Correo Electrónico
DNINFOA - SIA
Bibliotecas
Convocatorias
Identidad U.N.
Published
Infecções de sítio cirúrgico em cirurgias ortopédicas de um hospital do estado do Pará, Brasil
Infections at the surgical site for orthopedic surgery in a hospital in the state of Pará, Brazil
Infecciones del sitio quirúrgico de cirugía ortopédica en un hospital del estado de Pará, Brasil
DOI:
https://doi.org/10.15446/av.enferm.v40n3.93397Keywords:
Infecção da Ferida Cirúrgica, Procedimentos Ortopédicos, Fatores de Risco, Assistência Perioperatória (pt)Infección de la Herida Quirúrgica, Procedimientos Ortopédicos, Factores de Riesgo, Atención Perioperativa (es)
Surgical Wound Infection, Orthopedic Procedures, Risk Factors, Perioperative Care (en)
Downloads
Objetivo: avaliar as infecções de sítio cirúrgico em cirurgias ortopédicas de um hospital público de referência.
Materiais e método: estudo descritivo, quantitativo e retrospectivo, com dados de 2.870 pacientes que realizaram cirurgia ortopédica e 60 prontuários de pacientes que desenvolveram infecção de sítio cirúrgico. A coleta ocorreu de janeiro de 2015 a dezembro de 2019 em um hospital de referência localizado no município de Santarém, Pará, Brasil. Os dados foram analisados por estatística descritiva e inferencial.
Resultados: o sexo masculino predominou na amostra (65,7%) e nos pacientes com infecções de sítio cirúrgico (70%). A idade média da amostra foi de 44,6 ± 19,1 anos e dos pacientes com infecções de sítio cirúrgico de 46,2 ± 19,7 anos. Foi identificada frequência de infecções de sítio cirúrgico de 2,1%. Os fatores de risco associados às infecções de sítio cirúrgico foram duração da cirurgia, uso de implante, número de fraturas e uso de prótese de quadril ou outras. O perfil microbiológico foi composto de Staphylococcus aureus (35,1%), Klebsiella pneumoniae (13,5%) e Pseudomonas aeruginosa (13,5%).
Conclusões: nas cirurgias ortopédicas, a equipe de saúde deve ficar atenta com as infecções de sítio cirúrgico em pacientes do sexo masculino, idosos, solteiros, com o ensino fundamental, bem como em cirurgias com longo tempo de duração, na presença de implante, com elevado número de fraturas e com o uso de próteses.
Objective: To assess surgical site infections in orthopedic surgeries at a public reference hospital.
Materials and method: Descriptive, quantitative and retrospective study, with data from 2,870 patients who underwent orthopedic surgery, where 60 patient records showed the development of surgical site infection. Data collection took place from January 2015 to December 2019 in a reference hospital in the city of Santarém, Pará, Brazil. Data were analyzed using descriptive and inferential statistics.
Results: The male gender prevailed among the individuals in the sample (65.7%) and in the patients with surgical site infections (70%). The mean age of the sample was 44.6 ± 19.1 years and for patients with surgical site infections 46.2 ± 19.7 years. A 2.1% frequency of surgical site infection was identified. The risk factors associated with surgical site infection were: surgery duration, the use of an implant, the number of fractures, and the use of hip prostheses or others. The microbiological profile was composed by Staphylococcus aureus (35.1%), Klebsiella pneumoniae (13.5%), and Pseudomonas aeruginosa (13.5%).
Conclusions: In orthopedic surgeries, the health team must be aware of surgical site infections in male, elderly and single patients, with elementary education, as well as in surgeries with a long duration, in the presence of an implant, a high number of fractures, and with the use of prostheses.
Objetivo: evaluar las infecciones del sitio quirúrgico para cirugías ortopédicas en un hospital público de referencia.
Materiales y método: estudio descriptivo, cuantitativo y retrospectivo, con datos de 2.870 pacientes que se sometieron a cirugía ortopédica, donde 60 registros muestran que los pacientes desarrollaron infección del sitio quirúrgico. La recolección de datos ocurrió de enero de 2015 a diciembre de 2019 en un hospital de referencia en la ciudad de Santarém, Pará, Brasil. Los datos fueron analizados mediante estadística descriptiva e inferencial.
