Incidencia y factores de riesgo asociados a infección del sitio quirúrgico en pacientes cesáreadas
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2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
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OBJETIVOS. - Determinar la incidencia y factores de riesgo asociados a infección del sitio quirúrgico en pacientes cesareadas, en el Hospital Universitario de Guayaquil durante el periodo 2014 – 2017.
METODOS. - Estudio de tipo no experimental, descriptivo, retrospectivo, transversal en el que se revisaron 66 historias clínicas de pacientes con diagnóstico de infección de Sitio Quirúrgico Se analizaron las variables: edad, sexo, comorbilidades, infecciones preexistentes, tipo de cirugía, tiempo de la intervención quirúrgica, profilaxis antibiótica y valores de hematocrito y hemoglobina al momento de ingreso.
RESULTADOS. – De las 66 pacientes infectadas la edad promedio fue 24.5 años, el 82% se les realizo Cesárea de Emergencia y el 18% cesárea Electiva que fueron las que recibieron profilaxis antibiótica, el tiempo quirúrgico promedio fue 47.27, entre las infecciones existentes predomino la Ruptura Prematura Membranas y el 59% de las pacientes tenían anemia.
CONCLUSIONES. - La tasa de Incidencia fue de 19,9 casos de infección del sitio quirúrgico por cada 1000 cesáreas al año durante el 2014 al 2017 del Hospital Universitario de Guayaquil. Los factores de riesgo de relevancia en nuestro estudio fueron anemia, Cesárea de Emergencia, Ruptura Prematura de Membranas.
OBJECTIVES. - To determine the incidence and risk factors associated with infection of the surgical site in patients who had been left at the Hospital Universitario de Guayaquil during the 2014-2017 period. METHODS - Non-experimental, descriptive, retrospective, cross-sectional study in which 66 medical records of patients diagnosed with Surgical Site infection were reviewed. The variables were analyzed: age, sex, comorbidities, preexisting infections, type of surgery, time of surgery surgical intervention, antibiotic prophylaxis and hematocrit and hemoglobin values at the time of admission. RESULTS - Of the 66 infected patients, the average age was 24.5 years, 82% had an Emergency Caesarean section and 18% Elective Caesarean section, which were those that received antibiotic prophylaxis, the average surgical time was 47.27, among the existing infections the Rupture predominated Premature membranes and 59% of patients had anemia. CONCLUSIONS - The incidence rate was 19.9 cases of infection of the surgical site per 1000 cesareans per year during 2014 to 2017 of the University Hospital of Guayaquil. The risk factors of relevance in our study were anemia, Emergency Caesarean Section, Premature Membrane Rupture.
OBJECTIVES. - To determine the incidence and risk factors associated with infection of the surgical site in patients who had been left at the Hospital Universitario de Guayaquil during the 2014-2017 period. METHODS - Non-experimental, descriptive, retrospective, cross-sectional study in which 66 medical records of patients diagnosed with Surgical Site infection were reviewed. The variables were analyzed: age, sex, comorbidities, preexisting infections, type of surgery, time of surgery surgical intervention, antibiotic prophylaxis and hematocrit and hemoglobin values at the time of admission. RESULTS - Of the 66 infected patients, the average age was 24.5 years, 82% had an Emergency Caesarean section and 18% Elective Caesarean section, which were those that received antibiotic prophylaxis, the average surgical time was 47.27, among the existing infections the Rupture predominated Premature membranes and 59% of patients had anemia. CONCLUSIONS - The incidence rate was 19.9 cases of infection of the surgical site per 1000 cesareans per year during 2014 to 2017 of the University Hospital of Guayaquil. The risk factors of relevance in our study were anemia, Emergency Caesarean Section, Premature Membrane Rupture.
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Cesárea, Hospital Universitario de Guayaquil, Cantón Guayaquil, Ecuador, Infección de la herida quirúrgica, Incidencia