Postdischarge surveillance following cesarean section: The incidence of surgical site infection and associated factors

dc.creatordel Monte, MCC
dc.creatorNeto, AMP
dc.date2010
dc.dateAUG
dc.date2014-11-13T20:44:39Z
dc.date2015-11-26T17:11:32Z
dc.date2014-11-13T20:44:39Z
dc.date2015-11-26T17:11:32Z
dc.date.accessioned2018-03-29T00:00:02Z
dc.date.available2018-03-29T00:00:02Z
dc.identifierAmerican Journal Of Infection Control. Mosby-elsevier, v. 38, n. 6, n. 467, n. 472, 2010.
dc.identifier0196-6553
dc.identifier1527-3296
dc.identifierWOS:000280231600010
dc.identifier10.1016/j.ajic.2009.10.008
dc.identifierhttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/81488
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/81488
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/81488
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1281123
dc.descriptionBackground: The rate of surgical site infections (SSI) and their associated risk factors was identified by performing postdischarge surveillance following cesarean section at a public university teaching hospital in Brazil. Methods: The study was conducted at the Center for Women's Integrated Health Care in Brazil between May 2008 and March 2009. Women were contacted by telephone 15 and 30 days after cesarean section. During hospitalization, a form was completed on factors associated with post-cesarean SSI. The chi(2) test and Fisher exact test were used to analyze categorical variables and the Mann-Whitney test for numerical variables. Relative risks (RR) and their respective 95% confidence intervals (95% CI) were calculated for factors associated with SSI. P values < .05 were considered significant. Results: The final sample consisted of 187 women. SSI was detected in 44 cases (23.5%). In 42 of 44 women (95%), SSI appeared following discharge from hospital, becoming evident within the first 15 days following surgery. Number of prenatal consultations <= 7 (RR, 2.09; 95% CI: 1.26-3.48) and hypertension (RR, 2.07; 95% CI: 1.25-3.43) were significantly associated with SSI in the bivariate analysis. In the multivariate analysis, only hypertension (RR, 2.47; 95% CI: 1.21-5.04) remained significant. Conclusion: Postdischarge surveillance is essential for ensuring accurate estimates of post-cesarean section SSI. A 15-day postdischarge follow-up was shown to be sufficient. Hypertension was a factor associated with SSI.
dc.description38
dc.description6
dc.description467
dc.description472
dc.languageen
dc.publisherMosby-elsevier
dc.publisherNew York
dc.publisherEUA
dc.relationAmerican Journal Of Infection Control
dc.relationAm. J. Infect. Control
dc.rightsfechado
dc.rightshttp://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
dc.sourceWeb of Science
dc.subjectPostdischarge surveillance
dc.subjectcesarean section
dc.subjectsurgical site infection
dc.subjecthospital infection
dc.subjectinfection control nurse
dc.subjectWound-infection
dc.subjectRisk-factors
dc.subjectRates
dc.subjectMulticenter
dc.titlePostdischarge surveillance following cesarean section: The incidence of surgical site infection and associated factors
dc.typeArtículos de revistas


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