Resultados: el sexo masculino predominó en la muestra (65,7 %) y en pacientes con infecciones del sitio quirúrgico (70 %). La edad media de la muestra fue de 44,6 ± 19,1 años, mientras que para los pacientes con infecciones del sitio quirúrgico fue de 46,2 ± 19,7 años. Se identificó una frecuencia de 2,1 % de infecciones del sitio quirúrgico. Los factores de riesgo asociados con esta afectación son: duración de la cirugía, el uso de un implante, el número de fracturas y el uso de prótesis de cadera (u otras). El perfil microbiológico estuvo compuesto por Staphylococcus aureus (35,1 %), Klebsiella pneumoniae (13,5 %) y Pseudomonas aeruginosa (13,5 %).
Conclusiones: en cirugías ortopédicas, el equipo de salud debe estar atento a las infecciones del sitio quirúrgico en pacientes de sexo masculino, adultos mayores, solteros y con educación básica. Así mismo, deben monitorear este tipo de infecciones en cirugías de larga duración, en presencia de implante, con un alto número de fracturas en el paciente y el uso de prótesis.
References
(1) World Health Organization. Protocol for surgical site infection surveillance with a focus on settings with limited resources. Geneva: World Health Organization; 2018. https://cdn.who.int/media/docs/default-source/integrated-health-services-(ihs)/ipc/ssi-surveillance-protocol.pdf?sfvrsn=d24a1d1c_3&download=true
(2) Brasil. Agência Nacional de Vigilância Sanitária. Medidas de prevenção de infecção relacionada à assistência à saúde. 2017. http://www.riocomsaude.rj.gov.br/Publico/MostrarArquivo.aspx?C=pCiWUy84%2BR0%3D
(3) Haque M; Sartelli M; McKimm J; Bakar MA. Health care-associated infections: An overview. Infect Drug Resist. 2018;11:2321-2333. https://doi.org/10.2147/idr.s177247
(4) World Health Organization. Global guidelines for the prevention of surgical site infection. Geneva: World Health Organization; 2018. https://www.who.int/publications/i/item/global-guidelines-for-the-prevention-of-surgical-site-infection-2nd-ed
(5) Santos PVF; Santana KISP; Cariri LS; Jesus KB; Nogueira EC; Brito FPG. Infecção do sítio cirúrgico em pacientes no pós-operatório de cirurgias ortopédicas eletivas. Interfaces Científicas — Saúde e Ambiente. 2017;5(2):71-79. https://doi.org/10.17564/2316-3798.2017v5n2p71-79
(6) Erivan R; Villatte G; Dartus J; Reina N; Descamps S; Boisgard S. Progression and projection for hip surgery in France, 2008-2070: Epidemiologic study with trend and projection analysis. Orthop Traumatol Surg Res. 2019;105(7):1227-1235. https://doi.org/10.1016/j.otsr.2019.07.021
(7) Carvalho RLR; Campos CC; Franco LMC; Rocha AM; Ercole FF. Incidence and risk factors for surgical site infection in general surgeries. Rev Lat Am Enfermagem. 2017;25:e2848. http://doi.org/10.1590/1518-8345.1502.2848
(8) Najjar YW; Saleh MY. Orthopedic surgical site infection: Incidence, predisposing factors, and prevention. Int J Med Sci Clin Invent. 2017;4(2):2651-2661. https://valleyinternational.net/index.php/ijmsci/article/view/706 DOI: https://doi.org/10.18535/ijmsci/v4i2.04
(9) Koyagura B; Koramutla HK; Ravindran B; Kandati J. Surgical site infections in orthopaedic surgeries: Incidence and risk factors at tertiary care hospital of South India. Int J Res Orthop. 2018;4(4):551-555. http://doi.org/10.18203/issn.2455-4510.IntJResOrthop20182598
