SURGICAL SITE INFECTION: ARE SURVEILLANCE AND RISK PREVENTION MEASURES INSTITUTIONALLY APPLIED?
DOI:
https://doi.org/10.5380/ce.v24i0.62968Keywords:
Surgicenters, Surgical Wound Infection, Antibiotic Prophylaxis, Guideline Adherence, Public Health Surveillance.Abstract
Objective: this study aimed to evaluate measures of surveillance and prevention of surgical
site infections in a philanthropic institution in the interior of Minas Gerais.
Method: quasi-experimental study with pre-intervention, intervention and post-intervention
period. We used Pearson’s Chi-Square test when the expected value was >5 and Fisher’s
exact test for the expected value <5. The Bonferroni correction was applied for multiple
comparisons (p<0.01).
Results: the trichotomy was performed with a slide for removal by 66% of professionals.
The patient’s temperature was significant (p=0.03) when associated with the professional
category. 84% of the surgeons did antimicrobial prophylaxis prior to surgical incision. In the
post-intervention phase, there was a reduction of 84.6% of the professionals who prepared
the skin before the surgical incision.
Conclusion: the present study generated quality indicators for the surgical center and, in the
absence of follow-up protocols, underestimated adverse events resulting from surgery.
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