Dissertations / Theses on the topic 'Surgical site infection'
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Crosby, C. T. "Chlorhexidine and the prevention of surgical site infection." Thesis, Aston University, 2009. http://publications.aston.ac.uk/21096/.
Full textPinkney, Thomas David. "Wound-edge protection devices to reduce surgical site infection." Thesis, University of Birmingham, 2017. http://etheses.bham.ac.uk//id/eprint/7588/.
Full textOpadotun, Olukemi. "Infection control practices for the prevention of surgical site infections in the operating room." Thesis, Nelson Mandela Metropolitan University, 2014. http://hdl.handle.net/10948/d1017195.
Full textLittle, Charlene Knight. "Decreasing Surgical Site Infections in Vascular Surgery Patients." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2412.
Full textHaddad, Sleiman. "Surgical site infections in spinal surgery: from risk factors to surgical outcomes." Doctoral thesis, Universitat Autònoma de Barcelona, 2018. http://hdl.handle.net/10803/665823.
Full textOver the last decade there has been a significant increase in volume of spinal surgeries performed as well as in medical and surgical complexity of patients. This was accompanied by an increased overall morbidity and volume of complications. At the same time, health care professionals have become more aware of the impact of specific preventable complications such as surgical site infections (SSI) and huge efforts have been directed to reduce SSI incidence. Although the general risk factors for SSI have been discussed, the relationship of neurologic status and trauma to SSI has not been explicitly explored. In addition, the direct and indirect impact of deep SSI on surgical outcomes especially after adult spinal deformity (ASD) surgery is still unclear. The aim of this doctoral thesis is to review the risk factors for developing a SSI after spine surgery, as well as how SSI affects clinical outcome. It mainly focuses on diagnosis (Traumatic vs. Degenerative) and neurological status (Spinal Cord Injury SCI or Myelopathy MP) as predictors for SSI. It also reports the associated morbidities and costs of SSI and evaluates the surgical outcomes after SSI. The National Inpatient Survey (NIS) and the Thomas Jefferson University Hospital (TJUH) databases were probed to analyse infection in patients with primary cervical surgery. Using a multivariate analysis, all interplaying comorbidities and risk factors have been. A subsequent resource utilization analysis has been done. The European Spine Study Group (ESSG) prospective database was used to study the functional and clinical outcomes of SSI in patients with posterior fusion for Adult Spinal Deformity (ASD) through the comparison of matched cohorts. Readmissions, reoperations, deformity correction and fusion rates were also studied. A total of 1,247,281 and 5,540 patients met inclusion criteria in the NIS and TJUH databases respectively. SSI incidence was 0.73% (NIS) versus 1.75% (TJUH). It increased steadily from 0.52% in patients without MP to 1.97% in the traumatic SCI group in the NIS data and from 0.88% to 5.54% in the TJUH. Differences between diagnostic groups and cohorts reached statistical significance. SSI was predicted significantly by neurological status (odds ratio [OR] 1.69, p<.0001) and trauma (OR 1.30, p=.0003) in the NIS data. Other significant predictors included: approach, number of levels fused, female gender, black race, medium size hospital, rural hospital, large hospital, western US hospital and Medicare coverage. In TJUH, only trauma (OR 2.11, p=.03) reached significance when accounting for comorbidities. Costs of infection varied among diagnostic groups and summed $184060 in the SCI group. Patients with SSI were also more likely to be discharged to specialized institutions. 444 surgical ASD patients with more than 2 years of follow-up were identified. 20 sustained an acute SSI and 60 controls were accordingly matched. No differences were observed between groups in preoperative radiological and HRQoL variables confirming comparable groups. SSI patients had longer hospital stay and more mechanical complications including proximal junctional kyphosis. Infection was associated with more unrelated complications and revisions. Deformity correction was maintained equally at the different time intervals. One death was related to SSI. SSI patients had worse overall HRQoL status at 1 year and were less likely to experience improvement. However, no significant differences were recorded thereafter. As a conclusion, both primary diagnosis (trauma vs. degenerative) and neurologic status (MP or SCI) were found to be strong and independent predictors of SSI in cervical spine surgery. Also, SSI significantly affects the first postoperative year after posterior ASD surgery. It is associated with more complications, unrelated revisions, and worst quality of life. However it's negative impact seems to be diluted by the second postoperative year.
Driskill, Karen. "An Educational Program to Reduce Surgical Site Infection in Vascular Patients." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6891.
Full textMingo, Alicia Y. "Smoking and Surgical Site Infection in Orthopedic Patients' Lower Extremity Arthroplasty." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6356.
Full textMasterson, Lisa M. "Implementing a Glycemic Management Protocol with Surgical Patients." Mount St. Joseph University Dept. of Nursing / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=msjdn1619806592278265.
Full textWong, Edric, and Jason Clonts. "Evaluation of Timing of Vancomycin Surgical Site Infection Prophylaxis with Scheduled Antibiotic." The University of Arizona, 2012. http://hdl.handle.net/10150/623594.
Full textSpecific Aims: The primary purpose of this study was to evaluate the time of vancomycin pre-operative surgical site infection prophylaxis administration relative to other scheduled antibiotic therapy at a tertiary care, academic medical center. The secondary purpose was to characterize the incidence of adverse events post-surgery that were associated with vancomycin therapy in patients who received both pre- operative scheduled vancomycin therapy and vancomycin for surgical site infection prophylaxis Methods: This descriptive study was a retrospective medical chart review of all patients over the age of 28 days who received vancomycin for surgical site infection prophylaxis between February 2011 and May 2011 at a tertiary care, academic medical center. This study was approved be the Institutional Review Board. The subject population included patients admitted to the hospital for at least 72 hours who received at least 48 hours of scheduled vancomycin (IV), daptomycin or linezolid therapy before index surgery and subsequently received surgical site infection prophylaxis with vancomycin. Main Results: Of the 20 subjects who meet the study inclusion criteria, 18 (90%) subjects received scheduled vancomycin doses within 48 hours prior to surgery, 5 (25%) subjects within 4 hours, and 4 (20%) subjects within 2 hours. No surgical site infections were reported. Conclusions: This was a pilot study to evaluate the timing of vancomycin surgical site infection prophylaxis doses with scheduled vancomycin, linezolid, and daptomycin. No adverse effects associated with surgical site infection prophylaxis were reported but the sample size is small and likely inadequate to detect this potential issue.
Mandavyapuram, Hima Bindu. "ANTIBIOTIC DELIVERY SYSTEM FOR SURGICAL SITE INFECTION PREVENTION IN SPINAL IMPLANT SURGERY." Case Western Reserve University School of Graduate Studies / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=case1275624787.
Full textWong, Edric, Jason Clonts, Kathryn Matthias, and Brian Erstad. "Evaluation of Timing of Vancomycin Surgical Site Infection Prophylaxis with Scheduled Antibiotic." The University of Arizona, 2012. http://hdl.handle.net/10150/614460.
Full textSpecific Aims: The primary purpose of this study was to evaluate the time of vancomycin pre-operative surgical site infection prophylaxis administration relative to other scheduled antibiotic therapy at a tertiary care, academic medical center. The secondary purpose was to characterize the incidence of adverse events post-surgery that were associated with vancomycin therapy in patients who received both pre-operative scheduled vancomycin therapy and vancomycin for surgical site infection prophylaxis Methods: This descriptive study was a retrospective medical chart review of all patients over the age of 28 days who received vancomycin for surgical site infection prophylaxis between February 2011 and May 2011 at a tertiary care, academic medical center. This study was approved be the Institutional Review Board. The subject population included patients admitted to the hospital for at least 72 hours who received at least 48 hours of scheduled vancomycin (IV), daptomycin or linezolid therapy before index surgery and subsequently received surgical site infection prophylaxis with vancomycin. Main Results: Of the 20 subjects who meet the study inclusion criteria, 18 (90%) subjects received scheduled vancomycin doses within 48 hours prior to surgery, 5 (25%) subjects within 4 hours, and 4 (20%) subjects within 2 hours. No surgical site infections were reported. Conclusions: This was a pilot study to evaluate the timing of vancomycin surgical site infection prophylaxis doses with scheduled vancomycin, linezolid, and daptomycin. No adverse effects associated with surgical site infection prophylaxis were reported but the sample size is small and likely inadequate to detect this potential issue.
