Risk factors and surgical site infection in trauma-orthopedic surgeries
DOI:
https://doi.org/10.15649/cuidarte.1292Keywords:
Risk factors, Cross Infection, Surgical Wound, Orthopedics, Perioperative NursingAbstract
Introduction: Infection of the Surgical Site occupies the third position among infections acquired in health services, representing an important public health problem, present in about 15% of those found in hospitalized patients, and one of the types of most likely for this event are trauma-orthopedic surgies. Objective: To verify the association between risk factors and the presence of Surgical Site Infection in traumato-orthopedic surgeries. Materials and methods: Prospective descriptive, quantitative study, conducted between August and October 2017 with 84 patients. The data regarding the patient, the procedure and the signs of Surgical Site Infections, found on the third and tenth postoperative days, were collected using a form. Results: Of the studied variables, they behaved as risk factors for Surgical Site Infection: smoking, diabetes and age over 50 years. Age was the main risk factor related to the patient, present in 31, 36.9% of cases. Pain, edema and hyperemia were the most prevalent signs of infection. Discussion and conclusions: The risk factors related to the patient are more relevant in the association with infection of the surgical site compared to those related to the procedure.
How to cite this article: Silva, Edilane Neves da; Silva, Renata Kelly dos Santos e; Carvalho, Simone Barroso de; Façanha, Dilene Maria de Araújo; Carvalho, Rhanna Emanuela Fontelene Lima de; Pereira, Francisco Gilberto Fernandes. Fatores de risco para infecção de sítio cirúrgico em cirurgias traumato-ortopédicas. Revista Cuidarte. 2021;12(2):e1292. http://dx.doi.org/10.15649/cuidarte.1292
References
Franco LMC, Ercole FF, Mattia AD. Surgical infection in patients undergoing orthopedic surgery with implant. Rev SOBECC. 2015;20(3):163-70. https://doi.org/10.5327/Z1414-4425201500030007
Brasil. Ministério da Saúde. Agência Nacional de Vigilância Sanitária. Critérios Diagnósticos de Infecções Relacionadas à Assistência à Saúde. Brasília: Anvisa; 2017.
Laloto TL, Gemeda DH, Abdella SH. Incidence and Predictors of Surgical Site Infection in Ethiopia: Prospective Cohort. BMC Infect Dis. 2017;17(1):119. https://doi.org/10.5327/Z1414-4425201500030007
Fusco SFB, Massarico NM, Alves MVMFF, Fortaleza CMCB, Pavan ECP, Palhares VC, et al. Surgical site infection and its risk factors in colon surgeries Infección de sitio quirúrgico y sus factores de riesgo en cirugías de colon. Rev Esc Enferm USP. 2016;50(1):43-9. https://doi.org/10.1590/S0080-623420160000100006
Ercole FF, Franco LMC, Macieira TGR, Wenceslau LCC, Resende HIN, Chianca TCM. Risco para infecção de sítio cirúrgico em pacientes submetidos a cirurgias ortopédicas. Rev. Latino-Am. Enfermagem. 2011;19(6):1-8. http://www.scielo.br/pdf/rlae/v19n6/pt_12.pdf
Badia JM, Casey AL, Petrosillo N, Hudson PM, Mitchell SA, Crosby C. Impact of surgical site infection on healthcare costs and patient outcomes: a systematic review in six european countries. J Hosp Infec. 2017;96(1):1-15. https://doi.org/10.1016/j.jhin.2017.03.004
Mistry JB, Naqvi A, Chughtai M, Gwam C, Thomas M, Higuera CA, et al. Decreasing the incidence of surgical-site infections after total joint arthroplasty. Am J Orthop. 2018;46(6):1-17. https://www.ncbi.nlm.nih.gov/pubmed/29309453
Silva AMB, Andrade D, Wysocki AD, Nicolussi AD, Haas VJ, Miranzi MAS. Conhecimento sobre prevenção e controle de infecção relacionada à assistência à saúde: contexto hospitalar. Rev RENE. 2017;18(3):353-60. https://doi.org/10.15253/2175-6783.2017000300010
Reese SM, Knepper B, Young HL, Mauffrey C. Development of a surgical site infection prediction model in orthopaedic trauma: The denver health model. Injury. 2017;48(12):2699-704. https://doi.org/10.1016/j.injury.2017.10.011
Chagas MQL, Costa AMG, Mendes PHB, Gomes Júnior SC. Analysis of surgical site infections in pediatric patients after orthopedic surgery: a case-control study. Rev Paul Pediatr. 2017;35(1):18-24. https://doi.org/10.1590/1984-0462/;2017;35;1;00011
Organização Mundial da Saúde. Segundo desafio global para a segurança do paciente: Cirurgias seguras salvam vidas (orientações para cirurgia segura da OMS). Rio de Janeiro: Ministério da Saúde; 2009.