(10) Curcio D; Cane A; Fernández F; Correa J. Surgical site infection in elective clean and clean-contaminated surgeries in developing countries. Int J Infec Dis. 2019;80:34-45. https://doi.org/10.1016/j.ijid.2018.12.013
(11) Souza KV; Serrano SQ. Saberes dos Enfermeiros sobre prevenção de infecção do sítio cirúrgico. Rev. SOBECC. 2020;25(1):11-16. https://doi.org/10.5327/Z1414-4425202000010003
(12) Andrade GV; Souza NMG; Rocha ACF; Ribeiro SB; Silva VM; Oliveira LAF. Surgical site infection prevention bundle for children submitted to cardiac surgery. Rev Esc Enferm USP. 2021;55:e20200470. https://doi.org/10.1590/1980-220X-REEUSP-2020-0470
(13) Pires VG; Santana RF; Araújo CM; Vasconcellos IRR; Oliveira LAM; Silva MS. Postoperative home visit in orthopedics: Diagnosis mapping and nursing interventions. Rev enferm UFPE on line. 2018;12(6):1593-1602. https://doi.org/10.5205/1981-8963-v12i6a14289p1593-1602-2018
(14) Machado RCG; Turrini RNT; Sousa CS. Mobile applications in surgical patient health education: an integrative review. Rev Esc Enferm USP. 2020;54:e03555. http://doi.org/10.1590/S1980-220X2018032803555
(15) Rajasekaran S; Ravi S; Aiyer SN. Incidence and preventability of adverse events in an orthopaedic unit: a prospective analysis of four thousand, nine hundred and six admissions. Int Orthop. 2016;40:2233-2238. http://doi.org/10.1007/s00264-016-3282-4
(16) Souza KV; Serrano SQ. Nurses’ knowledge about prevention of surgical site infection. Rev. SOBECC. 2020;25(1):11-16. http://doi.org/10.5327/Z1414-4425202000010003
(17) Zucco R; Lavano F; Nobile CG; Papadopoli R, Bianco A. Adherence to evidence-based recommendations for surgical site infection prevention: Results among Italian surgical ward nurses. PLOS One. 2019;14(9):e0222825. https://doi.org/10.1371/journal.pone.0222825
(18) Fontelles MJ; Simões MG; Farias SH; Fontelles RGS. Metodologia da pesquisa científica: diretrizes para a elaboração de um protocolo de pesquisa. Rev Para Med. 2009;23(3):1-8. https://pesquisa.bvsalud.org/portal/resource/pt/lil-588477
(19) Baker AW; Dicks KV; Durkin MJ; Weber DJ; Lewis SS; Moehring RW et al. Epidemiology of surgical site infection in a Community Hospital Network. Infect Control Hosp Epidemiol. 2016;37(5):519-526. http://doi.org/10.1017/ice.2016.13
(20) Dyck M; Embil JM; Trepman E; Bohm E. Surgical site infection surveillance for elective primary total hip and knee arthroplasty in Winnipeg, Manitoba, Canada. Am J Infect Control. 2019;47(2):157-163. http://doi.org/10.1016/j.ajic.2018.07.017
(21) Skufca J; Ollgren J; Virtanen MJ; Huotari K; Lyytikäinen O. Interhospital comparison of surgical site infection rates in orthopedic surgery. Infect Control Hosp Epidemiol. 2017;38(4):423-429. http://doi.org/10.1017/ice.2016.333
(22) Badara GA; Charles K; Badara DA; Destin K; Mouhamadou N; Lamine S et al. Surgical site infection in orthopedic surgery at Dantec University Hospital Center. SM J Orthop. 2017;3(4):1062. http://doi.org/10.36876/smjo.1062
(23) Misha G; Chelkeba L; Melaku T. Incidence, risk factors and outcomes of surgical site infections among patients admitted to Jimma Medical Center, South West Ethiopia: Prospective cohort study. Ann Med Surg. 2021;65:e102247. https://doi.org/10.1016/j.amsu.2021.102247
(24) Prates CG; Stadñik CM; Bagatini A; Caregnato RC; Moura GMSS. Comparison of surgical infection rates after implementation of a safety checklist. Acta Paul Enferm. 2018;31(2):116-122. http://doi.org/10.1590/1982-0194201800018
