ABSTRACT
Objective:
to identify the incidence of healthcare-related infections and their associated factors, during the first postoperative month of adult patients subjected to a liver transplant in a public hospital of Fortaleza.
Method:
retrospective, descriptive study with a quantitative approach, performed with 53 liver receptors in the first semester of 2015. The data were collected through medical records, outpatient records and notification of infections.
Results:
of the patients assessed, 15 (28.3%) presented infection during the first month, with the most prevalent being clinical sepsis (n=6; 37.4%), followed by respiratory tract infection (n=3; 18.8%), urinary tract (n=3, 18.8%), surgical site (n=3, 18.8%), and bloodstream infection (n=1, 6.2%). Those who presented statistical association in relation to the non-occurrence of infections were the group of married patients and the indication of cirrhosis due to hepatitis C. The average number of days of postoperative hospitalization, the use of mycophenolate mofetil immunosuppressant and the average use of some invasive devices were identified as the factors associated with the occurrence of infections, being statistically significant for p=<0.05.
Conclusion:
the identification of the incidence of healthcare-related infections and their associated factors in patients undergoing a liver transplant may support health actions in order to reduce the morbidity and mortality associated with infections and optimize the recovery of these patients.
DESCRIPTORS:
Hospital infection; Risk factors; Liver transplant; Epidemiology; Infection control