Análise da taxa de infecção de sítio cirúrgico no pós-operatório de cirurgia cardíaca

Abstract

Among the various hospital infections that affect patients undergoing cardiac surgery, the most common is surgical site infections (SSI). (ABBOUT, et al., 2001). The occurrence of SSI depends on the factors related to the patient, the team, but mainly, the possibility of contamination of the surgical wound during the procedure. (National Institute for Health; 2008). In health services in Brazil, SSI is seen as one of the main risks to patient safety (BRASILa, 2017). OBJECTIVES: To analyze the surgical site infection rate (SSI) in the postoperative period of cardiac surgery. METHODS: The type of research of the present study is a prospective follow-up of a quantitative approach, the project was approved by the UFU Ethics Committee (Number: 1,715,990),data collection was performed in the sectors of Clinical Medical (CM), Coronary Unit (UCO), Thoracic Pain Unit (UDT), Intensive Care Unit ) and Ambulatory Sector of the Clinical Hospital of the Federal University of Uberlândia, in the city of Uberlândia-Minas Gerais, and occurred in two phases (hospital and outpatient). RESULTS: Participated in the study 39 individuals who underwent cardiac surgery, 61.5% of which were CRVM. We observed that 72% were male; the mean age was 57 ± 13 years and 56.4% were married (a). The mean hospitalization before the surgical procedure was 22.2 days. Regarding comorbidities, 71.8% of the participants had systemic arterial hypertension, 23% of diabetes mellitus and 35.9% of dyslipidemias. The ISC rate found in the present study was 23.3%, with Klebsiella pneumoniae and S. epidermidis being the most frequently isolated microorganisms from the surgical wound. CONCLUSION: The incidence of SSI was reported throughout the literature. SSI is a prevalent IRAS in patients undergoing cardiac surgery at the study hospital. Klebsiella pneumoniae and Staphylococcus epidermidis were the main etiological agents isolated from SSI.