(25) Oliveira PR; Carvalho VC; Félix CS; Paula AP; Santos-Silva J; Lima ALLM. The incidence and microbiological profile of surgical site infections following internal fixation of closed and open fractures. Rev Bras Ortop. 2016;51(4):396-399. http://doi.org/10.1016/j.rboe.2015.09.012
(26) Braz NJ; Evangelista SS; Evangelista SS; Garbaccio JL; Oliveira AC. Retrospective or clue-based surveillance? What is the impact on the notification of surgical site infections in cardiac surgeries. Texto Contexto Enferm. 2018;27(4):e1670017. http://doi.org/10.1590/0104-07072018001670017
(27) Martins LCN; Cordeiro ALPC; Stacciarini TSG; Engel RH; Haas VJ; Rezende MP et al. Sociodemographic factors and nursing diagnoses in patients undergoing orthopedic surgeries. Esc Anna Nery. 2020;24(3):e20190292. http://doi.org/10.1590/2177-9465-EAN-2019-0292
(28) Santos LFS; Fonseca JMA; Cavalcante BLS; Lima CM. Estudo epidemiológico do trauma ortopédico em um serviço público de emergência. Cad Saúde Colet. 2016;24(4):397-403. http://doi.org/10.1590/1414-462X201600040128
(29) Wise BT; Connelly D; Rocca M; Mascarenhas D; Huang Y; Maceroli MA et al. A predictive score for determining risk of surgical site infection after orthopaedic trauma surgery. J Orthop Trauma. 2019;33(10):506-513. http://doi.org/10.1097/BOT.0000000000001513
(30) Guerra MTE; Gregio FM; Bernardi A; Castro CC. Infection rate in adult patients with open fractures treated at the emergency hospital and at the ULBRA university hospital in Canoas, Rio Grande do Sul, Brazil. Rev Bras Ortop. 2017;52(5):544-548. http://doi.org/10.1016/j.rboe.2017.08.012
(31) Mok WQ; Ullal MJ; Su S; Yiap PL; Yu LH; Lim SMM et al. An integrative care bundle to prevent surgical site infections among surgical hip patients: A retrospective cohort study. Am J Infect Control. 2019;47(5):540-544. http://doi.org/10.1016/j.ajic.2018.10.011
(32) Depypere M; Morgenstern M; Kuehl R; Senneville E; Moriarty TF; Obremskey WT et al. Pathogenesis and management of fracture-related infection. Clin Microbiol Infect. 2020;26(5):572-578. http://doi.org/10.1016/j.cmi.2019.08.006
(33) Akiboye F; Rayman G. Management of hyperglycemia and diabetes in orthopedic surgery. Curr Diab Rep. 2017;17:e13. http://doi.org/10.1007/s11892-017-0839-6
(34) Domingos CMH; Lida LIS; Poveda VB. Glycemic control strategies and the occurrence of surgical site infection: A systematic review. Rev Esc Enferm USP. 2016;50(5):868-874. http://doi.org/10.1590/S0080-623420160000600022
(35) Kapadia BH; Berg RA; Daley JA; Fritz J; Bhave A; Mont MA. Periprosthetic joint infection. Lancet. 2016; 387(10016):386-394. http://doi.org/10.1016/S0140-6736(14)61798-0
(36) Gowd AK; Bohl DD; Hamid KS; Lee S; Holmes GB; Lin J. Longer operative time is independently associated with surgical site infection and wound dehiscence following open reduction and internal fixation of the ankle. Foot Ankle Spec. 2020;13(2):104-111. http://doi.org/10.1177/1938640019835299
(37) Yang G; Zhu Y; Zhang Y. Prognostic risk factors of surgical site infection after primary joint arthroplasty: A retrospective cohort study. Medicine. 2020;99(8):e19283. http://doi.org/10.1097/MD.0000000000019283
(38) Tostes MFP; Maran E; Raimundo LS; Mai LD. Practice of surgical antibiotic prophylaxis and patient safety factor. Rev SOBECC. 2016;21(1):13-21. http://doi.org/10.5327/Z1414-4425201600010003