O'Neill, Elaina Rose. "Risk factors for Staphylococcus aureus surgical site infections following breast operations." Thesis, University of Iowa, 2016. https://ir.uiowa.edu/etd/3155.
Full textLinam, William Matthew. "Risk Factors Associated with Surgical Site Infection after Pediatric Posterior Spinal Fusion Procedure." University of Cincinnati / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1243362179.
Full textStadñik, Claudio Marcel Berdún. "Adequação do horário de administração da antibioticoprofilaxia cirúrgica." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2011. http://hdl.handle.net/10183/60756.
Full textIntroduction: Antimicrobial surgical prophylaxis has been demonstrated as one of the most important steps to reduce surgical site infections. The timing of administration of prophylaxis is essential to achieve therapeutic concentrations in tissues during the surgical procedure, which is frequently not observed. The aim of this study was to characterize the lapse of time between antimicrobial prophylaxis and beginning of surgical incision. Methods: A sample of elective surgeries performed in a general hospital accompanied by direct observation of the timing of administration of antibiotic prophylaxis and the incision. Results: We analyzed 130 procedures. Most of the patients were female (64.6%). In 60% of the procedures evaluated, patients hospitalized on the same day of surgery and antimicrobial more used was cefazolin (91.5%). The antibiotic prophylaxis was administered with a median of 8 minutes before incision, and in 18 (13.8%) procedures were applied to a time longer than 30 min and 37 (28.5%) was administered after the incision. In only 13.8% prophylaxis was administered according to institutional protocol. Whose specialty surgical procedures had lower rates of appropriateness of administration time were plastic surgery (4.5%), urology (6.7) and vascular (9.1%). Conclusion: Although established, the administration of prophylaxis in a timely manner remains far from ideal in our midst. Institutions should adopt effective measures to minimize the inadequacy of this measure.
Schuster, Delia. "Compliance with surgical antibiotic prophylaxis guidelines: a prospective descriptive study at a tertiary level hospital in Cape Town, South Africa." Master's thesis, Faculty of Health Sciences, 2020. http://hdl.handle.net/11427/32965.
Full textDuquette, Janine Lee-Anne. "Preoperative Chlorhexidine Skin Preparation for Patients Undergoing Vascular Surgery." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4136.
Full textSonntag, Kim. "A retrospective review of surgical site infection following caesarean section at Mowbray Maternity Hospital." Master's thesis, University of Cape Town, 2016. http://hdl.handle.net/11427/22808.
Full textMartin, Elizabeth Kate. "A cost-effectiveness modelling study of strategies to prevent post-caesarian surgical site infection." Thesis, Queensland University of Technology, 2017. https://eprints.qut.edu.au/115015/1/115015_8913773_elizabeth_martin_thesis.pdf.
Full textDo, Thi Thu Hien. "Development and validation of a surgical wound assessment tool for use in Vietnam." Thesis, Queensland University of Technology, 2019. https://eprints.qut.edu.au/129791/9/Thi%20Thu%20Hien%20Do%20Thesis.pdf.
Full textChiang, Hsiu-Yin. "Risk factors and outcomes associated with surgical site infections after craniotomy and craniectomy." Diss., University of Iowa, 2012. https://ir.uiowa.edu/etd/3277.
Full textKoller, Sarah. "Efficacy Of Various Modes Of Bowel Preparation to Prevent Surgical Site Infection Following Elective Colorectal Resection." Master's thesis, Temple University Libraries, 2016. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/339582.
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Purpose: Administration of a mechanical bowel preparation (MBP) has long been standard before colorectal surgery with the aim of preventing complications such as surgical site infection (SSI). Newer evidence suggests that MBP does not reduce the risk of infection and that oral antibiotic (OA) use may be important in reducing post-operative infectious complications, however, there is little evidence comparing MBP, OA, and combination preparations. Our goal was to determine the relationship between type of bowel preparation and SSI in patients undergoing elective colorectal resections Methods: All patients within the American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP) database undergoing elective colorectal resections from 2012 to 2013 were identified. The primary outcomes of interest were: any post-operative SSI, wound SSI, and organ/space SSI. Secondary outcomes were anastomotic leak, post-operative ileus, cardiac complications, renal complications, death, unplanned readmission, and length of stay (LOS). Univariate models were used to compare frequencies of patient and surgical characteristics across types of bowel preparation, and propensity adjustment was used to study the relationship between type of bowel preparation and all outcomes of interest. Results: Among the study sample, 25.5% received no bowel preparation, 40.8% received MBP, 3.3% received OA, and 30.4% received OA+MBP. A total of 1,844 patients (9.5%) developed any type of post-operative SSI. 1,231 (6.4%) developed a wound SSI and 672 (3.5%) developed an organ/space SSI. MBP was not associated with a reduced risk of any type of SSI compared to no bowel preparation. Both OA and OA+MBP were significantly associated with a decreased risk of any SSI and wound SSI compared to both no preparation and compared to MBP. No differences were observed for any SSI or wound SSI between OA and OA+MBP. Compared to no preparation, OA+MBP was associated with a decreased risk of anastomotic leak and post-operative ileus. No differences were observed between MBP and OA, or between these preparation methods and no preparation, for these secondary outcomes. There were no significant associations between type of bowel preparation and cardiac or renal complications, mortality, or readmissions. Both OA and OA+MBP were associated with a reduction in LOS. Conclusion: These results suggest that a combination oral and mechanical bowel preparation may be most effective at preventing SSI after elective colorectal resection and that OA alone may also be effective. Future prospective studies comparing combination and OA preparations may be warranted to explore this relationship further.
Temple University--Theses
Sandell, Claire-Louise. "A study of self-reported surgical site infection post total hip or total knee replacement." Thesis, University of Portsmouth, 2012. https://researchportal.port.ac.uk/portal/en/theses/a-study-of-selfreported-surgical-site-infection-post-total-hip-or-total-knee-replacement(ff96dda8-7c00-4e3a-8de2-ade5c54bfd02).html.
Full textGower, Sierra. "The Effect of Tight Glycemic Control on Surgical Site Infection Rates in Patients Undergoing Open Heart Surgery." Scholar Commons, 2012. http://scholarcommons.usf.edu/etd/4325.
Full textLai, Shuk-tin, and 黎淑鈿. "Evidence-based guidelines for chlorhexidine gluconate in preoperative skin preparation to reduce surgical site infection in patients undergoing general surgery." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193047.
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Nursing Studies
Master
Master of Nursing
Brantberg, Anna Lena. "När det inte blev som planerat : Patienters delaktighet i det infektionsförebyggande arbetet och i upptäckten av tidig postoperativ infektion vid höft- eller knäprotesoperation." Thesis, Röda Korsets Högskola, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-887.
