bachelorThesis
Infección del sitio quirúrgico y relación con factores asociados en cirugía abdominal. Hospital Vicente Corral Moscoso, 2016
Fecha
2016Autor
Sarmiento Altamirano, Doris Adriana
Institución
Resumen
Objective: to determine the prevalence of surgical site infection, and its relationship with associated factors in patients with abdominal surgery that were assisted by the trauma and emergency service at Vicente Corral Moscoso Hospital in 2016.
Methods and Materials: we carried out a cross-sectional study with 206 patients that met the inclusion criteria, and signed the consent. They were observed since they were admitted until they developed an infection, or thirty days after the surgery. Variables such as age, gender, wound contamination, overweight, obesity, cigarette smoking, preoperative stay, comorbidities, surgical time, steroids or immunosuppressive, hyperglycemia, transfusions, using drainage, ICU stay, antibiotic prophylaxis, prior antibiotic, antibiotic treatment were studied. The data was entered in a database to then carry out a bivariate and multivariate analysis.
Results: the prevalence was of 17.48 %, finding significant statistic relevance in age (above 65 years of age), length of the surgery (longer than 120 minutes), preoperative stay (longer than 24 hours), hyperglycemia (above 180 mg/dL) ASA III and IV, contaminated and dirty wound, transfusions, using drainage, ICU stay, the non-use of antibiotic prophylaxis, open approach, using prior antibiotic and BMI over 35. Statistic relevance was not found on the following variables: cigarette smoking, taking immunosuppressants, antibiotic prophylaxis longer than 60 minutes and use of antibiotic treatment.
Conclusion: surgical site infection is higher to those reported, and is related to various risk factors that correspond to both, the patient, and the surgery itself