Talic A, Dzankovic F, Papovic A, Omerhodzic E. Risk factors for the surgical field infections after the osteosynthes of tibia diaphysis. Med Arch. 2017;71(5):334-7. https://doi.org/10.5455/medarh.2017.71.334-337
Bellussé GC, Ribeiro JC, Campos FR, Poveda VB, Galvão CM. Risk factors for surgical site infection in neurosurgery. Acta Paul Enferm. 2015;28(1):66-73. https://doi.org/10.1590/1982-0194201500012
Soares LS, Sousa DACM, Machado ALG, Silva GRF. Profile of trauma victims from motorcycle accidents assisted in a public hospital. Rev enferm UERJ. 2015;23(1):11521. https://doi.org/10.12957/reuerj.2015.15599
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. https://doi.org/10.1590/1414-462X201600040128
Perry KI, Hanssen AD. Orthopaedic infection: prevention and diagnosis. J Am Acad Orthop Surg. 2017;25(1):4-6. https://doi.org/10.5435/JAAOS-D-16-00634
Barbosa MH, Mendes MA, Amaral JB, Mattia ALD. Occurrence of surgical site infection in a university hospital of Minas Gerais. Rev. Min. Enferm. 2009;13(3):416-22. Available from: www.reme.org.br/exportar-pdf/33/v15n2a14.pdf
Pereira HO, Rezende EM, Couto BRGM. Tempo de internação pré-operatório: um fator de risco para reduzir a infecção cirúrgica em fraturas de fêmur. Rev Bras Ortop. 2015;50(6):638–46. https://doi.org/10.1016/j.rbo.2015.04.011
Martins T, Amante LN, Virtuoso JF, Sell BT, Wechi JS, Senna CVS. Risk factors for surgical site infections in potentially contaminated surgeries. Texto Contexto Enferm. 2018;27(3):e2790016. https://doi.org/10.1590/0104-070720180002790016
Brasil. Ministério da Saúde. Agência Nacional de Vigilância Sanitária. Medidas de Prevenção de Infecção Relacionada à Assistência à Saúde. Brasília: Anvisa; 2017.
Pereira BRR, Mendoza IYQ, Couto BRGM, Ercole FF, Gouveia VR. Hip arthroplasty: surgical site infection prevention. Rev. SOBECC. 2014;19(4):181-7. https://doi.org/10.5327/Z1414-4425201400040002
Sun Y, Wang H, Tang Y, Zhao H, Qin S, Xu L, et al. Incidence and risk factors for surgical site infection after open reduction and internal fixation of ankle fracture: a retrospective multicenter study. Medicine (Baltimore). 2018;97(7):e9901. https://doi.org/10.1097/MD.0000000000009901
Lanzetti RM, Lupariello D, Venditto T, Guzzini M, Ponzo A, De Carli A, et al. The role of diabetes mellitus and bmi in the surgical treatment of ankle fractures. Diabetes Metab Res Rev. 2018;34(2). https://doi.org/10.1002/dmrr.2954
Akiboye F, Rayman G. Management of hyperglycemia and diabetes in orthopedic surgery. Curr Diab Rep. 2017;17(13):1-11. https://doi.org/10.1007/s11892-017-0839-6
Poveda VB, Galvão CM, Hayashida M. Análise dos fatores de risco relacionados à incidência de infecção do sítio cirúrgico em gastrocirurgias. Rev Esc Enferm USP [Internet]. 2003 [cited 2019 Fev 28];37(1):81-9. https://doi.org/10.1590/S0080-62342003000100010
Santos PVF, Jesus KB, Santana KISP, Nogueira EC, Cariri LS, Brito FPG. Infecção do sítio cirúrgico em pacientes no pós-operatório de cirurgias ortopédicas eletivas. Interfaces Científicas. 2017;5(2):71-9. https://doi.org/10.17564/2316-3798.2017v5n2p71-79
Rodrigues ALS, Miranda AC, Dourado CJC, Almeida DPR, Brito NB, Araújo RS. Evaluation of patients as a surgical site infection in a public hospital of Belém-PA. Revista Paraense de Medicina [Internet]. 2014 [cited 2019 Mar 08];28(1):23-30. Available from: files.bvs.br/upload/S/0101-5907/2014/v28n1/a4160.pdf
Oliveira EM, Paula JB. Fatores associados à infecção de sítio cirúrgico em pacientes idosos submetidos à cirurgia cardíaca com esternotomia. Saúde (Santa Maria) [Internet]. 2014 [cited 2019 Mar 08]:40(1):37-44. Available from: https://periodicos.ufsm.br/revistasaude/article/view/7894
Brasil. Ministério da Saúde. Estratégias para o cuidado da pessoa com doença crônica: o cuidado da pessoa tabagista. Brasília: Ministério da Saúde; 2015.
Mujagic E, Zeindler J, Coslovsky M, Hoffmann H, Soysal SD, Mechera R, et al. The association of surgical drains with surgical site infections – a prospective observational study. Am J Surg. 2019;217(1):17-23. https://doi.org/10.1016/j.amjsurg.2018.06.015
Pereira FGF, Caetano JA, Ataíde MBC, Silva RL, Néri EDR, Carvalho GCN. Environmental variables and errors in the preparation and administration of medicines. Rev Bras Enferm. 2018;71(3):1046-54. https://doi.org/10.1590/0034-7167-2016-0041
Gutierres LS, Santos JLG, Peiter CC, Menegon FHA, Sebold LF, Erdmann AL. Good practices for patient safety in the operating room: nurses’ recommendations. Rev Bras Enferm. 2018;71(Suppl 6):2775-82. https://doi.org/10.1590/0034-7167-2018-0449
Gouvêa M, Novaes CO, Iglesias AC. Assessment of antibiotic prophylaxis in surgical patients at the Gaffrée e Guinle University Hospital. Rev. Col. Bras. Cir. 2016;43(4):225-34. https://doi.org/10.1590/0100-69912016004001
Oliveira AC, Gama CS. What to use in preoperative skin preparation: povidone-iodine or chlorhexidine? Rev. SOBECC. 2018;23(3):155-9. https://doi.org/10.5327/Z1414-4425201800030007
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