Incidence and risk factors associated to surgical site infection in the Dog and Cat Clinic at the Veterinary Hospital of the Universidade Federal de Viçosa / Incidência e fatores de risco associados à infecção do sítio cirúrgico na clínica de cães e gatos do hospital veterinário da Universidade Federal de Viçosa

AUTOR(ES)

Daniel Pontes Braga

DATA DE PUBLICAÇÃO

2008

RESUMO

The objective of this study was to verify the incidence of infection in the surgical site at the Dog and Cat Surgery Clinic at the Veterinary Hospital of the Universidade Federal de Viçosa (UFV) and the association of occurrence of infection with the risk factors previously described. Another aim was to attract interest to this issue, since hospital infections very often remain unnoticed or are not duly recorded, to propose measures for their prevention and control. A concurrent prospective cohort study was carried out. The epidemiological surveillance method applied was based on the active search of “clues” indicating the occurrence of ICS. All the patients submitted to surgical procedures under the day clinic scheme during the period proposed were analyzed through their clinical, surgical and anesthesic records, as well as through the collection of information from veterinarians, animal caretakers and owners. A total of 307 patients (356 surgical procedures) were analyzed from May 11 to November 11, 2007. Possible cases were evaluated by the researcher and observing veterinarians, with 34 ICS cases being identified among the patients submitted to surgery during the period proposed. Data analysis and hospital documentation provided a precise assessment of all the procedures carried out during the period and the dynamics of filling the hospital forms was also verified. The absence of a standardization of the records and prescribed surgical antibiotic prophylaxy was verified. A global ICS incidence of 9.5% was found, compatible with the rates described in the literature consulted and an incidence of 10.4 % in clean surgeries and 7.4% in potentially contaminated ones, with these indices being higher than those observed in the literature studied. No association among ICS, surgery duration time, orthopedic and non-orthopedic surgeries, with or without use of protheses. However, association between record of patient’s interference in the surgical wound and ISC occurrence were recorded. The following likely risk factors for ISC were verified: lack of a hospital infection surveillance process, non-standardized use of antibiotic prophylaxy, lack of norms and routine concerning the prevention and control of hospital infections, lack of adequate professional training and guidance, and non compliance to current legislation. Thus, based on the data investigated and observations conducted in this study, the need for actions was verified.

ASSUNTO(S)

surgical site sítio cirúrgico infection clinica e cirurgia animal infecção small animals pequenos animais

Documentos Relacionados

• Incidência de infecção do sítio cirúrgico e fatores de risco associados na clínica cirúrgica de pequenos animais
• Assessment of patients submitted to craniotomy: incidence, evolution and risk factors of surgical site infection.
• Postdischarge surveillance following cesarean section : the incidence of surgical site infection and associated factors
• [Emergência de bactérias multirresistentes isoladas da infecção no sítio cirúrgico em cães e gatos]
• Estudo da ocorrência de infecção hospitalar em cães e gatos em um centro cirúrgico veterinário universitário