Full textSurgery with prosthetic joint replacement of the hip and knee in patients with osteoarthritis is a common procedure. Despite meticulous preparation prior to surgery, surgical site infections develop in some patients. A surgical site infection is a direct threat to the new implanted joint and can lead to long treatments that affect quality of life over time. The aim of this study was to explore patients´ participation in early detection of a surgical site infection based on the information given in conjunction to surgery for hip and knee replacement. Semi structured interviews were conducted with ten patients diagnosed with surgical site infection after hip or knee replacement surgery. Transcribed interviews were analyzed using content analysis. Medical records were reviewed to describe the patients´ comorbidity. The result showed that the first signs of infection can be described with the theme; What is normal and what is not normal? Two categories describe patients´ Possibility of participation and Barriers to participation in infection prevention before and after surgery. It was all about How the patient had understood or not understood the given information which was categorized as subcategories. Person-centered care can be a tool that enables patients´ possibilities to participate in their care and increases the possibilities to prevent adverse events such as surgical site infections.
Rose, Gregory Walter. "Use of an electronic data warehouse to enhance cardiac surgical site infection surveillance at a large Canadian centre." Thesis, University of Ottawa (Canada), 2010. http://hdl.handle.net/10393/28600.
Full textBurgatti, Juliane Cristina. "Revisão sistemática sobre o uso de aventais cirúrgicos, conforme o material de confecção, no controle da contaminação/infecção do sítio cirúrgico." Universidade de São Paulo, 2007. http://www.teses.usp.br/teses/disponiveis/7/7139/tde-27092007-140738/.
Full textThe surgical gown, one of the main components of the antimicrobial barrier, is confectioned with woven and non-woven materials. The American Operating Room Nursing - AORN and The European Norm - EN 13795-3 recommend that the surgical gowns should provide an appropriate barrier against microorganisms, blood and other organic fluids (dry or wet). These recommendations, however, do not define, yet, what to consider an \"appropriate barrier\".. What has not been proved yet is if the use of non-woven materials influence, in an isolated way, both the contamination of an operation wound, and the occurrence of ISC. It was the objective of this present study to investigate if there is scientific evidence, by means of systematic revision, that founded the practice of use of gowns in surgery, according to its material of confections. Only basic studies of intervention that investigated the contamination and or surgical site infection with the use of surgical gowns reusable or single-use were considered in the systematic revision, which used as population people who underwent surgery, in real or simulated situations, in any period, without idiom limitation. To locate the studies, we used the PICO strategy: P (patients): surgical patients, I (intervention) = clothing/protective clothing, C (comparison) = single-use or reusable, O (outcome) = contamination or surgical wound infection. The search of studies was guided by the following electronic data bases: LILACS, PubMed/MEDLINE, EMBASE, COCHRANE, CINAHL, manual research in the magazine of Brazilian Society Operating Room Nursing (SOBECC) and references of included studies. The data analyses were shown in three phases: Phase 1: characterization of process of select studies; Phase 2: characterization of included studies; Phase 3: evaluation of the evidence found in the included studies, using two quality scales, being one this The Jadad and other Surgical Infection Control (EQCIC), adapted from Nobre and Bernardo. The sample of this systematic revision comprises 12 studies, being only one of them analyzed only gowns. The remainder investigated mainly the surgical fields together with the gowns. We can see thereby the difficulty in isolating the object of intervention from other countless factors that can influence outcomes, in studies of this nature. Two studies (E1, E2) found strong evidence of recommendation, concluding that there is no difference in terms of contamination and surgical wound infection between woven and non-woven gowns and drapes. Due to the absence of similar studies it is not possible to do some metanalysis. The isolated verification of surgical gowns needs more well controlled and delineated research. The contribution of this investigation to the implementation of practices based on evidences in showed relevant not only to answer specifically the question of research, but also to identify quality, gaps and flaws and recommend aspects to be considered in future research of this nature
Souroullas, Panayiotis. "Surgical site infection following major lower limb amputation : analysing the clinical effectiveness of antibiotic prophylaxis duration and skin preparation." Thesis, University of Hull, 2017. http://hydra.hull.ac.uk/resources/hull:16873.
Full textMerollini, Katharina M. D. "Evaluation of the cost-effectiveness of strategies claiming to reduce the risk of surgical site infections following primary total hip arthroplasty." Thesis, Queensland University of Technology, 2012. https://eprints.qut.edu.au/54667/1/Katharina_Merollini_Thesis.pdf.
Full textMerriman, Joseph Alan. "Secreted Staphylococcus aureus virulence factors and their role in chronic wound development and persistence." Diss., University of Iowa, 2015. https://ir.uiowa.edu/etd/1989.
Full textNobile, M. "VALUTAZIONE MEDIANTE METODOLOGIA BOTTOM UP E MICRO-COSTING DEGLI EXTRACOSTI GENERATI DALLE INFEZIONI CORRELATE ALLE PRATICHE ASSISTENZIALI IN AMBITO ORTOPEDICO." Doctoral thesis, Università degli Studi di Milano, 2016. http://hdl.handle.net/2434/352639.
Full textRibeiro, Julio Cesar. "Análise da ocorrência e dos fatores predisponentes de infecção de sítio cirúrgico em pacientes sumetidos a cirurgias ortopédicas." Universidade de São Paulo, 2012. http://www.teses.usp.br/teses/disponiveis/22/22132/tde-05112012-194139/.
Full textSurgical site infection is one of the main problems that can occur to patients in the perioperative period. This type of infection in orthopedic surgeries is a severe problem due to its morbidity and high costs. This quantitative, correlational, non- experimental and longitudinal study aimed to analyze the incidence and predisposing factors for surgical site infection in patients who underwent orthopedic surgery. The sample consisted of 93 patients who underwent clean and elective orthopedic surgeries. For data collection, an instrument was developed and submitted to face and content validation. Data collection occurred between October 2011 and March 2012, in a private philanthropic hospital in the city of Franca, state of São Paulo. Bivariate analysis (by means of odds ratios, confidence intervals, Chi-squared test with Yates correction, Student\'s t and Mann-Whitney tests), multiple regression and binary logistic regression were used for statistical analysis. Surgical site infection was detected in 16 patients who participated in the research, with an incidence of 17.2%. The variables investigated related to patients were age, Body Mass Index, ASA score and the presence of chronic diseases. Variables related to surgical anesthesia were the duration of anesthesia, duration of surgery, use of antibiotic prophylaxis and total length of hospitalization. The results showed statistically significant difference between the groups with and without infection, when testing association with surgical site infection, ASA score variables and total length of hospitalization. After adjustment of the binary logistic regression model, only the variable total length of hospitalization was statistically significant regarding the presence or not of infection. It is worth noting that 75% of infections were diagnosed after discharge from hospital, indicating the importance of epidemiological surveillance after discharge.
Wistrand, Camilla. "Swedish operating room nurses preventive interventions to reduce bacterial growth, surgical site infections, and increase comfort in patients undergoing surgery." Doctoral thesis, Örebro universitet, Institutionen för hälsovetenskaper, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-59394.
Full textRibeiro, Julio Cesar. "Efeito da hipotermia sobre a incidência de infeção de sítio cirúrgico em cirurgias abdominais: estudo de coorte." Universidade de São Paulo, 2018. http://www.teses.usp.br/teses/disponiveis/22/22132/tde-24042018-194002/.
