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RISK FACTORS FOR SURGICAL SITE INFECTIONS IN POTENTIALLY CONTAMINATED SURGERIES

ABSTRACT

Objective:

to associate the risk factors of the postoperative period of potentially contaminated surgeries, with the occurrence of surgical site infections in the postoperative period in the hospital and home setting.

Method:

the data collection period was from February to June 2015, 84 patients were followed up on the first three post-operative days and seven days after hospital discharge, the collection was performed through questionnaires designed to evaluate the surgical site, the clinical conditions of the patient and chart analysis. In order to verify the influencing risk factors and classifications of surgical site infections, a questionnaire was used with variables that were analyzed in a descriptive manner through simple frequency, percentage, and position and dispersion measurements. Statistical tests were performed for the association and significance level of the risk factors.

Results:

none of the patients interviewed developed a deep infection of the surgical or organ / space site, seven developed superficial surgical site infections in the post-operative period in hospital and 41 developed a surgical site infection at home. The analyzed risk factors were not significant for the development of infections.

Conclusions:

it is recommended that institutions implement a post discharge monitoring and follow-up service in order to improve the reliability of the incidence rates of surgical site infections; improving the quality of patient care; epidemiological understanding and identification of risk factors. In addition, it proposes to facilitate the referral and counter referral process through training in the Family Health Strategy in order to identify these risk factors, and by acting in a network.

DESCRIPTORS:
Patient safety; Perioperative care; Surgical Site Infection; Risk factors

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br