Surveillance of surgical site infection after cesarean section and time of notification.

Autor: Lima JL; Specialization in Prevention and Control of Hospital Infection, Hospital das Clínicas of Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil; Faculdade Dinâmica do Vale do Piranga, Ponte Nova, Minas Gerais, Brazil., de Aguiar RA; Department of Gynecology and Obstetrics, Medical School of Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil., Leite HV; Department of Gynecology and Obstetrics, Medical School of Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil., Silva HH; Medical School of Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil., de Oliveira WM; Medical School of Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil., Sacramento JP; Faculty of Medical Sciences of Universidade José do Rosário Vellano, Belo Horizonte, Minas Gerais, Brazil., Wakabayashi EA; Medical School of Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil., de Souza HC; Medical School of Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil., Clemente WT; Propedeutics Department, Medical School of Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil; Pediatrics Department, Medical School of Universidade Federal de Minas Gerais, Universidade José do Rosário Vellano, Belo Horizonte, Minas Gerais, Brazil., Romanelli RM; Pediatrics Department, Medical School of Universidade Federal de Minas Gerais, Universidade José do Rosário Vellano, Belo Horizonte, Minas Gerais, Brazil; Hospital Infection Control Committee, Hospital das Clínicas of Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil. Electronic address: rmcromanelli@gmail.com.
Jazyk: angličtina
Zdroj: American journal of infection control [Am J Infect Control] 2016 Mar 01; Vol. 44 (3), pp. 273-7. Date of Electronic Publication: 2015 Dec 11.
DOI: 10.1016/j.ajic.2015.10.022
Abstrakt: Background: Cesarean section is a surgical procedure the main complication of which is surgical site infection (SSI), which is related to maternal morbidity and mortality.
Objective: To evaluate active monitoring by telephone to identify infection and time of SSI report in postpartum women and associated risk factors.
Methods: We conducted a prospective observational study from 2013-2014, at a referral service for high-risk pregnancies. Surveillance was conducted via telephone at least 30 days after cesarean delivery. Incidence ratio and time of infection occurrence (days) was analyzed. Survival analysis was conducted to assess the temporal distribution of the development of infection.
Results: Of a total of 353 patients, 14 (4%) cases of SSI were reported, and 10 (7.4%) of the reported cases occurred within 15 days after cesarean and average time of infection was12.21 days. American Society of Anesthesiologists score was the only risk factor associated with SSI after cesarean section.
Conclusions: The prevalence of SSI after cesarean section via telephone is similar to several services with different methods of surveillance, considering it could be used by services with limited resources. Superficial incisional SSI was the most common type of infection, time of infection report was mainly before the 15th day postprocedure, and American Society of Anesthesiologists score of 2 or less was protective against SSI. Telephone calls can be a viable method to identify women with infection briefly after discharge, particularly at-risk patients.
(Copyright © 2015 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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