Full textSurgical site infection (SSI) is a frequent complication that can affect the patient undergoing surgical anesthetic procedure, leading to increased morbidity, mortality and hospital costs, as well as emotional and physical suffering of the patient. This study aimed to estimate the incidence of SSI in patients undergoing abdominal surgery; to identify SSI rates according to factors related to the patient, to the surgical anesthetic procedure and to the operating room environment; to identify risk and protective factors; and to identify the independent effect of hypothermia on the incidence of SSI. To reach the proposed objectives, a cohort study was conducted with 484 patients undergoing abdominal surgery. An instrument was developed for data collection, and submitted to face and content validation by five judges. Data collection was performed in the inpatient care unit or in the surgical center reception room, during the intraoperative period, the hospitalization and readmission period, and on the 30th postoperative day. Hypothermia was evaluated from three different measurements: 1) delta temperature; 2) number of times the patient temperature was <36.0°C; 3) exposure time, in minutes, in which the patient was submitted to temperatures <36.0°C. The crude incidence of SSI was 20.25% (98 cases). The incidence of SSI presented higher magnitude in female participants (22.43%), in patients aged 60 years and over (27.22%), and with class II obesity (25.71%). The mean duration of anesthesia and surgery were higher in the SSI group, the SSI incidence was higher in patients undergoing surgery III (85.71%) and combined anesthesia (41.10%). The incidence of SSI presented higher magnitude in participants who were exposed, in the end of surgery, to temperature <20°C (33.33%) at the operating room; and in those exposed to air humidity between 45-55 kg/m3 (22, 18%). In the measurement 1 (final model), hypothermia did not present a causal relationship with SSI, and the variables ASA classification, surgical size and type of anesthesia remained independently associated with SSI. In the measurement 2 (final model), the independent causal effect of hypothermia on SSI was identified; patients who were submitted more than five times to temperatures <36.0°C were more likely (89%; RR=1.89) to develop SSI, the variables ASA classification and type of anesthesia remained independently associated with SSI. In the measurement 3 (final model), the independent causal effect of hypothermia on SSI was also identified; patients who were submitted to more than 75 minutes to temperatures <36.0°C were more likely (89%; RR = 1.89) to develop SSI, the variables ASA classification and type of anesthesia remained independently associated with SSI. Spinal anesthesia was an independent protective factor for SSI in the three final models. The found results may support the decision-making of health professionals in the implementation of actions directed to the prevention and control of SSI, with emphasis on measures for the prevention of perioperative hypothermia
Poveda, Vanessa de Brito. ""Análise dos fatores predisponentes a infecção do sítio cirúrgico em gastrectomia"." Universidade de São Paulo, 2004. http://www.teses.usp.br/teses/disponiveis/22/22132/tde-26072004-093115/.
Full textSurgical site infection occupies the second place in terms of incidence in the hospital environment and is not only related to the victory of the microorganism on the defense of its host, but also includes economic and social interests. Moreover, it also constitutes a challenge to health professionals. This research aimed to identify the risk factors related to surgical site infection in patients submitted to a potentially contaminated elective gastrectomy, as a part of Gastric surgery, in the period between 1998 and 2002, at a public hospital in the interior of São Paulo, Brazil. Therefore, a transversal study was carried out by means of a medical record information survey, using the following non-parametric tests for statistical data analysis: Mann-Whitney (quantitative variables) and contingency coefficient (qualitative variables). Out of the 181 cases that were examined, the occurrence of surgical site infection was detected in 17 situations (9.4%), 23.5% of which were categorized as superficial incisional infection, 52.9% as deep incisional infection and 23.5% as organ/space infection. The following variables were associated with the presence of surgical site infection: post-operative hospitalization period, total hospitalization period, surgery time, time to dwelling vesical catheter removal. No link could be found between surgical site infection and the variables age, pre-operative hospitalization period, drain usage, gender, race, alcoholism, smoking, history of chronic illnesses, trichotomy, antibiotic prophilaxis, antisepsis, kind of surgery, blood transfusion and distant infection sources.
Castro, Paulo de Tarso Oliveira e. "Fatores de risco para infecção do sítio cirúrgico em cirurgias oncológicas do aparelho digestório do Hospital de Câncer de Barretos." Universidade de São Paulo, 2009. http://www.teses.usp.br/teses/disponiveis/17/17139/tde-28102009-155036/.
Full textCastro, PTO. Risk factors for Surgical Site infection during oncology surgeries of digestive system at Barretos Cancer Hospital. 2009. 59 p. Dissertation (Master degree). School of Medicine : University of São Paulo. Ribeirão Preto. 2009. Surgical Site Infection (SSI) is the most prevalent hospital infection among surgical patients, and it increases length of stay hospitalization, higher cost and greater morbidity and mortality. It is important to know the main risk factors for such infections, in order to establish prevention measures through factors that can be modified. The objective of this study is to describe the occurrence of SSI and possible risk factors during oncology surgery of the digestive system, at Barretos Cancer Hospital. Between August 1 2007 and August 10 2008, individuals undergoing oncology surgery of the digestive system were followed up prospectively for 30 days in order to diagnose any SSI. Possible risk factors related to the patient and to surgery were studied. Two hundred ten operations were evaluated. The overall incidence of SSI was 23.8%. The following variables were independently associated with SSI: duration of surgery, type of surgery, radiotherapy prior to surgery and the surgeons length of experience. Risk factors found in this study describes a group of individuals with increased risk of ISC, in which new protocols of prevention should be considered.
Pinheiro, Paula Cristina Onofre. "Protocolo de prevenção de infeção do local cirúrgico." Master's thesis, Universidade de Évora, 2018. http://hdl.handle.net/10174/23423.
Full textHata, Hiroaki. "Oral and Parenteral Versus Parenteral Antibiotic Prophylaxis in Elective Laparoscopic Colorectal Surgery (JMTO PREV 07-01) A Phase 3, Multicenter, Open-label, Randomized Trial." Kyoto University, 2018. http://hdl.handle.net/2433/232080.
Full textBellusse, Gislaine Cristhina. "Incidência de infecção de sítio cirúrgico em neurocirurgia." Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/22/22132/tde-14012014-112321/.
Full textThe surgical site infection (SSI) is a common complication that can occur in patients undergoing the surgical anesthetic procedure. The importance of this problem is the increasing of morbidity, mortality and hospital costs, and also in relation to patients, the emotional and physical distress, as well as the extension of the period of absence from their professional and social life. This study aimed to analyze the incidence of surgical site infection in patients undergoing clean elective neurosurgery in a private philanthropic hospital, tertiary level, in the state of São Paulo. For this, a descriptive and prospective study with non-experimental research design was performed. The sample consisted of 85 subjects undergoing clean elective neurosurgery. For data collection, an instrument validated by an expert was used; this procedure occurred during the follow up of the patient in the perioperative period (pre, intra and post- operative) and, after discharge, in the thirtieth day after the surgical procedure. The patient\'s return was scheduled in the dressing room of the hospital where the research was conducted. Data collection lasted eleven months (from June 2012 to April 2013). The incidence of SSI was of 9.4%, and this result was higher than that recommended in the literature for the type of surgical procedure studied (clean surgery). The studied variables related to the patient were age, ASA score, body mass index and chronic diseases. The studied variables related to surgical anesthesia were duration of anesthesia, duration of surgery, use of antibiotic and total hospitalization time. Regarding the time of diagnosis, from the eight patients with SSI, five (62.5%) were diagnosed during the period in which they were hospitalized, two (25%) after discharge at the time of readmission due to SSI, and one (12, 5%) in the return scheduled at the wound dressing. The study provides support for reflection of health professionals on the incidence and predisposing factors for SSI in neurosurgery, which can assist in the implementation of prevention and control measures for the problem because of the deleterious effects due to costs and social, financial and family repercussions to the surgical patient
Barros, Cláudia Silva Matinho. "Custos atribuídos às infecções de sítio cirúrgico em um Hospital Universitário em Salvador-Bahia." reponame:Repositório Institucional da FIOCRUZ, 2016. https://www.arca.fiocruz.br/handle/icict/14243.
