Improvement project to reduce surgical site infections: a retrospective cohort study
ABSTRACT Introduction: Surgical site infections are one of the main problems related to health care. In Brazil, they are responsible for 14 to 16% of infections related to health care. This study sought to analyze the effect of implementing a package of measures to reduce surgical site infections...
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| Format: | Article |
| Language: | English |
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Colégio Brasileiro de Cirurgiões
2023-10-01
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| Series: | Revista do Colégio Brasileiro de Cirurgiões |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912023000100237&tlng=pt |
| _version_ | 1797658828941033472 |
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| author | LAURA FERREIRA DIAS XAVIER AMANDA SILVA MEDEIROS MARIA CLARA DE SOUSA FARIAS MELO RAPHAEL NEPOMUCENO GALVÃO SANTOS ZENEWTON ANDRÉ DA SILVA GAMA MARISE REIS DE FREITAS |
| author_facet | LAURA FERREIRA DIAS XAVIER AMANDA SILVA MEDEIROS MARIA CLARA DE SOUSA FARIAS MELO RAPHAEL NEPOMUCENO GALVÃO SANTOS ZENEWTON ANDRÉ DA SILVA GAMA MARISE REIS DE FREITAS |
| author_sort | LAURA FERREIRA DIAS XAVIER |
| collection | DOAJ |
| description | ABSTRACT Introduction: Surgical site infections are one of the main problems related to health care. In Brazil, they are responsible for 14 to 16% of infections related to health care. This study sought to analyze the effect of implementing a package of measures to reduce surgical site infections (SSI) in heart surgeries, kidney transplants and herniorrhaphies and to evaluate adherence to the safe surgery checklist in a university hospital. Methods: this is a retrospective cohort study with data collection in a time series for the period from 2018 to 2020. Results: we analyzed 222 medical records referring to the surgeries under study performed in the year 2020, in which data were collected from the patients and the care package prevention measures. SSI data and adherence to the safe surgery checklist were analyzed in the years 2018, 2019 and 2020, totaling 268, 300 and 222 procedures analyzed, respectively. Conclusion: the study showed a significant reduction in the SSI rate with greater adherence to the protocol, which was not maintained and was influenced by the COVID-19 pandemic. Thus, the sustainability of this action represents a challenge to be overcome, in order to establish a safer environment for the patient and a better quality of service. |
| first_indexed | 2024-03-11T18:04:58Z |
| format | Article |
| id | doaj.art-3b8ce7d878854179b7d4e2c3a898557b |
| institution | Directory Open Access Journal |
| issn | 1809-4546 |
| language | English |
| last_indexed | 2024-03-11T18:04:58Z |
| publishDate | 2023-10-01 |
| publisher | Colégio Brasileiro de Cirurgiões |
| record_format | Article |
| series | Revista do Colégio Brasileiro de Cirurgiões |
| spelling | doaj.art-3b8ce7d878854179b7d4e2c3a898557b2023-10-17T07:40:43ZengColégio Brasileiro de CirurgiõesRevista do Colégio Brasileiro de Cirurgiões1809-45462023-10-015010.1590/0100-6991e-20233380-enImprovement project to reduce surgical site infections: a retrospective cohort studyLAURA FERREIRA DIAS XAVIERhttps://orcid.org/0000-0003-2944-939XAMANDA SILVA MEDEIROShttps://orcid.org/0009-0001-7181-8112MARIA CLARA DE SOUSA FARIAS MELOhttps://orcid.org/0000-0003-3201-0484RAPHAEL NEPOMUCENO GALVÃO SANTOShttps://orcid.org/0000-0002-9502-4296ZENEWTON ANDRÉ DA SILVA GAMAhttps://orcid.org/0000-0003-0818-9680MARISE REIS DE FREITAShttps://orcid.org/0000-0002-5679-6672ABSTRACT Introduction: Surgical site infections are one of the main problems related to health care. In Brazil, they are responsible for 14 to 16% of infections related to health care. This study sought to analyze the effect of implementing a package of measures to reduce surgical site infections (SSI) in heart surgeries, kidney transplants and herniorrhaphies and to evaluate adherence to the safe surgery checklist in a university hospital. Methods: this is a retrospective cohort study with data collection in a time series for the period from 2018 to 2020. Results: we analyzed 222 medical records referring to the surgeries under study performed in the year 2020, in which data were collected from the patients and the care package prevention measures. SSI data and adherence to the safe surgery checklist were analyzed in the years 2018, 2019 and 2020, totaling 268, 300 and 222 procedures analyzed, respectively. Conclusion: the study showed a significant reduction in the SSI rate with greater adherence to the protocol, which was not maintained and was influenced by the COVID-19 pandemic. Thus, the sustainability of this action represents a challenge to be overcome, in order to establish a safer environment for the patient and a better quality of service.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912023000100237&tlng=ptSurgical Wound InfectionBundleKidney Transplantation |
| spellingShingle | LAURA FERREIRA DIAS XAVIER AMANDA SILVA MEDEIROS MARIA CLARA DE SOUSA FARIAS MELO RAPHAEL NEPOMUCENO GALVÃO SANTOS ZENEWTON ANDRÉ DA SILVA GAMA MARISE REIS DE FREITAS Improvement project to reduce surgical site infections: a retrospective cohort study Revista do Colégio Brasileiro de Cirurgiões Surgical Wound Infection Bundle Kidney Transplantation |
| title | Improvement project to reduce surgical site infections: a retrospective cohort study |
| title_full | Improvement project to reduce surgical site infections: a retrospective cohort study |
| title_fullStr | Improvement project to reduce surgical site infections: a retrospective cohort study |
| title_full_unstemmed | Improvement project to reduce surgical site infections: a retrospective cohort study |
| title_short | Improvement project to reduce surgical site infections: a retrospective cohort study |
| title_sort | improvement project to reduce surgical site infections a retrospective cohort study |
| topic | Surgical Wound Infection Bundle Kidney Transplantation |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912023000100237&tlng=pt |
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