Intraoperative hypothermia and occurrence of surgical site infection in cancer patients: retrospective cohort
DOI:
https://doi.org/10.5327/Z1414-4425202227835Abstract
Objectives: To analyze the correlation between intraoperative hypothermia and the occurrence of surgical site infection in patients with cancer. Method: Retrospective cohort study with data extracted from the electronic medical records of 79 patients between 2014 and 2015. All ethical precepts were complied with. Results: Of 79 patients, 18 (22.79%) developed surgical site infection, 12 (66.66%) during hospitalization and 6 (33.33%) after hospital discharge. Surgical site infection was significantly correlated with diabetes mellitus, intraoperative transfusion, type of surgery proposed, length of stay in an Inpatient or Intensive Care Unit, surgical re-approach and hospital readmission. Each episode of hypothermia lower than or equal to 35.5 ºC increased the chance of surgical site infection by 6.2%. Conclusion: Intraoperative body temperature below 35.5 ºC increases the chance of surgical site infection. The multidisciplinary team must maintain the patient’s normothermia throughout the perioperative period.
References
World Health Organization. WHO guidelines for safe surgery 2009. Safe surgery saves lifes [Internet]. 2009 [acessado em 16 nov. 2021]. Disponível em: https://apps.who.int/iris/handle/10665/44185
Association of periOperative Registered Nurses. Updates for more effective hypothermia prevention [Internet], 2019 [acessado em 16 nov. 2021]. Disponível em: https://www.aorn.org/about-aorn/aorn-newsroom/periop-today-newsletter/2019/2019-articles/hypothermia-prevention
Associação Brasileira de Enfermeiros de Centro Cirúrgico, Recuperação Anestésica e Centro de Material e Esterilização. Diretrizes de prática em enfermagem perioperatória e processamento de produtos para saúde. 8a ed. São Paulo: SOBECC; 2021.
North American Nursing Diagnosis Association. Diagnósticos de enfermagem da NANDA: definições e classificação 2018-2020. 10a ed. Porto Alegre: Artmed; 2018.
Agência Nacional de Vigilância Sanitária. Critérios diagnósticos de infecções relacionadas à assistência à saúde. 2a ed. Brasília: ANVISA; 2017.
World Health Organization. Global guidelines for the prevention of surgical site infection [Internet]. 2016 [acessado em 16 nov. 2021]. Disponível em: https://www.who.int/publications/i/item/global-guidelines-for-the-prevention-of-surgical-site-infection-2nd-ed
Centers for Disease Control and Prevention. Procedure-associated module: surgical site infection. Atlanta: CDC; 2018.
Carvalho RLR, Campos CC, Franco LMC, Rocha AM, Ercole FF. Incidência e fatores de risco para infecção de sítio cirúrgico em cirurgias gerais. Rev Latino-Am Enfermagem 2017; 25: e2848. https://doi.org/10.1590/1518-8345.1502.2848 DOI: https://doi.org/10.1590/1518-8345.1502.2848
Poveda VB, Nascimento AS. The effect of intraoperative hypothermia upon blood transfusion needs and length of stay among gastrointestinal system cancer surgery. Eur J Cancer Care (Engl) 2017; 26(6). https://doi.org/10.1111/ecc.12688 DOI: https://doi.org/10.1111/ecc.12688
Brasil. Ministério da Saúde. Conselho Nacional de Saúde. Resolução no 466 de 12 de dezembro de 2012 [Internet]. 2012 [acessado em 16 nov. 2021]. Disponível em: https://conselho.saude.gov.br/ultimas_noticias/2013/06_jun_14_publicada_resolucao.html
Pereira NHC, Mattia AL. Complicações pós-operatórias relacionadas à hipotermia intraoperatória. Enferm Glob 2019; 18(55): 270-313. https://dx.doi.org/10.6018/eglobal.18.3.328791 DOI: https://doi.org/10.6018/eglobal.18.3.328791
Berríos-Torres SI, Umscheid CA, Bratzler DW, Leas B, Stone EC, Kelz RR, et al. Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. JAMA Surg 2017; 152(8): 784-91. https://doi.org/10.1001/jamasurg.2017.0904 DOI: https://doi.org/10.1001/jamasurg.2017.0904
Association for Professionals in Infection Control and Epidemiology. Implementation guide. Infection preventionist’s guide to the OR [Internet]. Arlington: APIC; 2018. [acessado em 16 nov. 2021]. Disponível em: https://jnjinstitute.com/sites/default/files/2018-12/093691-180619-APIC-Implementation-Prevention-Guide.pdf
Eng OS, Raoof M, O'Leary MP, Lew MW, Wakabayashi MT, Paz IB, et al. Hypothermia is associated with surgical site infection in cytoreductive surgery with hyperthermic intra-peritoneal chemotherapy. Surg Infect (Larchmt) 2018; 19(6): 618-21. https://doi.org/10.1089/sur.2018.063 DOI: https://doi.org/10.1089/sur.2018.063
Prado CBC, Barichello E, Pires PS, Haas VJ, Barbosa MH. Ocorrência e fatores associados à hipotermia no intraoperatório de cirurgias abdominais eletivas. Acta Paul Enferm 2015; 28(5): 475-81. https://dx.doi.org/10.1590/1982-0194201500079 DOI: https://doi.org/10.1590/1982-0194201500079
Ribeiro JC. Efeito da hipotermia sobre a incidência de infecção do sítio cirúrgico em cirurgias abdominais: estudo de coorte. [tese de doutorado]. Ribeirão Preto: Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto; 2017.
Fahim M, Dijksman LM, Biesma DH, Noordzij PG, Smits AB. Effect of intra-operative hypothermia on post-operative morbidity in patients with colorectal cancer. Surg Infect (Larchmt) 2021; 22(8): 803-9. https://doi.org/10.1089/sur.2020.229 DOI: https://doi.org/10.1089/sur.2020.229
Yamada K, Nakajima K, Nakamoto H, Kohata K, Shinozaki T, Oka H, et al. Association between normothermia at the end of surgery and postoperative complications following orthopedic surgery. Clin Infect Dis 2020; 70(3): 474-82. https://doi.org/10.1093/cid/ciz213 DOI: https://doi.org/10.1093/cid/ciz213
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