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Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil
INTRODUÇÃO: As Infecções de Sítio Cirúrgico (ISCs) são as complicações mais freqüentes que ocorrem nos pacientes após as cirurgias e são responsáveis pela elevação da morbidade, mortalidade e dos custos hospitalares. OBJETIVO: O objetivo deste estudo foi estimar o custo direto adicional associado às ISCs ocorridas no período de 2011 a 2013 em um Hospital Universitário de Salvador, Bahia. Para tanto buscou-se caracterizar a população de pacientes acometidos por ISC, segundo os aspectos sócio-demográficas, condições clínicas e cirurgias realizadas, realizar uma revisão integrativa atualizada da literatura mundial sobre o custo dessas infecções e analisar os custos associados aos cuidados à saúde dos pacientes cirúrgicos segundo presença de ISC. METODOLOGIA: Trata-se se um estudo epidemiológico do tipo caso-controle pareado, realizado com informações dos registros hospitalares dos pacientes. Foram incluídos como população do estudo todos os casos de ISCs em cirurgias eletivas e limpas. Os controles foram pareados por idade, sexo e tipo de cirurgia realizada respeitando o princípio da similaridade. As proporções foram comparadas por meio dos testes 2 e exato de Fisher quando adequados com nível de 5% de significância estatística. Para estimar as diferenças das médias de custos utilizou-se o modelo de regressão linear. RESULTADOS: No total foram selecionados 259 pacientes. Os casos de ISC ocorreram predominantemente em mulheres, com idade entre 61 a 75 anos. Os principais fatores atribuídos aos custos com as ISCs foram o uso de antibióticos para o seu tratamento, a internação em Unidade de Terapia Intensiva, a realização de exames e reabordagens cirúrgicas. No geral, o custo médio hospitalar em pacientes com ISC foi aproximadamente o dobro do valor aferido daqueles não infectados. CONCLUSÕES: Foi evidenciado neste estudo a necessidade de reforçar o desenvolvimento constante de ações preventivas e de controle das ISCs a fim de garantir a segurança na assistência prestada aos pacientes cirúrgicos e conseqüentemente a redução dos custos atribuídos a essa complicação para o hospitais e sistema de saúde.
INTRODUCTION: The Surgical Site Infections (SSI) are the most frequent complications occurring in patients after surgery and are responsible for high morbidity, mortality and hospital costs. OBJECTIVE: The aim of this study was to estimate the additional direct costs associated with SSIs occurred in the 2011-2013 period at a University Hospital in Salvador, Bahia. For that sought to characterize the population of patients affected by ISC, according to the socio-demographic aspects, clinics and surgeries conditions, carry out a integrative and updated review of the literature on the cost of these infections and analyze the costs associated with health care to patients surgical according to the presence of ISC. METHODOLOGY: This is an epidemiological study of the case-control matched, conducted with information from the hospital records of patients. They were included in the study population all cases of ISCs in elective surgery and clean. The controls were matched for age, gender and type of surgery performed respecting the principle of similarity. Proportions were compared using the Fisher's exact test and χ2 when appropriate and at 5% statistical significance. To estimate the differences of the average costs used the linear regression model. RESULTS: In total 259 patients were selected. The cases of ISC occurred primarily in women between 61-75 years. The main factors attributed to the costs of the ISCs were the use of antibiotics for their treatment, to stay in the Intensive Care Unit, conducting exams and news surgical interventions. Overall, the average hospital cost in patients with SSI was approximately twice with those not infected. CONCLUSIONS: It was shown in this study the need of to reinforce the constant development of preventive and control of SSIs in order to secure the assistance provided to surgical patients and therefore reducing costs attributed to this complication for hospitals and health care system.
Murta, Aline Ribeiro. "Perfil epidemiológico e análise microbiológica de infecção de sítio cirúrgico em pacientes humano e animal de companhia." Universidade Federal de Viçosa, 2013. http://locus.ufv.br/handle/123456789/5158.
Full textSurgical site infection (SSI) has been indicated as the third cause of nosocomial infection. The present study aimed at determining the epidemiological profile of SSI and its association to the described risk factors. It is a transversal study done at the São João Batista Hospital at at Viçosa-MG and at the Surgery Service of the Small Animals Veterinary Hospital of the Universidade Federal de Viçosa-MG, from September 2012 to February 2013. SSI global rates were 0.7% at the human and 3.46% at the veterinary hospitals. At the veterinary hospital, SSI rates were not related to contamination potential, with clean procedures presenting the greater rates. As for the type of surgery, orthopedic ones are the most common in both hospital and also the ones presenting the greater SSI rates. The diagnosis of SSI occurred within 30 days after surgery, and data HVT-UFV demonstrated effectiveness studies developed in this hospital, indicating improvement in the prevention and control of SSI, but in both hospitals is not performed surveillance post-discharge of patients, and may infer that there was underreporting of SSI. Bacteria isolated from surgical wounds were multi-resistant and the obtained data indicated that no criteria of antibiotic prophylaxis existed, mainly for clean surgeries. This scenario shows that the action of a commission to control nosocomial infection are extremely relevant in order to guarantee reliable data so that the quality of service may be evaluated and thus, promoting a decrease the risk of in post-operative complications.
A infecção de sítio cirúrgico (ISC) tem sido apontada como a terceira causa mais comum de infecção nosocomial. Este estudo objetivou determinar o perfil epidemiológico das ISCs e sua associação aos fatores de risco descritos. Trata-se de um estudo transversal, realizado no Hospital São João Batista de Viçosa-MG e na Clínica Cirúrgica de Cães e Gatos do Hospital Veterinário da Universidade Federal de Viçosa- MG, no período de setembro de 2012 a fevereiro de 2013. As taxas globais de ISC foram de 0,7% no hospital humano e 3,46% no veterinário. No hospital veterinário, a taxa de ISC não mostrou relação com o potencial de contaminação, apresentando a maior taxa nos procedimentos classificados como limpos. Quanto ao tipo de cirurgia, as ortopédicas são as mais comuns em ambos os hospitais e também as que apresentam maior taxa de ISC. Foi observada diferença significativa nas cirurgias com duração superior a 40 minutos pelos testes não paramétricos de Wilcoxon e Mann-Whitney (p=0,041) no HVT-UFV. O diagnóstico das ISC ocorreu dentro dos 30 dias após a cirurgia, e dados do HVT-UFV demonstraram efetividade dos estudos desenvolvidos neste hospital, indicando melhora das medidas de prevenção e controle das ISC, porém em ambos os hospitais não é realizada a vigilância pós-alta dos pacientes, podendo inferir que houve subnotificação das ISC. As bactérias isoladas das feridas cirúrgicas foram multirresistentes e os dados levantados indicam que não houve critério quanto ao emprego da antibioticoprofilaxia, principalmente nas cirurgias limpas. Este cenário mostra que é de extrema relevância a atuação de uma comissão de controle de infecção hospitalar, a fim de garantir obtenção de dados fidedignos, para que se possa avaliar a qualidade do serviço prestado e assim promover a redução dos riscos de complicações pós-operatórias.
Oliveira, Gisele Pires. "Avaliação da utilização de indicadores de processo e estrutura na prevençãode infecção de sítio cirurgico na cidade de Pelotas." Universidade Catolica de Pelotas, 2013. http://tede.ucpel.edu.br:8080/jspui/handle/tede/312.