(39) Ji C; Zhu Y; Liu S; Li J; Zhang F; Chen W et al. Incidente and risk of surgical site infection after adult femoral neck fractures treated by surgery: A retrospective case-control study. Medicine. 2019;98(11):e14882. http://doi.org/10.1097/MD.0000000000014882
(40) Teo BJ; Yeo W; Chong HC; Tan AHC. Surgical site infection after primary total knee arthroplasty is associated with a longer duration of surgery. Orthop Surg. 2018;26(2):1-7. http://doi.org/10.1177/2309499018785647
(41) Souza ISB; Santana AC; D’Alfonso Júnior G. A ocorrência de infecção do sítio cirúrgico: um estudo de revisão. Rev Med Minas Gerais. 2018;28(supl 5):e-S280521. http://www.doi.org/10.5935/2238-3182.20180133
How to Cite
VANCOUVER
ACM
ACS
APA
ABNT
Chicago
Harvard
IEEE
MLA
Turabian
Download Citation
CrossRef Cited-by
1. Josemar Batista, Jessica Tainah Jiuliete de Araújo Ferreira Gomes de Souza, Gislayne Cristine Pivatto Pondelek, Danieli Parreira Da Silva, Elaine Drehmer de Almeida Cruz. (2024). Infecção de sítio cirúrgico em pacientes submetidos a artroplastias de quadril e joelho . Revista SOBECC, 29 https://doi.org/10.5327/Z1414-4425202429971.
2. Isabella Londoño Rodríguez, Juliana Ocampo López, Katherine López Gómez, William Duque Salazar, German Oved Acevedo Osorio, Angelica María Blanco Vanegas, Carlos Eduardo Giraldo Ospina. (2024). Prevalence of surgical site infection in orthopedic procedures, in an institution in the municipality of Pereira, 2022. F1000Research, 13, p.399. https://doi.org/10.12688/f1000research.148676.1.
3. Keydilane Sampaio de Sousa Abade, Rayanne Alves de Oliveira, Karla Macêdo Brandão de Abreu, Ranney Alves de Oliveira, Ana Cláudia Santos de Souza, William Vinicius da Silva, Lucélia de Oliveira Santos, Carla Viana Dendasck, Juliana Mara Flores Bicalho. (2023). Prevenção de infecção de sítio cirúrgico em cirurgias ortopédicas: revisão integrativa. Revista Científica Multidisciplinar Núcleo do Conhecimento, , p.61. https://doi.org/10.32749/nucleodoconhecimento.com.br/saude/infeccao-de-sitio-cirurgico.
4. Elisa da Cunha Florenzano, Gabriel Silva do Nascimento, Janaina dos Santos Dias, Cheila Maria Lins Bentes. (2024). FATORES ASSOCIADOS À INFECÇÃO DE FERIDA OPERATÓRIA EM PACIENTES SUBMETIDOS À PROCEDIMENTO CIRÚRGICO. REVISTA FOCO, 17(5), p.e5269. https://doi.org/10.54751/revistafoco.v17n5-180.
5. Luciana Forte, Sónia Novais. (2025). Fatores de risco de ilc após artroplastia do joelho: scoping review. Revista de Investigação & Inovação em Saúde, 8(1), p.e404. https://doi.org/10.37914/riis.v8i1.404.
Dimensions
PlumX
Article abstract page views
Downloads
License
Copyright (c) 2022 Brenda dos Santos Coutinho, Andreza Dantas Ribeiro, Sheila Mara Bezerra de Oliveira, Monica Karla Vojta Miranda, Luiz Fernando Gouvea-e-Silva
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published by Avances en Enfermería are licensed under the Creative Commons Attribution 4.0 International License. Starting 2020, we added the CC-BY-NC recognition to the license, which means anyone is allowed to copy, redistribute, remix, transmit and transform our contents with non-commercial purposes, and although new works must adequately cite the original work and source and also pursue non-commercial purposes, users do not have to license derivative works under the same terms.
