Ciências da Saúde. Enfermeira de Controle de Infecção Hospitalar do Serviço Especializado em Controle de Infecção Hospitalar

Mestre em Ciências da Saúde. Enfermeira de Controle de Infecção Hospitalar do Serviço Especializado em Controle de Infecção Hospitalar

Maria Enoy Neves Gusmão, Doutora em Saúde Pública. Profa. Adjunta da Universidade Federal da Bahia.

Doutora em Saúde Pública. Profa. Adjunta da Universidade Federal da Bahia.

References

Center for Disease Control and Prevention. National Healthcare Safety Network. NHSN Patient Safety Component Manual. Surgical Site Infection Event. Disponível em: https:www.cdc.gov/nhsn/pdfs/validation/2017/pcsmanual_2017.pdf. Acesso em 05.02.2018.

World Health Organization. Global Guidelines for the Prevention of Surgical Site Infection. Geneva: OMS, 2016.

Agência Nacional de Vigilância Sanitária. Critérios diagnósticos de infecção relacionada à assistência à saúde. Volume 2. 2ª. Ed. Brasília: ANVISA;2017.

Badia JM, Casey AL, Petrosillo N, Hudson PM, Mitchell AS, Crosby C. Impact of surgical site infection on healthcare costs and patient outcomes: a systematic review in six European countries. Journal oh Hospital Infection 2017;96:1-15.

dos Reis RG, Rodrigues MCS. Infecção do sítio cirúrgico após-alta: ocorrência e caracterização de egressos de cirurgia geral. Cogitare Enferm 2017;22(4):e51678.

de Oliveira AC, Gama CS. Avaliação da adesão às medidas para a prevenção de infecções do sítio cirúrgico pela equipe cirúrgica. Rev Esc Enferm USP 2015: 49(5):767-74.

Le Meur N, Grammatico-Guillon L, Wang S, Astagneau P. Health insurance database for post-discharge surveillance of surgical site infection following athroplasty. The Journal os Hospital Infection 2016;92(2):140-6.

Organização Mundial da Saúde – OMS. Segundo desafio global para a segurança do paciente: cirurgias seguras salvam vidas (orientações para cirurgia segura da OMS). Rio de Janeiro: Organização Pan-Americana da Saúde, Ministério da Saúde, Agência Nacional de Vigilância Sanitária; 2009.

Leblebicioglu H, Erben N., Rosenthal VD., Sener A, Uzun C, Send G. et al. Surgical site infection rates in 16 cities in Turkey: findings of the International Nosocomial Infection Control Consortium. Am J Infect Control 2015;43(1):48-52.

Singh S, Chakravarthy M, Rosenthal VD, Myatra SN, Dwivedy A, Bagasrawala I. et al. Surgical site infection rates in six cities of India: findings of the International Nosocomial Infection Control Consortium. Am Int Health 2015;7(5):354-9.

Olsen MA, Tian F, Wallace AE, Nickel KB, Warren DK, Graser VJ. Et al. Use of quantile regression to determine the impacto n total health care costs of surgical site infections following common ambulatoty procedures. Ann Surg 2016;12.

Motta NH, Bohrer CD, de Oliveira FG, Matos A, Alves DCI. Prevenção da infecção de sítio cirúrgico em hospital universitário: avaliação por indicadores. Vigil.sanit.debate 2017;5(3):92-99.

Ferraz EM, Ferraz AAB, Bacelar TS, D’Albuquerque HS, Vasconcelos MDM, Leâo CS. Controle de infecção em cirurgia geral – resultado de um estudo prospectivo de 23 anos e 42.274 cirurgias. Revista do Colégio Brasileiro de Cirurgiões 2000;28(1).

Institute for Healthcare Improvement. How to guide: prevent surgical site infections. Disponível em: http://www.ihi.org/Kmowledge/Pages/Tools/Howroguidepreventsurgicalsiteinfection.aspx

Downloads

Published

2019-12-13

How to Cite

Magalhães Costa, E. A., Moreira, L. L., & Gusmão, M. E. N. (2019). Incidence of infection of surgical site in hospital day: cohort of 74,213 patients monitored. Revista SOBECC, 24(4), 211–216. https://doi.org/10.5327/Z1414-4425201900040006

Issue

Vol. 24 No. 4 (2019)

Section

ORIGINAL ARTICLES

License

By publishing in Revista SOBECC, authors retain the copyright of their article and agree to license their work using a Creative Commons Attribution (CC BY 4.0) International Public License, thus accepting the terms of this license. The CC BY 4.0 license allows others to distribute, remix, adapt, and create from the published article, even for commercial purposes, provided they give due credit to the creators of the work (authors of the article).

The authors grant to Revista SOBECC the right of first publication, to identify itself as the original publisher, and grant to the journal a non-exclusive license to use the work in the following ways: (1) to sell and/or distribute the article in hard copies and/or in electronic format; (2) to distribute parts and/or the entire article in order to promote the journal through the internet and other digital and printed media; (3) to record and reproduce the article in any format, including digital media.

With this license, authors can enter into separate contracts for non-exclusive distribution of the article (e.g., publishing in an institutional repository or as a book chapter), with acknowledgement of authorship and initial publication in Revista SOBECC. Authors are encouraged to publish and distribute their work online after publication in the Revista SOBECC, as this can increase the article's visibility and impact.

In line with the journal's policies, each published article will be assigned a CC BY 4.0 license, which will be visible on the abstract page and in the PDF of each article with the respective link to the license terms.