Full textThis descriptive study investigated the use of process and structure indicators for preventing surgical site infection (SSI) in the city of Pelotas, Brazil. It analyzed a sample of 1500 patients, who have gone through surgery in all four hospitals of the city. Structure indicators assess the Surgical Center according to the following items: availability of a circulating nurse for every room, adequate placement of antiseptics for surgical hand antisepsis, and automatic door closer. Process indicators assess the following procedures from the preoperative period to the postoperative period: length of preoperative hospitalization, trichotomy (time), trichotomy (method), antisepsis of the operative field with adequate solution, antibiotic administered up to one hour before the surgical incision, duration of antibiotic prophylaxis ≤ 24 hours, presence of chemical integrator in the surgical boxes. The indicators assessed through the observation of the structure of Surgical Centers and patients' files. Socio-demographic data was collected through interview. Only two out of four hospitals analyzed satisfied all three of the structure indicators, while one hospital satisfied only one of the indicators. Process indicators showed bigger differences among the hospitals. However, even the hospitals that responded positively to all the structure indicators were considered unsatisfactory in the process indicators. Several failures were evident in all of the hospitals, not only in the process but also in structure offered to surgical patient care. This increases the probabilities of SSI
Estudo descritivo em que se investigou a utilização de indicadores de processo e estrutura na prevenção de infecção de sítio cirúrgico (ISC) na cidade de Pelotas. A análise foi realizada com uma amostra de 1.500 pacientes, submetidos a procedimentos cirúrgicos nas quatro instituições hospitalares da cidade. Os indicadores de estrutura avaliam o Centro Cirúrgico através dos seguintes itens: disponibilidade de um circulante para cada sala, disposição adequada de antisséptico para a antissepsia cirúrgica das mãos e o mecanismo autônomo de manutenção de portas fechadas. Os indicadores de processo avaliam os cuidados do pré ao pós-operatório: tempo de internação pré-operatória, tricotomia (tempo), tricotomia (método), antissepsia do campo operatório com solução adequada, realização de antibioticoprofilaxia até uma hora antes da incisão cirúrgica, duração do antibiótico profilaxia ≤ 24h e presença de integrador químico nas caixas cirúrgicas. A avaliação dos indicadores foi realizada através da observação na estrutura dos Centros Cirúrgicos e nos prontuários dos pacientes, os dados sociodemográficos foram coletados através de entrevista. Somente duas, das quatro instituições avaliadas, satisfizeram aos três indicadores de estrutura, e um hospital atendeu somente um indicador. Os indicadores de processo demonstraram maior diferença entre as instituições. Porém mesmo as duas instituições que atenderam plenamente os indicadores de estrutura obtiveram avaliação insatisfatória aos indicadores de processo. Foi possível verificar inúmeras falhas em todas as instituições, tanto no processo como na estrutura oferecida para o atendimento ao paciente cirúrgico, o que aumenta a probabilidade do desenvolvimento de ISC
Rodrigues, Eglete Maria Pacheco. "Infecção de sítio cirúrgico em cães e gatos na rotina do bloco cirúrgico de Hospital Veterinário Universitário em Porto Alegre, no ano de 2012." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2013. http://hdl.handle.net/10183/75677.
Full textA surgical site infection (SSI) is the infectious process that occurs at the site where the surgery took place, and can manifest itself after 48 hours of hospital admission or within 30 days after the procedure and if the use of prostheses, within one year. The occurrence of this disease is responsible for much of nosocomial infections in both medicine and in veterinary, increasing the hospitalization time, cost of treatment and the inconvenience to patients affected by it. These infections are usually associated with factors predisposing to its occurrence, so-called risk factors. The aim of this study was to determine the rate of surgical site infection and its risk factors, for surgeries in dogs and cats held at UFRGS Veterinary Hospital in 2012. Were always accompanied on Tuesdays and Thursdays, four hundred procedures were followed in 339 dogs and cats routinely operated in the surgical HCV-UFRGS and chosen randomly. The inclusion criterion was, the routine procedures performed in surgical and exclusion criterion was, dental prophylaxis procedures, ophthalmic, deaths and patients who did not return for removal of sutures. Data were recorded on a table designed especially for this study, considering the risk factors for development of SSI most often cited in the literature. Statistical analysis was performed using a database of 339 animals observed, which contained 37 risk factors (independent variables) and surgical site infection (dependent variable). Risk factors for SSI were identified by multivariate logistic regression using PROC LOGISTIC in SAS ® version 9.1. A univariate model was created and all variables with p < 0.20 were selected to compose the multivariable model. The multivariable model was built at Forward selection method, and the model with the lowest AIC passed Backward selection method until there remained only variables with p ≤ 0.05. The fit of the final model was tested using the Hosmer- Lemeshow. In the univariate model with p <0.20 were selected 7 variables. The final multivariable model was fit between the three variables: ASA index, duration of incision and previous hospitalization and the AIC value of the model was 180.6. The global hypothesis test (Wald) was p-value 0.002 and the test model adjustment (Hosmer- Lemeshow) had a p value of 0.31 signifying that was set. The result was an index of ISC 8.5%.
Hinkson, Larry [Verfasser]. "The incidence of surgical site infection in Caesarean Sections with the use of a plastic sheath wound retractor compared to the traditional self-retaining metal retractor / Larry Hinkson." Berlin : Medizinische Fakultät Charité - Universitätsmedizin Berlin, 2016. http://d-nb.info/1119803136/34.
Full textMelberg, Therese, and Evelina Ullbrand. "Patientens uppfattning av informationen om preoperativ huddesinfektion." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-192705.
Full textAim: To investigate how patients in a university hospital in Sweden perceive the information about the preoperative shower and the patients execution of the shower in the hospital ward. Introduction: Healthcare-associated infections are common and can lead to increased costs, prolonged hospital stay and increased patient suffering. One way to prevent this is to shower with chlorhexidine before surgery. It’s the nurses’ responsibility to give the patient information about the preoperative shower and check that the patient knows about the shower procedure and is able to follow the instructions. Method: A qualitative descriptive interview study with semi-structured questions. The material was analyzed according to Granheim and Lundman's description of content analysis on a manifest level. The selection was carried out by convenience sample. Participants in the study were 12 patients. Results: Participants were overall satisfied with the information about the preoperative shower. They felt they had sufficient information and that it was easy to understand. Patients understood the information in different way. The performance of the shower, the knowledge of key areas of the body and what the patients experienced as important to consider after the shower varied. Conclusion: Information must be individually adapted and the nurse should ensure that the patient understands the information by asking to retell the information.
Machado, Elaine Alves Silva. "Ocorrência e fatores de risco de infecção de sítio cirúrgico em colecistectomia videolaparoscópica." Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/22/22132/tde-29112017-194706/.
Full textSurgical site infection (SSI) is a complication that can affect the patient, leading to an increase in mortality and morbidity, as well as an increase in health costs. Video surgery emerged as a less invasive option for access to the abdominal cavity, reducing SSI rates; however, not even the improvement generated by minimally invasive surgery was enough to eliminate this type of infection. This study aimed to analyze the occurrence and risk factors of surgical site infection in patients submitted to laparoscopic cholecystectomy. It is an exploratory-descriptive study conducted in a small hospital, located in the southwest of Minas Gerais. The sample consisted of 118 patients. An instrument was developed for data collection, which was submitted to face and content validation by experts in perioperative nursing. Data collection was performed from March to November 2016 and, in three stages: perioperative, outpatient return and active phone search. Data were collected by the researcher and a properly trained research assistant. The occurrence of SSI was 5.9% (n=7), being all cases diagnosed as superficial incisional infection. The studied variables related to the patient were gender, age, Body Mass Index, presence of chronic disease and ASA classification. The studied variables related to the anesthetic surgical procedure were total length of hospitalization, surgical procedure size, time of anesthesia and time of surgery. The results did not show statistically difference between the variables of interest and the presence of SSI. All cases of SSI were diagnosed after patient discharge, and among them, six patients (86%) were diagnosed during outpatient return, and one patient (14%) was diagnosed during the active phone search. This study offers subsidies for understanding the problem at national level. In addition, it generated evidence for the reflection of health professionals regarding the underreporting of this type of infection in minimally invasive surgery, reinforcing the need to implement a post-discharge surveillance program in health services
Braga, Daniel Pontes. "Incidência e fatores de risco associados à infecção do sítio cirúrgico na clínica de cães e gatos do hospital veterinário da Universidade Federal de Viçosa." Universidade Federal de Viçosa, 2008. http://locus.ufv.br/handle/123456789/4981.
Full textThe objective of this study was to verify the incidence of infection in the surgical site at the Dog and Cat Surgery Clinic at the Veterinary Hospital of the Universidade Federal de Viçosa (UFV) and the association of occurrence of infection with the risk factors previously described. Another aim was to attract interest to this issue, since hospital infections very often remain unnoticed or are not duly recorded, to propose measures for their prevention and control. A concurrent prospective cohort study was carried out. The epidemiological surveillance method applied was based on the active search of “clues” indicating the occurrence of ICS. All the patients submitted to surgical procedures under the day clinic scheme during the period proposed were analyzed through their clinical, surgical and anesthesic records, as well as through the collection of information from veterinarians, animal caretakers and owners. A total of 307 patients (356 surgical procedures) were analyzed from May 11 to November 11, 2007. Possible cases were evaluated by the researcher and observing veterinarians, with 34 ICS cases being identified among the patients submitted to surgery during the period proposed. Data analysis and hospital documentation provided a precise assessment of all the procedures carried out during the period and the dynamics of filling the hospital forms was also verified. The absence of a standardization of the records and prescribed surgical antibiotic prophylaxy was verified. A global ICS incidence of 9.5% was found, compatible with the rates described in the literature consulted and an incidence of 10.4 % in clean surgeries and 7.4% in potentially contaminated ones, with these indices being higher than those observed in the literature studied. No association among ICS, surgery duration time, orthopedic and non-orthopedic surgeries, with or without use of protheses. However, association between record of patient’s interference in the surgical wound and ISC occurrence were recorded. The following likely risk factors for ISC were verified: lack of a hospital infection surveillance process, non-standardized use of antibiotic prophylaxy, lack of norms and routine concerning the prevention and control of hospital infections, lack of adequate professional training and guidance, and non compliance to current legislation. Thus, based on the data investigated and observations conducted in this study, the need for actions was verified.
O objetivo deste estudo foi verificar a incidência de infecção do sítio cirúrgico na Clinica Cirúrgica de Cães e Gatos do Hospital Veterinário da Universidade Federal de Viçosa e a associação da ocorrência de infecção aos fatores de riscos já descritos. Objetivou-se ainda despertar o interesse para o problema, considerando que as infecções hospitalares muitas vezes passam despercebidas ou não são devidamente registradas, e consequentemente, propor medidas para sua prevenção e seu controle. Foi realizado um estudo de coorte concorrente prospectivo. O método de vigilância epidemiológica empregado foi baseado na busca ativa de “pistas” que indicassem a ocorrência de ISC.Todos os pacientes submetidos a procedimentos cirúrgicos, no esquema de ambulatório dia no período proposto foram analisados através de seus prontuários clínicos, fichas cirúrgicas e anestésicas, além de colheita de informações com veterinários, cuidadores e proprietários. Foram analisados 307 pacientes (356 procedimentos) cirúrgicos, no período de 11 de maio a 11 de novembro de 2007. Os possíveis casos foram avaliados pelo pesquisador e veterinários observadores sendo identificados 34 casos de ISC entre os pacientes submetidos à cirurgia no período proposto. A análise dos dados e documentação hospitalar propiciou um levantamento preciso de todos os procedimentos realizados no período e também foi verificada a dinâmica de preenchimento da documentação hospitalar. Verificou-se a inexistência de uma padronização dos registros realizados nos prontuários e da antibioticoprofilaxia cirúrgica prescrita. Encontrou-se uma incidência global de ISC de 9,5% sendo compatível com as taxas descritas na literatura consultada e uma incidência de 10,4 % em cirurgias limpas e 7,4% em potencialmente contaminadas, sendo estes índices maiores que os observados na literatura estudada. Não foi verificado a associação entre ISC, tempo de duração da cirurgia, cirurgias ortopédicas e não ortopédicas com ou sem utilização de próteses. Entretanto, registrou-se a associação entre o registro de interferência do paciente na ferida cirúrgica e a ocorrência de ISC. Verificou-se como possíveis fatores de risco para ISC: a falta de um processo de vigilância das infecções hospitalares, emprego não padronizado de antibioticoprofilaxia, falta de normas e rotinas referentes à prevenção e controle das infecções hospitalares, falta de treinamento e orientação adequada dos profissionais e falta do cumprimento da legislação vigente. Portanto, baseado nos dados apurados e observações realizadas durante o estudo, verificou-se a necessidade de providências no controle e prevenção das ISC.
Zorzin, Leila Crystina Dias. "Aspectos relacionados a rotina cirúrgica de um hospital veterinário universitário como potencial ao desenvolvimento de infecção hospitalar." Universidade Federal de Goiás, 2017. http://repositorio.bc.ufg.br/tede/handle/tede/8053.
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This study followed 30 dogs of different races, sex, band and performed 36 surgical procedures, some of which occurred simultaneously to no animal at all. The objectives sought were correlated with certain risk factors for the occurrence of nosocomial infections, to trace the microbiological profile of the animals, professionals involved in small animal surgeries and also a profile of bacterial susceptibility at the Veterinary Hospital of the Federal University of Goiás. The results were submitted to descriptive analysis to calculate the frequencies and comparison of means and standard deviation. Multivariate analysis using a dendrogram by the UPGMA method was used to evaluate the similarity of the sites regarding the presence of different microorganisms. The software R (R Core Team, 2017) was used for the statistical analysis. The most of the surgeries were classified as clean in relation to the clean-contaminated ones, the mean time of surgery was 74 minutes and an average of six people per surgery. The microbiological evaluation was obtained 272 isolates in total, which enabled the identification of 21 bacterial genera. Fifty-five percent of the bacteria identified were Gram-positive, and among these, the genera Staphylococcus spp. and Streptococcus spp as the most frequent. Among the bacteria characterized as Gram-negative (25%), the genus Pseudomonas spp. was checked in greater quantity. Isolates from animals showed a higher prevalence of Pseudomonas spp. and coagulase positive Staphylococcus. In the nostrils, hands and gloves of professionals with a higher frequency of bacteria of the genus Micrococcus spp. and coagulase-negative Staphylococcus. The bacterial majority of Micrococcus spp. Was identified in the samples collaborations of the CCPA environment. The average growth rate was 6UFC/m² / h and 9UFC/m²/h on CCPA and 18UFC/m²/h and 19UFC/m/h on SI of enterobacteria and fungi respectively for both. In the evaluation of antibiotic therapy, it was observed that 93.4% of the surgeries performed adopted the administration of antimicrobials without a therapeutic scheme, and that among the drugs tested, a penicillin had the highest resistance index for the isolates. The IH in the area of Veterinary Medicine is already a worrying reality for public health. Thus, these health institutions should be concerned with the implementation of PCIH to monitor, avoid and control IH.
Este estudo acompanhou 30 cães de diferentes raças, sexo e faixa etária que realizaram 36 procedimentos cirúrgicos, sendo que alguns destes aconteceram simultaneamente no mesmo animal. Os objetivos buscados foram correlacionar determinados fatores de risco para a ocorrência de infecções hospitalares, traçar o perfil microbiológico dos animais, profissionais e ambiente envolvidos em cirurgias de pequenos animais e ainda o perfil de suscetibilidade bacteriana no Hospital Veterinário da Universidade Federal de Goiás. Os resultados foram submetidos a análise descritiva para cálculo das frequências e comparação das médias e desvio padrão. Foi empregada análise multivariada por meio de dendrograma pelo método UPGMA para avaliar a similaridade dos locais quanto à presença de diferentes microrganismos. Utilizou-se o software R (R Core Team, 2017) para as análises estatísticas. Na avaliação dos fatores de risco a maior parte das cirurgias foram classificadas como limpas em relação às limpa-contaminadas, o tempo médio de cirurgia foi de 74 minutos e teve-se como média seis pessoas por cirurgia. A avaliação microbiológica obteve-se 272 isolados no total, que possibilitaram a identificação de 21 gêneros bacterianos. Caracterizaram-se como Gram positivas 75% das bactérias identificadas, e dentre estas, os gêneros Staphylococcus spp. e Streptococcus spp foram as mais frequentes. Entre as bactérias caracterizadas como Gram negativas (25%), o gênero Pseudomonas spp. foi verificado em maior quantidade. Nos isolados a partir de animais mostraram maior prevalência de Pseudomonas spp. e Staphylococcus coagulase positiva. Nos provenientes narinas, mãos e luvas dos profissionais teve-se a maior frequência bactérias dos gêneros Micrococcus spp. e Staphylococcus coagulase negativa. Já nas amostras colhidas do ambiente do CCPA identificou-se maioria bacteriana de Micrococcus spp.. Obteve-se a média de crescimento 6UFC/m²/h e 9UFC/m²/h no CCPA e 18UFC/m²/h e 19UFC/m/h no SI de enterobactérias e fungos respectivamente para ambos. Na avaliação da antibioticoterapia, observou-se que 93,4% das cirurgias realizadas adotaram a administração de antimicrobianos no esquema terapêutico, e que dentre os fármacos testados, a penicilina apresentou o maior índice de resistência para os isolados. A IH na área da Medicina Veterinária já é uma realidade preocupante para saúde pública. Assim essas instituições de saúde devem se preocupar com a implantação de PCIH para que se monitore, evite e controle a IH.
Klovhall, Johan, and Susanne Tegeskog. "Patientsäker hantering av sterila instrument i ett uppdukningsrum : En experimentell studie." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-74735.
Full textBackground: At surgery the patient is exposed to develop a surgical site infection. This can cause the patient illness and suffering. The theatre nurse is working to prevent these infections and needs knowledge about how long sterile instruments can be unpacked, covered with a sterile cloth without getting contaminated with bacteria causing surgical site infections. Today there are no national guidelines for how long a covered instrument table can stand in a set-up room before operation. Aim: The aim of the study is to examine how time affects bacterial contamination of a covered instrument table up in a set-up room. Method: The study has a quantitative approach were the experiments where conducted on agar in two, four or six hour. A total of 79 agar plates were used in 6 different experiments. Results: The result shows that after six hours there is no contamination on the agar plates on covered instrument table. However, there are other factors that may affect a covered instrument table and can lead to an infection and cause the patient illness and suffering. Conclusion: The theatre nurse must have knowledge about how to handle with sterile instruments and aseptic who can be crucial for surgical site infection that may cause the patient an unnecessary suffering from care. The result can provide guidelines and evidence for how long a covered instrument table can stand in a set-up room, however the study is small and more research is needed in the subject.
Campanini, Lidiani Aparecida. "Avaliação da atividade bactericida do biovidro F18 e F18 com prata para aplicações médicas." Universidade Federal de São Carlos, 2015. https://repositorio.ufscar.br/handle/ufscar/7319.
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
Millions of surgeries for implants and prosthesis placement are performed annually worldwide. Among these surgical procedures are observed some types of failures. The most worrying complication is the infection that can cause deformity in the region, amputation of body parts, and may progress to osteomyelitis and patient death. In this context, the bactericidal property of the bioactive glasses is being widely studied. The F18 is a new bioglass that was developed at Vitreous Materials Laboratory (LaMaV) and can be manipulated in different forms to be used as auxiliary agent in the medical treatment of infectious processes. The purpose of this study was to investigate the bactericidal activity of F18 in powder form for coating implants and in fibers form to be used in wound healing, on the bacteria Staphylococcus aureus, Staphylococcus epidermidis, Escherichia coli and Pseudomonas aeruginosa. In addition, it was proposed to compare the kinetic of bactericidal activity of F18 in powder, F18 in powder doped with silver (F18Ag), and the standard bioglass called 45S5, on S. aureus. The bactericidal activity of F18 was tested using an analysis method based on a standard JIS (Japanese Industrial Standard) Z2801: 2010, where the inoculum was in contact with the material for 24 hours and the reduction of viable cells was observed after this period. For the realization of kinetic tests the powder samples from different materials were placed in contact with the S. aureus suspension and an aliquot of these mixtures was plated in a culture media at different times. The direct count of colony on Petri dishes demonstrated the viable cells reduction. F18 both in powder form and in the form of fibers showed an extremely efficient bactericidal activity. The elimination of the microorganisms was close to 100%. The log of reduction of bacteria was between 5.9 ± 0.4 and 7.0 ± 0.2 log10 CFU ml-1, and the standard considers as a bactericide the material that shows a reduction of 2.0 logs or more. The bactericidal activity of F18Ag began after the first 30 minutes of contact with microorganisms and practically eliminated the bacterial colonies after one hour of contact. The bactericidal action of F18 started after six hours and eliminated viable cells after 24 hours. Both materials demonstrated bactericidal action similar to that presented by the standard 45S5.
Milhões de cirurgias para colocação de implantes e próteses são realizadas anualmente no mundo todo. Dentre estes procedimentos cirúrgicos, são observadas alguns tipos de falhas. A complicação mais preocupante é a infecção que pode causar deformidade corporal na região, amputação de partes do corpo, e pode evoluir para osteomielite e morte do paciente. Nesse contexto, a propriedade bactericida dos vidros bioativos está sendo amplamente estudada. O F18 é um novo biovidro desenvolvido no Laboratório de Materiais Vítreos (LaMaV) da Universidade Federal de São Carlos, e que apresenta possibilidade de manipulação em diferentes formatos, podendo ser utilizado como agente auxiliar no tratamento médico de processos infecciosos. Os objetivos do presente trabalho foram investigar a ação bactericida do F18 sob a forma de pó para ser utilizado em recobrimento de implantes, e sob a forma de manta composta por fibras de biovidro para utilização no auxílio de cicatrização de feridas. Os microrganismos utilizados nos testes foram Staphylococcus aureus, Staphylococcus epidermidis, Escherichia coli e Pseudomonas aeruginosa. Além disso, buscou-se comparar a cinética de atividade bactericida sobre S. aureus do F18 em pó, F18 em pó acrescido de prata (F18Ag), e o biovidro padrão no mercado atual, chamado de 45S5. A atividade bactericida do F18 foi testada, primeiramente, utilizando-se uma metodologia de análise baseada na norma JIS (Japanese Industrial Standard) Z2801:2010, onde o inóculo padrão permaneceu em contato com o material durante 24 horas. Para a realização dos ensaios cinéticos as amostras dos materiais em teste foram colocadas em contato com a suspensão bacteriana de S. aureus e uma alíquota das misturas foi plaqueada em diferentes tempos. A redução de células bacterianas viáveis foi observada por meio de contagem direta de colônias em placas de Petri. O F18 tanto na forma de pó quanto na forma de manta apresentou elevada atividade bactericida. A eliminação dos microrganismos foi próxima a 100%. A redução logarítmica das bactérias foi entre 5,9 ± 0,4 e 7,0 ± 0,2 log10 UFC ml-1, sendo que a norma utilizada considera como bactericida o material que apresenta redução a partir de 2,0 logs. Nos testes cinéticos observou-se que a atividade bactericida do F18Ag iniciou-se logo após os primeiros 30 minutos de contato com os microrganismos e as células viáveis foram eliminadas após uma hora. Nos ensaios cinéticos também observou-se que a ação bactericida do F18 iniciou-se após seis horas e eliminou as células viáveis em 24 horas. Ambos os materiais demonstraram ação bactericida similar àquela apresentada pelo padrão 45S5.